In some cases, the scars we treat are not always effectively revised with laser treatments. Because of hard fibrous tissue deposits or because the shape of the scar is very deep, laser resurfacing can’t always create the right outcome.
For very deep scars that also have some width to them (NOT like ice pick acne scars) subcision with Restylane is an option. During this procedure, we use the needle itself to release scar tissue below the depression and then place the Restylane directly underneath the scar to lift and fill. Repeating this procedure several times over a period of years can improve the depressed scar by permanently lifting it, creating a shallower, and less visible, scar.
See below for a nice example of treating a depressed scar with subcision and Restylane.