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 want you ALL to begin using light therapy and dermaroller/needling. You can get yourself a whole "kit" for perhaps 750 dollars and you will get better results than anything else...

Here is a pic of my skin now

http://img81.imageshack.us/my.php?image=dsc00109pk1.jpg

What i have been doing for the past year is having dermaroller done every 6-8 weeks and and needling individual scars with 4mm diabetic 33guage needles. I use a 1mm stopper to prevent it penetrating th full 4 mm.

I then use terproline twice per day. My dual 660/880nm array from the LED man and my 96 led yellow array from the LED man. 5 mins with the dual array 3 mins with the yellow.

You will need EMLA for doing dermaroller at home, many people don;t realise ho agressive you need to be and waste their time rolling every day or every week. Every month would be the most i would ever consider if you are rolling properly.

Take your vitamin C aswell...

good luck guys, you can beat your scars just think outside the box. It is no coicidence that i have beaten so many skin issues. I try things that most haven't thought of or try it in an inovative way till i get the results i want.

Heres my semi comprehensive guide. I may add more to it later on...

Dermarollers and needles
1.5mm derma roller (2mm for advanced rollers and if you want to take a slight increase in risk of infection or other potential side effects) personally I feel the results from a 2mm roller are better and will be better than a 1.5mm roller for most, but I do believe there is a slight increase in risk of side effects, although this is minimal. I prefer the 3 line or 4 line rollers that you can get; they are easier to apply the right pressure for penetration and to get the correct penetration depth across the whole face.
For the more stubborn and deeper scars I recommend the BD Micro-Fine Pen Needle 31 G x 5mm. I used to recommend using stoppers with these, but if you are careful in not penetrating the full 5mm, making sure you use between 3-4mm and not directly in at 90degrees, but at angles so you don’t penetrate to the full depth then you should be fine. Practice this on your arm before hand ( I recommend practicing on the arm for all stages of needling including the topical anesthetic, use of Dermaroller etc.
To clean your rollers firstly dip the roller in 70% isopropyl alcohol for about 10-15 minutes, then dip in Hibicleanse for 5 minutes or so. Using one of the UV-C disinfection devices is also a good idea.

Skin Preparation
EMLA is to be used, under an occlusive dressing for at least 1 hr (Cling film or saran wrap for you Americans). I personally use a small home Dermaroller i.e. 0.2 mm needle length before i apply the EMLA to increase absorption. I think people should try with just the occlusion and EMLA first though, if you can tolerate the pain then don’t bother with the smaller roller before hand, this way less EMLA will be entering the blood stream.
For disinfection I use a combination of 70% isopropyl alcohol, and hibicleanse/hibiscrub.. To pre the skin, again a combination of isopropyl 70% wipes, then cleaning with hibiscrub for several minutes and rinse THOROUGHLY, should be sufficient.
I always keep a tube of Bactroban ointment handy for any potential breakouts or infections. The Hibicleanse can also be used as a cleanser for a few days before and after dermaroller/needling to help prevent breakouts. Don’t use hibiscrub or alcohol in the first few days post dermaroller or needling though.

Oral supplements
The two supplements I recommend are vitamin C, at least 1000mg daily preferably 2000mg for several (split this into several doses throughout the day) months post dermaroller/needling. Another good supplement is red wine/grape seed extract (iherb have a very good red wine extract by doctors best). A multivitamin can’t hurt but for those of you who have taken Accutane I would find a multivitamin WITHOUT vitamin A.

Topicals
Now everyone prefers different topical, people know my preference i.e. terproline. I think it is a very good topical and I will always recommend it till something better comes along. If your skin agrees with retionds you may like these, but I don’t recommend starting these at the same time as needling/Dermaroller until you know how your skin reacts. Don’t use topical Retinoids if you have taken accutane in the past few years, or until you know how your skin responds to topical Retinoids. Topical Vitamin A the same applies.
Topical vitamin C (ascorbic acid) is another good one which I like. You need a good 15 or 20% solution and it needs to be the right PH. Check up on these things.
Copper peptides I have tried and wasn’t a big fan of but they did seem to refine my pores slightly, I haven’t used long term but again some people really like them.
Keep topical simple, don’t use too many of them it will only confuse matters. Don’t start topical in the middle of starting needling or dermaroller.
If you are using a topical to keep your acne under control, then you should probably keep using it. I personally recommend light therapy if you have active acne though as it won’t irritate the skin like some topical can.

