Jason Emer, MD, FAAD, FACS
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.
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 reversed deep TCA burn scars with microdroplet silicone and layered laser protocols, rebuilding smooth skin in two months where other treatments failed.
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From the filmed session
What Dr. Emer did · 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
First session deep fractionated resurfacing to turn over damaged skin and stimulate collagen production in areas of cobblestone texture and elevated scar edges.
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
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
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.
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.”
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.”
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.
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
Follow Dr. Emer’s approach through the stages described in this case.
Back to the video ↗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.
Microdroplet silicone fills the depth, laser treatments rebuild collagen, and skincare between sessions keeps the skin healing correctly.
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.
“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
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.
Microdroplet silicone and layered laser protocols for deep scars / Patient story
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.
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.
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.
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.
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.
How scar revision is built
Microdroplet silicone fills the depth, laser treatments rebuild collagen, and skincare between sessions keeps the skin healing correctly.
Scar depth, skin type, and healing response determine the treatment plan and how many sessions will be needed.
Tiny amounts of silicone are placed into the scar tissue to fill depth without overfilling, because the material continues to integrate over time.
Halo, deep fractionation, or rebirth protocols stimulate collagen and turn over damaged skin between sessions.
Skincare and peels between sessions are not optional. Compliance is what allows the skin to rebuild correctly.
The treatment, explained
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.
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
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.
Silicone binds to surrounding tissue and continues to stimulate collagen for months after placement.
Overfilling creates lumps and irregularities. Microdroplet technique allows the material to settle naturally.
The first session sets the base, the skin rebuilds, and the second session refines only where needed.
Asked plainly, answered plainly
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.
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.
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.
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.
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.
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.
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.
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.
A consultation with Dr. Emer covers your scar depth, skin type, and whether microdroplet silicone and laser protocols fit your case.
Schedule ConsultationWest Hollywood and New York City