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Mixto Sx Co2 Fractional Laser Surgery Diary: Asian With Ice Pick Acne Scars On Cheeks/temples.

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#1 slee3

slee3

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Posted 18 November 2012 - 12:10 PM

Hello guys,

Just wanted to give you guys a heads up, this thread will be extremely detailed and thorough because

1) It is for myself to keep as notes just to make sure I do not forget to do anything Pre-Op/Post-Op after my Mixto laser surgery I am planning ot have on 12/15/12 with Dr. David Rahimi, located in Beverly Hills, CA.
2) So that in the future, anyone who is planning to have fractional laser surgery for acne scars will know the in and outs of what to expect, what needs to be done for preparation of the laser, and what needs to be done after the laser.
3) And most importantly, if it actually works or not.

Brief History: I am currently 23, suffered with acne ever since I hit puberty at the tender age of 13. I suffered with extreme acne break outs during my high school years. I am not a doctor or expert in this field, but I can tell I have multiple conditions that seem to make me break out more than the usual person. first of all, genetics. My mom and dad (especially my mom) have pretty horrible skin, and had bad acne when they were teenagers as well. My mom still breaks out to this day, and not only that, my mom's whole side of the family have really bad skin in terms of acne, acne scars, and dark spots. So one of the main underlying reasons I have had bad acne is simply due to the genetics. Secondly, my second condition that seems to exacerbate my first condition is that I have hyperhydrosis, in laymen terms, known as "extreme sweating disorder". Simply put, I sweat A LOT on my face, whether I am working out in the gym, or simply in a state of rest, if their is any kind of heat or temperature above 80, than I will start sweating. When I mean I sweat a lot, its not like a normal person, simply put, after a work out, you would not be able to tell whether my work out clothes was soaked with a hose or if I was just working out. It is extreme, and I believe this has exacerbated my acne issues. Lastly, like an idiot that I was, I picked/popped my pimples during my high school years, unfortunately. Why you might ask? I was naive, stupid, and friends told me to do so...and I totally regret it. People, DO NOT Pick/Pop your pimples! It will cause acne scarring. I wish I knew this before and I wish I could have been more patient with my acne, but that is the past, and I have to move on from it now. So after stating all of that, here is where I stand currently, (see below for pictures, please excuse me for the quality, using my IPHONE, which isnt the great of quality):

Current Things I Have Done to help with the acne scars is doing extreme needling with HA (hyaluronic acid) injections as well as some seaweed facial peeling done with an esthetician. I have been doing the needling 2/month for almost a year now, and the seaweed acidic facial peeling just once. All in all, i believe the treatments did help with some of the acne scars in terms of depth, but in terms of visibility and shape, it is unfortunately still there.

Therefore, 11/16/12, I went to go see Dr. David Rahimi for a pre-op appointment. I mainly chose him due to a recent thread that had been floating around this forum where User name "Dragz" performed 2 mixto treatments from Dr. Rahimi and was happy with his results. His Post is listed below:

http://www.acne.org/...cars-on-cheeks/


Anyhow here is a summary of how the appointment went with Dr. Rahimi.

1) Cost: 3000 for two treatments, second treatment 3-4 months after the first treatment.
2) 3rd treatment, if needed, would cost an additional $500.
3) Settings he plans on using on mixto: 7/20/9 or 7/20/10. With the 180 micrometer, not the 300 microumeter (300 micrometer I believe is for superficial scars/wrinkles/fine lines, while 180 micrometer is for deeper acne scars). further, not sure what the equivalent MJ that is? Ive read from other posts fraxel repairs goes as high a 70 MJ? Not sure how many MJ the mixto will go with those settings he quoted me.

4) Current medications that I am currently using for my acne are: Dan's Kit (facial cleanser, BP, moisturizer, AHA), Mint Julep Sulfur Masks, tazorac. I was on accutane twice, first round was about 4 years ago and second round was about 2 years ago. Definitely helped my acne and cleared everything up, but I feel it may have exacerbated my acne scars.

5) Additional medications that he prescribed for me that I will need to start taking two weeks before the surgery: 8% Hydroquinone cream 4% hydrquinone cream twice a day, Differin Retin A, doxycycline.

6) will need to take Vicodin ES Acyclovir tabs (400 MG) one day before the surgery and one day after the surgery to prevent cold sores and possible viral infections.

7) Possible use of Benadryl/1% hydrocortisone cream after Facial peeling is done (usually 5-7 days after surgery) just in case of itchiness.

8) Heavy use of Aquaphor and cetaphil facial wash for the first 5-7 days so that the skin can stay hydrated and heal properly.