Light therapy

Now this is one of the most important stages. I recommend everyone use light therapy, a combination of yellow (590 nm) red (660nm) and infra red (880nm) is best. You can use each separately or a combination of each. Some people believe using each separately is best. I use the 660/990 together and the yellow separately.
For acne you need the blue frequency at or around 405-420nm. The Beauty skin device is very good for acne.
Every day for the first few weeks or every other day at least. You need to reach the correct level of energy (joules per cm squared) we aim to hit about 6 joules. So you need to keep the distance down to about an inch or so from the skin and use them for approximately 5 minutes per are if you are using the LED mans devices.
You need to read up on each of these topic areas, I can’t go into enough detail and there will always be questions or variables which you can generally find the answers to out there, by searching. I love giving advice to people but when the questions are easy to find the answer to and they are repeatedly continuously it get a bit annoying.


Hey guys,

Some of you may remember Bulgarian derm bringing up the point that some people have suffered things such as cardiac arrest from topical anesthetics such as Lidocaine. While these incidents are extremely unlikely, they are a rare possible risk.... I was reading an article earlier and it went along with my consensus that it is the higher concentrations of lidocaine e.g. 10% applied under occlusion that pose the problem.

EMLA does contain 2.5% lidocaine and 2.5% prilocaine. Now because i recommend people use EMLA i want to make a new recommendation for safety. Because we do this at home we don't have the supervision we would have in a hospital, so here is what i recommend we do from now on to minimise the chances even further.

The half life (time for the body to eliminate half of the drug from the body) of lidocaine is aprox 2hrs, prilocane is even shorter. SO as some of you have been doing i recommend you do one section of your face at a time in the same evening, leaving and hour or two in between application of the anesthetics.

E.g. at 5pm apply anesthetic to right cheek, leave under occlusion for an hour then clean and needle/dermaroll. Then at 7pm do the same on the right cheek, then 9pm do the forehead....


This way you will have aprox 1/3-1/2 of the peak plasma concentration you would have if you were to apply it all at once. As you all should know, chances of side effects decrease with a decrease in dose. So i am confident if we all do this we will never have any problems.

I hope you all take the time to read this.

Is this okay? I am doing my first roll next week with 1.5mm roller and was wondering whether I could roll on the nose albeit more gently than the rest of the face?

I have some a few large pours that look almost like ice picks and am hoping to lessen them to some extent, exactly how well it will work I haven't a clue. I heard that Dr Chu rolls on the nose, is this the case?

Here is a link to LED light therapy and what it claims to do.

http://images.google.co.uk/imgres?imgurl=h...;hl=en&sa=N

Through browsing i've come across
silkia camellia seed oil
Information on the product claims to significantly
reduce pitted acne scarring..
and i've browsed on other websites with some
users commenting that the product has eliminated
small pock marks, and one with scarring 70% filled
within a year of use.

The product seems to work SLOWLY with visible
results usually seen in as long as 12-18months
but if they are TRUE and that dramatic..i guess its worth it?

Any feedback???

Is it safe to try the vinegar method when on a low dose of isotane??

i had a big cyst, now it died down
afterwards, it left a huge scar.

what i dabbed some unpasteurized honey onto the scar, and after 3 days or so, the scar reduced alot!

try it out! its cool!

what is much better treatment for ice-pick scars??
tca cross or skin needling??
pls drop some comments..
thanks!!!

Hi all,

I heard that there is a famous acne scar doctor who performs dermal grafting for various types of acne scars. The doctor's name is Sinclair Robert J Dr and his clinic is located at Wickham Tce BRISBANE. Previously, there are members posting that they are able to get 70 percent or more improvement. Does anyone go to this clinic before? If you do, please kindly share your experience, i sincerely believe a good doctor will be able to make a difference in our life. I have been through a series of acne scar treatments for my boxscars and pitted scars. Those treatments compromises of erbium yag laser +subsicion, fraxel eCO2 laser, FDA fraxel laser and cooltouch. I will say i have some form of improvement but it is not worth the money. After the treatment, I happen to have more acnes and hyperpigmentations and i feel much worse. Therefore, i will really like to look for a good acne scar doctor who is able to guide me and give me realistic expectations. I believe dermal grafting is one of the best acne scar treatment that is available in the world because the side effect is minimial and one can expect significant improvement. However, one must seek an experienced and skillful doctor. As a result, i really hope someone out there can share their experiences with this particular doctor. If not, please share your type of acne scar treatments and what are the percentage of improvement? Your effort to post here will be a hope for someone else who is still seeking for a good acne scar treatment. Thank you very much.

