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In Need Of Wisdom And Advice For My Scarring (With Pics)

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#201 dragonn

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Posted 25 January 2013 - 08:18 PM

I really considered punch techniques when I first began researching. However, most things I read made it sound like they are reserved for deeper scars and most of mine are pretty wide and shallow, yet they all have sharp edges. Both of the doctors I've seen, while discouraging laser, have promoted dermabrasion and I assume it is because they think resurfacing would shave down my scars enough to give significant improvement. But I am not willing to go through that, especially with my skin color! 

 

My scars are actually very similar to what your before pictures look like. Not deep at all. And obviously punch grafts/floats have worked beautifully for you. Have any scars been removed by the floats? Does it leave a new circle shaped scar? I'm afraid the inside will level out but the circular border will remain indented? Thank you so much for all of your feedback, Cherry! You are truly a sweetheart!



#202 CherrySoda08

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Posted 26 January 2013 - 02:49 AM

I really considered punch techniques when I first began researching. However, most things I read made it sound like they are reserved for deeper scars and most of mine are pretty wide and shallow, yet they all have sharp edges. Both of the doctors I've seen, while discouraging laser, have promoted dermabrasion and I assume it is because they think resurfacing would shave down my scars enough to give significant improvement. But I am not willing to go through that, especially with my skin color! 

 

My scars are actually very similar to what your before pictures look like. Not deep at all. And obviously punch grafts/floats have worked beautifully for you. Have any scars been removed by the floats? Does it leave a new circle shaped scar? I'm afraid the inside will level out but the circular border will remain indented? Thank you so much for all of your feedback, Cherry! You are truly a sweetheart!

D'awww! Thank you so much. That was really sweet to hear. rolleyes.gif 

I think you are right in deciding to go against dermabrasion. That is such a risky procedure. And, I thought that the possibility of permanent hyperpigmentation (a real concern, in your case) was still high even with dermabrasion. Is this not so?

Yes. I've had several scars (icepick scars) almost completely erased by the punch floats. The scars that were grafted were a bit deeper, so there is still evidence of past scarring on those particular sites, however they look light years better than they did before. 
 

Some of the areas that were grafted did leave circle-scars, yes. However, those seem to eventually fade out over the course of about 8 month's time. Not too bad, if you ask me! I've not yet had an issue with a circular border remaining indented, like you expressed concern over, but that's why I plan on maintaining this thread for at least another 6 months or so. 

Hope you found that info helpful.



#203 dragonn

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Posted 26 January 2013 - 06:34 PM

I think with dermabrasion hypopigmentation is an even bigger problem and that is permanent. I told the doctor I would rather have temporary hyperpigmentation (even if it lasted eight or nine months) than permanent hypopgmentation and redness with dermabrasion but he insisted hyperpigmentation from lasers like Deep FX would be permanent and in dotted pattern. I love my tanned skin but in this case it is really working against me. neutral.gif

 

That doesn't sound too bad! I'll look into finding a dermatologist/plastic surgeon skilled in punch techniques to consult with. Thanks!



#204 CherrySoda08

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Posted 26 January 2013 - 08:19 PM

I think with dermabrasion hypopigmentation is an even bigger problem and that is permanent. I told the doctor I would rather have temporary hyperpigmentation (even if it lasted eight or nine months) than permanent hypopgmentation and redness with dermabrasion but he insisted hyperpigmentation from lasers like Deep FX would be permanent and in dotted pattern. I love my tanned skin but in this case it is really working against me. neutral.gif

 

That doesn't sound too bad! I'll look into finding a dermatologist/plastic surgeon skilled in punch techniques to consult with. Thanks!



Awesome! Please keep me in the loop when you find the right doc for you. rolleyes.gif



#205 luvskincare13

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Posted 27 January 2013 - 12:47 PM

Did you have to pre-treat your skin before the Blue peel? If so, did you use the obagi nuderm?



#206 CherrySoda08

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Posted 28 January 2013 - 02:37 AM

Did you have to pre-treat your skin before the Blue peel? If so, did you use the obagi nuderm?

