Intradermal placement, not superficial
The silicone is injected within the layers of the skin to raise the scar from underneath, not on top where it can create lumps or long-term complications.
Jason Emer, MD, FAAD, FACS
There is a reason patients fly in for him. This is why.
Silicone Microdroplet For Acne Scars: How Dr. Emer Fills And Smooths Deep Scarring In Weeks
How Dr. Jason Emer uses intradermal silicone microdroplet injections to fill and smooth deep acne scars, with visible improvement in four to six weeks and minimal maintenance.
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.
Intradermal silicone microdroplet fills deep acne scars that resurfacing alone cannot fix, placed with precision to raise depressed craters from underneath and smooth the surface in four to six weeks.
Your plan starts with Dr. Emer.
Schedule ConsultationReserve online. West Hollywood and New York.
From the filmed session
Inside the treatment. With Dr. Emer.
Silicone Microdroplet Fills Deep Acne Scars In Weeks | Dr. Jason Emer
Open on YouTubeWhat Dr. Emer did · RE:SKN
Every procedure. In order.
-
01
Silicone microdroplet injection RE:SKN
Permanent silicone filler placed intradermally into deep ice pick and rolling scars in the temples and cheeks, filling depressed craters from underneath rather than resurfacing the top layer.
“Micro droplet silicone is a more permanent treatment. It's done by very few because it's permanent. You have to be really careful with its use.”
Dr. Emer, in the film -
02
Touch-up session RE:SKN
Targeted placement in remaining deep spots after earlier treatments had already smoothed overall texture, with reassessment at four to six weeks to determine whether a second full session or lighter maintenance is needed.
Why patients fly in
What Dr. Emer does differently.
Reserved for severe, deep scarring
This is not a treatment for mild texture or shallow scars. Dr. Emer uses it only when the severity of deep ice pick and rolling scars justifies a permanent filler.
“You have to be really careful with its use. You don't want to develop a lump or bump or a long-term issue.”
Staged and reassessed, not one-size-fits-all
Most patients need two larger treatments spaced about two months apart, but Dr. Emer adjusts the plan based on how the skin responds, sometimes moving to lighter maintenance instead of a second full session.
Combination approach for complete correction
Silicone microdroplet fills what resurfacing cannot fix, and the plan may include light fractional resurfacing with TCA cross for remaining shallow spots after the deeper scars are raised.
“Doing this correctly with the right combination can give us a really, really good result.”
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
Earlier treatments smoothed the overall texture. This session fills what remains.
The patient in this video had already completed earlier treatments that reduced visible scarring and improved the surface. What remained were deeper craters, particularly in the temples and cheeks, that needed to be filled rather than resurfaced.
- 02The plan
What Dr. Emer decided to do
Planned around scar type and severity: intradermal placement, four to six weeks to integrate, then reassess.
“Micro droplet silicone is a more permanent treatment. It's done by very few because it's permanent. You have to be really careful with its use.”DR. JASON EMER · FROM THE VIDEO
- 03The session
In the room, in order
Dr. Emer performed a touch-up session, adding small amounts of silicone microdroplet intradermally to raise the depressed areas. The before and after comparison during the session shows how much the surface has already smoothed, and this visit is about refining the remaining deeper spots.
- Assess and mark
- Place intradermally
- Integrate over four to six weeks
- Reassess and refine
- 04The result
What changed
Most patients require two larger treatments spaced about two months apart. This patient has responded so well that Dr. Emer is considering lighter maintenance treatments instead of a second full session, possibly combining light fractional resurfacing with TCA cross for any remaining shallow spots.
Explore the full treatment details +
Deep scars filled from underneath, not just resurfaced / Patient story
Already improved. Now refined.
Earlier treatments smoothed the overall texture. This session fills what remains.
The patient in this video had already completed earlier treatments that reduced visible scarring and improved the surface. What remained were deeper craters, particularly in the temples and cheeks, that needed to be filled rather than resurfaced.
Dr. Emer performed a touch-up session, adding small amounts of silicone microdroplet intradermally to raise the depressed areas. The before and after comparison during the session shows how much the surface has already smoothed, and this visit is about refining the remaining deeper spots.
Most patients require two larger treatments spaced about two months apart. This patient has responded so well that Dr. Emer is considering lighter maintenance treatments instead of a second full session, possibly combining light fractional resurfacing with TCA cross for any remaining shallow spots.
What the treatment actually does
Silicone microdroplet is a permanent filler placed intradermally, meaning within the layers of the skin itself, to raise depressed scars from underneath. The material integrates with the surrounding tissue and fills the scar crater so the surface reads smoother.
Dr. Emer uses this technique for deep ice pick and rolling scars that respond poorly to resurfacing alone. It is not a first-line treatment: it is reserved for cases where the scarring is severe enough to justify a permanent material, and where the physician has the skill to place it without creating lumps or long-term complications.
Why this patient needed it
The patient in this video had already completed earlier treatments that improved the overall texture and reduced visible scarring. What remained were deeper craters, particularly in the temples and cheeks, that needed to be filled rather than resurfaced.
Dr. Emer is performing a touch-up session in the video, adding small amounts of silicone microdroplet to areas that still show depression. The before and after comparison during the session shows how much the surface has already smoothed, and this visit is about refining what is left.
