ROUND TWO SUBCISION AND TCA CR0SS METHOD MAY 8, 2009
what did your doc say about risk to make the scarring worse: that seemed to be the main reason they didn't want to perform the procedure on me or warned me about it.
Any further info on this topic would be very helpful. I think subcision definitely needs to be done on my deeper ones and do not see how any laser treatment can bring it up to level. It simply doesn't make sense! I don't have the worst scars in the world but I mean it is there and I notice it and it upsets me so I need to do something about it.
My acne is pretty much almost clear now on a ligher note. Have you ever used any retinoids like retin A or tazorac btw? Just wondering.
YOu had over 50 peels? That is a lot of peels. Were they strong peels?
TCA cross is basically a peel just concentrated at a higher percentage right?
How bad were the scars the subcision left behind?
Honestly if I found a doctor that could do this in a different state and was skilled at it I would probably fly out.
My doctor had me sign a release that the procedure(s) could result in scarring. I think that most doctors are going to require this to protect them from liability.
If you truly have rolling scars, I would seek out a second and/or third opinion. I do think that subcision is the best option for people followed by laser treatment to help the collagen remodeling.
I'm going for round two of subcision on May 8, 2009 and hoping that I'll see continued improvement.
I have been using Retin A .10% since March of this year. I think that it does help with collagen development and I say that based upon my baseline and post procedure photos.
I've been doing at home peels for the past two years and using 70% glycolic acid or 70% salycilic acid. However, these chemical peels did not appear to have impacted my scars much because they are deeper rolling scars.
However, I do think that chemical peels help with your overall skin tone and complexion and think they do help with some collagen remodeling.
Please take a look at a photo I took this evening and just posted in my album. Today marks the 45th day since my subcision procedure. My scars appear much, much flatter than they did in my baseline photo. The 18g Nokor needle improved my rolling scars more than any chemical peel ever did, the three Laser Genesis treatments I had, and all of the cryotheraphy sessions I had years ago. I think that the chemical peels and Retin A have improved my complexion overall.
TCA Cross (Chemical Reconstruction of Scarred Skin) Method is a treatment whereby the physician dips a sharpened wooden applicator in TCA and inserts it into a scar. This approach actually creates a wound and the skin responds by creating collagen and the scar fills in. TCA Cross Method should not be confused with a TCA peel. They are two very different and separate procedures.
You sound as if you are really motivated to see improvement in your scarring. I wish you a lot of success on your journey to healing.
This afternoon, I went to my dermatologist's office for my second round of subcision and TCA Cross (Chemical Reconstruction of Scarred Skin).
He and his assistant were very pleased with the results that I had with my first treatment. They both said they noticed a difference in my skin the moment they first saw me.
My dermatologist said he thought that I would need multiple treatments based upon his first evaluation of my scarring. Today, he told me that he thought that I would only need today's session plus one session of Pearl Fractional and I should be finished.
Round two began with me washing my face with an antibacterial soap. Then, my doctor gave me a mirror and asked me to point out which areas I wanted to be treated.
Much to my surprise, he said that he was going to treat the three large boxscars on my left cheek that he had not touched during my first treatment.
He then used a sterile pen and marked the "margins" of all of my scars and marked where my icepick scars were. He told me he was doing this now because once he began injecting my face with anesthesia, my skin would begin to swell and he would no longer be able to see the scars.
The assistant took several pictures and another assistant came in to the room to videotape the procedure (my request).
This time, I held a handheld mirror and actually watched both procedures. My dermatologist inserted a wooden applicator into 80% TCA and inserted the applicator into several icepick scars on my nose, chin, temples, and forehead. The areas he touched immediately frosted over.
Then, he took an 18 gauge Nokor needle and inserted it into the marked areas and began to use a "fanning" motion back and forth. I could hear the fibrous bands "pop" as they were being released. He also showed me how he had marked the needle so that he wouldn't lose the proper orientation of the needle during the procedure. Apparently, losing the proper orientation of the needle can prevent the beveled edge of the needle from cutting the fibrous bands properly.
For those of you who have had subcision and have not had good results, I think that the proper orientation of the needle is important. Throughout both subcision procedures, I heard the "popping"sound of the fibrous bands being broken.
During the procedure, the assistant placed ice packs on my face to reduce the bleeding, bruising, and swelling.
After one hour, the doctor and his assistant bandaged about 75% of my face with cotton balls and tape. I've been home four about four hours and I look like The Mummy. I'm going to upload a picture my wife took when I got home with all of my bandages into my album.
I talked to my doctor about having one session of Pearl Fractional done in July before I went on vacation and he advised that I not do it before going on a family vacation. After I saw photos of patients who had had the procedure, I saw why. They had very red and swollen faces and that's not how I want to be remembered on my family vacation. So, I will try to schedule it for another time.
I have an appointment scheduled in July and we'll see if I need a third round of subcision and TCA Cross.
I think that I had about 70-80% improvement with the rolling scars on my left cheek and about 40% improvement with the deeper rolling scars on my right cheek.
I cannot believe that I finally found a treatment that has actually helped my scars. As you may have read earlier in this thread, I have tried multiple sessions of Chryotherapy, three sessions of Laser Genesis, and over 40 chemical peels with no visible results.
If you have rolling scars, I strongly encourage you do to your research and find a good doctor who can help you. I've suffered for years with these rolling scars and to now see them going away is truly a blessing and a huge relief.
You need to keep in mind that it takes time for the collagen remodeling to occur. I noticed the biggest changes during weeks three and four after my scars had begun to resurface after the initial swelling had subsided. There were several times where I could feel my skin "tingling" and I knew that something was growing under the top layer of my skin; it was actually collagen developing. It is kind of like watching a swimming pool being filled with a garden hose. It takes a while for the pool to fill up, but eventually it does. It is the same way with subcision and rolling scars. It takes a while for the collagen to remodel itself, but eventually it does.
In fact, my doctor made a comment about how he was surprised at the amount of collagen remodeling that had occurred especially in my left cheek. (I'm in my forties and didn't think I could get these type of results because of my age).
I just bought an LED device and Vitamin C serum. I'm hoping that these two things will also help my scars to heal and will "jump start" the collagen remodeling.
I will post my "before and after" photos in 30 days.
In the meantime, hang in there and let's all continue to encourage one another on our individual journeys to healing.