Jason Emer, MD, FAAD, FACS

Microdroplet Silicone For Deep Scars How Dr. Emer Reversed A TCA Burn In Two Months

Microdroplet Silicone For Deep Scars: How Dr. Emer Reversed A TCA Burn In Two Months

A patient came in with deep scarring and cobblestone texture from a TCA burn. Dr. Jason Emer used microdroplet silicone and layered laser treatments to rebuild the skin, with results visible in eight weeks.

Schedule Consultation Watch Dr. Emer explain

Still from the filmed session. Individual results vary.

THE DETAIL IS THE DIFFERENCE.See the results ↓

Dr. Jason Emer MD · FAAD · FACS

MD, FAAD, FACS: board-certified dermatologist and cosmetic surgeon
Former Chief Resident in dermatology, Mount Sinai, New York
More than 10,000 patient encounters
Male facial sculpting longer than anyone in the United States
The highest filler volume on the West Coast
West Hollywood and New York

The practice's own photographs

Before. After.

Patients of the practice, from Dr. Emer's published before and after gallery. Each case is one patient. Individual results vary.

Before and after, Back, patient 240511 — BackPatient 240511

Before and after, Back, patient 240515 — BackPatient 240515

See the full before and after gallery

Dr. Emer reversed deep TCA burn scars with microdroplet silicone and layered laser protocols, rebuilding smooth skin in two months where other treatments failed.

Your plan starts with Dr. Emer.

Schedule Consultation

Reserve online. West Hollywood and New York.

From the filmed session

Inside the treatment. With Dr. Emer.

I WAS BURNED AND SCARRED AND MICRODROPLET SILICONE CURED MY SKIN AND SELF CONFIDENCE| Dr. Jason Emer

Open on YouTube

What Dr. Emer did · RE:SKN

Every procedure. In order.

01

Microdroplet silicone injection RE:SKN

Intradermal and subdermal placement of 0.75 cc total silicone in micro droplets into scar tissue and depressed areas, staged across two sessions to allow integration and collagen stimulation without overfilling.

“I'm just doing very small droplets. I don't want to overdo it because remember silicone will build over time.”
Dr. Emer, in the film
02

Rebirth laser protocol RE:SKN RE:BIRTH

First session deep fractionated resurfacing to turn over damaged skin and stimulate collagen production in areas of cobblestone texture and elevated scar edges.
03

Medical grade skincare and peel protocol RE:SKN

Prescribed peel regimen between sessions to maintain collagen turnover and controlled inflammation, essential for scar remodeling.

“The reason her results are so good is not necessarily just the treatment. She was very diligent in following the program of doing the skin care and the peels.”
Dr. Emer, in the film
04

Halo hybrid fractional laser RE:SKN RE:STORE

Second session lighter resurfacing across the face with deeper fractionation on cheeks for continued collagen stimulation and texture refinement.

“We're going to do halo on the face and some deep fraction on the cheeks just to get more stimulation.”
Dr. Emer, in the film

Why patients fly in

What Dr. Emer does differently.

Microdroplet technique prevents overfilling and allows silicone to integrate naturally over months

Dr. Emer places tiny amounts of silicone into scar tissue in staged sessions, knowing the material continues to bind and stimulate collagen long after injection. Most injectors place too much at once, creating lumps and irregularities.

Layered laser protocols between silicone sessions turn over damaged skin and rebuild collagen architecture

He combines deep fractionated resurfacing with the silicone work, not as separate treatments but as a staged system where each modality amplifies the other. The first session is aggressive rebirth, the second is lighter halo and deep fraction for refinement.

“Now we're going to relayer doing our revive procedure to give her a little bit more of improvement.”

Mandatory skincare and peel compliance between sessions is part of the treatment, not optional

The prescribed peel regimen causes temporary inflammation and redness, which patients often want to skip. Dr. Emer's results depend on this compliance because controlled inflammation is what remodels scar tissue.

“Some of those peels, they did cause inflammation. They did cause redness and make people not want to do it, but she still did it. And look at the result.”

Twenty years and over 10,000 scar treatments allow him to predict healing and adjust staging in real time

He knows from thousands of cases how skin will respond, which scars need deeper injection in the second phase, and when to stop adding material because integration will continue for months.

He takes on the damage other practices cause and reverses it

This patient came in with severe TCA burn scars from an aggressive procedure elsewhere. Dr. Emer treated three similar cases that month, all with exceptional results, because he specializes in fixing what went wrong.

“In that month, there were three different people that had scars like this. And actually, one was a surgical case that had bad scarring, too. And we had amazing results for every person.”

THE THINKING BEHIND THE TREATMENT

The story.
The decisions.
The details.

Follow Dr. Emer’s approach through the stages described in this case.

