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Man in the Mirror: Pre and Post Subcision Photos

subcision tca

Best Answer alex13, 07 June 2013 - 06:09 PM

Hey guys, I have had a pretty nasty acne since age 14 (the worst - cystic acne) and now it seems I managed to reduce it to one or two pimples (no milk, no cow products, no sugar or spicy foods) :(. I am 22 now I got a few nasty scars and dont know how to get rid of them. I didn`t read all your thread but I want some expert advice from you !

 

In my country - romania - we don`t have lots of options for acne scar treatments and the one that are available are very expensive, but I want to try one of these :

 

1. Microdermabrasion with cristals

2. Microdermabrasion with diamonds

 

They say it would help a lot, the one with diamonds seems to be better. What do you guys think ? should I give money for something like that ? and also, is there any cream that I should search for ? or maybe some natural stuff that I can eat ? however the scars are pretty old , 7 years old and i don`t know if anything internally would change them. Please respond with your info ! I really need it.

 

I aprecciate a lot, Alex

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#321 zaak27

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Posted 17 November 2012 - 04:59 PM

mr matt i want to do tca peel to improve my texture. can i use cotton ball to apply the tca ? i did three subcisions with dr despain and alot of my scars i cant see them no more. how did you do your tca peel ? thank you

#322 mr. matt

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Posted 17 November 2012 - 07:24 PM

I would not recommend cotton balls since they tend to absorb much of the acid.

I used cotton guaze - be sure to wear eye protection and press the guaze so the acid is not dripping.

I would also encourage you to read the manufacturer's instructions before you do the peel.

I also used a fan to cool my face. One more hint: use an astringent to remove any oil from your face. If you fail to do so, the peel may be less effective.

Dr. DeSpain is a very good dermatological surgeon and very good at performing subcision. I'm glad to read that you are getting good results from your procedures.

Matt

#323 Coppedsynergy999

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Posted 18 November 2012 - 05:44 PM

mr matt i want to do tca peel to improve my texture. can i use cotton ball to apply the tca ? i did three subcisions with dr despain and alot of my scars i cant see them no more. how did you do your tca peel ? thank you


Hello. I heard you went to see Dr. Despain for subcision in Co, Missouri. I had a couple questions. I was worried about the subcision procedure. Is subcision really that big of a deal? Like is it traumatic to the skin? I wonder if my fears are irrational. What size needles did he use? How many scars did you have? How was the improvement? Cost? Location of scars? I am planning on seeing him shortly. If you could answer these questions for me It was make me a very happy camper. Thank you very much.

#324 houtexjoe

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Posted 20 November 2012 - 08:10 PM

Hey, Matt...thanks for all your posts on this forum. I really appreciate it.

I tried to private message you, but I think your inbox is full...

I think that we have similar scaring and I just had my first subcision today.

I noticed that when the doctor was performing the subcision, he went in and out in the "lancing" motion, and he also went from different angles, but I don't know if he did any of the "fanning" motion that is mentioned in the subcision/suction study.
I'm just wondering if your doctor did the fanning motion when you got yours done.

Thanks for your help :-)

#325 mr. matt

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Posted 21 November 2012 - 07:05 AM

Yes, my dermatologist used the 'fanning' motion to break up the tethered scar tissue from a variety of directions.

Do you hear any 'popping' noises as the scar tissue was breaking up? I did during each of my four procedures.

Keep us posted on your progress.

Matt

#326 houtexjoe

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Posted 21 November 2012 - 05:39 PM

I only noticed popping sounds on one spot. I think he did a good job, but will have to wait to know what the results are. He also let my mom watch. She's a nurse and she will probably be helping me to do some more in the near future. I'll keep you posted...

Thanks, Posted Image

#327 zaak27

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Posted 22 November 2012 - 01:19 AM


mr matt i want to do tca peel to improve my texture. can i use cotton ball to apply the tca ? i did three subcisions with dr despain and alot of my scars i cant see them no more. how did you do your tca peel ? thank you


Hello. I heard you went to see Dr. Despain for subcision in Co, Missouri. I had a couple questions. I was worried about the subcision procedure. Is subcision really that big of a deal? Like is it traumatic to the skin? I wonder if my fears are irrational. What size needles did he use? How many scars did you have? How was the improvement? Cost? Location of scars? I am planning on seeing him shortly. If you could answer these questions for me It was make me a very happy camper. Thank you very much.


mr matt i want to do tca peel to improve my texture. can i use cotton ball to apply the tca ? i did three subcisions with dr despain and alot of my scars i cant see them no more. how did you do your tca peel ? thank you