Hi,

Just wondering if anyone has injected themselves with a filler - not a physician - but self-inject. Specifically, Restylane or Perlane.


==========================================

UPDATE
February 12, 2009:

I'm updating this post to include some questions that have been asked *a lot* in this thread. Hopefully you can find the basics here:

Basics:

Do you need a prescription for Restylane?
NO.
Is it legal to purchase Restylane in the U.S.?
YES.
Where is it available?
At legitimate online pharmacies based in Canada.
I live in the US, can I order it?
Yes.
I live in Canada, can I order it?
No.
I live outside the US, can I order it?
No.
How do I get it, if I live outside the US?
Suggestion: ask someone in the US to ship it to you.
What's Restylane made of?
Hyaluronic Acid, all natural, non-synthetic.
What are 2 basic kinds of Restylane for scars?
Restylane-Regular and Perlane. Both are Restylane, just different types.
What's the difference?
The size of the HA molecule.
Perlane has the largest molecule. Therefore, is thicker. Lasts approx. 4-6 months.
Restylane Regular is average molecule. Not as thick as Perlane. Lasts approx. 3 months.
What type do I use?
Restylane is good enough to lift most scars.
Perlane for stubborn scars that are difficult to level.
What kinds of scars does it work on?
Rolling. Boxcar.
Will it work on icepick scars?
No.
How much do I need?
.5ml to 1ml
How much does it cost?
Restylane Reg and Perlane are both about $150 USD per .5 ml.
How much are injections at the doctor?
Approx. $300-$700 USD, depends where you live.. could be more or less.

Injecting:

How do I inject it?
Into the center of the scar.
Do I go in straight or at an angle?
Does not matter. Whatever way you think is best to fill and make it level.
How deep do I inject it?
Start about 2-5mm under the scar and inject until it's full.
You can inject several times at different places into the scar until it's level.
How shallow do I inject it?
Not less than 2mm.

Misc. tips on injecting:

Only inject on a make-up free, clean, dry face. Swab injection site with alcohol first.
You have to push *firmly* on the syringe. The filler is viscous/thick.
If you overfill, don't panic. Gently massage the area in a circular motion until level.
When you're done injecting, clean *everything* with alcohol and let completely dry before putting away.
This means the syringe, needle-cap inside and out, and the needle itself.
Do not put the cap back on the needle until all the alcohol is DRY.
Do not remove the needle from the syringe after use. Only remove it if you are replacing it with another needle.
The needle "hole" is on the SIDE of the needle tip - not the exact end of the needle.
Pay attention to this when inserting the needle.

Needles:

How many needles come in the box?
One for .5ml Restylane. Two for 1ml Perlane.
How long does a needle last?
About 30 pricks.
Can I get replacement needles?
Yes, but you should NOT need them.
Where can I get them?
Try allegromedical.com
How do I know my needle type?
There is peel off label attached to the needle when you get it.
It's usually yellow or silver.
Where?
http://www.imed.com
http://www.allegromedical.com

Storage:

How do I store it?
In an airtight container with a clean paper towel inside to absorb any residual moisture.
How long can I store it?
Refer to the box for instructions.

Research and proceed at your own risk

Right off the bat, this is not a public thread in the least. Any additions to this thread in the form of a question or comment will be dismissed and I will not return to these boards until the procedure is completed. I do not mean to come off as haughty or condescending, I just know how these boards can get fanatical and impossible to navigate without the adherence to proper regulation on spamming. I want to be considerate and show my appreciation to the dedicated members of these boards by showing a little love through my documentation. You have 3 strikes before I choose to neglect this thread for good. Start another thread if you must in conjuncture similarly entitled and I will make an effort to oblige from time to time. I've chosen to make a thread because private correspondence with over 20 people is out of the question.

