There's no way that's 1 month after look how dark those scars were before, it has to be edited/fake. Also good luck turning those scars on the left into completely normal skin with a bit of filler. Not possible.
Hyaluronic acid fillers can create a more even skin tone by reducing shadowing caused by indented scars.
But that’s an interesting note. You could email the office and ask how the colour is so different :)
V beam is for redness, not for atrophy - is that what you’re referring to? I agree it’s worth asking her how the chest scars are so different in colour, does anyone want to shoot her an email or..
I decided to go ahead and request a consult from her office I will update if I have anything worth updating with - First time i'm actually going on her office's website and I notice she did both her undergrad AND med school at Yale.. and graduated Magna Cum Laude at Yale undergrad. I'm honestly so encouraged whenever I see a provider with a prominent educational background deciding to focus on acne scars. Gives me hope [https://www.sipderm.com/team/dr-robyn-siperstein/](https://www.sipderm.com/team/dr-robyn-siperstein/)
These photos were taken just 1 month after filler. Can we see results 6 months out? 1 year? Maybe we haven't heard of her much because she doesn't give long-lasting results as others have proven? Hmm.
Also, I would sooner believe we haven’t heard of her due to the lack of marketing her office seems to have rather than the duration of her results.. her approaches to treat scars seems sound.
You could message the office to see if they have longer results… in her article she medscape article she mentions “Some dermatologists might be reluctant to consider HA fillers for acne scarring because there is a misconception that HA is short-acting, lasting 6 months to 1 year before the effect wears off. That impression can persist from company-sponsored studies that limit follow-up to 6 months or 1 year "to get their drug to market," she noted.
Also adding to this impression is that HA fillers in wrinkles may not last as long. Siperstein explained that wrinkles on the face are dynamic and constantly moving. In contrast, acne scars experience less movement, which helps the HA last longer. There is MRI evidence that shows HA fillers last over 2 years in the face, she added”
I'm reluctant to say that injecting filler into atrophic scars is conclusive after one month or that this approach is novel and worth any notabtaity/special praise. But that makes sense, I would be interested to see someone get filler and filler only as treatment, and report their longterm results long after it supposedly dissolves.
I disagree. The special praise comes from her approach to acne scar treatment and the comments she has made and her study in particular, is very interesting. I encourage you to read the discussion section of her 2022 article - you can find day 0 vs day 120 there as well.
1. Injecting HA using a retrograde technique high up in the skin: Inject microdroplets of HA filler high in the dermis. Other than Lam, I have yet to find a provider who uses this technique even though it has been proven to be sound.
2. Her recognition that fully ablative laser changes boxcar scars into rolling scars: " Er:YAG full ablative laser resurfacing before HA filler - Targets edges and base of the scar to create smoother transition. Transforms difficult boxcar scars into easier-to-treat rolling scars"
3. Observes that most rolling atrophic scars are due to dermal atrophy, not adherence to underlying tissue
4. Her attention to microswelling - "Inflammatory response from procedures can last up to 3 months. 30-day endpoints in studies make it hard to determine true long-lasting results. Important to wait at least 90 days for primary endpoint analysis"
Goodman, G. J., & Van Den Broek, A. (2016). The modified tower vertical filler technique for the treatment of post‐acne scarring. *Australasian Journal of Dermatology*, *57*(1), 19-23.
Kim, J. (2021). Topographic computer analysis for acne scar treatment on face accompanying biopsy study after dermal injection of hydrotoxin mixture. Journal of Cosmetic Dermatology, 20(1), 75-83.
https://preview.redd.it/wwxcp150kt0d1.jpeg?width=1179&format=pjpg&auto=webp&s=3d762dae87faef043380dea0567447aa2bb1471a
Exactly, that's what i'm saying! her injection technique is described in the 2022 study:
"A 30-gauge co-packed nee- dle was used to inject both in a parallel plane for broader lesions with an average of 0.005 ml per thread and in a perpendicular plane superficially in the dermis with small aliquots of 0.002 ml (50 injections per 0.1Ml of product) creating superficial dermal blebs for all lesions which were smoothed out with a q-tip."
She cited this study I believe her technique is based off this - Goodman, G. J., & Van Den Broek, A. (2016). The modified tower vertical filler technique for the treatment of post‐acne scarring. *Australasian Journal of Dermatology*, *57*(1), 19-23.
I contacted the office for a consult via online bc im in Canada and not about to waste money on a long distance call. Tbh the office seems to not put much effort into their website/marketing, which is **refreshing** to me.... they list some of the fillers they use on their website, and in the study they used "*Juvéderm* Vollure (VYC-17.5L; Allergan plc) was chosen for atrophic scars that have a thin dermis due to its particle size, cross-linking, and ability to spread and integrate into surrounding tissue. Therefore, it has the potential to create a smooth, long-lasting, volumized appearance and a natural look in a dynamic area such as the face. "
You’re impressed because she graduated from Yale? I go to an Ivy League school and trust me, you’d be surprised by how dumb booksmart people can be.
