Soft Tissue Augmentation

Understanding Soft Tissue Augmentation

There are many new as well as existing tissue augmentation agents that may be used for atrophic acne scar correction including autologous, non-autologous biologic, and even non-biologic agents.

Soft-tissue fillers are particularly effective in treating patients with rolling acne scars. Fillers for acne scarring can be utilized in two ways.

First, fillers can be injected directly under individual scars for immediate improvement. Hyaluronic acid skin boosters offer a reasonable duration of correction with reduced risk of immunogenicity and hypersensitivity. There is also evidence that hyaluronic acid with its biorevitalization action can promote cell proliferation and extracellular matrix synthesis as well as modulate the diameter of the collagen fibers.

Second, volumizing fillers, such as calcium hydroxylapatite (Radiesse), can be delivered to areas where skin laxity or deep tissue atrophy is worsening the appearance of acne scars. Calcium hydroxyapatite has been shown to improve rolling scars even after just one treatment.