This thread will contain small updates with semi-vague descriptions, but still enough to keep you in the loop. The doctor's name and method of application will be absent and predominantly nondescript. I will give generalizations that should serve to stimulate your interest and get you researching more ways to apply this amazing new product from ACell. The undercover manner in which I'll be updating is necessitated due to the probability of procedural patenting. Wish us luck (in your freaking head plz) and hopefully this shall be a truly groundbreaking partnership between myself and my new doctor.


If a moderator deems it appropriate to help with keeping this thread tidy, that would be majorly appreciated. After all, these updates are coming exclusively to acne.org and may gain popularity due to this thread. Thanks either way.

STATUS

I had my first treatment and the next appointment is in 2 months. It costs about 5K.

PROCEDURE

The procedure itself is not that bad. It takes about an hour including numbing your face, washing off, and then the actual procedure. I have never had a rubber band flicked in my face, but I am thinking that's along the lines of what you feel, but with a smaller diameter than a rubber band's. Then you are LASER-ing your face, so there is a burning smell, which is not that bad either. You know when you go to the dentist and you smell bone? It's like that but it's a burning smell, and it's only a bit uncomfy if you are having work done around your nose, because you just smell it more.

PAIN

It really doesn't hurt THAT bad, unless you've been traumatized somehow or you are just a complete wuss. The pain is comparable to sticking your face in the snow and leaving it there to freeze in the beginning, then it just feels like a sunburn just like they say - you know the ones that are so bad you can't lie down on your back, just, on your face. In fact it doesn't only feel like a sunburn, it will look like it too, and heal like it too.

MEDICATIONS

So, they prescribe you Vicodin but after the second day you really don't need it, unless you really are a wuss, or you just like pill popping. If you have some on hand, bring it so there is no need to buy it. They prescribe Valium to calm you down and sleep, which you really don't need after the first night but I guess it depends on the person - how much pain you are in, and if you are a really light sleeper. I am not. You also have to take Valtrex if you have had cold sores before, and can I say if you don't finish the dosage you will pay. I didn't get a cold sore but I had forgotten to take all 5 one day and almost had one.. I quickly downed the amount I was behind and it never got a chance. Pretty much, with the meds, they give you them with good reason, just do as they say.

They also recommend Vitamin C, MSM and a multivitamin. I am taking them when I can because sometimes taking large doses of those things make me nauseous.

POST TREATMENT

The first day my face was so hot I was melting literally. They give you healing ointment but your face is so hot you just have to re-apply, and wipe, and re-apply, and wipe because it literally falls off your face and down to your neck which is uncomfy.

They recommend you to cool your face by putting your face in a bowl of cold water if bearable. I think this was key to healing right but I just couldn't do it! I wanted to because my face was hot but then it just feels that much colder and it hurts. I will try again next time as it will be warmer in general during the day and night. If you can't do that they recommend ice packs but its awkward because you are in mild pain, you have melting ointment, and you really don't feel like getting an ice pack stuck on your face, or at least in the ointment, then get it on your hand, and its a mess. They give you a bottle of water to spray on your face to avoid drying. This is so important and I was so glad to have it. If the ice packs don't work they recommend using a cold towel. I tried this, but I could never have enough towels doing that. There's got to be a better way to cool off...

I was advised to use Cetaphil to wash off, but am concerned with using it on a daily basis from here on out. I am breaking out and I don't feel super clean using Cetaphil... mostly because it doesn't foam well and foaming cleansers just make me feel like they do the job better.

When the healing ointment is no longer needed you switch to firm and fade creams. When you go ask them to be specific about when to stop using the ointment and when to use the firm and fade, because I was a bit confused and the nurses will tell you different things depending on how they interpret what you are saying (if they can't see you like over the phone).

I've been using it day and night as directed. It helps peel the rest off.

PROGRESS

My face has lots of scars mostly on my cheeks and forehead and I still break out (hormonal) and my pores are huge especially around my nose and forehead. The treatment didn't at all stop my hormones from acting up so while healing, I broke out and its such a shame because I have brand new redness, but I am not touching it and seeing what happens.

My forehead healed the quickest but peeled last and I see the least improvement, if any at all. In that area I am disappointed so far. My cheeks have shown improvement - for some scars they are not as deep but the peeling seems to be bringing the depth back which worries me. My pores are still very visible. I may even be a bit bummed. But I know I have newer skin...

