This thread is going to be dedicated to information regarding dermarolling..If you have any worth while links to add please do so..Just make sure that you dont add any links that have allready been posted..


Just to add..This information was put together by Bethany of the eds forum..She put alot of time and effort into this obviously and want to give credit where credit is due..

Environ® Medical Roll-CIT™ Micro-needling
Revolutionary New Approach to Medical Needling
Probably my FAVORITE rolling article - it contains frequency recommendations, as well as pre- and post-roll protocols for optimal collagen development. Also comparisons of rolling with 1mm vs. 3mm needles.
http://www.dermaconcepts.com/2004/environ1mmNeedling1.pdf


Micro Needling and Injecting Platelet Rich Plasma to Enhance Collagen Synthesis and Skin Tightening.
Author: Joseph F. Greco, PhD, PA/C
This article discusses a number of needling research studies, wound healing, and mesotherapy lifts (with pics)
http://www.microneedle.com/main/MTS_Roller...umbs&page=1


New Life for Lips
A VERY good article focusing on above the lip lines, usage of 1.0mm vs 3.0mm needles, and the protocols used by Dr. Des Fernandes (one of the inventors)
http://www.vivida.co.za/news/show_article/3


Minimally Invasive Percutaneous Collagen Induction
Desmond Fernandes, MB, BCh, FRCS(Edin)
This article provides a great overview of how collagen is developed with the micro needling process, as well as the rolling protcol, etc. (pics included)
http://www.dermogenesis.com/roll-cit/Clini...f_N_Am_2005.pdf


The Collagen Induction Therapy
Provides an overview (with pics) of the medical roll process.
http://www.cit-nordic.com/thetechnique.html


Euro Medi Travel
Page 8 contains CIT frequency recommendations based on skin condition:
http://www.euromeditravel.com/doc/additional_info.pdf

Environ stunned the world...
Some results pics and detailed directions on how to do a roll, including frequency of usage for the .2mm Environ home care roller:
http://www.beautymagonline.com/pages/environ_rollcit.htm


Getting The Point
An overview of the process from Dr. Des Fernandes, including some frequency recommendations:
http://www.vivida.co.za/db_files/16_IIAA_newsletter.pdf


Some results photos from a Boston doctor (with pics):
http://www.bostoncentreaestheticmedicine.c...ninduction.html


A Miami doctor's webpage, with links to a video of him performing the procedure:
http://www.drbustillo.com/roll-cit.htm


The Dermaroller blog where I asked Horst Liebl about needle length, and his reply:
http://dermaroller.wordpress.com/2008/05/1...lagen-function/


The Dermaroller blog with a question and answer on rolling frequency:
http://dermaroller.wordpress.com/2008/04/2...ment-intervals/


STIMULATION OF CELL GROWTH
by Horst Liebl
http://www.dermaroller.de/us/science/abstr...eflections.html


Electrical Signals Control Wound Healing (dermarollers generate electrical charges)
http://www.dermaroller.de/images/stories/Findings.pdf


Percutanous Delivery By Dr. K. Anastassakis May 2005
http://www.dermaroller.de/us/science/percu...s-delivery.html


Collagen Induction Therapy in Mouse ( IPL vs. Micro-needling )
http://www.clinicalresolution.com/main/MTS...umbs&page=1


Skin Needling - A New Treatment for Scars and Lines
http://www.mesotherapyworldwide.com/images...0Doctors_MW.pdf


Percutaneous Collagen Induction Therapy: An Alternative Treatment for Scars, Wrinkles, and Skin Laxity
http://www.acaciadermacare.com/upload/docs...pril%202008.pdf


MTS (Microneedle Therapy System) by Prof. Kim Beom Joon, Department of Dermatology
Dongguk University International Hospital
page 15 talks about delivery of ascorbic acid
Lots of pictures of scar revisions, striae, etc.
http://www.clinicalresolution.com/main/MTS-kimbeomjoon.pdf

Frequently Asked Questions - Scar Treatments

Disclaimer: The information below is provided as a courtesy to address general questions. As we are not medical professionals, we cannot be held responsible for the accuracy of this information. By reading this information, you agree not to hold us liable for any damages that may result in your use of this information. This information should not replace information that your Doctor or Plastic Surgeon provides you. Please keep in mind that this is for general information only and results will vary for each individual.

Q: How can I prevent my acne from scarring?
A: The best way to prevent scarring is to prevent the acne that causes it. For moderate to light acne, see http://www.acne.org/regimen.html

For severe acne, please see your Dermatologist for recommendations, as different treatments are required for different situations.

Q: What is the Lemon & Vinegar Method?
A: This is a method that may improve the appearance of shallow, rolling scars. Drink either Robinson, Lemon Barley Water or plain water with half a teaspoon of lemon juice to a full glass of water throughout the day. It is best to use fresh lemons if possible. Use any diluted vinegar (organic apple cider if possible, malt or white are also acceptable) in warm water to splash onto the face day and night. You may have to experiment to find the right combination of water to vinegar. Try diluting it 1 part vinegar to 4 parts water to start with. First wash your face with your normal cleanser, and then apply the vinegar (dab the solution on with cotton balls and leave on) before other topicals/moisturizers (apply topicals 20 minutes later). You should see an improvement within a week or two.
For more information, read this thread:
http://www.acne.org/messageboard/Free-ish-Scar-Treatment-t4885.html

Q: Can you describe the different types of scarring? scar types:
http://www.acneguide.ca/images/content/acne_scars.jpg

·Icepick: Looks like an ice pick has been pressed into the skin. It is generally small in diameter, but can be shallow or deep.
http://www.acneguide.ca/images/content/athrophic_scars.gif

·Boxcar: Looks somewhat like a chicken pox scar with more rounded edges. It can be small or large in diameter and is fairly deep, though not usually as deep as icepick scars.
http://chrisg.serveftp.com/Scripts/Web%20P...boxcar_scar.jpg

·Rolling: Looks like a smooth indentation in the skin. These scars can be deep or shallow, but are generally shallower.
http://www.acneguide.ca/images/content/atrophic_scars2.gif

·Macules: These are most common on the back, chest and arms. They are small areas of hairless scar tissue that will initially be red but will usually fade to pale ivory within 1-2 years. They can be raised (hypertrophic) or indented (atrophic).
http://www.acneguide.ca/images/content/hypertropic_scars.gif

For further information on scar types see: http://www.acneguide.com/tf/content.asp?z=78

There are two basic types of Raised scar types:
* Hypertrophic scars - are scars that are raised above the skin surface but remain within the boundaries of the original injury.

* Keloid scars - which are raised scars that extends BEYOND the boundaries of the original sore, blemish or injury. It is scar tissue gone wild. It can continue to grow. Some people are genetically prone to keloid scarring. There is a specialist forum for keloid scars: http://www.keloid-scars.com/index.htm

Q: What is Skin Needling (aka needle dermabrasion, aka dry tattooing or tattooing without pigment)?
A: This is a technique whereby a Dr. or Tattoo artist uses either a hand tool or a tattoo machine to “needle or “tattoo the skin without using pigment (water can be used in place of ink). This is said to "break up" the scar tissue thereby smoothing the appearance of the skin.
NOTE: It is possible to “needle yourself, but there are risks associated with this. Also, results are generally not as pleasing. It is best to see a specialist whenever possible.
For more information, read this thread: http://www.acne.org/messageboard/forums.html...amp;hl=needling

Q: Is Elicina effective in reducing the appearance of scars?
A: There are varying reports on this but it appears that a majority of users who have tried it have said “no. In general, topical solutions are not sufficient to affect moderate to deep acne scarring.