9) Esthetician (from my needling sessions, which I do go see once a week to help with my acne) also provided me with EGF Blemish Balm self moisturizing sun protection infused foundation to use 2-3 weeks after the surgery to cover the redness that will probably persist. She also provdied me with Dermaesthetics EGF UV SHIELD SPF 50 to apply for sun protection, since obviously my face will be extremely fragile to the sun.

10) Vicodin ES prescribed just in case the pain is too unbearable. Doctor told me 90% of the time tylenol will do the job, but just wanted me to have the Vicodin just in case. (Might decide just to take one just for the heck of it, never took vicodin before but am curious since I use to watch House the main character was addicted to it lol!)

Planned date of surgery will be on 12/15/12. I will update this post with pictures and my progress. If everything runs smoothly, I will most likely go for my second, and possibly third treatment throughout times next year. If so, I will be updating this thread periodically. I am not looking for 100% improvement, since I know that is not possible. But will be extremely happy with even 50% improvement. Anyways, I would like to thank this board and community for helping me become more knowledgeable about acne and acne scar treatments. I hope that this thread will help future people like me who would like to get rid of their acne scars. Anyways best of luck to you all, Ill keep you guys posted within a month. God Bless.

12/15/12 Update:

I just got back from the mixto laser surgery at Dr. Rahimi's office. I posted up pictures of myself slathered with aquaphor. Ill post cleaner pictures once all the skin is peeled off (most likely in about a week or so). But the surgery went great! I think he went a little conservative this first time around however, just to see how my skin will react to the laser. I have no hyperpigmentation whatsoever, and the pain of the laser was very bearable. It didnt even hurt as much as i thought it would. Then again, he did give me these 2 pills to take (not sure what they were), also injected some liquids in my mouth near the upper jaws, probably some kind of sedative/anasthetic? Also, i was slathered with numbing cream all over my face for about an hour or so. And his assistant was so amazing! She was so nice....we were just having random conversations and just talking about the most randommest things, she was a cool cat. But anyways, ill try to post up clearer pictures next week once there is no more aquaphor needed on my face. But ya surgery went great, barely any pain, no hyperpigmentation, and we will see how the results turn out! God is good! Also i forgot to mention, my face is extremely swollen which is why i can barely see my scars, i know once the swelling goes down my scars will most liekly appear, but hopefully they will continue to get better overtime. Also, he performed about 3-4 subscicions, which is why you might notice some huge bumps on my face.

12/17/12:

Just woke up, today is the beginning of my 3rd day after the Mixto Laser. Im still on the regime of slathering aquaphor all over my face and then washing it off 4 hours later with a light cetaphil cleanser. I took off two weeks of work, so ill just be managing my face and also doing some work at home. Anyways, ive uploaded 4 new pics below (2 on each side of the face). I know its way to early to judge, but a lot of the scars seemed to have diminished, and are barely noticeable. But I have read in other cases that its just due to the micro swelling which is why the scars seem invisiible. So ill wait a little longer before I judge, but right now my scars look soo much better! I wish it will stay like this lol. However, one thing is my skin texture feels horrible, it feels like rough sand paper. Im hoping that will return to its normal state after fulling healing.

12/18/12 Day 4 After Mixto:

So apparently, the day 3 to day 4 transition is when the skin peeling really starts to begin. I uploaded 4 new photos (2 on each side) to show you the dramatic difference between day 3 to day 4. I woke up with a bunch of skin residue all over my face ready to get peeled off. Also, yesterday i mentioned my skin felt like rough sand paper, well that is apparently because the outer most layer was the skin layer that was on the transition of getting ready to get peeled off. So underneath that layer of skin, is a silky smooth brand new skin that will be apparent after a couple of more days. Further, I just got back from a post op appointment with Dr. Rahimi. He examined my face and told me that everything is going according to plan, and that I will need to stick with the aquaphor/cetaphil treatment for another 3 days. He then notified me after the next 3 days, most of the peeling should be complete. I will then have bright pink spots (the brand new skin basically), and told me to spot treat those areas with 1% hydrocortisone because that will help reduce the redness. After 3 days of applying the 1 % hydrocortisone, he said I could start applying my SPF 50 sunblock.

Another thing i should note is that i have been taken 4x the dosage of doxycycline ( ~400 MG). I actually didnt ask the Doctor if this was okay, but Ive been taking 4 times the dosage (2 after breakfast and 2 after dinner) because I really really do not want to break out from this aquaphor treatment. and so far, havent broken out yet! so pretty happy with that.

Furthermore, Dr. Rahimi also mentioned that although my face looks pretty good right now (scars are barely evident), they will come back, but told me not to be discouraged because overtime they will start to heal, fill in, and essentially look better. Also, he notified me after all my healing is done, we can start talking about a time frame for a second touch up, most likely in about 3 months.

Anyways, steady as it goes, ill keep yall posted.