Hello. I heard you went to see Dr. Despain for subcision in Co, Missouri. I had a couple questions. I was worried about the subcision procedure. Is subcision really that big of a deal? Like is it traumatic to the skin? I wonder if my fears are irrational. What size needles did he use? How many scars did you have? How was the improvement? Cost? Location of scars? I am planning on seeing him shortly. If you could answer these questions for me It was make me a very happy camper. Thank you very much.

i didnt feel pain with three subcisions that i had. i had scars that looked like mr matt's all over cheeks and temples and the cost was 400 each. i would say 70 percent improvement and some of the scars i cant see them. i also did dermastamp at home. the doctor used 18 gauge nokor needle. i wish i would have done the subcisions much earlier. good luck

#328 houtexjoe

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Posted 30 November 2012 - 08:29 PM

Matt:

I'm wondering how deep you go with the dermarolling? Do you go deep enough to cause bleeding? What is your downtime like?


Thanks, Joey Posted Image

Edited by houtexjoe, 01 December 2012 - 12:51 AM.


#329 mr. matt

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Posted 01 December 2012 - 09:15 AM

Joey:

I bought a 2.0 cm dermarolling device last year and use this every six weeks. After each session. I apply Retin A and then do a 70 percent glycolic acid peel.

My skin has toughened up quite a bit and I rarely bleed during a rolling session.

Because I combine the acid peel with a rolling session, My skin looks irritated for about three days.

I can't say enough good things about collagen induction therapy (dermarolling). For me, it's been more effective than any of the laser treatments I've had.

Hope this helps.

Matt

#330 houtexjoe

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Posted 03 December 2012 - 07:18 PM

Yes, Matt, this does help alot.

Thank You Posted Image

#331 scarfaces

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Posted 07 December 2012 - 11:15 AM

Hey there Matt
First of all I would like to comment on your skin ..It really looks great..Congrats Man..This is the only thread that inspires me. And the reason why I signed up here.I am sorry for not introducing myself.
However I just wanted to ask a few questions and hopefully you might answer them up for me.And this post may be helpful for some who had or are seeking subcision.I am sorry they are a lot of questions.Thank you


1) I just had subcision technique done on me by a derm.I was astonished to see the scars dissappearing instantly owing ofcourse to the microswelling.The scars then reappeared.So my question is you had 3-4 subcision sessions right?Out which you performed suctioning on one of the session and for that session scar did not reappear right? So the question is what about the previous scars.the ones you didn’t suctioned.When they reappeared after swelling went down what did you do to get rid of them? Did they fill up on their own? How much time did it take to fill up?

2) The reason why I asked about the non suctioned scars is that I see a lot of posts that say “scar reappeared after swelling and so I guess subcision failed” so I needed my self and others to understand what is right and what is wrong..

3) If you read the article “Subcision-suction method”..The mainly used diabetic lancets and 23 Gauge needles..They reserved Nokor needles 18guage for severe fibrotic scars.The article says inserting 23 G needle better for superficial undermining?So did your doctor used Nokor needle for small less fibrotic scar as well?And did he pinched your skin before inserting the needle into the scar?



I am sorry for asking a Lot of questions on my first post.
You are doing a great Job here bro.i have seen a lot of people who when they get there skin corrected don't even bother coming back to post ..Not because they don't want others to improve but they don't want to look back @ the dark past they left behind...But bro you are an exception and you are doing a great job, worthy of applause.

Have a Good day Matt

P.S

Btw the article with pics for those who haven't seen it..Its a complete .And not the one you usually download as pdf


Subcision-suction method
http://www.scribd.co...7/Acne-Scarring

Edited by scarfaces, 07 December 2012 - 11:20 AM.


#332 mr. matt

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Posted 07 December 2012 - 05:47 PM

1). Yes, I had four subcision treatments and I suctioned my face after the fourth treatment that I had. The scars on my left cheek that were treated did not re-appear. They were still rather large and may have been missed by my doctor during the previous procedures. The scars on my right cheek did improve, but not to the degree that the scars on my left cheek improved.

2). My previous experience with subcision treatments was that it would take weeks or months for the cratered areas to fill and they would fill up by varying degrees. I never expected perfection, but I was definitely pleased with the reduction in the severity of my scarring.