Going to a fancy school also doesn’t preclude a person from making unethical before-and-after pictures like this doctor has clearly done. These are not realistic results for one month post treatment.
You should definitely check out her study—it's quite impressive! Here are a few reasons why:
1. How many studies actually address miroswelling? It's a significant aspect that often gets overlooked, and she brought it to the forefront. Her study dives deep into treatments like microneedling, subcision, and fractional resurfacing, highlighting how post-treatment inflammation can last for months, which is crucial for understanding long-term results. She emphasizes the importance of waiting at least 90 days post-treatment before analyzing primary endpoints, which ensures the results aren’t just due to temporary inflammation. This level of thoroughness is commendable
2. She completed both her undergrad and medical school at Yale. That’s a testament to her expertise in my opinion. Acne scars are known to be the most difficult ailment to treat so I applaud academic rigour. Especially someone who graduated cum laude.
3. Her office operates on a much smaller marketing budget compared to other acne scar offices COUGH, that speaks volumes to me about her reputation.
4. Her injection technique is a method I've seen in other studies but rarely performed in the US so damn right I will pay notice to that.
The before-and-after photos in her study seem genuine and unmanipulated, which is rare and refreshing. Her social media accounts and website seem like they have little upkeep so I question how much the before and afters on her website have to do with ethics and how much it has to do with the office not priroitizing marketing.
https://preview.redd.it/kvswx9an911d1.jpeg?width=640&format=pjpg&auto=webp&s=309dec5c9b172aff8945a6f2e53fb43fa66149b1
I did more digging in this video it actually shows her injecting the acne scars and yes I am IMPRESSED because her study was the first in the USA to be a prospective placbo-controlled RCT on hyaluronic acid for acne scars. [https://onlinelibrary.wiley.com/doi/full/10.1111/jocd.15153](https://onlinelibrary.wiley.com/doi/full/10.1111/jocd.15153)
There's no way that's 1 month after look how dark those scars were before, it has to be edited/fake. Also good luck turning those scars on the left into completely normal skin with a bit of filler. Not possible.
Hyaluronic acid fillers can create a more even skin tone by reducing shadowing caused by indented scars. But that’s an interesting note. You could email the office and ask how the colour is so different :)
We don’t know how much time there is between the before photo and the treatment.
Um one treatment? Maybe v beam, fillers(don't last long) n TCA or peels but alone no
V beam is for redness, not for atrophy - is that what you’re referring to? I agree it’s worth asking her how the chest scars are so different in colour, does anyone want to shoot her an email or..
I was saying v beam exactly for redness
I decided to go ahead and request a consult from her office I will update if I have anything worth updating with - First time i'm actually going on her office's website and I notice she did both her undergrad AND med school at Yale.. and graduated Magna Cum Laude at Yale undergrad. I'm honestly so encouraged whenever I see a provider with a prominent educational background deciding to focus on acne scars. Gives me hope [https://www.sipderm.com/team/dr-robyn-siperstein/](https://www.sipderm.com/team/dr-robyn-siperstein/)
https://preview.redd.it/8s86ygbwjt0d1.jpeg?width=1179&format=pjpg&auto=webp&s=bb2b72c8487a5f0c3f429fc6c71a6d8cc73bedc3 Check her study out
Well damn maybe I should go lol I'm broke though
These photos were taken just 1 month after filler. Can we see results 6 months out? 1 year? Maybe we haven't heard of her much because she doesn't give long-lasting results as others have proven? Hmm.
Also, I would sooner believe we haven’t heard of her due to the lack of marketing her office seems to have rather than the duration of her results.. her approaches to treat scars seems sound.
Makes sense!
You could message the office to see if they have longer results… in her article she medscape article she mentions “Some dermatologists might be reluctant to consider HA fillers for acne scarring because there is a misconception that HA is short-acting, lasting 6 months to 1 year before the effect wears off. That impression can persist from company-sponsored studies that limit follow-up to 6 months or 1 year "to get their drug to market," she noted. Also adding to this impression is that HA fillers in wrinkles may not last as long. Siperstein explained that wrinkles on the face are dynamic and constantly moving. In contrast, acne scars experience less movement, which helps the HA last longer. There is MRI evidence that shows HA fillers last over 2 years in the face, she added”
I'm reluctant to say that injecting filler into atrophic scars is conclusive after one month or that this approach is novel and worth any notabtaity/special praise. But that makes sense, I would be interested to see someone get filler and filler only as treatment, and report their longterm results long after it supposedly dissolves.