 

 

Good question. Yes, I did have to pre-treat my skin before the peel with Obagi Clear (a bleaching gel-cream, and I am not a fan of it). It did help to even out the tone of my skin, bit it also causes comedones in some people. I happen to be one of those people. Yuck. wacko.png



#207 Theng

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Posted 23 July 2013 - 04:25 AM

Hi Cherry, im glad to see your post here. it's difficult to find any info & pic about punch graft from web. Thank you for sharing.

 

Im very interested to know more about punch graft to fix my acne scars. Are you happy with the result of punch graft? does the graft match & blend in well with the rest of your skin?

 

TQ =)



#208 CherrySoda08

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Posted 27 July 2013 - 01:11 PM

Hi Cherry, im glad to see your post here. it's difficult to find any info & pic about punch graft from web. Thank you for sharing.

 

Im very interested to know more about punch graft to fix my acne scars. Are you happy with the result of punch graft? does the graft match & blend in well with the rest of your skin?

 

TQ =)


Hey there. 

 

Thanks for taking the time to write on my thread. For the most part, I'm happy with the results of my punch graft. I still have one in the middle of my left cheek that is noticeable and looks "puffy". Eventually the grafts are supposed to settle down, and become level with the rest of the skin on my face. However, that hasn't happened yet. Some of the smaller grafts took about 8 months to level out, so I'm guessing it may be a year or more until that occurs with the largest graft (I got it done in November, 2012, I believe).

Hopefully you found this answer helpful. 

I'm sure I'll have more punch floats and grafts in the future, and I will try to be more diligent about documenting those processes. 



#209 Theng

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Posted 01 August 2013 - 03:13 AM

Thanks for your replied Cherry, so kind of you. =) 

 

May i know what kind of scars you treated with punch float? It seems very effective to treat "scarred pores". But my derm told me that punch float only have temporary effect. is that true? He only suggest punch graft to treat my scars, I have similar scar to yours, mostly icepick / boxcar scars. 

 

your graft is it look exactly as picture below? (** Excuse for my poor english**)shy.gif

 

%E7%A9%BF%E5%88%BA%E7%A7%BB%E6%A4%8D.jpg



#210 CherrySoda08

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Posted 02 August 2013 - 08:21 PM

Thanks for your replied Cherry, so kind of you. =) 

 

May i know what kind of scars you treated with punch float? It seems very effective to treat "scarred pores". But my derm told me that punch float only have temporary effect. is that true? He only suggest punch graft to treat my scars, I have similar scar to yours, mostly icepick / boxcar scars. 

 

your graft is it look exactly as picture below? (** Excuse for my poor english**)shy.gif

 

%E7%A9%BF%E5%88%BA%E7%A7%BB%E6%A4%8D.jpg

Hey there, don't worry about your English. I can understand what you're trying to ask me just fine. rolleyes.gif 

The scars I treated with the punch float method were box scars and mostly icepick scars. I have no idea how the punch float technique would only be temporary since the doctor uses surgical instruments to loosen tissue from within the walls of the existing scar in order to prompt the tissue to rise to the surface of the rest of the skin. I have had punch floats on many of my scars for about 2 years now, and have not noticed that any of their effects have diminished.

That is something to think about, however. Why did your dermatologist tell you that punch floats are only temporary?

The grafts I have look very similar to those in the picture you posted. However, they are not nearly as "puffy". The grafts in the photo look brand new, and my guess is that's the reason they appear to be especially swollen. Over time, the grafts are supposed to settle down to become more even with the skin. I have had a few stubborn grafts that refused to deflate, and my derm used an instrument to sort of "shave" the top of them to make them level with the rest of the skin.

Hope my answer was helpful to you.