3). Honestly, I don't know what size of Nokor needle that he used on my face. I had a large compound scar on my right cheek that made it appear that my cheek had partially collapsed into my face. It looked hideous under direct lighting. When my doctor treated this area the first time, he said that the needle was 'bowing' from the tension caused from the thick fibrous bands. At one point, he stated that hews concerned that the needle would break under my skin - that would have been disastrous. So, I a glad that he used the gauge of needle necessary for my type of scarring.

I can't say enough good things about this site and the people who offered me encouragement along the way. I'm glad that this thread has inspired you. I hope that more people will document their experiences so that others can learn and benefit from what they learned.

Matt

#333 scarfaces

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Posted 08 December 2012 - 09:33 AM

Thank you so much for your reply...It really was helpful.your self-explainatory answers urges me to ask more...:(..I hope you don't mind bro...

1)do you think i should wait, seeing that your non-suctioned scars filled in with time after redepression, so mine will too?

2)Or should i opt for going another round of subcision on the same scars....? Its about two weeks since my last subcision.

3)You said that the filling of scars may take weeks to months...so my question is when was the time after your first subcision that you noticed massive improvement ....meaning by looking in the mirror and saying that it has INDEED improved?

4)so using suctioning weren't the results instant and permanent than those without suctioning...?

5)what are your aftercare of wound to promote efficient healing? meaning you might be well aware of the established fact that it is the moist surroundings around or of the wounds the promote efficient healing....dry wounds heal poor...(it is a Myth that dry scabbing wounds heal Better)...
so what should i do to keep the area Moist...? i am apply vaseline a.k.a petroleum jelly on the wound because it traps moisture of the skin especially of the wound....but is there anyother alternative?

6)do you use supplements like vitamins???

#334 mr. matt

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Posted 08 December 2012 - 03:38 PM

1)do you think i should wait, seeing that your non-suctioned scars filled in with time after redepression, so mine will too?
I had the most success combining subcision with suctioning - it yielded the most dramatic and quickest results of any of my previous treatments. Combining suction with subcision is a personal decision and only you can decide if you think that this is the best option for you. If the tethered bands were broken, you should see some type of improvement over time.

2)Or should i opt for going another round of subcision on the same scars....? Its about two weeks since my last subcision
It may take multiple rounds of subcision on the same scars to yield the results that you are seeking.

3) 3)You said that the filling of scars may take weeks to months...so my question is when was the time after your first subcision that you noticed massive improvement ....meaning by looking in the mirror and saying that it has INDEED improved?

If you look at the baseline photos I took and the photos I took about a month after my first subcision treatment, you'll see some fairly dramatic results. I had several deep pock marks on my left cheek that were very noticeable pre-subcision and less noticeable after subcision. My right cheek also showed progress about six weeks or so after the first procedure.

4)so using suctioning weren't the results instant and permanent than those without suctioning.
Yes, the results with the suctioning were as instantaneous as they could be. I was fully expecting the pock marks to re-appear and then gradually fill in over weeks and months. However, the craters never reappeared. I saw my doctor in August and he was elated. He was all smiles and wanted to know if I had been using any types of serums on my skin.

5) do you use supplements like vitamins?

Yes, I take a multivitamin everyday, use Retin-A 0.1%, and apply Vitamin E oil to my skin daily. I also use a product from Reviva Labs which contains Ester C, DMAE, and Alpha Lipoic Acid. I can't say enough good things about this cream - it's inexpensive, it moisturizes, contains antioxidants, and tightens your skin. It's an amazing product at a relatively low cost.

Matt

#335 scarfaces

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Posted 10 December 2012 - 08:15 AM

thanks matt for replying....you have been really helpful....God bless you.:)....And may we all get rid of acne scars one day

#336 scarfaces

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Posted 11 December 2012 - 02:45 AM

hey matt....
where do you get the vitamin e oil from?
is it ok if i extract the oil from the vitamin e capsule and apply it to my face?
Plus i noticed in your before and after pic....that the skin in the after photos looks quite young and supple...and well moisturized..
so what do you think i should do to moisturize my skin???
i cannot get that product in my country...:(...unfortunately...

#337 mr. matt

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Posted 11 December 2012 - 07:02 AM

I purchase my Vitamin E oil from a store called Trader Joe's. If you live outside of the United States, I don't believe you'll have one of these stores in your country.

You may be able to find it at a health food store or online.

I've read that Vitamin E oil is a natural moisturizer and is full of antioxidants.

#338 TV4

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Posted 22 December 2012 - 02:31 AM

Thanks for the inspiration Mr. Matt

I've been through so many different lasers and doctors just telling me things to get money from me that I almost gave up on trying to find something but I always kept ending up back here and even though I was still skeptical about trying something else I got 2 test spots done with subcision and suction.