Q: Can I get rid of my scarring through the use of topical solutions alone?
A: As mentioned, most people with moderate scarring do not find that topical solutions have a significant effect on their scarring. However, they can help lessen scars if used in the healing stage. Please read this thread for more information:
https://secure.lf.com/drug/ce/spring_2001/c...cars_lesson.htm

Q: What is the difference between ablative and non-ablative lasers?
Definition of ablate from dictionary.com: "To remove by erosion, melting, evaporation, or vaporization."
Ablative lasers are much more invasive than non-ablative lasers. Ablative lasers are not recommended for use on darker skin colors.
Examples of ablative lasers:
- CO2
- Erbium: Yag
Non ablative lasers do not remove layers of skin, but instead penetrate through the skin in an attempt to stimulate collagen growth from underneath the surface of the skin. Non-ablative lasers are detailed later in this document.

Q: Will ablative lasers (CO2 or Erbium) reduce the appearance of my scarring?
A: It is possible that it will reduce the appearance of your scarring but it can come with a hefty price tag, a signficant amount of downtime and a risk of new scarring.

Q: What are the different types of non-ablative lasers and how can they reduce scarring?
A: There are several different types of non-ablative lasers. There is some controversy as to whether or not the appearance of scarring can be greatly reduced by the use of them. It is best for you to speak to your Dr. and to research the various laser treatments available to you. Here are examples and links to information about them:

SmoothBeam: http://www.candelalaser.com/Smoothbeam2/sb_photo_acne.asp
thread on acne.org: http://www.acne.org/messageboard/Smoothbeam-Treatments-t8140.html

PLEASE READ THIS THREAD FOR MORE INFORMATION ON SMOOTHBEAM ON DIFFERENT SKIN TYPES: - http://www.acne.org/messageboard/Blistering-Smoothbeam-t17315.html

N-Lite: http://www.facialplasticsurgery.net/nlite.htmhttp://www.wrinklereduction.com[/url] thread on acne.org: http://www.acne.org/messageboard/forums.html...3

CoolTouch II: http://www.cooltouch.com/products.html

IPL: http://www.intensepulselight.com/equipment.html

Q: Will dermabrasion reduce the appearance of my scarring?
A: It is possible that it will reduce the appearance of your scarring but it may come with a hefty price tag, a significant amount of downtime and a risk of new scarring. We suggest that research should be done before proceeding with such an invasive procedure. In addition, this is generally not a good option for darker skin tones.
See these thread for more information: http://www.acne.org/messageboard/forums.html...hl=dermabrasion
http://www.acne.org/messageboard/Dermabrasion-Anyone-t18697.html

Q: What is subcision? Will it improve my scars?
A: Subcision is a method whereby a Dr. uses a "Nokor" needle to break up the scar tissue underneath the surface of the skin. It is said to be best for “rolling scars that are “bound down. Bound down scar tissue looks smoother when the skin adjacent to the scar is pulled tight. Some peoples’ scarring has improved by this method, others have had minimal or no improvement, and others have had their scarring deepen (though this seems to be more rare). Please see your Dermatologist for further information on this procedure.
For more information, check the following thread:
http://www.acne.org/messageboard/forums.html...wtopic=3132

Q: Is there anything I can do to optimise my healing responses following invasive scar procedures?
A: Yes. Through a healthy diet and safe supplementation, you can improve your body's wound healing response effectively. Please read the following thread for more information:http://www.acne.org/messageboard/forums.html...t=0#entry778539
The following site may also be of some interest: http://www.beautysurg.com/learn/general_healing.html

Q: What is the "Dermaroller". Can it improve scarring?
A: The Dermaroller is an instrument that has tiny needles embedded in it that is rolled across the surface of the skin. It is mainly used for better absorption of topical treatments and does not appear to actually break up scar tissue. For more information, read this thread: http://www.acne.org/messageboard/forums.html...ard/forums.html...

Q: Can "Copper Peptides" improve scarring?
A: Copper Peptides may be able to improve the appearance of scarring by stimulating collagen production after a more ablative procedure such as needling. Copper Peptides are a topical treatment and therefore results will vary for each individual.
See this thread for more info:
http://www.acne.org/messageboard/forums.html...ard/forums.html...

Q: How can I get rid of my red marks / hyperpigmentation / brown marks / dark marks?
A: There are several different approaches to help this process. You may have to experiment to find which works best for you. The effectiveness of these treatments varies and they may have to be used in conjunction with other treatments for best results:
Prescription approach:
* Generally recommended: A Retinoid (i.e. Retin-A) & Hydroquinone*
Non-prescription approaches:
The tape method of exfoliation
The vinegar method of exfoliation
Apply an Alpha Hydroxy Acid peel (i.e. Lactic Acid, Glycolic Acid, TCA, etc.)
Apply a Beta-Hydroxy Acid solution
Vita-K for Blotchy Skin
Mandelic Acid Serum

All about lasers:
http://internationalrosaceafoundation.org/laser.html

Chemical Peels explained: http://www.lasernews.net/lasernews/laserne...8A?OpenDocument
http://www.plasticsurgery.org/public_educa...hemicalPeel.cfm

Q: Will Microdermabrasion reduce the appearance of scarring?
A: It is generally thought that Microdermabrasion cannot penetrate the skin deeply enough to affect the appearance of moderate to deep scarring. It is a great method of exfoliation, however and it is possible to reduce very shallow scarring by repeating this procedure in a series of several treatments.
For more information, check out this thread: http://www.acne.org/messageboard/Microdermabrasion-t191.html

Q: What are injectable fillers and how can they reduce the appearance of scarring?
A: There are many types of injectables used for augmentation. It has been shown that once they are injected into the skin, they can raise the surface of the scar. Unfortunately, most of the injectables widely available are not considered permanent. In addition, some are not available in all countries. Here is a list of some of them to get you started in your research:

Isolagen: http://www.isolagen.com/ thread on acne.org - http://www.acne.org/messageboard/forums.html...6
Fat (harvested from your own body) - See your Dr. for further info
Fascian: http://fascian.com/
Restylane: http://www.restylane.com/
Collagen (Zyderm/Zyplast): http://www.inamedaesthetics.com/
Artecoll: http://www.artecoll.com/
Aquamid: http://www.aquamid.info/
AlloDerm: http://www.biohorizons.com/alloderm.htm

Here is a thread on various types of fillers: http://www.acne.org/messageboard/forums.html...c=19162

Q: What is the TCA CROSS Method?
For more information, read this thread:
http://www.acne.org/messageboard/CROSS-treatment-100-T-t5610.html
Here is a link to the TCA cross article in full text on Rapaports website:
TCA Localized Peeling: http://www.cosmeticskin.com/skin-acne4.shtml

Q: What is the difference between TCA CROSS and a TCA peel?
TCA CROSS is a method whereby a Dr. or skilled practitioner uses a high percentage of TCA Acid and spot treats each scar. This procedure is especially beneficial for ice pick scarring. TCA CROSS is something that should be done by a skilled practitioner because the risk of damage to your skin can be great. TCA peels are of a much lower percentage than TCA CROSS. TCA peels are done by Dermatologists and Aestheticians and affect hyperpigmentation and more shallow scarring.