To be honest after it starts peeling and peeling away, you know your face so well and you keep checking if the redness has cleared it starts looking like there is no improvement. However I can see the smallest improvement. If I had to put it into a percentage like everyone is doing on here I would say 5%. The smallest shallowest scars are maybe halfway taken care of.

I am really pale, like not albino pale but porcelain pale and have issues with de-pale-ing after breakouts. I can imagine it will take me the entire time till my next treatment for the redness to subside, and even then I believe there will still be the redness from previously breaking out that I can't seem to get rid of - even by treatment so far. However, I think my situation was so bad it is supposed to get worse before getting better. It's like the damage is way down there, and I need to peel and peel to get it out of there! Is what I keep telling myself since the results weren't as dramatic as anyone on here would hope for.

DOWNTIME

Day 1 - Day 3: Cold washes and cold towels are NOT fun. Glad to have the medicine and LOVING the water spray. NEEDING IT. Couldn't go out, did work at home. No issues besides not being able to wash my hair in hopes to heal quicker.

Day 5: Went to office disguised as a spooky old lady. Nobody knew it was me, and nobody saw anything and I just sprayed away.

Day 6 - Day 7: Stayed in. My roommates are impressed at the healing.

Day 8: Put make up on and go back to work.
I honestly think that the make up is disrupting my healing process. I take it off asap. I don't recommend it as you can't track your progress well anymore.

And on: I know this is a peeling process, but sometimes I look in the mirror and want the peeling to stop. I swear that I'm peeling so much the scars are coming back. Either that or I need to peel a LOT more so that my cells have regenerated so fast the whole problem area is completely gone.. hence probably so many treatments.

CONCLUSION

One of the main things I want out of this patient treatment process I have decided to go through is that one day I will just be able to wake up and go. Maybe a little eyeshadow and mascara sure. It is safe to say after the 1st treatment, I am NOWHERE near my goal, but I also apply a tad less make up. No more caking it on!

If you are still with me, I would like to be optimistic about my second procedure. I was recommended 4, and from the results so far I definitely will be needing more if I want to be fully satisfied. I will update as each procedure comes and goes.

I cross my fingers and hope that my cells regenerate... in the meantime I need advice on how to cure this hormonal breakout problem I have or else this is all in vain!!!

PS.. a quick concern... so no more baby hairs on my face. =( I kinda liked them there...


GOT 10K? THIS IS NOT A CHEAP PROCEDURE!
Also, it says little to no down time. There is little down time, but more than a little is preferred to heal correctly. Try to take 2 weeks off when you do this. It's better in the long run.

y are my scars getting worse/deeper while on accutane? ive noticed they have been getting progressively worse as the treatment goes on. at first i thought i was trippin, they use to all blend in together but now they are getting deeper and taking their own form. Im on my 7th month, 120mg if it makes any difference. please answer!

Although I posted these in another forum, to make it easier for those looking for this possible solution, I am starting a new thread. There was another person on here that was going to show pictures of before and after but decided it was not a good idea for him, which I understand. I on the other hand am going to do so. Let me give you a little background first, if you don't mind.

I had very severe acne in 1983. Fortunately, Accutane had just come out and I was finally put on it. It was early in its development, so I had a foot grow out of my head, but the acne went away . What I was left with is severe scarring as you will see from the pics. In 1992 I had dermabrasion, fat transfer and collagen injections with no measurable improvement. In 2003, I had 5 sessions of Smoothbeam with similar results. I, like many of you, was almost resigned to just living with it considering the options. Which brings me to my last attempt, silicone injections.

I have attached 1 picture here that was taken before the first silicon injection (the final pictures are down a few posts). As of May 27, 2009, I have now had 5 sessions with Dr. Lam of Plano, TX. I am very happy about my results, to say the least.

I understand the misery and hopelessness, trust me. I hope this may be the answer for some of you.

I'm sure this has been discussed before, but since everyone is using them, I figured I would start a topic. Has anyone heard of the hayflick limit (if not its all over google)? Apparently while we are trying to make our skin look nice now and getting good results, we are consequently causing our skin to age faster. I have been using apple cider vinegar as a chemical peel for almost a year, and now I'm afraid to touch the stuff. Could someone validate whether this is true, or hopefully prove that i'm foolish and that it's nothing to be worried about? Thanks in advance

Hi,

I have read a few posts about smoothbeam and have seen some positive results about it on the boards here.