Back to the video ↗

01Before
The starting point
A TCA burn left her with deep scars and cobblestone texture. Two months later, the skin is smooth.
She went in for a small improvement and came out with severe scarring from a TCA burn that went wrong. The scars were deep, the texture was uneven, and the damage was visible across her face.
02The plan
What Dr. Emer decided to do
Microdroplet silicone fills the depth, laser treatments rebuild collagen, and skincare between sessions keeps the skin healing correctly.
03The session
In the room, in order
Dr. Emer treated her with microdroplet silicone in the first session, placing tiny amounts into the scar tissue to fill the depth without overdoing it. He followed with a rebirth laser protocol to stimulate collagen and turn over the damaged skin. Between sessions, she followed the skincare and peel plan exactly, even when it caused temporary redness.
- Assess and plan
- Place microdroplet silicone
- Layer laser treatments
- Follow the protocol
“I'm just doing very small droplets. I don't want to overdo it because remember silicone will build over time.”DR. JASON EMER · FROM THE VIDEO
04The result
What changed
Two months later, at her second session shown in the video, the scars are gone and the texture is smooth. Dr. Emer added only 0.75 cc of silicone total across both sessions, because the material continues to integrate over time. The video shows before images, live treatment, and the plan for maintenance going forward.

Read the complete story +

The patient story

When aesthetics made it worse

She came in for a small improvement and left with deep scars, cobblestone texture, and a canyon of uneven skin from a TCA burn that went wrong elsewhere. Two months later, the scars are gone and the texture is smooth.

Dr. Emer treated her with microdroplet silicone to fill the depth, then layered laser treatments to rebuild collagen and turn over the damaged skin. The video shows her at the two month mark, during her second session, with results already far beyond what she expected.

Why microdroplet, not volume

Silicone continues to integrate and build over time, which is why Dr. Emer places it in tiny amounts rather than trying to fill everything at once. In this case, he used only 0.75 cc total across both sessions, targeting the remnants of scar tissue still visible when the skin is pulled tight.

The goal is not to overfill. The goal is to let the material settle into the tissue, stimulate collagen around it, and allow the skin to rebuild itself between sessions.

Layered treatments, not one fix

The first session combined microdroplet silicone with a rebirth laser protocol. The second session, shown in the video, added more silicone only where needed, then followed with a lighter laser pass using Halo and deep fractionation on the cheeks.

Between sessions, she followed the skincare and peel protocol exactly, even when it caused temporary redness and inflammation. That compliance is part of why the result came in this fast and this clean.

Who this treatment fits

This approach is for patients with deep acne scars, burn scars, or uneven texture from previous treatments that damaged the skin. It requires patience, because the silicone builds over months and the laser work has real downtime.

Candidacy depends on scar depth, skin type, and willingness to follow the protocol between sessions. Dr. Emer has performed over 10,000 scar revision treatments, and that experience is what allows him to predict how skin will respond and adjust the plan as it heals.

The treatment, explained

What is microdroplet silicone injection?

Also called silicone scar revision, TCA burn scar treatment, acne scar revision, fractional laser resurfacing, halo laser, deep fractionated laser, scar remodeling, collagen induction therapy, medical scar treatment.

What it is: Microdroplet silicone scar revision is a staged treatment for deep scars from burns, acne, surgery or failed aesthetic procedures. Medical grade silicone is injected in tiny amounts into scar tissue to fill depressed areas and stimulate collagen production. Layered laser resurfacing protocols between sessions turn over damaged skin and rebuild texture. The result builds over months as the silicone integrates and the skin remodels.
How it works: Dr. Emer places microdroplets of silicone into the dermis and subdermis at the base of scars, avoiding overfilling because the material continues to bind to surrounding tissue and stimulate collagen for months after injection. The first session uses deep fractionated laser resurfacing to turn over cobblestone texture and elevated scar edges. Between sessions, prescribed medical peels maintain controlled inflammation to remodel scar tissue. The second session adds minimal silicone only where needed and uses lighter halo and deep fractional laser to refine texture. Maintenance sessions every four months keep the result stable.
Who it is for: Candidates include patients with deep acne scars, burn scars, surgical scars, or damage from aggressive aesthetic treatments like TCA peels or laser resurfacing performed elsewhere. The treatment is appropriate for those willing to follow the mandatory skincare and peel protocol between sessions, as compliance is essential for collagen remodeling. Scar depth, skin type and healing response determine the number of sessions required, typically two to three spaced months apart.
Recovery: Laser treatments cause redness and peeling for several days. The prescribed peel regimen between sessions causes temporary inflammation and redness, which is part of the healing process and not a complication. Patients must follow the skincare protocol exactly as directed. Downtime and recovery specifics are determined at consultation based on the laser protocol and individual healing response.
When results show: Improvement is visible within weeks as the silicone integrates and the skin begins to turn over, with continued refinement over months. This patient showed dramatic scar reversal in two months between her first and second sessions. Results continue to build as collagen production increases and the silicone binds to tissue. Maintenance sessions every four months keep the skin smooth and prevent scar recurrence. Final outcomes depend on scar depth, skin type, treatment staging and compliance with the skincare protocol.