Q: What is Punch Excision & Dermal Grafting?
A: Punch Excision is a procedure whereby a Dr. will use a tool to “punch out the scar and then sew the remaining skin together. Dermal grafting is a procedure whereby a Dr. removes skin from a different part of your body (usually from behind the ear) and places it into the scar. Ice picks are often treated this way.
http://www.acne.org/messageboard/forums.html...=punch+excision

Q: How can lighting effect the appearance of acne scarring?
A: Lighting can have a tremendous effect on the appearance of acne scarring. For further information, please see this thread:
http://www.acne.org/messageboard/Lighting-Effect-Acne-S-t24474.html

Q: My scars are raised, not indented. What type of scarring is this and how can it be treated?
A: This is called hypertrophic (aka keloid) scarring and can be treated with silicone sheets (OTC) or cortisone injections (provided by Dermatologist). http://www.cicacare.com/

Q: Is it okay for me to treat my scars while I am on Accutane?
A: No, it is suggested that you wait at least 6 months to a year to treat your scars after taking Accutane. Some individuals have reported that they seem to scar more easily while taking Accutane.

Q: What is the tape method of exfoliation?
A: This is a method whereby a piece of scotch/gift tape is applied to the surface of the skin and then gently removed. Once the tape is removed there may be pieces of dead skin that remain on the tape. Take care in using harsh topicals when this method is employed, as they will most likely irritate the skin moreso than if tape were not used.
For more information, check out this thread: http://www.acne.org/messageboard/Tape-Method-Peeling-Ch-t1320.html

Q: What is exoderm and will it help with my scarring?
A: [Edit: Many recent exoderm patients have complained about lack of effectiveness of this treatment with the side effects of more scarring and larger pores] Exoderm is arguably the most extreme form of scar treatment that you can undergo, and consequently, some people that have undergone the procedure have reported tremendous improvement in their scarring, as much as 90%. Other's have said it did not do anything even for their shallow scarring. However, the procedure is extremely intense. Here is a description:

You may be left with dramatic improvements in your scarring, but you will have to be dilligent with application of sun-block following the procedure as your skin may have lost its ability to tan.
Please look into this procedure very carefully if you are thinking of having it done.
Here is a link to the exoderm website: http://www.exoderm.co.il/about_us/default.html
and here are links to interesting threads detailing posters' experiences with the procedure:
http://www.absoluteacneinfo.com/acne-forum...ghlight=exoderm
http://asgic.proboards26.com/index.cgi?boa...;num=1083795258

Q: I have scarring on my body. Can I treat this in the same way as one would treat facial scarring or are there different procedures?
A: Body scarring is typically more difficult to treat than facial scarring, as less research has been carried out into this area. The following thread details some of the procedures and information that may be helpful:
http://www.acne.org/messageboard/Information-Body-Scarrin-t36327.html

List of helpful acne scar webpages:
http://www.tamaramadden.com/Acne_Scar_Websites.htm

Before posting a new thread, please go to the top of this page and try doing a search for the information you need. It's quite possible that the information you want is already on this board. Alternatively, follow the link below and it will take you right to the search facility.

This is the search link: http://www.acne.org/messageboard/forums.html...=Search Type in a key word for what you are looking for and it will bring up all the threads here that topic was discussed.

(Last edited by Rossignol, 29th September 2005 - updated pictures of scar types)
(Last edited by Rossignol 27th September 2005 - added link to 'holistic recovery from scar treatments')
(Last edited by Rossignol 21st September 2005 - updated links)
(Last edited by Rossignol 21st January 2005 - added questions about nutrition and wound healing post-surgery, and OTC treatment of scarring)
(Last edited by Rossignol 18th January 2005 - added link to smoothbeam thread)
(Last edited by Rossignol 30th November 2004 - added question about body scarring)
(Last edited by OursFan 29 November 2004 - added link to list of helpful acne scar webpages)
(Last edited by Rossignol 3rd August 2004 - added info on exoderm and added links to threads about smoothbeam, N-lite and isolagen)
(Last edited by OursFan 20th June 2004 - added Q/A on Lighting)
(Last edited by OursFan 30th May 2004 - edited/verified all links)
(Last edited by OursFan 28th May 2004 - links/content)
(Last edited by Maya 19th April 2004 - added a link to Dr Rappaports TCA CROSS document and a link to a chemical peels slide show)
(Last edited by Maya 18th April 2004 - added info about raised scars - to the types of scarring section)
(Last edited by OursFan 22nd Feb 2004 - added info to TCA CROSS section)
(Last edited by OursFan 15th Feb 2004 - added pics of scar types,
added difference between ablative/non-ablative lasers, added prescription treatment section to Red Marks).
(Last edited by Maya 25th Sept 2003 - updating links)

*NOTE: I can't take credit for this! Most of it was written by Maya - a friend of mine and a former moderator here, who is trained in holistic medicine and has used the above regimen in treating her own scarring.
Thanks to her for providing this great info!!!

Holistic Recovery from Surgery

(Pre and Post Scar Revision/Surgery Protocol for Indented Scars.)


Disclaimer: The information below is intended as a series of suggested methods that may improve your healing post scar treatments. As we are not medical professionals, we cannot be held responsible for the accuracy of this information. By reading this information, you agree not to hold us liable for any damages that may result in your use of this information. This information should not replace information that your Doctor, Plastic Surgeon or nutritionist provides you. Please keep in mind that this is for general information only and results will vary for each individual.

I’m including this protocol for those of you who are having invasive scar revision treatments, whether at the doctor’s office or self administered. This includes revision methods such as dermabrasion, laser resurfacing, skin needling/tattooing, TCA CROSS, deep Chemical peels, subcision etc.

Regardless of the advances in Scar revision techniques, all forms of invasive techniques are stressful. The body’s healing response is still painful as it is to any injury. Both research and common sense tells me to eat an optimal diet and take extra nutrients that support me to heal faster and better. Adding supplements like Zinc and Vitamin C, known to speed wound healing and recovery is a smart step.

Most doctors provide little or no information on how diet choices and supportive therapies can jumpstart healing, although it is a crucial step to receiving the best possible result. A speedy recovery calls for more concentrated nutrients that a normal diet provides.

Have you considered why some people heal better than others? A scar revision method can only be as successful as your body’s ability to heal well and build the collagen necessary for your scars to rise.

Take a read through my recommendations and see which supplements may be a useful aid to your recovery. (Recovery from dermabrasion will need more support than a TCA peel for instance).

Many of the supplements listed can be included into your daily life (smaller doses will be needed), since most are supportive to rebuilding skin generally and are effective with or without surgery.