#211 Theng

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Posted 05 August 2013 - 03:38 AM

The doctor didn't explain much, he just said that punch graft effect is better than punch float. I might have it done next month. So nervous... unsure.png



#212 Anthonytong

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Posted 05 August 2013 - 06:38 AM

The doctor didn't explain much, he just said that punch graft effect is better than punch float. I might have it done next month. So nervous... unsure.png

 

just be aware of the after care, and I think everything will be fine. it seems you don't leave in taiwan, so you need to come back for laser to smooth out the graft. tongue.png



#213 CherrySoda08

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Posted 06 August 2013 - 12:41 AM

The doctor didn't explain much, he just said that punch graft effect is better than punch float. I might have it done next month. So nervous... unsure.png

Yet you are certain that your doctor used the word "temporary" to describe the effect of a punch float? 

I guess I just don't understand how that is possible. That might be something for me to ask my dermatologist.



The doctor didn't explain much, he just said that punch graft effect is better than punch float. I might have it done next month. So nervous... unsure.png

 

just be aware of the after care, and I think everything will be fine. it seems you don't leave in taiwan, so you need to come back for laser to smooth out the graft. tongue.png

I cannot wait to have laser myself one day.



#214 Theng

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Posted 07 August 2013 - 12:14 AM

i've asked him in person and he also did mentioned in his blog. http://drchao.blogsp...-post_4790.html (you may translate to english)

 

btw, must find a experienced doctor for laser. As i know, the doctor use erbium laser to smooth out the graft. rolleyes.gif



The doctor didn't explain much, he just said that punch graft effect is better than punch float. I might have it done next month. So nervous... unsure.png

 

just be aware of the after care, and I think everything will be fine. it seems you don't leave in taiwan, so you need to come back for laser to smooth out the graft. tongue.png

Hi Anthony, are you taiwanese?



#215 Anthonytong

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Posted 07 August 2013 - 05:11 AM

i've asked him in person and he also did mentioned in his blog. http://drchao.blogsp...-post_4790.html (you may translate to english)

 

btw, must find a experienced doctor for laser. As i know, the doctor use erbium laser to smooth out the graft. rolleyes.gif



 

The doctor didn't explain much, he just said that punch graft effect is better than punch float. I might have it done next month. So nervous... unsure.png

 

just be aware of the after care, and I think everything will be fine. it seems you don't leave in taiwan, so you need to come back for laser to smooth out the graft. tongue.png

Hi Anthony, are you taiwanese?

I am a hongkonger, but I usually stay in taiwan.



#216 CherrySoda08

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Posted 20 August 2013 - 04:55 PM

UpdateYesterday, I confirmed an appointment with my cosmetic dermatologist for October 4th concerning my acne. While my breakouts are not as intense as what I experienced around the ages of 21-24, my acne seemed to take another bad turn around Fall, 2012. After an unsuccessful treatment of spironolactone, (as documented in my thread; http://www.acne.org/...o-heres-my-log/), I then decided to allow my system to take a break from the medication, as the spiro seemed to cause more unwanted side-effects than anything else. Some of these side effects included weight gain, larger, more painful isolated cysts on my face (around the jawline and chin), and extremely uncomfortable menstrual cramps.

I've noticed that even though I have been off of spiro since March, 2013, I am still continuing to get cysts (although none as large as I had during my spiro regimen). Some of those have even left new scars that will need to be treated later on down the line.

My plan is to request that my doctor write me a prescription for Accutane in October, 2013. I've been putting off taking this medication since I first heard about it 5 years ago, but I believe that it's time for me to give it a try. Accutane has always been a last resort for me. The final option when no other medications or treatments would work. I believe that it's come to that point.

Obviously, I'm planning on beginning a log about my experiences with the medication once I begin taking it. I have researched Accutane pretty thoroughly, and am well aware of it's advantages and disadvantages, which is one of the reasons I've put off taking it for such a long time. 

I mostly likely won't be updating this thread with any new news about scarring procedures, or questions for those who have undergone procedures that I haven't experienced yet (but would like to). At least not for awhile. 