At first I wasn't too excited about doing test spots because after 15 years of dealing with cystic acne and rolling acne scars of course I wanted to get it all done as soon as possible. But after I thought about it, it made me realize my Dr. actually cares about what will work and not just the money. I had the spots done a little over 2 and a half weeks ago, got a check up the following week and I go back mid-january to see if the subcision will be effective enough to do on the rest of my scars. He actually let me choose any 3 scars I wanted and after I chose he suggested I change one because another one was deeper and caused the area to look worse. So far the deepest one seems to be coming back a little, the other 2 are pretty much gone still, which I'm excited about but learned not to get my hopes up about.

I'm really hoping I can get even some of the results that you have gotten, I honestly lived my life regardless for the first 13 years of having this problem, pretty much not caring at all, doing whatever I wanted to do not caring about what people though, but the past 2 years have completely flipped on me and my scars make me stay home and miss out on things I would love to be doing with my friends. Which is really weird considering the things I used to do not even thinking twice about my face. But one day I woke up and it's like I started losing my confidence, hearing the whispers, and noticing the people staring and judging me more and more which turned me into a completely different person and its exhausting dealing with that everyday.

I really hope it works out so I can be myself again and not hide at home anymore.

#339 mr. matt

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Posted 22 December 2012 - 12:29 PM

Thanks for the inspiration Mr. Matt

I've been through so many different lasers and doctors just telling me things to get money from me that I almost gave up on trying to find something but I always kept ending up back here and even though I was still skeptical about trying something else I got 2 test spots done with subcision and suction.

At first I wasn't too excited about doing test spots because after 15 years of dealing with cystic acne and rolling acne scars of course I wanted to get it all done as soon as possible. But after I thought about it, it made me realize my Dr. actually cares about what will work and not just the money. I had the spots done a little over 2 and a half weeks ago, got a check up the following week and I go back mid-january to see if the subcision will be effective enough to do on the rest of my scars. He actually let me choose any 3 scars I wanted and after I chose he suggested I change one because another one was deeper and caused the area to look worse. So far the deepest one seems to be coming back a little, the other 2 are pretty much gone still, which I'm excited about but learned not to get my hopes up about.

I'm really hoping I can get even some of the results that you have gotten, I honestly lived my life regardless for the first 13 years of having this problem, pretty much not caring at all, doing whatever I wanted to do not caring about what people though, but the past 2 years have completely flipped on me and my scars make me stay home and miss out on things I would love to be doing with my friends. Which is really weird considering the things I used to do not even thinking twice about my face. But one day I woke up and it's like I started losing my confidence, hearing the whispers, and noticing the people staring and judging me more and more which turned me into a completely different person and its exhausting dealing with that everyday.

I really hope it works out so I can be myself again and not hide at home anymore.


Thanks for your post.

I am so glad that you took the leap and got some of your scars subcised and suctioned. I think that if you are realistic about the types of results you are seeking, you'll be satisfied with further subcision treatments coupled with the suctioning process.

Don't expect to have a complexion like Mario Lopez's if you're a male or Jennifer Lopez if you're a female, because a flawless complexion is probably unattainable.

I hope that you'll try dermarolling in conjunction with your other treatments. My skin looks so much different than it did about four years ago when I started this process.

Here is one of the key lessons that I learned during this process: improvement is i-n-c-r-e-m-e-n-t-a-l. That is to say, it takes time for the collagen to remodel itself and develop. I found that the suctioning process certainly helped to prevent the tethered bands from reattaching.

Don't let your complexion keep you hiding in your home. Knowing that there are ways to improve your complexion and reduce your scaring should greatly boost your confidence level and give you a lot of hope that things can improve for you.

Look into a face cream with Ester C and other antioxidants and anything that has been medically proven to develop collagen.

Once you are satisfied with how your complexion looks, you'll look back and see this current time as a distant memory.

I hope that you'll take some photos and journal along the way. When I look back at my baseline photos, I ask myself, 'Was that really ME?' because my skin has improved so much over the past four years or so. I'm glad that I took photos and chronicled my journey.

There is hope for you!

Matt

#340 panos

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Posted 16 February 2013 - 05:40 AM

congratulations...

just 2 things:

 

1)what size of needles did they use and how many holes did you see around the scar ...i mean how many entry points they used to 

undermine the fibrotic tissue?

 

2)do you believe that your age helped you since the growth factors of persons at about your age tend to help to heal better.


Edited by panos, 16 February 2013 - 05:41 AM.





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