LAM FACIAL PLASTICS

Dr. Lam, I have heard you speak of silicon injections to elevate the depressed scar(s),however isn't the scar bound by fibrous tissue. Do you perform and or believe in subcision as a preliminary or adjunct procedure to the silicon injections? Please advise.

Sincerely,
Dave

no subcision in my opinion does not effectively work and if done with silicone could predispose toward migration. i do not see any issue with the donuting effect when injecting silicone because i can get it directly into the bound down scar and that elevates the area safely and effectively.

dr. lam wrote:no subcision in my opinion does not effectively work and if done with silicone could predispose toward migration. i do not see any issue with the donuting effect when injecting silicone because i can get it directly into the bound down scar and that elevates the area safely and effectively.

Is there still a significant risk of migration if the silicone is injected several months prior to the subcision?

in short, no.