Start 2 weeks before surgery and continue for 2 weeks after surgery
To build your body’s natural defences before surgery:

Vit C – 3-5,000mg split into 2 doses (promotes healing, collagen growth and free radical scavenger)
Zinc – 60-70mg split into 2 doses - needs to be taken with oil/fat for absorption (Promotes wound healing and anti-oxidant)
B Complex 100mg and 500mg Pantothenic acid (B5) for adrenal strength/stress from surgery
Cod liver oil – 1-2 teaspoons – For Vit A and D and EFS (great skin healer and reduces inflammation)
Essential fatty acids - flax, salmon, evening primrose, borage oils – one or a combination is better. . (Promotes healing)
Calcium/Magnesium – 1000mg Calcium, 400mg Magnesium – Take these just before bed (Tissue repair). Don’t take at the same time as zinc, since they compete.
Multi Vitamin/Mineral – Take 1 a day with main meal to cover all missing elements from above.

Start 1 week before surgery and continue for 2 weeks after surgery

Bromelain 1,500mg split into 3 doses (curbs inflammation, reduces swelling, decreases bruising and pain)
Arnica Montana 180cc, split into 3 doses (reduces bruising and swelling)
MSM (Methyl Sulfonyl Methane) 1-2,000mg split into 2 doses (has a good effect on growing hair, nails and skin; improves skin elasticity and thickness; reduces inflammation)
Gotu Kola capsules or tincture – 3 times a day (nerve tissue repair and promotes collagen synthesis)
C0Q-10 180mg, split into 2-3 doses with meals (strengthens ability to heal, free radical destroyers)

What NOT to do:

If you eat garlic, stop 3 days before surgery as it thins the blood and may increase bleeding. Also avoid aspirin, as it’s another blood thinner. Check labels on any other vitamin/herbal you take as well, and avoid any that have blood thinning properties.

Stop any synthetic Vit E supplements 4 weeks prior to curb post operative bleeding (Natural Vit E in foods like avocados is fine)

Diet/Lifestyle 2 weeks before and after:

Eat extra protein – you must have protein to heal. Quality sources of protein can be found in raw eggs, chicken, turkey, liver, oily fish like salmon and mackerel etc. Vegetarian protein includes tofu, grains mixed with beans, almonds etc. Always eat organic!
For Vit K (needed for efficient blood clotting) eat green leafy vegetables, blackstrap molasses, alfalfa sprouts, sea greens.
Probiotics – Either take a probiotic supplement or supplement your diet with ‘live’ yoghurt, fermented vegetables, Kombucha tea, kefir etc. as this is one of the best ways to synthesise Vitamin K
Fruit and Vegetables –Include at least 5 portions. Make a large salad with olive/flax oil dressing and/or make fresh pressed juices daily. Add super green foods that are rich in chlorophyll - get it from spirulina, wheat grass, barley grass, sprouted seeds, seaweed, chlorella etc. or you can buy a supplement that contains ‘superfoods’ as they strengthen your ability to heal. Eat avocados for skin elasticity. Eat pineapples and papaya as they contain enzymes useful in the break down of old scar tissue.
Whole grains – Brown rice, quinoa, millet etc.
Sleep early – Ideally before 10PM, 11PM at the latest.
Water - Drink a minimum of 8 glasses of pure, mineral or filtered water
Sea Salt – Add Celtic sea salt, or ideally Himalayan sea salt to your diet, they contain all the minerals your body needs.


The best all-round supplier I've found for most of the above supplements is www.iherb.com. Their prices are low and service is excellent, with extremely fast and reasonably priced shipping.

BEFORE EMBARKING ON A SUPPLEMENTATION REGIME, IT IS A GOOD IDEA TO CONSULT WITH A QUALIFIED DOCTOR OR NUTRITIONIST.
These links may also be of interest:
http://www.acne.org/messageboard/-t31390.html
http://www.acne.org/messageboard/PLEASE-READ-t38647.html


I will hopefully be updating this thread with the best topical products to speed healing when I get the chance.

THE SCAR FORUM SEARCH TOOL
( AND HOW TO USE IT EFFECTIVELY )


Hi Everyone,

Sorry if this may seem patronising to some of you, but I feel it is necessary to reinforce the importance of the search tool.

In the scar forum, due to the vast amount of posts and the wide range of treatments and products we are discussing, it is more important than in other forums to make good use of the Search tool. This is how a lot of the experienced members here have built up knowledge about procedures they have not had done themselves.

Before posting a question, please use the search tool to see if it has already been covered. In most cases, it will have been.

Also, please try and add your questions to the end of long threads about the procedure/product it is relevant to. This helps to keep all information in one source and prevents cluttering up the board.


MAXIMISING THE EFFICIENCY OF THE SEARCH TOOL

Here are some easy steps for getting the most out of the search tool.

1. After you click on 'search,' (in the top right hand corner of the toolbar) click on MORE OPTIONS at the bottom. This will bring you to a new page. Alternatively, follow this link: http://www.acne.org/messageboard/forums.html...rch

2. On this new screen, type in your key word or phrase. For instance, needling

3. Under the refine search headings, drop the tabs so that they read search posts from any date and sort results by number of replies

4. Click to Search titles only and show results by topic

5. Finally, make sure the scar treatments forum is highlighted under the 'search where' tab.

6. Click 'perform the search'.
________________________________________________

All this will ensure that you are taken straight to the list of the absolutely most relevant topics - you will only be looking at threads that are specifically about needling (having it in the title), and you will be looking at the most informative threads we have produced on the board - the ones with the most pages.

While it may seem daunting, it is definitely worth reading through all the pages of threads regarding procedures you think you would like to pursue.

If your search brings up no results, (which is unlikely) - try broadening the search, ie: by looking in 'entire post' rather than titles only.


Hope this is helpful, and have fun searching!

Paul and the scar forum moderating team.

i know maybe there's not many hongkongers here on this forum, but i really couldnt find a reputable derm/plastic surgeon who is experienced and can give the best advice to me to help deal with my acne scars which is bothering me so much!

um if anyone know, please kindly recommend to me or if you know ways to find one, could you tell me about me it?

thank you so much!

Has anyone got scars left from your fingernails when picking?
I was squeezing some blackheads on the side of my nose when I realised I cut my nose with my own fingernail!
It didnt bleed and I can open and close the cut slightly the moment. I am worried it will scar forever. I have enough scars already but nose scars are the worst in my opinion.
What do you recommend I do to try help it heal?

http://www.realself.com/review/do-not-do-f...ined-face-burns




I was seriously considering fraxel after tane, but now I am not so sure.

[attachment=25034:Scar02.JPG]
i'm 21/M
and i'm on accutane 20mg.
i left 5 more months to go to complete my course.

but this scars really make me lose my self-confidence.
and i feel very uneasy when people see my face.

i know i can't make those scars invisible already.
it will be with me for life.
but is there a chance it will look less visible or do i have anything i can do to make it look less visible?

help will be appreciated.
thank you very much =).

I've been reading up on facial ultrasounds. It looks like it cleans the skin and might help with indented scars. Its supposed to activate cells by making them move around. Has anyone used it? If so, how what do you think of it?

