Jason Emer, MD, FAAD, FACS
Permanent Improvement In Acne Scars: Microdroplet Silicone In Ethnic And Darker Skin Tones
How Dr. Jason Emer treats acne scars in ethnic and darker skin using microdroplet silicone combined with laser resurfacing, with side lighting to see every indentation.
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.
Microdroplet silicone fills each acne scar from beneath while Halo ProFractional laser stimulates collagen, pre-treated with retinol, hydroquinone, vitamin C and an Enlighten Peel to prevent pigmentation in ethnic and darker skin tones.
Your plan starts with Dr. Emer.
Schedule ConsultationReserve online. West Hollywood and New York.
From the filmed session
What Dr. Emer did · RE:SKN
Retinol, hydroquinone, vitamin C and Enlighten Peel applied before the session to limit melanin production when the skin is heated, reducing pigmentation risk and accelerating resolution if it occurs.
“We pre-treat it with retinol hydroonone vitamin C peel and that prevents her body from producing as much pigment when it's heated.”
Dr. Emer, in the film
Silicone placed in micro amounts beneath each superficial scar indentation using side lighting to reveal every depression, seating the material superficially to volumize the surface without forming lumps or cobblestoning.
“You just want to volumize the surface. So, we're using the side light, which honestly very rarely I've seen any doctors do.”
Dr. Emer, in the film
Halo ProFractional laser applied after silicone placement to stimulate collagen production and smooth the skin over the following weeks, calibrated for type three skin tone.
“We're going to start our laser process now and she's going to get smooth in the next week or two.”
Dr. Emer, in the film
Why patients fly in
Dr. Emer changes the lighting angle during the session to see indentations that overhead lighting misses, a technique he has not observed other physicians using despite treating acne scars for 19 years.
“We're using the side light, which honestly very rarely I've seen any doctors do, which I'm surprised after all these years of copying everything I do.”
The Enlighten Peel and skincare protocol limit melanin production when the skin is heated, allowing aggressive treatment in darker skin tones that most physicians avoid.
“A lot of doctors won't treat a darker or ethnic skin tone.”
Dr. Emer has been placing microdroplet silicone since learning from the physicians who conducted the original studies, using amounts small enough to fill scars without forming lumps.
“The people that taught me you guys are um dead and they did all the studies.”
He places less silicone than the scar appears to need, knowing the material stimulates collagen over time and can continue to build volume if overdone.
THE THINKING BEHIND THE TREATMENT
Follow Dr. Emer’s approach through the stages described in this case.
Back to the video ↗One treatment improved her scars visibly. This session fills what remained.
She arrived for her second session with Dr. Emer. The first treatment had improved her scars so much they were almost gone from certain angles. What remained were small, superficial indentations that needed microdroplet silicone to fill each one individually.
“We did one treatment before, right? One treatment. Yeah. Yeah. It came out really good actually. If you look from the side, look at all these angles. Her scars are very much gone. I mean, almost.”DR. JASON EMER · FROM THE VIDEO
Pre-treated to prevent pigmentation, then filled and resurfaced in the same visit.
“So, we're using the side light, which honestly very rarely I've seen any doctors do, which I'm surprised after all these years of copying everything I do. You think somebody would do it, but they're not.”DR. JASON EMER · FROM THE VIDEO
Dr. Emer used side lighting to see every scar, placed silicone in amounts small enough to prevent lumps, and combined the treatment with Halo ProFractional laser to stimulate collagen. The elevations that appeared during the session were a sign the scars were filling out, and she was pre-treated with retinol, hydroquinone, vitamin C and a peel to prevent pigmentation.
“So, I'm just going to do there's a couple little spots up here in her forehead. And we retreat. And again, it's you want to under stimulate.”DR. JASON EMER · FROM THE VIDEO
The patient in this video already had one treatment with Dr. Emer. Her scars were visibly improved, almost gone from certain angles. What remained were small, superficial indentations that needed a different approach: microdroplet silicone to fill each scar individually, combined with Halo ProFractional laser to stimulate collagen.
This is the treatment Dr. Emer built for ethnic and darker skin tones when acne scars are the primary concern. It requires pre-treatment with retinol, hydroquinone, vitamin C and a peel to prevent pigmentation, side lighting to see every indentation, and precise placement so the silicone volumizes the surface without overfilling.
“So that's micro droplet and we're going to start our laser process now and she's going to get smooth in the next week or two.”DR. JASON EMER · FROM THE VIDEO
Microdroplet silicone plus laser resurfacing, built as one plan / Patient story
One treatment improved her scars visibly. This session fills what remained.
She arrived for her second session with Dr. Emer. The first treatment had improved her scars so much they were almost gone from certain angles. What remained were small, superficial indentations that needed microdroplet silicone to fill each one individually.
