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  • It is currently Sat May 25, 2013 4:49 pm

tissue loss

section of the forum is dedicated to discussions addressing injectable fillers including Restylane, Perlane, Juvederm, Radiesse, Sculptra, Silicone, Artefill, or other office-based injectable filler, except for the management of acne scarring (See Acne/Acne Scarring Forum).
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tissue loss

Postby havingfaith » Tue May 12, 2009 8:20 pm

Dr. Lam
What filler do you recommend when there is some facial loss from an acne scar.

thanks
havingfaith
 
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Re: tissue loss

Postby havingfaith » Tue May 12, 2009 8:21 pm

Sorry Dr. Lam I mean besides using silicone?
havingfaith
 
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Joined: Mon May 12, 2008 10:41 pm
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Re: tissue loss

Postby dr. lam » Tue May 12, 2009 9:08 pm

if there is significant volume loss along with volume loss for aging, then fat grafting. if it is intended to just fill acne holes, then no i don't use fat since it is generally too soft and also not great to fill small holes as it is a live graft and will change unevenly if applied unevenly. therefore, i tend to use perlane and/or restylane. they are harder products that give me the potential to lift the scars than fat, for example. silicone works better in many acne scars because it does not donut, i.e., by placing small droplets, the product does not go around the scar but stays in it better. i would have to see your case.
best,
sml
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
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