I'm a Junior in college. I've struggled with depression the whole way but I just don't feel I can do it anymore.

I've habitually picked my face since sophomore year and had a sever episode that left bruises on my upper cheeks and later left cratered scars, almost like giant pores on my face. I tried to ignore them but eventually they became the focal point of my time in college. I became depressed and excessively self conscious about the scars but managed to become more social and happy in general. Then I realized that the only thing holding me back was these scars.

I'd been researching it for a long time and decided to start using retin-a ,an exfoliant, to sort the scars out. I went to the doctor and was prescribed retin-a. I began using the drug all the while picking and squeezing at lesions that would appear on my face. I'd hardly be aware if my hand was rubbing my face and apparently scratched it in my sleep.

The aftermath? I was left with more of the same scarring I had tried to alleviate. I was asked by my little sister why ,"I had all those tiny holes on my face." Worst part is I honestly don't know what to do. Retin-a supposedly makes things worse before fixing them. My gp dismissed my concerns with "try it for a month". I just feel kinda stuck.

Heartbreaking. What should I do now?

I will be undergoing subcision and DeepFX this afternoon. I have
rolling acne scars on my cheeks and chin. I will update my progress.

A little history of myself first:
-suffering for 8+ years which have resulted with deep scars (mostly on the temples, and icepicks on the cheeks)
-I'm 21 years old
-i had 4 fraxel:restores (crap results like no more than 5-10% improvement, but the operator thinks more like 30%) <----had my last #4 treatment 2 months ago
-blue and red light skin therapy (over 2 years ago, biggest waste of money ever)
-had a couple PDTs (was ok, but i started using the DKR sort of, so i dont know whats working, i still have active acne)
I am not a total newbie for scar treatments, but I just need to know if the Fraxel:repair is for acne scars or not? Because it is NOT FDA approved, yet I am reading that people in the US, ARE using it for scars. Mostly I am reading it from that realself website. Is that site legit?

The person treating me right now is a real Fraxel fanatic. She is REALLY up to date with technology, and she really seems to know her shit. She did 4 fraxel:restore treatments on my face. 1 full face, 2 temple-cheeks, and the last one just temples. I am mainly concerned with my temples, and i also stoped treating my cheeks because i did not see results at all and could not afford it anymore. I was really disapointed that i did not see much improvements after 4 treatments. She said in the begining i should see 70-85% improvement over 5 or 6 treatments. I did not see any point in continuing.

I asked her if Fraxel:repair can be used for treating acne scars, she said no. She is the owner and performs all the fraxels herself. She recently bought the fraxel:repair last month. She said that the repair would not do anything for scars! I live near toronto by the way, so Canada just got the approval to start using the fraxel:repair. She told me that if the repair was capable of treating scars, she would not hesitate to treat me. She has no interest in taking my money. She knows i want results. I truly feel safe with her. BUT, if you guys think different, please advise me.

There are very limited places to go in the area for a second opinion, so now i ask for help from you guys. Whats the deal?

Just a note: She was deciding whether to buy the Fraxel:repair or the Lumenis's FX laser. She chose the repair. She said that Fraxel is by far superior to the FX.

First and foremost, I am not going to go into academic detail about the use of progenitor cells, particularly autologous adipose derived mesenchymal stem cells, for the treatment of various skin conditions including the repair of hypotrophic (depressed) acne scars. I realize most people here will not be interested in me blabbing on and on about this and that hypothesis while citing various academic articles. I am simply going to say that I am preparing to conduct an experiment with these cells as I believe they are far more capable of flattening and beautifying skin in comparison to anything else that is currently used by the conformist medical establishment.

Anyway, both anecdotal and peer reviewed evidence exists to suggest that mesenchymal stem cells can be used effectively to radically alter the appearance of one's "damaged" skin. The anecdotal evidence largely comes from people who have had successful autologous fat transfers. If the procedure is done right, a large number of adipocytes and resident stem cells can survive the transfer only to integrate themselves into the site of injection. When this happens, the patient often observes a very positive and noticeable difference in their skin within a few weeks/months time.

However, there are not that many mesenchymal stem cells in fat. So, some researchers have proposed a more advanced fat transfer technique, wherein the mesenchymal stem cells are separated from the fat cells, then cultured/multiplied for a few days/weeks, and then either (A) recombined with the fat cells and injected into facial tissue deficits, or (B) injected without recombination with fat cells.

Either way, by culturing the said stem cells for a short period of time, one can increase their numbers exponentially. It really isn't very hard to increase the number of stem cells found in 10cc of fat tissue 1000 fold. For example, a thousand cells can be turned into a million cells with the right culturing solution, incubation temperature and time management. Think of what a 1000X viable cell mass can do for the skin in comparison to what has already been achieved with the traditional fat transfer procedure...

OK, to make a long story short I want to try this procedure in 2009. Currently I am in the process of adding new equipment to my lab. Once that's done and I am brave enough to try some of my ideas I will go for it.

That said, I am most certainly not the first person to be doing this. There are many clinics in Eastern Europe and East Asia that are already offering this service. I don't know much about their quality control processes nor have I seen their results firsthand. However, a colleague recently sent me some before/after pictures of a doctor in Asia who is apparently trying the above described type (A) procedure. Again, what this means is that stem cells are extracted from fat tissue, then cultured, and finally recombined with the fat tissue a few days later into what is essentially an enhanced autologous cellular mixture which can regenerate tissue deficits present at the site of acne scars... This doctor is experimenting with stem cells for anything from scar revision to breast enlargement.

Anyway, here are the photos that I received:

Acne Scars:

http://img232.imageshack.us/img232/1989/st...acnescarib9.jpg

http://img183.imageshack.us/img183/7953/st...cnescar1er8.jpg

http://img297.imageshack.us/img297/6153/st...cnescar2lu8.jpg


Wrinkles:

http://img232.imageshack.us/img232/6773/5417el9.jpg

http://img297.imageshack.us/img297/3797/5409lq0.jpg


The results look quite good and as far as I know are the product of a single treatment session.

In retrospect, the use of stem cells for cosmetic purposes is quite new. On the other hand, the extensive academic peer reviewed animal model studies and these preliminary results as seen in the above photos are all quite stimulating and exciting. The problem is that I don't know of a single colleague in North America or Western Europe who performs this type of procedure. It may be because of the bureaucratic regulations set in place within these countries (sometimes an extension of religious perspectives), or simply because of traditionalist medical inertia, which I'm sorry to say is very prevalent in many of the wealthy and "advanced" countries.

To illustrate my point, I recently spoke to a plastic surgeon in Canada about this very issue. I asked if he had considered the use of stem cells to treat acne scars. He replied, "it's coming!"

I was amused so I asked him to elaborate. He then said that the use of stem cells for cosmetic purposes will likely be available in 10 or so years. I was trying my best to be diplomatic when I explained to him that this exact procedure was already being performed in Japan, Russia, Korea, Taiwan, China, etc... Needless to say he was surprised by what I had to say. It was obvious to me that although he was being polite, he was also extremely sceptical that a young Bulgarian doctor may know something he doesn't... Finally after some ensuing discussions, he told me that he felt the use of synthetic dermal fillers was "good enough" and that the results he had achieved with these substances were very positive. In essence, he was being defensive and thus tried to redeem his lack of an innovative spirit with what I call B.S.!!! On the other hand, I'm pretty sure he is now more open to learning about autologous mesenchymal injections. Let's just abbreviate this procedure as AMI from now on.