Dr. Emer used side lighting to see every scar, placed silicone in amounts small enough to prevent lumps, and combined the treatment with Halo ProFractional laser to stimulate collagen. The elevations that appeared during the session were a sign the scars were filling out, and she was pre-treated with retinol, hydroquinone, vitamin C and a peel to prevent pigmentation.
The patient in this video already had one treatment with Dr. Emer. Her scars were visibly improved, almost gone from certain angles. What remained were small, superficial indentations that needed a different approach: microdroplet silicone to fill each scar individually, combined with Halo ProFractional laser to stimulate collagen.
This is the treatment Dr. Emer built for ethnic and darker skin tones when acne scars are the primary concern. It requires pre-treatment with retinol, hydroquinone, vitamin C and a peel to prevent pigmentation, side lighting to see every indentation, and precise placement so the silicone volumizes the surface without overfilling.
Silicone placed in micro droplets fills the scar from underneath, raising the indentation to match the surrounding skin. The amount is small enough that it cannot form lumps or bumps, and it stimulates collagen over time as the body integrates the material.
Dr. Emer uses side lighting during the session to see every scar that needs filling. The elevations that appear immediately after placement are a sign the scar is filling out. He waits a few seconds after each area to assess, then moves to the next spot, under-stimulating rather than overdoing it.
How a session is built
Pre-treated to prevent pigmentation, then filled and resurfaced in the same visit.
Retinol, hydroquinone, vitamin C and an Enlighten Peel prevent the body from producing as much pigment when the skin is heated.
Side lighting reveals indentations that overhead lighting misses, so every scar that needs filling is treated.
Silicone is placed in micro amounts to fill each scar from underneath, raising the indentation to match the surrounding skin.
Halo ProFractional laser stimulates collagen and smooths the skin over the following weeks.
The treatment, explained
Also called silicone injection for acne scars, acne scar filler, Halo ProFractional laser, fractional laser resurfacing, acne scar treatment for ethnic skin, acne scar treatment for dark skin, atrophic acne scar treatment, rolling scar treatment, boxcar scar treatment.
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
Ethnic and darker skin tones require a different plan, and most physicians will not take the risk.
Dr. Emer has been treating acne scars in ethnic and darker skin for 19 years. His reputation is built on outcomes that improve scars permanently without causing pigmentation, using techniques that require pre-treatment, side lighting, and precise placement.
Patients come to him when they have been told their skin is too dark for aggressive treatment, or when previous laser work left them with pigmentation instead of improvement.
The Enlighten Peel and skincare protocol limit how much pigment the body can produce when the skin is heated. If pigmentation does occur, it resolves faster.
The amount placed is small enough to volumize the surface without forming bumps. It stimulates collagen over time as the body integrates the material.
Most physicians do not use side lighting, which is why they miss scars that need filling. Dr. Emer changes the lighting during the session to see every indentation.
Asked plainly, answered plainly
Dr. Emer has been using microdroplet silicone for 19 years, learning from the physicians who conducted the original studies. The key is precise placement in amounts small enough to fill the scar without forming lumps or bumps. The silicone is permanent and stimulates collagen over time as the body integrates the material.
Pre-treatment with retinol, hydroquinone, vitamin C and an Enlighten Peel prevents the body from producing as much pigment when the skin is heated. This does not eliminate pigmentation risk, but it limits how much can occur and accelerates resolution if it does. The laser settings are calibrated for your skin tone.
It depends on your scar type and depth. The patient in this video is on her second session and her scars are almost gone. Some patients need one session, some need more. Superficial scars respond faster than deep scars. A consultation covers your scars and what realistic improvement looks like for your case.
The skin will be red and slightly swollen for a few days. The silicone elevations that appear during the session settle over the following week. The laser stimulates collagen for weeks after treatment, with continued improvement over one to three months. Your specific recovery plan is set at consultation.
Side lighting reveals scar indentations that overhead lighting misses. Dr. Emer changes the lighting angle during the session to see every depression that needs filling. He has not observed other physicians using this technique despite treating acne scars for 19 years.
If too much silicone is placed, it can form lumps or continue to grow over time. Dr. Emer places amounts small enough to volumize the surface without overcorrection, intentionally under-stimulating to prevent this. The goal is to fill the scar, not to build excess volume.
This approach treats superficial to moderate atrophic scars, including rolling scars, boxcar scars and shallow ice pick scars. Very deep ice pick scars or keloid scars require different techniques. A consultation determines whether your scars are candidates for microdroplet silicone.
Darker skin tones carry higher pigmentation risk when heated with laser. Most physicians do not have a pre-treatment protocol to limit melanin production, so they avoid aggressive treatment. Dr. Emer's protocol allows him to treat ethnic and darker skin tones that other practices turn away.
A consultation with Dr. Emer covers your skin tone, your scar type, and whether microdroplet silicone combined with laser resurfacing fits your plan.
Schedule ConsultationWest Hollywood and New York City