Treatment of Atrophic Combined Distensible and Non-Distensible Scars in Darker Skin Types with Microdroplet Silicone and Chemical Peeling

The presentation focuses on the treatment of atrophic combined distensible and non-distensible scars in darker skin types, emphasizing the efficacy of microdroplet silicone injections combined with chemical peeling techniques. The speaker highlights a case study involving a Pakistani patient, where significant improvement in scar appearance was observed after three silicone treatments and two salicylic acid peels. Evidence is presented from multiple studies supporting the use of microdroplet silicone specifically for acne scars, with a notable absence of adverse effects such as granulomas in patients of color. The speaker discusses the evolution of silicone's reputation in cosmetic procedures, stemming from negative perceptions shaped by past controversies related to breast implants. A detailed methodology for applying silicone and conducting chemical peels is shared, advocating for careful sequencing of treatments to minimize post-inflammatory pigmentation and patient anxiety. The speaker reiterates the advantages of silicone—longevity, safety, and satisfaction compared to other fillers like hyaluronic acid—for treating scars, particularly in darker skin types. The cost-effectiveness of silicone treatments is also mentioned, alongside an invitation for further discussion and education on the topic among dermatology professionals.