Now I want to get to the point! If you live in a city and/or country where AMI is not available, then be the one to tell the medical community about it. Be the one to tell your local dermatologist and/or plastic surgeon that the use of stem cells for cosmetic purposes is not science fiction, but rather science reality. Tell them that you are not talking about the use of embryonic stem cells, but rather about autologous adult stem cells. If need be I will give you information about how this procedure is performed since your doctor will likely not have a clue. I am here to help, and the point I am making is that you can also help yourself. Spread the information and get your local docs to start thinking about what's best for YOU the patient. Needless to say, the first doctors to start performing this procedure in your respective countries/cities will have an immense competitive advantage.

And you may just get to have the skin you've always wanted.

Best wishes and start spreading the message of change,

BRD

Med Hypotheses. 2009 May;72(5):553-61. Epub 2009 Jan 24.
Successful human scar regeneration by topical iodine: a case report: an interim (3.5 year) summary.

Derry DM.


Control of regeneration and wound healing are scientific and clinical objectives. In 1997, topical Lugol's iodine solution applied daily for 3 days to a 50 year old facial scar lead to hyperemic scar tissue. As a working hypothesis, the author proposed topical iodine could initiate, control and complete human scar regeneration. In 2005, after collecting three more surgical scars, topical iodine applications began. Within 3 days all four scars started regenerating. Stopping topical iodine halted the process. Within a week an appropriate adult scar formed. Digital cameras recorded events. Regeneration is complex and slow. Its appearance depends on whether scar is covered with plastic or open. Iodine's chemical properties are discussed along with their reaction with epithelial cells. As there are no visible signs detectable changes from oral iodine on regeneration, details of iodine staining are more thoroughly described. Not all, but most important results are presented. Topical iodine induces hair growth in and around scars. Hair is regeneration's workhorse, moving purposefully in all directions under arrector pili muscle power delivering regenate material accurately to scar tissues and coordinating centers. In addition, hair repeatedly self amputates possibly strengthening regenerating tissues. Two types of regenate material show under plastic wrap: white and globular. The white regenate appears and behaves somewhat like snow, but can be yellow, green or brown depending iodine content. The globular form of regenate material maybe derived from white regenate material with hair's help. Globular regenate material is larger, nondescript, variable in size and color (depends on iodine content) and seemed usually associated with hair. There are two centrally placed coordinating centers 5 mm apart on major scars. Wrist centers have a palpable, but not visible ridge, between them whereas abdominal centers do not. Wrist centers lasted through all regeneration of the wrist scar, whereas abdominal centers were only present for about 18 months before falling off. This paper summarizes and adds to previous preliminary reports. The 50 year old scar regenerated completely 2 years ago. Small experiments on regeneration are possible because it is a slow process and more importantly can be stopped and started at will. These results support the proposed hypothesis topical iodine initiates, controls, and completes human scar regeneration.

PMID: 19168293 [PubMed - indexed for MEDLINE]

http://www.ncbi.nlm.nih.gov/pubmed/19168293
_______________________________________________________________________________

Abstract: Since Spallanzini first described salamander limb regeneration in 1769, there has been slow progress in understanding this process. Potential treatment benefits from regeneration are worth the effort. A hypothesis that topical iodine would regenerate human scar tissue is tested by applying Lugol’s solution to four scars of various sizes, degree of damage, and location for variable lengths of time. Regeneration starts a few days after applying iodine and stops and forms adult scar if applications are discontinued. One face scar has completely regenerated. The wrist scar’s terminal stages are being studied. The remaining two scars on the abdomen are behaving as if they are one and could take considerably longer to complete. Waiting for completion delays availability of this information for scientists, physicians, and patients. For the past three years, Nikon Cool Pix cameras recorded regeneration changes. Regenate material found under plastic wraps on the scars comes in two forms, snow-like and globular. Their function is unknown. Two black dots both 5 mm apart seen on the wrist and abdominal scar store iodine and appear to coordinate regeneration. Hair is the regeneration workhorse and does an amazing number of things. Amongst the hair activities are free movement to any cell within its range in any direction and self-amputation possibly to strengthen regenerating tissue. Hair delivers regenate material and may be sending cell signals by touch, regenate material, and electrical impulses. The hypothesis that topical iodine in the form of Lugol’s solution regenerates human scar tissue back to normal is supported by these preliminary findings.

http://www.thyroidscience.com/cases/Derry....egen.6.7.08.pdf

Hello everyone,

Laser treatment (DEEP FX) didn't give me the results I hoped for. Now, about 2 months post treatment my scarring has improved maybe 5%. My scarring is mild-moderate rolling scars on my cheeks. The shallow ones did not improve at all. The deeper ones did slightly.

I am now looking into other treatments. What options do I have? I doubt peels will have any effect considering it's a mild form of laser treatment. After some reading I see alot of positive talk about subcision. Is subcision combined with a laser afterwards the way to go now?

A few questions about subcision;

Can someone explain to me how it works? The tissue underneath the scar will be "loosened" but I read there will be a "line" visible afterwards which may or may not go away with time. Does this mean that, other than this line, the scarred area will be removed completely? I dont get it.

Can subcision be used on (very)shallow rolling scars?

Why is a laser afterwards recommended? Considering I had laser 2 months ago, my collagen should be somewhat regenerating, could I skip the laser afterwards because of this?

Phew! Today, my quest to improve the appearance of my scarring took me back to the doctor who performed my two Total FX fractional laser treatments.

Many of my small scars were improved with the laser. They are still visible, but they are at the point now that I feel that I can live with them. I can look in the mirror and feel "ok" about the way I look, but there's still one pretty large and deep rolling scar on my cheek that really bothers me. The one scar that I am really not yet "ok" with. I know fillers are a temporary solution to a permanent problem, but at least the results are basically instant whereas other methods take months or years to yield results. Plus the needling at the injection site might have long-term effects. You never know!

So after I arrived at the med spa, I had a topical anesthetic applied to my cheek. Then I had to wait around in a very boring room for about 30 minutes while the area was numbed. I was glad I had the presence of mind to bring a book. They didn't even offer to bring me a magazine!

I asked about Perlane because someone in my other thread mentioned that it was thicker and better for acne scars. She said she hadn't heard of that before. She wanted to know if the poster said why it was better, but I didn't recall that they had. All she could say was that it goes deeper. But she was offering me a special price of $100 for the Restylane so I went with that.

I have a pretty high pain tolerance, I think. But this was probably one of the most painful procedures I've ever had. Before she injected the filler, she used the needle to try to break up some of the scar tissue. The needle going in and out stung, but that wasn't the worst part. The most painful thing was after the injections. She pressed down really hard on my skin, moving the filler around, squeezing and pinching my face. She had me open my mouth and stuck her finger in to press on my cheek from both sides. I appreciate her moving it around to make sure it was all where it should be, but it was so painful!

