Jason Emer, MD, FAAD, FACS
Micro Droplet Silicone For Deep Acne Scars: One Patient's Year Of Progress With Dr. Emer
How Dr. Jason Emer uses micro droplet silicone to rebuild volume and smooth texture in patients with severe acne scarring, layered with laser treatments for complete remodeling.
Dr. Jason Emer MD · FAAD · FACS
The practice's own photographs
Patients of the practice, from Dr. Emer's published before and after gallery. Each case is one patient. Individual results vary.
Dr. Emer rebuilt a face destroyed by severe acne scarring using micro droplet silicone as a collagen stimulator, layered with CO2 laser and male facial sculpting over one year of documented treatment.
Your plan starts with Dr. Emer.
Schedule ConsultationReserve online. West Hollywood and New York.
From the filmed session
What Dr. Emer did · RE:SKN
Hundreds of tiny injections of FDA-approved silicone oil placed superficially in the skin and deeper in areas of volume loss and scarring, used as a biostimulator to produce collagen rather than as a space-occupying filler, performed over multiple sessions spaced months apart.
“This is not a truly a filler. This is a stimulator and it works to stimulate underneath all the areas that he had lost volume.”
Dr. Emer, in the film
For scars elevated at the edge but sunken inside, silicone droplets placed directly into the dermis to build collagen in the indented areas and smooth the surface over time.
“So, you see how this is elevated on the edge, but inside it's not. So, what do you have to do? You have to go right into the skin like this.”
Dr. Emer, in the film
Chin and jaw augmentation performed earlier in the treatment timeline to restore jawline contour and structure that the acne scarring had eroded, creating masculine definition and eliminating neck laxity.
“Why? Because we're able to build out the chin, jaw, and give him some structure.”
Dr. Emer, in the film
Arc Aesthetics CO2 laser system added after micro droplet session to deliver controlled heat, stimulate additional collagen production, and remodel surface texture where indentations remain.
“And then we're going to be using a new laser system tonight by Arc Aesthetics that you guys will see.”
Dr. Emer, in the film
Trichloroacetic acid peel performed in a previous session that produced excellent surface remodeling results, used as part of the layered approach to improve texture alongside volume restoration.
“Jason did a TCA peel once and got an actually a very excellent result actually.”
Dr. Emer, in the film
Why patients fly in
Dr. Emer uses micro droplet silicone oil, FDA approved for retinal detachment, as a collagen stimulator that rebuilds tissue over time rather than a traditional filler that simply occupies space and disappears.
“It's FDA approved for retinal detachment. We use it to produce collagen like a bio stimulator.”
Severe acne scarring is addressed with a combination protocol: micro droplet injections restore lost volume under the skin, then laser or peel treatments remodel the surface texture, all planned as stages of one case.
“Acne basically ate away his face. Okay, that's why we're doing these treatments so we could change his life with a combination. The combination is volume, texture, and tone.”
After the initial sculpting and volume restoration, Dr. Emer focuses only on small areas of remaining indentation or volume loss, preserving the facial shape already built.
“We don't want to change his obvious facial shaping. So we're really just focusing on the areas where either has a small amount of volume loss or he has actual indentation.”
For scars that are raised at the perimeter but sunken in the center, Dr. Emer places the silicone droplets directly into the skin layer so collagen production targets the indented area specifically.
“So, you see how this is elevated on the edge, but inside it's not. So, what do you have to do? You have to go right into the skin like this.”
Dr. Emer states that every patient with indented acne scars needs laser or peel treatment in addition to volume restoration, because the surface must be remodeled to achieve complete correction.
“The entire surface needs to be smoother and it won't, that won't happen if you don't, um, do a laser or a peel.”
THE THINKING BEHIND THE TREATMENT
Follow Dr. Emer’s approach through the stages described in this case.
Back to the video ↗Severe acne had left his face with deep indentations, enlarged pores, and a jawline that had lost all contour.
The patient in this video arrived with scarring that had eaten away at the structure of his face. Ice pick scars, loss of volume across the cheeks and temples, and a jawline that read flat because the underlying support was gone.
“Acne basically ate away his face. Okay, that's why we're doing these treatments so we could change his life with a combination. The combination is volume, texture, and tone.”DR. JASON EMER · FROM THE VIDEO
Rebuilding skin damaged by severe acne scarring requires volume restoration and surface remodeling, layered over multiple sessions.
“This is a stimulator and it works to stimulate underneath all the areas that he had lost volume.”DR. JASON EMER · FROM THE VIDEO
Dr. Emer began treating him with micro droplet silicone, placing hundreds of tiny injections across the scarred areas to stimulate collagen and rebuild the foundation under the skin. Over the course of a year and multiple sessions, the improvement became visible: smoother texture, restored jawline contour, and a face that reads younger and more masculine.
