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It is true that most scar creams/treatments do not help fill in depressed scars, but are more designed to flatten raised scars and help with discoloration. Since I am not a specialist in fillers, I do recommend you ask Dr. Rivkin about which filler would be best for you. You can ask him on his message board below:
I had a scar from childhood, from a pin being put through my leg, 2 inches below the knee for traction, when I broke my leg. The scar on the inner side was round and depressed and looked like I had a hole there.
Three years ago I had the scar revised. My surgeon said it was indented because a piece of bone left behind was acting like a hook, pulling the skin inward. Anyway, he released it and used fat from the surrounding area to pad it out and closed it as neat line. It now looks great and is hardly noticeable. I also massage gently with Bio Oil on a daily basis.
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I think it varies depending on the type of scar, but I know for depressed acnescars and similar they do something called subscision which is drawing a needle underneath to break the fibres that pulls in the skin in and causes a dent; followed by an injectable filler. I don't know what sort of filler, but I imagine they would try a temporary filler to see the results, and then maybe moving on to something more permanent in the future..?
Are you in the uk? One of the best people for this is apparently Dr Chu in London. I can't recommend him personally though because I've never seen him.
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