In fact, even though it's a good four hours later now, IT STILL HURTS. Like a dull ache in my cheek. Out of all my treatments, none of them had pain that persisted like this. Anyway, right now it looks a little lumpy (It actually looks a lot like acne cysts. I hope it's not!) and swollen, and I have some bruising, too... But probably in a week or two I'll be able to give an accurate assessment of improvement. Stay tuned!

Hi guys.

I have cystic acne scars on my cheeks which are about 10 years old.
I have had laser resurfacing on them many years ago and has left them slightly whiter and shinier than the surrounding skin. I always see people stroking there cheeks when they talk to me, kind of like to make sure they dont have any!.

On one cheek the skin is flat so no depressed scarring (just whiteness) and on the other i have a "smoothed out" deeply depressed scar which is quite large, i.e the size of a 20c coin and is an odd shape.
Ive been reading these forums and am interested in needling as it appears to help depressed scars as well as pigmentation but my question is; the depressed scar i think has loads of scar tissue under it. I can tell when i push it it is still ridgy and hard. My first impression would be that i need subcision and then a filler? then maybe needling to correct the pigmentation??.
Im even willing to cut it out as a line would be better than this eye sore.

Has anyone got anything similar or have any recommendations? I live in Switzerland and havent come across any specialists here either.

See attached pics. Other than the pitted scars the rest of the skin is smooth. This pics are actually flattering as they look smoothish, in "low light" it looks like ive been shot in the cheek hehe.

Many thanks

I started to scar (alot) after starting accutane after having nothing before. I thought it had reached its peak but now the ones on my left cheek have started to go deeper and wider (!!).

What the hell is happening??

I'm not using any products (cept accutane) at all and no active spots etc.

EDIT: Can a mod please move this too the accutane section, probably more suitable.

you think that the combined use of both drugs increases the effect that only using 1?

you think that juvista is really good?

when you on sale think that this juvista and juvidex?

opinions about juvidex and juvista are welcomes

I have read that most people on this board use diabetic needles when individual needling, but I am wondering what is length is the best to use, and where I can buy them.

I have some small ice picks on my forehead, that I feel would be perfect for individual needling...does that effect the length I'm using?

Also, I was planning to apply some CP's before and after I do this.......should the CP's be applied in a similiar fashion one would use when rolling, just put on the individual scar instead?

Day 1 (December 14, 2009): Okay ACNE.ORG! I just had my first of 4 anticipated treatments for severe acne scars with the Pixel Perfect laser by Alma. Pixel Perfect is an ablative CO2 fractional laser, so you won't be confused. Pixel Perfect is the brand name of the instrument. Alma also makes the Pixel Harmony laser which is the non-ablative Yag Erbium laser. I had that one a couple of years ago at a Medspa and it didn't do squat. So on that note, first of all, the biggest issue I have with this board is there are SOOOOO many different types of laser's out there. Some people may say fraxel, didn't work or pixel didn't work or fraxel DID work or Pixel DID work, but you don't know exactly which laser they are talking about. I think from now on, all poster need to clarify that right off the bat!
Seriously, because with each different laser, there are potentially different results, which can lead to inaccuracy and discouragement to the masses if the laser being used is not clarified. In addition, we all must be aware that people at Medspa's are like snake oil salesmen. They will say anything to make the sale, and half of their stuff is worthless to someone with true skin problems. Lesson to all, PLEASE GO TO A BOARD CERTIFIED DERMATOLOGIST! And make sure they are the one doing the procedure. I am not talking as someone who has no experience. In my quest for clear skin, I have been taken for thousands of dollars. So this is knowledge being passed on. And, don't go to a dermatologist that performs micro-dermbrasion, KEY WORD- MICRO! He will be running a sales shop. A real dermatologist will tell you that micro-dermabrasion is worthless. If you don't believe me, ask your derm and see what he/or she tells you. Exactly.
Okay, so I am going to stop preaching now. I have just been so annoyed with the ignorance and whining on this board that I had to say something. Look, if you have craters and pock marks, and hate the way you look, please don't complain if a laser makes you red or hurts. I mean, don't you think it's worth it?!?!? If you don't seek psychological help this instant!
So now, I am going to update post on a regular basis for anyone who cares to read it, if you don't, pay me no mind. But I know there are people who want honest feedback from people who have had these laser treatments. SO, I will provide you with my experience and I hope it helps you whether my results are negative or positive.

So Like I said, I had my first Pixel CO2 treatment today. The pain was moderate, except for my forehead. They lowered the settings after I told them it hurt badly to a level that the pain was bearable.
Before the procedure began, my doctor said I would see a 50% improvement in my scars. Not 100%, not 30%, he said 50%. So I trust what he says. This is the first doctor who actually cleared up my skin WITHOUT the use of accutane. Granted, I’ve been on Accutane twice in my 20’s. That’s when I had cystic acne, you know the type that would meet another cyst on your face, and they would hang out, get to know each other, get married and move in together forming one big gigantic cyst on your face! Right, they were jolly and had a great time ruining my skin. But luckily, they found somewhere else to live, and in my 30’s, I am 34 to be exact, I just get the random pimple here and there. But his cocktail he has me use, Retin –A .1% ,Finanacia and Duac, has worked wonders on my skin. So I trust what he says. But we will see. And I will definitely tell you.
And by the way, the Pixel CO2 treatment is $400.00 per treatment, so 4 will run me a cool $1,600.00! So for a mere $1,600.00 if I see 50% improvement in my raggedy skin, I will be dancing on table tops in Vegas!

Okay so back to how I look now. I had the treatment at 8:00 am this morning. It is 6:00 pm this evening and I am already bronzing. I am not really puffy red right now. I am already bronzing. Now this may be to all the blueberries and Vit. C and Omega 3’s I have been loading up on. And I have been drinking water and green tea all day. I made me a big pot of pasta using whole grain penne pasta, adding lots of red bell peppers which has tons of Vit. C as well as the tomato sauce. So I am treating this from the inside out. And I won’t have to cook for the next couple of days too. Now the only thing he told me to put on my face was this Biafine Emulsion ointment and Aveeno Ultra Calming Moisturizer SPF30. The Biafine is NOT greasy, and neither is the Aveeno. I won’t put on the Aveeno unless I go outside which I don’t anticipate doing until Sunday. And he prescribed me some antibiotics too. I am amazed that I am already bronzing, because when I had the harmony laser, it took a couple of days. But like I said, I eat a lot better since then, so that is helping for sure.

I will update again go tomorrow. By the way I am African American. I am light brown skin. So for those of you with color, I will be letting you know if I experience and pigmentation issues. For the record, I didn’t care about that. So I was willing to take that chance, however, I love my caramel complexion, and will be happy if it stays exactly the way it is minus the icepicks, craters and pock mark scars.

Executive Summary:

After 7 years waiting and months of research I decided to undergo treatment for my severe acne scaring with Dr. Khan in Hayley Street, London. On December 24th I will undergo Subsicion, Fraxel Re:pair and Re-Cell all in one go over a period of 4 hours. I have created this post to share my story with you all.

