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Acne Scar Treatments And Bellafill

By Megan Griffith

Reviewed for medical accuracy by Dr. Jaggi Rao,
MD, FRCPC Double board-certified dermatologist

Acne scars can be an embarrassing1 thing to live with day in and day out. They can negatively impact your self-esteem2 and in extreme cases, they can be absolutely debilitating to the way you view yourself3. It’s no surprise then that the medical field has been constant in their search for the best way to treat acne scars.

It goes without saying that the best way to treat acne scars is to treat acne before it does long-term damage4, whether that’s through home remedies or something like Proactiv products. However, for those who already have scars and are looking for the best option in treating them, the news that Bellafill5 was approved by the FDA is something of a ray of hope, especially for the more serious scars.

Acne Scars Treatment At Home
Will Bellafill fill the void for effective acne scar treatments?

Topical Acne Creams Are Not Always Ideal

Topical acne creams have been helpful to a great deal of people in diminishing the appearance of their acne scars6. However, they are not without their problems. One of the issues with topical acne creams is that they can take a long time to produce results, sometimes up to six months. Also when they do start to work they are only really helpful for the smallest and most superficial of scars. For very minor scarring, topical acne creams7 can be a valuable resource. For those with more serious acne scars, topical creams leave much to be desired.

Chemical Peels May Come With Side Effects

Another common way to treat acne scars8 is with a chemical peel. Chemical peels can be effective for some people trying to treat their acne scars9, though they also have their downsides. A deep chemical peel is an intensive process, and it tends to be associated with certain side effects. While they are not necessarily common, the potential side effects of a chemical peel scare off some people looking to improve their acne scarring.

With a chemical peel10, it is possible to get persistent redness that can last for weeks, or in extreme cases, months. It is also possible to experience lightening or darkening of the skin from a chemical peel. Patients who find topical creams too mild and find chemical peels too extreme may find Bellafill as a happy medium.

Bellafill The Missing In-Between

Bellafill is an exciting alternative11 to people who have tried more traditional methods, but have longed for a treatment more transformative. Bellafill uses both polymethylmethacrylate and collagen microspheres. This creates a two-pronged attack in diminishing scars resulting from acne.

Collagen is a structural protein that fills the space of connective tissues in animals. It is the most plentiful protein in mammals and makes up more than a quarter of the whole body’s protein content. The collagen also plays an important role in Bellafill by supplying both lift and volume. After a while, the collagen is absorbed into the body, but the microspheres persist as the filler. This is why Bellafill has the best results in non-static areas such as the cheeks.

The other component in the two-pronged attack is polymethylmethacrylate. Polymethylmethacrylate is used in Bellafill because it is vital in creating a matrix that promotes your body’s own collagen production12.

Bellafill is unique among acne scar treatments, because it is the only injectable collagen treatment with polymethylmethacrylate microspheres approved by the FDA. So if you have tried other acne scar treatments and have not experienced the results you were hoping for, Bellafill may be the right choice for you.


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  3. Hazarika N, Archana M. The Psychosocial Impact of Acne Vulgaris. Indian J Dermatol. 2016 Sep-Oct;61(5):515-20.
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  8. Soliman YS, Horowitz R, Hashim PW, Nia JK, Farberg AS, Goldenberg G. Update on acne scar treatment. Cutis. 2018 Jul;102(1):21;25;47;48.
  9. Kontochristopoulos G, Platsidaki E. Chemical peels in active acne and acne scars. Clin Dermatol. 2017 Mar – Apr;35(2):179-182.
  10. Al-Waiz MM, Al-Sharqi AI. Medium-depth chemical peels in the treatment of acne scars in dark-skinned individuals. Dermatol Surg. 2002 May;28(5):383-7.
  11. Joseph JH, Eaton LL, Cohen SR. Current Concepts in the Use of Bellafill. Plast Reconstr Surg. 2015 Nov;136(5 Suppl):171S-179S.
  12. Gold MH, Sadick NS. Optimizing outcomes with polymethylmethacrylate fillers. J Cosmet Dermatol. 2018 Jun;17(3):298-304.
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