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CONTRAINDICATIONS OF MESOTHERAPY IN ACNE SCAR THERAPY

Dr.Thanh Minh (Mike), M.Med – Consultant DermatologistAug 28, 20253 min read
CONTRAINDICATIONS OF MESOTHERAPY IN ACNE SCAR THERAPY

Mesotherapy is a supportive treatment for scars favored by many dermatologists thanks to its ability to nourish the skin and stimulate regeneration from within. However, it is not a universal solution and must be considered based on individual conditions. So, when should mesotherapy not be chosen for acne scar treatment?

How Mesotherapy Works

First introduced in 1952 by French physician Michel Pistor, mesotherapy (or meso injection) uses ultra-fine needles to deliver medications or active substances directly into the skin layers. This approach slows systemic absorption, allowing the agents to remain longer in the treated tissue.

Preclinical studies have shown that intradermal injections of anti-inflammatory drugs, anesthetics, or antibiotics can achieve prolonged effects with lower doses compared to intramuscular injections. In addition, immune response to antigens is stronger when injected into the skin. Thus, injecting lower doses intradermally can sometimes be more effective than intramuscular administration.

When Mesotherapy Should Be Avoided in Acne Scar Treatment?

Mesotherapy is contraindicated in the following cases:

  • Active infection

  • Bleeding disorders

  • Keloid-prone skin

  • Autoimmune diseases (e.g., lupus, scleroderma), moderate to severe dermatitis

  • Allergy to injection components

  • Pregnancy or breastfeeding

  • Epilepsy

  • Diabetes mellitus

How to Maximize the Effectiveness of Mesotherapy for Acne Scars

Personalized treatment plan: Each patient has different scar types, severity, and skin condition. Dermatologists should provide tailored protocols based on thorough examination and analysis.

Combination with other therapies: Mesotherapy is usually combined with other techniques—such as subcision, platelet-rich plasma (PRP), resurfacing lasers, or TCA cross—to optimize outcomes.

Treatment compliance: Acne scars cannot be resolved in a single session. Depending on severity, multiple meso sessions are required. Following the prescribed course is essential for best results.

Post-treatment car: Proper aftercare—cleansing, topical support products, and strict sun protection—is necessary to protect and enhance treatment results.

Conclusion

Mesotherapy remains an important element in acne scar treatment when applied appropriately. The key is to understand the patient’s skin characteristics and level of scarring in order to choose the right timing and combination. For the best outcome, always seek professional consultation and a personalized treatment plan rather than quick, unverified solutions.

FAQs on Mesotherapy for Acne Scars

1. Why is mesotherapy popular in acne scar treatment?

Because it delivers active substances directly into the skin, promoting regeneration and healing with lower doses, thereby increasing effectiveness and reducing side effects.

2. Can everyone with acne scars undergo mesotherapy?

No. Eligibility depends on individual skin, scar type, and overall health. Certain conditions carry strict contraindications.

3. Why combine mesotherapy with other methods?

Mesotherapy is supportive. When combined with techniques such as laser, PRP, subcision, or TCA cross, results are more comprehensive and long-lasting.

4. Why must patients follow the full treatment course?

Scar treatment requires time and consistency. Following the prescribed plan ensures better recovery and minimizes risks.

5. How much does mesotherapy for scars cost?

At Wedo Skin Clinic, mesotherapy scar treatment ranges from 1,900,000 – 4,900,000 VND (depending on scar condition and doctor’s protocol). Note: prices exclude 8% VAT.

Dr.Thanh Minh (Mike), M.Med – Consultant Dermatologist
Medically reviewed by

Dr.Thanh Minh (Mike), M.Med – Consultant Dermatologist

Reviewed:

Master and Specialist Level I dermatologist Dr. Mike (Thanh Minh) trained with a clinical focus. After his general‑medicine degree, he earned top‑ranked admission to the Dermatology Residency at Pham Ngoc Thach University of Medicine — the foundation for careful, up‑to‑date practice. His approach is honest, straightforward counselling: an accurate assessment, a clear account of what treatment can and cannot do, no exaggeration, and no unnecessary intervention — so patients understand their skin and reach durable results.

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