--------------------

Dear All,

I joined this forum a while ago when I started a long research process to find out how to get rid of my severe acne scaring. It took me a lot of reading and browsing through the message boards to understand all different types of scar treatments, their benefits, risks, etc.

The very first challenge was to understand all the different type treatments (leave the types of lasers alone!) and my own skin type and condition to finally determine what was the most advisable procedure I should go for. After a few months of research and the help of many of you fellow acne.org users I came to the conclusion that Fraxel Re:pair was probably my best option.

The second challenge was to then find out what doctors in the UK do the procedure and also find references and talk to people who had met them and had previous experiences with them. I did all that research, used all the search options of these message boards and came up with a list of 12 doctors in the UK who could do the procedure. Of those 12 I chose five and made appointments to go and have different opinions.

I visited some famous doctors in London, from Hayley Street to Knightbridge and other areas of London and I must say that I wasn't very impressed with some of them. Specially those who i had to even pay consultation for. I finally felt that Dr. Khan in Hayley Street was the most professional and experienced and I somehow felt a connection with him. He also show willingness to take me up as a case, whereas other doctors where reluctant to do even Fraxel Restore give my dark features.

Dr Khan, not only recommended me to do Fraxel Re:pair but also said that subsicion would be very good and suitable for me, specially having it done just before the Fraxel. I had come across the subsicion techniques during my research but never considered as an option. He explained well and I became more interested in the possibility of a COMBINATION PROCEDURE which could bring better results. I slept on it, consulted other dermatologist and surgeons (friends of mine abroad) and also did my own research and my finding were that the combination was supposed to create great results, so I decided to go ahead.

A few days later, the Khans also suggested to have Re-Cell during the same day (not sure if this is the right spelling!). Basically to take a sample of healthy skin from my neck, and produce a solution based on a mix of enzymes with my own collagen which the Dr then would spray onto my skin after the laser. This procedure, apparently very recent, is supposed to enhance the healing of the skin and accelerate the regeneration of collagen.

I decided to have the three procedures done on the same day. So, this Thursday 24th December I will be going to have subsicion first, then Fraxel Re:pair and Re-Cell. An estimated 4 hours procedure all together.

In order to prepare my skin Dr. Khan has injected Botox on my forehead and put me on Pigmanorm a week before the procedures.

To give you a bit more info about my case:

I had terrible acne outbreak between I was 13 and 26. Unfortunately I didn't manage to control it until I was 21 by the time I had already lot of damaged skin and scaring. I am from South America (Latin Skin), Skin Type IV with -apparently- dark features, brown eyes, black hair. I have taken photos for you to see.

My risk include: bronzing, hyper-pigmentation and the typical possibility of another acne outbreak. I have requested Dr. Khan to put me on antibiotics just in case.

My story begins this Thursday 24th December 2009.
This is probably the best Xmas Present I have ever give to myself.
PHOTOS TO FOLLOW

[attachment=23933:1.JPG]
[attachment=23934:2.JPG]
[attachment=23935:3.JPG]

I just got the fractional CO2 treatment done a couple of weeks ago. I think I see some improvement. i will probably get another one. I want my scars to be completely gone! The laser used was the Alma Pixel Perfect.

I think my scarring was caused by gram negative folliculitis after over a year of antibiotics. my face broke out pretty severely before I switched doctors and started accutane.

can anyone tell if there's improvement? here are the before and after pics: http://www.acne.org/messageboard/forums.html...amp;album=10437

I recently bought this product and after i applied it pretty much all of my icepicks and one boxcar scar became completely unnoticeable!! Seriously guys, if you use this product in the morning for 10-15 mins your entire lives will change. For those of you with mild-moderate scarring this WILL work. It claims to be the FIRST makeup designed for scarring. Just google it and get it, trust me.
Mods don't move this, us scar sufferers need this.



http://www.google.com/search?hl=en&cli...car&spell=1

Hey everbody this is my first post and I'm basically about 90% clear of my acne due to diet (no dairy is CRUCIAL and Differin but I have a TON of red marks and scarring. today I did my first pulsed dye laser treatment with my dermitologist and well see how it goes.
My question is does anyone know how long it'll take to see results? I will post pics if people ask for my results
thanks guys

I got a localized procedure over a 3 inch circle/oval shape on my right cheek for rolling/icepick scarring 7 months after subcision. Basically The skin does look smoother first thing in morning (am 10 weeks after the dermabrasion procedure today)

Bad:

The skin is still hyperpigmented reddish/pinkish depending on time of day....in about half the area that was dermabraded.

If I eat soup or am in a hot room the skin will become more reddish. After I wash face/take shower skin is more reddish/pinkish(to be expected still).


My skin is not blended. Doc said between 2-4 months. I am getting pissed off...and am wondering how long I will be discolored and look like I have a different color skin in part of my right cheek. I have to wear coverup when I leave the house because I don't want people looking at it...

It is upsetting.

Anyone have any comments on this?

Also does anyone have any comments on the use of benzaclin or a topical retinoid like tazorac 1% gel in the area dermabraded? I haven't put any on in that area yet...

I am only using spf on that area and coverup and washing face with gentle cetaphil wash.

Any advice appreciated.

Doc's nurse said use hydrocortisone for 1-2 weeks but no longer and should help with redness but am currently holding off on this.

Please respond.

I had my third 35% TCA peel performed by a dermatologist on 01.02.2010 (to reduce atrophic scarring). The earlier ones were in November and at the beginning of September. The first two times I heeled without any problems. Now I'm almost peeled (it's the sixth day after the application) and I have some big red itchy spots in some places and generally I'm more pink than before. I did not help it peel. The red places were already red under the thight brown skin before it peeled (I could see it under the scabs). I would really appreciate some advice what to do to avoid discoloration. I wash my face with Cetaphil cleanser and I apply Cetaphil moisturizer (MD Dermoprotektor). I also take 1000mg vitamin C daily. Help, please.

I was thinking of trying mederma for a few acne scars I have its worth a try but I hear it works real slow takes months.Do you think mederma will make my skin break out at all?anyone ever try this stuff?I want to try it but im worried about breaking out from it and it doesnt say anything about acne prone skin or anything about if its oil free or not.anyone know?thanks

I have acne on my face, my chest, thighs, butt and back. It's all dry now so I consider them scars. What do I have to do to get rid of them? I've had acne for 4 years now.
Also, I don't know if I can use the benzoyl peroxide on my face.
Anyone recommend a regime or something to get rid of the acne/scars?
Thanks so much![font="Georgia"][/font]

Hi guys, hope everyone is doing well.

After a tangle with the acne-monster, I was left with some PIH and uneven skin tone. Although I know my skin is different to "normal", sometimes I hope that its severity has more to do with my own perception than reality. I was wondering if I could get some opinions on how my skin looks, and if you think I need to get treatment or if the uneven texture will eventually get better on its own.

Can that indented texture get better naturally with the passage of time? Thanks so much; I really need as much advice as possible because a) My family, although they have the best intentions, are more likely to try and make me feel better than tell me the "truth", and b) I'm not the best at seeing my self realistically at times.

Take care, and thanks again

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