This is a hard one to answer. When you have fat loss or rolling scars from the same the only real solution is filler after subscision or things like that. I have one deeper scar which I'm still without many options. Juvederm seems useless and too short and other permanents are risky and messy.

I was looking at fat transfer filler a more permanent option but that's ambiguous and may require talent and technique.

Your scars are at least not too bad even though I'm sure they are to you obviously.

I'm not sure what I'd suggest for fat loss scars. When anatomy is subtracted in a large spotthat's a very hard thing to normalize.

18 hours ago, harmlessboy1441 said:

This is a hard one to answer. When you have fat loss or rolling scars from the same the only real solution is filler after subscision or things like that. I have one deeper scar which I'm still without many options. Juvederm seems useless and too short and other permanents are risky and messy.

I was looking at fat transfer filler a more permanent option but that's ambiguous and may require talent and technique.

Your scars are at least not too bad even though I'm sure they are to you obviously.

I'm not sure what I'd suggest for fat loss scars. When anatomy is subtracted in a large spotthat's a very hard thing to normalize.

Do you think permanent fillers would have yielded better results than the Juvederm? Im not sure whether the Juvederm itself wasnt effective or if Dr. Rullan maybe didnt inject it the best, but Im thinking that additional subcisionmay not be helpful since my scars dont seem to be tethered based on the fact that they appear to flatten when I stretch them. The fat transfer filler sounds interesting though Ill definitely look into that.

1 hour ago, timetogo said:

Do you think permanent fillers would have yielded better results than the Juvederm? Im not sure whether the Juvederm itself wasnt effective or if Dr. Rullan maybe didnt inject it the best, but Im thinking that additional subcisionmay not be helpful since my scars dont seem to be tethered based on the fact that they appear to flatten when I stretch them. The fat transfer filler sounds interesting though Ill definitely look into that.

It's an imperfect debate. The longer term fillers have risks. Clumping, reabsorption topping those risks. Someone on the board recently showed their filler which clumped and distorted the scars and looked worse than before. And you can't "dissolve" a permanent filler.

Juvederm on the other hand ranges from being reabsorbed near instantly (1 month) to maybe 7 or 9 months best case. Most people seem to say it lasts 2-3 months avg. That's terrible. The trauma on the skin of untethering and injecting a $700 thing every 2 months is not viable at least in my mind. Waste of time.

As far as fat filler, it's something that's been around for a long time. Posting going back to 2005 on here shows a mixed/so-so bag. My in person visit sounded promising to a surgeon but I never followed through (for one deeper scar). Other doctors say it's unpredictable. It reabsorbs or may clump. May depend on talent. And you cannot "dissolve" fat that clumps it's permanent.

Your scars don't look that bad in my view, you kind of look like you have some texture/rolling stuff. Like 2 spots look a little deeper on one side. Totally get that you want solutions, I just don't want to advise something that would be too risky or make it worse to be blunt. I think fillers are really imperfect sadly. If I knew a solution I'd fill one larger scar I have.

11 hours ago, harmlessboy1441 said:

As far as fat filler, it's something that's been around for a long time. Posting going back to 2005 onhere shows a mixed/so-so bag. My in person visit sounded promising to a surgeon but I never followed through (for one deeper scar). Other doctors say it's unpredictable. It reabsorbs or may clump. May depend on talent. And you cannot "dissolve" fat that clumps it's permanent.

I wonder if someones tried 'cool sculpting' in instances of fat clumping issues.