“So, you see how this is elevated on the edge, but inside it's not. So, what do you have to do? You have to go right into the skin like this.”DR. JASON EMER · FROM THE VIDEO
This session, documented in the video, shows the side by side comparison from the start of treatment to now, and explains why laser treatments will be layered next to remodel the surface texture.
“So, it's a little sensitive, but that's the way to get it. And over time, this will continue to build collagen for him.”DR. JASON EMER · FROM THE VIDEO
Volume, texture, and structure restored over time / One year documented
Severe acne had left his face with deep indentations, enlarged pores, and a jawline that had lost all contour.
The patient in this video arrived with scarring that had eaten away at the structure of his face. Ice pick scars, loss of volume across the cheeks and temples, and a jawline that read flat because the underlying support was gone.
Dr. Emer began treating him with micro droplet silicone, placing hundreds of tiny injections across the scarred areas to stimulate collagen and rebuild the foundation under the skin. Over the course of a year and multiple sessions, the improvement became visible: smoother texture, restored jawline contour, and a face that reads younger and more masculine.
This session, documented in the video, shows the side by side comparison from the start of treatment to now, and explains why laser treatments will be layered next to remodel the surface texture.
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.
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.
How micro droplet silicone works
Rebuilding skin damaged by severe acne scarring requires volume restoration and surface remodeling, layered over multiple sessions.
Every face is different. Dr. Emer maps where volume has been lost, where indentations are deepest, and where the surface texture needs the most work.
Hundreds of tiny injections are placed into and under the scarred areas. The silicone oil stimulates collagen production over weeks, gradually lifting indentations and smoothing the skin.
Micro droplet silicone restores volume, but laser treatments are required to remodel the surface texture. The two approaches work together to address both depth and texture.
Severe scarring cannot be corrected in one visit. Most patients require multiple sessions spaced months apart, with each session building on the collagen production from the previous one.
The treatment, explained
Also called silicone oil injections, acne scar treatment, collagen stimulator, regenerative acne scar treatment, severe acne scar revision, ice pick scar treatment, volume restoration for acne scars.
Signature procedures
Peptides / biologic optimization
Peptide and biologic protocols for recovery, body composition and longevity, with epigenetic testing. RECODEX™ peptides are available to purchase through the practice after consultation.
Why Dr. Emer
Not one treatment. A protocol built over multiple sessions, combining volume restoration with surface remodeling.
Dr. Emer has spent two decades refining approaches to skin damage that other practices consider untreatable. His acne scar protocols layer regenerative injectables with laser systems to address both the volume loss under the skin and the texture damage on the surface.
Patients come to him when the scarring is deep, when previous treatments have failed, or when they need a plan that rebuilds rather than simply resurfacing. Every session is performed by Dr. Emer personally, and every plan is built around the specific type and depth of scarring in that patient's skin.
Asked plainly, answered plainly
Yes. Dr. Emer's approach layers laser treatments with regenerative injectables such as micro droplet silicone. The injectables address volume loss and indentations beneath the skin, while laser treatments remodel the surface texture. The two are used together as part of a structured multi-session protocol.
Dr. Emer's protocols are built over multiple sessions spaced months apart. The exact number depends on the depth and extent of each patient's scarring. Laser treatments are layered after volume restoration with micro droplet silicone, and each session builds on prior collagen production.
The silicone oil used is FDA approved for retinal detachment. Dr. Emer uses it off label as a collagen stimulator for severe acne scarring, where it has been shown to rebuild volume and smooth texture over time.
That depends on the depth and extent of your scarring. The patient documented in this video required multiple sessions over the course of a year, and most patients with severe acne scarring follow a similar timeline. Your treatment plan is determined during consultation based on your specific scar type and goals.
The area is numbed before treatment, but the procedure involves hundreds of injections and can be uncomfortable. Bruising, swelling and sensitivity are common immediately after. Patients in the video describe the pain as tolerable and worth the results.
Traditional hyaluronic acid fillers disappear over time, and the volume required to correct severe scarring would be impractical and expensive. Micro droplet silicone stimulates your own collagen production, so the result builds and lasts. Bellafill, the only FDA-approved long-term filler for acne scars, would require an impractical number of syringes for cases like this.
Yes. Micro droplet silicone restores volume under the skin, but laser or peel treatments are required to remodel the surface texture. Dr. Emer states that every patient with indented acne scars needs both approaches for complete correction.
Bellafill is the only FDA-approved filler for acne scars, but it requires a large volume to fill severe scarring, which becomes expensive and impractical. Micro droplet silicone is used as a biostimulator that triggers collagen production rather than simply filling space, so less product is needed and the result is more natural.
A consultation with Dr. Emer covers your scarring, your goals, and whether micro droplet silicone fits your treatment plan.
Schedule ConsultationWest Hollywood and New York City