12/19/12 5th Day After Mixto:

Hey guys, just wanted to give you an update on how my face is looking, I posted 6 new pictures below. NOTE: The pictures i uploaded dont seem to be portrayed in a chronological order in the thread for some odd reason, even though I have been uploading all the pictures chronologically. So some photos may be mixed from different days, hopefully you guys will be able to decipher which photo corresponds to which day I have been documenting. So moving on with my update, apparently, The 4th to 5th day transition period (at least for my case) is when all the shedding of the skin begins and swiftly ends. As you can see a dramatic difference in the day 4 and day 5 pictures, where all my skin has shed. However, inevitably and foreshadowed, is the fact that all the scars have reappeared, unfortunately. The positive note is that even though I can see all my original scars, they seemed to have faded somewhat and look less prevalent, which is what I was looking for. I know its way, way, too early to judge because Ive read in many cases that it takes 6 full months until you can actually start to see the changes, so Ill wait patiently before I come to a quick judgment. But in any case, the initial observations I do see is some improvement, which I am happy with. Secondly, there is some hyperpigmentation in the regions (mostly the cheeks and temple area) where Dr. Rahimi probably went over the most with the laser in terms of strength and quantity of passes. Originally, before the surgery as I was going reading a lot about the lasers and other people's journeys, I was really really scared about the hyperpigmentation issue. But to be honest, it Really isnt that bad. It is definitely noticeable, but luckily, if you recall, my esthetician gave me this concealer type lotion/cream to use to cover my face which matches my skin tone. So once my skin is ready and I do go out for work and other activities, I will definitely be applying that. That being said, hyperpigmentation should not be a concern for me whatsoever, luckily. My current regime as we speak is the continuation of aquaphor/cetaphil combo, and will do this for another 3 days. Then I will start the hydrocortisone treatment shortly thereafter. Ill keep yall posted, maybe in about a week or so, God Bless.

12/22/12 Day 7 After Mixto:

Hey guys, I posted up 4 new pics (2 on each side of the face) to give you guys a sense of where I am at Post 7 days Mixto. Nothing has changed much from my previous post, other than that some more old scars did come back, but it seems like they have faded somewhat. But from an overall perspective, my face does look better (scars look slightly more diminished), and I still have some hyperpigmentation @ the cheeks/temples, but definitely can be covered up with some concealers. I am currently on the regime of 1% hydrocortisone and cetaphil face wash, will do this for 3 more days, and after that I will just be using my SPF50/lotion/concealer/cetaphil cleanser for about 2 weeks before I start back on my acne regime (2% BP, Tazorac, Retin A).

12/29/12 Day 14 After Mixto:

Hello, its been officially 2 weeks since my first highly anticipated mixto sx laser surgery. I have not posted up new pictures yet, because it is currently raining right now in SoCal, so the lighting in my bathroom will not be the same (it will tend to hide more of my acne scars without the sun reflecting through my window). So once the sun gets back up, ill take some new pictures. Anyways, the results have been somewhat disappointing as of now. 2 weeks post mixto, I have finished peeling completely, and do have some minor hyperpigmentation still. But all in all, after the micro swelling disappeared, all of my original acne scars have returned sad.png. The improvement has been extremely minimal, if you were to ask me what %, I would say maybe like between 5 to 10%? No where near the 50% Dr. Rahimi quoted me. although, like I have diligently mentioned in my previous posts, Ill need to wait 3-6 months to let the collagen do its work to help restore most of my ice picked acne scars. I was even talking to my mom yesterday, and as we were talking she checked out my face and even mentioned to me she doesnt see any improvement whatsoever, none, 0%. But I told her I need to be patient, and the process with these lasers is that it takes time for the results to show. anyways, Im not sure if this is true or not, maybe other people who have done fractional CO2 lasers chime in? Did you get NO improvement whatsoever 2 weeks post laser? Because, unfortunately, that is the case with me. But I DO think that Dr. Rahimi went conservative this first time around with me. For my touch up, I will ask him to go more aggressive. There are other things I should also mention, during weeks 1-2 post mixto, I did experience some negative side effects such as bruising near the eye, but that has all faded away, nothing permanent. Another thing is that there is this one region right between my cheeks and temple zone (couple of inches from the eye) where he may have made a mistake with the laser. What I mean is that either he went into deep or it didnt fractionalize, because there is a patch of skin where ALL the entire surface area got ablated, not fractionated. And right now its currently white....im scared it may be permanent hypopigmentation. I emailed Dr. Rahimi my photos and he thinks it should heal back to its normal skin color and blend in with the rest of the skin, but he's not sure, and that he will need to take a look. Luckily, this mark is on the side of my face, nowhere in the front of my face, so the only way you would be able to see it is if you look at me from the side and look closely. But if you do look, it is noticeable and quite disappointing to see, It was evident from the first day of the procedure. WHen I saw it, I was like hmm in my head, why is there this one localized region of skin that is totally ablated? During the healing process, I was hoping it would heal and cover up, but 2 weeks post mixto, it has not. Basically, it doesnt look right, and I am hoping it is not permanent. Those are just two negative side affects I have been experiencing. Anyways, Ill come back on this post in another 2 weeks to keep you guys updated on my progress. God bless.