I was wondering what the difference between smoothbeam and fraxel are? Second, is smoothbeam invasive? Do most dermatologists do it? Is it for shallow/hyperpigmentation/pore refining, or is it for scars -icepick, rolling, box, etc. as well?

Has anyone done it on a deeper rolling/depressed scar? what prices did you pay? How satisfied were you?

It seems to me like smoothbeam doesn't have a lot of downtime (a couple hours of redness) so it seems like it may just be a good option. Especially if you can find treatments for 100-400 per sesion like I had read on here.


So, I would appreciate if you can post info, links and impressions on your experience with smoothbeam.

Thank You.

Alright, so I've battled acne for years I'd say my acne was in the moderate/severe - severe range all the while I had it. I tried all the topicals and other perscriptions to no avail. I then finally became about 99.99% acne free as of about 4 or 5 months ago because of Accutane.

I have a big time problem now though. My shoulder area has pretty bad scaring and red marks left after having bad acne on them. They are hypertrophic and atrophic, and some have lightened and some are still very noticable.

I would love to have them somewhat less noticable for even taken care of if possible. anything that can help would be awesome. I was hoping you would have some suggestions for me as too what I should do about it, as far as: Supplements, creams, gels, peels, lasers, those silicon pad things, and any other treatment or natural remedies you know of. I've done a fair amount of research on various things, but I would love to hear your insight of suggestions on things I should use to treat the scars. Anything would be Great! thanks.



The pics on here are not me, but honestly these guys shoulders almost look identical to mine, we'll close, my right side is a lot more pleasent looking then the left. thanks again. Again my scars may differ from his in the fact that some of mine are more Hypertrophic or raised, my keloid like but not that bad. ;

just wondering..
Everyone here took antivirals before laser treatment?

my doc said i don't need it. I never had a cold sore..
but i readed somewhere that even if you don't had it.. you might have after the procedure (80% of population is positive to herpes)
I'm thinking of taking antivirals even if my doc said i dont need it.

thanks!

Hi All,

Been awhile since I've been on here. After Accutane I've pretty much have had no active acne, just a few pimples here and there. Unfortunately I'm left with boxcar/rolling scars on my cheeks. These are really only visible in bright/medium light. There is a bit of redness but not very much. I get very self-conscious and really want to reduce (or eliminate) this scarring.

Someone told me to look into the Obagi products. I'm looking for something that is relatively inexpensive to purchase (under $100). I don't think I can afford microdermabrasion at this time. My mother has very few ice pick scars and we would both like to attempt something to help reduce the scarring.

Anyone that has even the slightest insight please don't hesitate to post below. Thanks so much

what is the best brand of 1.5 mm roller? im planning to buy one but its hard to choose what brand to buy...

also, can i do rolling while on BP (acne.org regimen)? my acne has been controlled by the way..

pls HELP!!!!

Hello, I was just wondering if anyone could let me know what kid of scars I have on my back? ...Also, what would be the most effective way to get rid of them please?


[attachment=20270:Photo_175.jpg]
[attachment=20271:Photo_174.jpg]

Today was actually my first try at using PanOxyl wash lotion (10% BP) - hence you might notice some white stuff on my back in the pictures! I'm hoping for the best *fingers crossed*

But I've also heard of Cica Care silicon gel sheets and that they help fade scars too... would they be effective on my scars? I'm also thinking of trying out the Vinegar method if the PanOxyl wash doesn't work.

Any advice would be greatly appreciated! Thanks

I am getting subcision followed by dermasanding done on a couple depressed rolling scars in a few weeks. I was wondering how people have done after their subcision and if they were happy with the results and any precautions (before/after) i should take--

I am currently using tazorac evenings
benzaclin mornings followed by moisturizer with spf
minocycline 1x a day 100mg


I was told downtime will be about 7 days after...there will be bruising etc.

I found a doc that has been practicing 20 yrs and has done this procedure often with success.

Getting subcision for probably 3 scars on the right cheek (1 of them in particular is almost a cm long--and deep)

Please post your own experiences and everything, and if there is anything else I should know-- also how successful and how happy you were, and how long it took to see the full results--etc.

Thank You.

I am Chinese and have done fractional CO2 laser for three times. Some improvements on my acne scar in the first two times with about 1 weeks downtime after treatment. However, I have serious hyperpigmnetation after the third CO2 laser. The laser in the third treatment is stronger.

