A year of progress, documented in real time
The patient in this video is one year into rebuilding his face after severe acne scarring. The damage was deep: ice pick scars, enlarged pores, loss of volume across the cheeks and jawline, and indentations that left the skin surface uneven.
Dr. Emer has been treating him with micro droplet silicone, a regenerative approach that stimulates collagen over time rather than simply filling space. The improvement is visible side by side: smoother texture, restored jawline contour, and a face that reads younger and more masculine than it did a year ago.
What micro droplet silicone actually does
Micro droplet silicone is not a traditional filler. It is a silicone oil, FDA approved for retinal detachment, used off label to stimulate collagen production in the skin. Dr. Emer places tiny droplets into and under the scarred areas, sometimes superficially in the skin and sometimes deeper where volume has been lost.
The material works as a biostimulator: it triggers the body to build collagen around each droplet, gradually lifting indentations and smoothing the surface. Over the course of multiple sessions, the skin remodels itself rather than simply being filled.
Why this patient needed more than filler alone
Traditional hyaluronic acid fillers disappear over time, and Bellafill, the only FDA approved filler for long term use in acne scars, would have required an impractical volume for someone with this degree of scarring. Laser treatments alone improve texture but cannot restore lost volume.
Micro droplet silicone bridges that gap: it rebuilds the foundation under the skin while laser treatments remodel the surface. The combination addresses both volume and texture, which is why Dr. Emer layers the two approaches in patients like this one.
The session itself: what happens and what to expect
Each session involves hundreds of tiny injections placed across the areas that need volume or smoothing. The patient is numbed, but the treatment still causes discomfort because of the number of entry points and the depth required in some areas.
Bruising and bleeding are common during the session, and the skin may look uneven immediately after because of swelling and the droplets themselves. The result builds over weeks as collagen forms, and most patients require multiple sessions spaced months apart to achieve the degree of improvement shown in this video.
Who this treatment fits
This is not a first line treatment for mild acne scarring. It is a rebuilding protocol for patients with deep volume loss, severe indentations, or scarring that has not responded to other approaches.
Candidacy depends on the type and depth of scarring, skin quality, and realistic expectations about the number of sessions required. A consultation with Dr. Emer covers whether micro droplet silicone fits your case and how it would be layered with other treatments.