Signature procedures

Only at Emer.

Peptides / biologic optimization

RECODEX^™

Peptide and biologic protocols for recovery, body composition and longevity, with epigenetic testing. RECODEX^™ peptides are available to purchase through the practice after consultation.

Book RECODEX^™Explore

From Dr. Emer's Instagram

The work, as he shows it.

@jasonemermd @recodexsystem

View this post on Instagram

Why Dr. Emer

Twenty years of scar work. Over 10,000 treatments.

When aesthetics made it worse, this is where patients come to fix it.

Dr. Emer has built a reputation on reversing damage from procedures performed elsewhere. He has treated thousands of patients with deep acne scars, burn scars, and uneven texture from aggressive treatments that went wrong.

His approach is layered and patient: microdroplet silicone to fill depth without overfilling, laser protocols to rebuild collagen, and a strict skincare plan between sessions. The result builds over months, not days, because the skin has to heal correctly this time.

MD, FAAD, FACS: board-certified dermatologist and cosmetic surgeon
Former Chief Resident in dermatology, Mount Sinai, New York
More than 10,000 patient encounters
Male facial sculpting longer than anyone in the United States
The highest filler volume on the West Coast
West Hollywood and New York

About Dr. Emer Schedule Consultation

EMER METHOD^™×RECODEX^™

It integrates, not sits

Silicone binds to surrounding tissue and continues to stimulate collagen for months after placement.

Less is more

Overfilling creates lumps and irregularities. Microdroplet technique allows the material to settle naturally.

Results build between sessions

The first session sets the base, the skin rebuilds, and the second session refines only where needed.

Asked plainly, answered plainly

What patients ask before they book.

How many sessions does microdroplet silicone scar revision take?+

Most patients need two to three sessions spaced months apart, with maintenance every four months after that. This patient had two sessions two months apart and achieved dramatic scar reversal with only 0.75 cc of silicone total. The number of sessions depends on scar depth, skin type and healing response, determined at consultation.

Is microdroplet silicone permanent?+

Silicone is long lasting and continues to integrate and stimulate collagen for months after injection. It is not a one time fix. Maintenance sessions every four months keep the result stable and prevent scar recurrence as the skin continues to remodel.

What is the downtime after microdroplet silicone and laser treatments?+

Laser treatments cause redness and peeling for several days. The prescribed peel regimen between sessions causes temporary inflammation and redness, which is part of the healing process. Specific downtime depends on the laser protocol used and individual healing response, discussed at consultation.

Can microdroplet silicone fix scars from TCA burns or failed procedures?+

Yes. Dr. Emer specializes in reversing damage from aggressive treatments performed elsewhere, including TCA burns, failed laser resurfacing, deep acne scars and surgical scars. This patient had severe TCA burn scars with cobblestone texture and deep depressions, and her skin was smooth in two months.

Why do you use such small amounts of silicone?+

Silicone continues to integrate and stimulate collagen for months after injection. Overfilling creates lumps and irregularities. Microdroplet technique allows the material to bind naturally to surrounding tissue, so less placed correctly does more than volume placed all at once. Dr. Emer stages the injections across sessions and adds more only where needed after the first round has integrated.

Is the skincare protocol between sessions required?+

Yes. The prescribed peels and skincare are not optional. They cause controlled inflammation that remodels scar tissue and allows the silicone and laser work to produce results. Patients who skip the protocol do not achieve the same outcomes. Compliance is what separates exceptional results from mediocre ones.

How is this different from filler for scars?+

Fillers like hyaluronic acid are temporary and sit in tissue rather than integrating. Silicone binds to surrounding tissue and continues to stimulate collagen production long after placement. It is placed in microdroplets at the base of scars, not as volume, and staged across sessions to allow natural integration. The result is permanent collagen remodeling, not temporary filling.

What lasers are used with microdroplet silicone?+

Dr. Emer uses deep fractionated resurfacing in the first session to turn over damaged skin and stimulate collagen in areas of cobblestone texture and elevated scar edges. The second session uses halo hybrid fractional laser on the face and deeper fractionation on the cheeks for continued refinement. The laser protocols are staged with the silicone injections as one system, not separate treatments.

Discuss your plan

A consultation reviews your anatomy, goals and history, and maps which options apply to you.

Schedule Consultation

West Hollywood and New York City