How a session is built
Four moves. One session.
Planned around scar type and severity: intradermal placement, four to six weeks to integrate, then reassess.
- 01
Assess and mark
The skin is assessed under specialized lighting to identify which scars are deep enough to justify permanent filler.
- 02
Place intradermally
Silicone microdroplet is injected within the layers of the skin, not on top, to raise the scar from underneath.
- 03
Integrate over four to six weeks
The material settles and integrates with the surrounding tissue, and the surface smooths as the scar fills.
- 04
Reassess and refine
After four to six weeks, the physician evaluates what else is needed: a second session, lighter resurfacing, or maintenance only.
The treatment, explained
What is silicone microdroplet?
Also called intradermal silicone injection, permanent filler for acne scars, silicone scar filler, deep acne scar treatment, ice pick scar correction, rolling scar filler.
- What it is
- Silicone microdroplet is a permanent dermal filler injected into the layers of the skin to fill and raise deep, depressed acne scars that have not responded to resurfacing, peels or other treatments. The material integrates with the surrounding tissue and does not dissolve, making it a permanent correction reserved for severe cases.
- How it works
- The silicone is placed intradermally, within the skin layers, using fine injections to fill ice pick scars, rolling scars and other deep craters from underneath. The material settles and integrates over four to six weeks, raising the depressed areas and smoothing the surface as the scar fills.
- Who it is for
- Candidates are patients with severe, deep acne scarring that has not improved with resurfacing, laser treatments or other modalities, and where the permanence of the filler is justified by the severity of the case. The technique is not for mild texture or shallow scars. Candidacy, placement and dosing are determined at consultation.
- Recovery
- There is minimal downtime. The material integrates over four to six weeks, and some improvement is visible immediately. The final result appears as the silicone settles and the skin smooths. Recovery and follow-up are planned at consultation.
- When results show
- Improvement is visible within four to six weeks as the material integrates and the depressed scars fill. Most patients need two larger treatments spaced about two months apart, with lighter maintenance afterwards if needed. Because the material is permanent, the correction lasts.
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.
Why Dr. Emer
Scar revision is a craft. He set the standard.
Two decades of results, a global patient base, and techniques other physicians travel to learn.
Dr. Emer built his reputation on outcomes that read as natural and last. He pioneered advanced scar revision techniques that are now taught internationally, and he personally performs every procedure in his practice.
Patients come to him when the scarring is severe: deep ice pick and rolling scars that have not responded to resurfacing, peels or other modalities, and where the risk of a permanent filler is justified by the severity of the case.
- 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
EMER METHOD™×RECODEX™
Permanent material
The silicone integrates with the skin and does not dissolve. That permanence is the benefit and the risk, which is why candidacy is strict.
Intradermal placement
The material is placed within the layers of the skin, not on top. Done incorrectly, it can create lumps or long-term complications.
Reserved for severe cases
This is not a treatment for mild texture or shallow scarring. It is for deep, depressed scars that have not responded to other modalities.
Staged over months
Most patients need two treatments spaced about two months apart, with lighter maintenance afterwards if needed.
Asked plainly, answered plainly
What patients ask before they book.
Is silicone microdroplet safe for acne scars?+
When placed correctly by an experienced physician, yes. The risk is that the material is permanent, so any error is permanent. That is why Dr. Emer reserves this technique for cases where the severity of the scarring justifies it and why intradermal placement is critical to avoid lumps or long-term complications.
How fast does silicone microdroplet work?+
The material integrates over four to six weeks. Some improvement is visible immediately after the session, but the final result appears as the silicone settles and the depressed scars fill from underneath.
How many treatments are needed?+
Most patients need two larger treatments spaced about two months apart. Some patients, like the one in this video, respond so well that only lighter maintenance treatments are needed after the first session. The plan is reassessed at four to six weeks based on how the skin responds.
Can silicone microdroplet be reversed?+
No. Silicone microdroplet is a permanent filler. That is why candidacy is strict, why the technique is reserved for severe scarring, and why intradermal placement by an experienced physician is essential.
What types of scars does this treat?+
Silicone microdroplet is used for deep, depressed acne scars such as ice pick scars and rolling scars that have not responded to resurfacing, peels or laser treatments. It is not for mild texture or shallow scarring.
Does this replace resurfacing or laser treatments?+
No. Silicone microdroplet fills what resurfacing alone cannot fix. Dr. Emer often combines it with light fractional resurfacing or TCA cross for remaining shallow spots, creating a complete scar revision plan tailored to the patient's skin.
Why do so few physicians perform this technique?+
Because the material is permanent and requires precision. Incorrect placement can create lumps, bumps or long-term complications. Dr. Emer has performed this technique for years and teaches it to other physicians, but it is not widely offered because of the skill and experience required.
What happens at the consultation?+
Dr. Emer assesses your scar type and severity under specialized lighting, determines whether silicone microdroplet is appropriate for your case, and builds a staged plan that may include resurfacing, TCA cross or other modalities. Candidacy, placement, dosing and follow-up are all planned at that visit.
Find out what your skin can carry.
A consultation with Dr. Emer covers your scar type, your goals, and whether silicone microdroplet fits your case.
Schedule ConsultationWest Hollywood and New York City