It's a little frustrating, because I believed 2 years ago that my skin had come so far. I thought at that point that I'd never have to consider taking anything like Accutane again, because the bad breakout phase of my life was over. Clearly, I did not know what I had coming to me. Nonetheless, I am grateful (in a small way), to have come to this realization now while I'm relatively young. It's a bit of a blessing to know all this while still in my 20's instead of having to combat acne near to the age of 40, as some of my closest friends are continuing to do. I feel so determined to do whatever it takes in order to finally rid my body of acne. With a 90% chance of permanent success, I think Accutane is the key to helping me achieve it.

I'd like to extend a big "thank you" to those of y'all in the Acne.org community to those who've taken the time to contribute to my thread, help me out, and answer my endless list of questions. You guys are awesome. smile.png 

To those of you who have questions for me about my past procedures for acne scarring, please feel free to ask on the thread. I love questions, but don't have a ton of time for private messages (unless they are truly something you wouldn't want others on the forum to see).

Thanks again. Hopefully one day I'll be back on this thread discussing my success with treatments I'll have in the future. Fingers crossed. 


Edited by CherrySoda08, 11 June 2014 - 11:06 PM.


#217 austra

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Posted 29 August 2013 - 11:51 AM

Nice to know how you've been doing! I've been dealing with similar issues this past year as well, which have delayed my treatment plans and I also have got a few new scars to deal with. It's really frustrating, especially since my skin was so good for such a long time and I really thought new scarring and acne issues were behind me. But oh well. I think I'm going to either get on the pill (which has worked beautifully in the past) or try spiro if it doesn't get better soon. 

Accutane is my last resort at this moment, although it may come to that.

 

Hopefully you'll now tackle acne once and for all! :) And when the time comes, please do keep us updated if you get new scar treatments. Best of luck with everything!! x



#218 CherrySoda08

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Posted 17 September 2013 - 09:08 PM

Nice to know how you've been doing! I've been dealing with similar issues this past year as well, which have delayed my treatment plans and I also have got a few new scars to deal with. It's really frustrating, especially since my skin was so good for such a long time and I really thought new scarring and acne issues were behind me. But oh well. I think I'm going to either get on the pill (which has worked beautifully in the past) or try spiro if it doesn't get better soon. 

Accutane is my last resort at this moment, although it may come to that.

 

Hopefully you'll now tackle acne once and for all! smile.png And when the time comes, please do keep us updated if you get new scar treatments. Best of luck with everything!! x

Thanks so much! You will be (hopefully) seeing my name pop up again in the forums when I begin my thread about my experiences with Accutane. rolleyes.gif



#219 Theng

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Posted 19 November 2013 - 02:54 AM

Hi Cherry, How have you been with accutane? Hope everything is going well smile.png

I think your second session of punch graft is almost a year, does the graft look good and even with the rest of your skin now?

I have postponed my punch graft session, unfortunely I have breakout again past few months. eusa_doh.gif

 

Cherry, my derm suggest me to do 30-40 punch graft in one session for my ice picks & boxcars scars. May I know how does the graft looks like after 1month? How long it take for the redness to faded? How much of graft in your last session? What do you think 30-40punch graft in one session?

 

I afraid that the graft look horrible, I wish it will not affect my work.

 

Sorry so many question here, hope to hear from you soon. Thanks. rolleyes.gif



#220 reid smith

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Posted 22 November 2013 - 01:02 PM

Hey guys .. Well I've got icepick scars all over my face and its very bad its all over !!! *moderator edit*,There was one sentence that contained ideals that are not encouraged on this board, so it was removed.

I'm a 18 year old male I've been threw hell in my teens copeing with my acne but when my scars came along everything got 10x worse for me !!!I wear a lot of hoodies over my head to cover my face in public but I still get judged so bad and its breaking me ...I've got a gf and she's beutifull I just feel bad not being able to go out in the sunlight with a normal t-shirt on me !!!!I've been for chemical peels and it didn't work !!! *moderator edit*, There was one sentence that contained ideals that are not encouraged on this board, so it was removed. I need help asap I wil post my pictures thanks everybody :(

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