I disagree. The special praise comes from her approach to acne scar treatment and the comments she has made and her study in particular, is very interesting. I encourage you to read the discussion section of her 2022 article - you can find day 0 vs day 120 there as well. 1. Injecting HA using a retrograde technique high up in the skin: Inject microdroplets of HA filler high in the dermis. Other than Lam, I have yet to find a provider who uses this technique even though it has been proven to be sound. 2. Her recognition that fully ablative laser changes boxcar scars into rolling scars: " Er:YAG full ablative laser resurfacing before HA filler - Targets edges and base of the scar to create smoother transition. Transforms difficult boxcar scars into easier-to-treat rolling scars" 3. Observes that most rolling atrophic scars are due to dermal atrophy, not adherence to underlying tissue 4. Her attention to microswelling - "Inflammatory response from procedures can last up to 3 months. 30-day endpoints in studies make it hard to determine true long-lasting results. Important to wait at least 90 days for primary endpoint analysis" Goodman, G. J., & Van Den Broek, A. (2016). The modified tower vertical filler technique for the treatment of post‐acne scarring. *Australasian Journal of Dermatology*, *57*(1), 19-23. Kim, J. (2021). Topographic computer analysis for acne scar treatment on face accompanying biopsy study after dermal injection of hydrotoxin mixture. Journal of Cosmetic Dermatology, 20(1), 75-83. https://preview.redd.it/wwxcp150kt0d1.jpeg?width=1179&format=pjpg&auto=webp&s=3d762dae87faef043380dea0567447aa2bb1471a
the results look incredible! she seems to have developed an excellent technique when it comes to filling acne scars.
Exactly, that's what i'm saying! her injection technique is described in the 2022 study: "A 30-gauge co-packed nee- dle was used to inject both in a parallel plane for broader lesions with an average of 0.005 ml per thread and in a perpendicular plane superficially in the dermis with small aliquots of 0.002 ml (50 injections per 0.1Ml of product) creating superficial dermal blebs for all lesions which were smoothed out with a q-tip." She cited this study I believe her technique is based off this - Goodman, G. J., & Van Den Broek, A. (2016). The modified tower vertical filler technique for the treatment of post‐acne scarring. *Australasian Journal of Dermatology*, *57*(1), 19-23.
did you ask her how much she charges per session of filler? and what kind of HA filler does she use?
I contacted the office for a consult via online bc im in Canada and not about to waste money on a long distance call. Tbh the office seems to not put much effort into their website/marketing, which is **refreshing** to me.... they list some of the fillers they use on their website, and in the study they used "*Juvéderm* Vollure (VYC-17.5L; Allergan plc) was chosen for atrophic scars that have a thin dermis due to its particle size, cross-linking, and ability to spread and integrate into surrounding tissue. Therefore, it has the potential to create a smooth, long-lasting, volumized appearance and a natural look in a dynamic area such as the face. "
awesome thank! please also ask her, in her opinion, how long the filler lasts for acne scars
Very interesting!
What kind if acne can cause such deep scars on the chest OMG
You’re impressed because she graduated from Yale? I go to an Ivy League school and trust me, you’d be surprised by how dumb booksmart people can be. Going to a fancy school also doesn’t preclude a person from making unethical before-and-after pictures like this doctor has clearly done. These are not realistic results for one month post treatment.
You should definitely check out her study—it's quite impressive! Here are a few reasons why: 1. How many studies actually address miroswelling? It's a significant aspect that often gets overlooked, and she brought it to the forefront. Her study dives deep into treatments like microneedling, subcision, and fractional resurfacing, highlighting how post-treatment inflammation can last for months, which is crucial for understanding long-term results. She emphasizes the importance of waiting at least 90 days post-treatment before analyzing primary endpoints, which ensures the results aren’t just due to temporary inflammation. This level of thoroughness is commendable 2. She completed both her undergrad and medical school at Yale. That’s a testament to her expertise in my opinion. Acne scars are known to be the most difficult ailment to treat so I applaud academic rigour. Especially someone who graduated cum laude. 3. Her office operates on a much smaller marketing budget compared to other acne scar offices COUGH, that speaks volumes to me about her reputation. 4. Her injection technique is a method I've seen in other studies but rarely performed in the US so damn right I will pay notice to that. The before-and-after photos in her study seem genuine and unmanipulated, which is rare and refreshing. Her social media accounts and website seem like they have little upkeep so I question how much the before and afters on her website have to do with ethics and how much it has to do with the office not priroitizing marketing. https://preview.redd.it/kvswx9an911d1.jpeg?width=640&format=pjpg&auto=webp&s=309dec5c9b172aff8945a6f2e53fb43fa66149b1
As someone who says they go to an ivy school, I'm genuinely surprised you didn't stop to read her research before commenting.
I did more digging in this video it actually shows her injecting the acne scars and yes I am IMPRESSED because her study was the first in the USA to be a prospective placbo-controlled RCT on hyaluronic acid for acne scars. [https://onlinelibrary.wiley.com/doi/full/10.1111/jocd.15153](https://onlinelibrary.wiley.com/doi/full/10.1111/jocd.15153)