It has been four weeks over with application of Hydroquinone in the last week, but the pigment in my skin is still about the same.

One doctor suggests me to do TCA chemical peel and the other suggests me to do Intense Pulsed Light in few weeks. If yes, how strong should I do? What should I do or do you have other suggestion which is safer and faster???

Thanks in advance for your help.

Everyone, I hope to share with you a simple, inexpensive, quick, and natural way to deal with scarring from acne. I have been topically applying the juice/gel/flesh taken directly from my aloe plant at home. Cut off a piece of a shoot, split it in half, and rub the juice directly and liberally onto your skin. Crush the flesh with your fingernail to get more juice out. I applied the aloe to my chest and back overnight for the last two nights and the scars I have been dealing with for months on end have been fading markedly!! I am so pleasantly surprised and relieved, especially since it is summer and I want to wear my various tank tops, etc. I will continue doing this until the scars are entirely faded. Some of them have been there a long time and might be more stubborn. Please obtain an aloe plant and try this! I always hope to avoid harsh treatments of all kinds and medications.

By the way, before I worked with the aloe, I took some other people's advice and switched to using Head and Shoulders shampoo both for my hair and as a body wash, concentrating on my problem areas. I believe my breakouts have been reduced! And now the aloe is treating my remaining scars. I can't wait to be 100% free of both problems.

Post any feedback!

Hey everyone,

I have a small (not sure the exact size) linear scar on my cheek. It's not thick but it's not thin either. It blends in when I stretch the surrounding skin.

The scar blends in much better but is still noticeable when I look close. Also, if I push up on the sides of this scar, it becomes more apparent and solid-looking. It's color becomes more distinct (pale) as well and is clearly of a rough texture. When left alone however, it blends in but it's irritating to have on my skin.

The surrounding skin tethers inward toward it creating a slight depression. However, most of the time it is not noticeable.

Is it possible to excise and stitch up this scar without high chance of recurrence? I've seen pictures of a scar revision w/ an injection of Botox.

The revision looked great and had no perceivable scar.

Example:

http://www.buffalo.edu/news/hires/scarbefore.jpg

http://www.buffalo.edu/news/hires/scarfixed.jpg

http://www.buffalo.edu/news/hires/scarafter.jpg

Now, I finally got a camera but it could not focus properly on the scar. So I took a picture of the scar from a video camera recording (no way to connect the video camera directly to my PC).

Here are the pictures of my scar:

http://img26.imageshack.us/img26/3900/scars002.jpg

It's directly right above my finger (not the upper most lesion, that is a mole I think). Perhaps you can get an idea of how big it is by looking at the size of my finger. Sorry for the complications.

I am an Indian male with brown skin. Early 20s. Since this hypertrophic is so very small, couldn't a simple exision take care of it?

I saw a plastic surgeon a month or 2 ago but he said it was not possible to revise the scar. However, when I showed him another scar (depressed) that could be treated with subcision - he said I should cut it out instead. I was really turned off by his coldness throughout the consultation and his bluntness.

He seemed to falter when I mentioned subcision though - as if he did not know what it was. Furthermore, this other scar (not pictured) is much more susceptible to treatment like subcision and he wanted to cut it out and stitch it up. This is a bigger area than the linear scar obviously and I was so surprised how he could at one moment be apprehensive about the linear scar but aggressive about the bigger scar...

It did not make any sense. The other scar (bigger one, that is not pictured here) is a rolling scar - a depression. It looks better when I wake up since the blood rushes to it while I'm laying down. So I am assuming it could be fixed with subcision and perhaps some dermarolling. I don't know.

Anyways, I'll be seeing another plastic surgeon tomorrow. Based on the pictures I've shown you here (1 example and then 1 actual picture of my linear scar) - do you think I have a shot?

hey guys,
im wondering would retin-a or tretinoin help my
shallow scars that are almost 6months old?
if yes how often should i apply
and what percent of improvement am i most likely to see,
if any?
thanks.

Helo All,

I'm a 28 year old male and I'm thinking of getting laser treamtment for Acne Scars on my checks. I have heard several radio stations advertise LDI (Laser & Dermatology Institude of California) but heard they are expensive and I want to know if anyone here has tried this or even know if this is a good way to go?

Thanks in advance to all!!