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AMM 360: Fillers Revolutionizing Acne Scar Treatments 2025

February 28, 2025

In this episode, listeners will explore the world of synthetic dermal fillers and their effectiveness in treating acne scars, based on a recent systematic review. The discussion includes insights from 26 key trials involving 1,121 participants, highlighting the potential of fillers like hyaluronic acid, poly-L-lactic acid, and more. Learn about various treatment strategies, including the promising results of hyaluronic acid and innovative combination techniques. The episode also covers the importance of safety and the need for further research in this area of aesthetic medicine. Whether you’re considering treatment or just interested in the latest developments, this episode provides valuable information on the evolving options for improving skin texture and elasticity.

Quick Takes

  • A recent systemic review analyzed 26 key trials involving 1,121 patients to study the effectiveness of synthetic dermal fillers in treating acne scars.
  • Hyaluronic acid (HA) fillers as a standalone treatment showed significant promise, with up to 96% of participants experiencing improvements after just a month.
  • Combination treatments involving innovative methods like the dual-plane technique and botulinum toxin A also showed noteworthy clinical and patient satisfaction improvements in treating rolling and boxcar scars.

Episode Transcript

Today is February 17th, and we’re diving into the world of synthetic dermal fillers and their role in treating acne scars. A recent comparative systemic review provides a comprehensive look at options for improving skin texture and elasticity while boosting collagen. It’s an exciting frontier in aesthetic medicine, aiming to address the fact that a whopping 95% of acne patients experience scarring.

This review pulled data from studies conducted over the past two decades, analyzing 26 key trials involving 1,121 patients. Treatments included a mix of monotherapy and combination strategies using fillers like hyaluronic acid (HA), poly-L-lactic acid (PLLA), calcium hydroxylapatite (CaHA), and polycaprolactone (PCL). Interestingly, HA fillers as a standalone treatment showed the most promise, with one study noting significant improvements in up to 96% of participants after just a month.

Other combination treatments featured innovative methods such as the dual-plane technique and botulinum toxin A. Though effectiveness varied, some techniques, like TSTART, showed noteworthy clinical and patient satisfaction improvements, particularly in treating rolling and boxcar scars.

While the safety of these treatments is generally confirmed, the authors stress that fillers like PMMA are exceptions since they are FDA approved specifically for treating acne scars. The call for further research is clear, emphasizing the need for randomized and controlled studies with larger cohorts.

That’s the scoop for today! Whether considering a treatment or just curious about the latest advancements, it’s clear these options are paving the way for smoother, healthier-looking skin. Stay curious, and until next time, take care!

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Aesthetic Medicine Minute

with Dr. Teri Fisher

Daily insights, updates, and strategies for navigating the world of medical aesthetics, all in 1 minute per day.