1/13/13- Day 30 Post Mixto,

Hello guys, just wanted to give you my post one month update. Ive uploaded 6 new pics (3 on each side of my face @ the cheeks and temples). So, apparently, laser results do have a time lag in terms of results, I am happy to say that I have noticed some improvement from Week 2 to Week 4 after the mixto laser. Although results have been very subtle, slight improvement, nothing drastic in any way. If you were to ask me what % of improvement do you see thus far? I would say anywhere ranging from 15-20% improvement, in terms of overall complexion and look. But all my scars are still there, but look less prominent. If you were to ask me are you happy that you did the procedure? I would say yes, because I do see some potential in this laser to help improve my scars. But let it be known, that if you have ice pick scars, dont expect any dramatic improvement just after one treatment. Just by judging my results after one mixto, I probably will need 3-4 more procedures, and I will ask the Dr. To be more and more aggressive each time. On the other hand, if you have superficial scarring, or scars that are not very deep at all, I definitely believe this laser can help. And if your worried about the side effects, dont, because the side effects have been extremely minimal for me so far at this point. One of the biggest concerns about lasers were the side effects other people were experiencing such as textural change of the skin from smooth to rough, long lasting hyperpigmentation, extreme acne breakouts after laser, possible hypopigmentation marks. I have experienced none of these except for the last one, where I had an extremely minor and small area where it looked different in the sense that it looked a bit white, like a hypoppigmentation spot. Right now, after checking myself out in the mirror, it is slowly fading away. Although, it is some what of a disappointment to have, I do not think much about it since it is small and not very noticeable. the spot has actually turned from a pinkish/whitish color to a darker brown/tannish color. Hopefully it will fade over time, and will not be permanent. Anyways, I did not experience any other adverse effects like hyperpigmentation, right now, the hyperpigmentation is very very minimal and is easily concealed by my color lotion and sunblock. skin texture did not change whatsoever, skin feels pretty smooth, and i have only minor acne breakouts thus far. Anyways, I cant wait until my next procedure because i definitely see the potential in this laser. Judging by my pics, you can definitely notice improvement, but i hope you all agree with me that it is minor. Ive come to the realization that my scars will always be with me, but my main goal is to lessen the severity and make them look less prominent on my face, that is my end goal here. Anyways, im probably going to go back and do the procedure in 2-3 months, hopefully i will be less busy at work during that time, since I will be taking 2 weeks off. Also, i should mention my daily facial regime has been pretty basic and simple, cetaphil facewash, cetalphil face lotion, dermaesthetics SPF50 sunblock, and dermaesthetics color lotion (brown). I have also been going to my esthetician every tuesday and saturday for the past 2 weeks, and will continually do so. Shes been treating me with an array of different types of treatments ranging from facial massaging with this cold metallic piece while applying serums such as anti aging serums, hyaluronic acid, facial moisturizers, etc etc...stuff you get for facials lol. And also been doing some acupuncture on my face with these very fine needles, collagen masks, and other stuff haha. But ya, I think if any of you plan on doing lasers, AFTER CARE is extremely important. Always use SPF50 ++ sunblock, and if you can afford it, go see an esthetician to help with your healing after lasers. Luckily my insurance covers seeing my esthetician since its at an acupuncture clinic. Also, ill update my post in about another month to give you guys a 60 day post op update. Take cares.

 

Saturday 2/9/13: 8 Weeks / 56 days Post Mixto Update- 

 

Hey guys, just wanted to give you guys an 8 week update on my progress so far from my first mixto treatment. Ive uploaded 5 new pics. The healing has been going well, my current regime has been the cetaphil face wash/cetaphil ultra hydrating lotion, with a dermaesthetics sulfur mask used to spot treat acne that flares up. Also, been going to my esthetician twice a week, she has been popping my pimples that flare up by using a very fine needle to poke a hole in the pimple and squeeze out the insides of the pimple, face acupuncture, facial massage, and applying other varieties of ointments. With all that, not much has really changed since my last update, improvement from day 30 to day 60 has been minimal, and I still stand by my 15% improvement, not much more. Also wanted to make a note that since I havent been using any acne prescriptions on my face such as tazorac for a while, one day I did use it due to some acne flare ups and man, my face reacted really badly to it, I put on a bit too much for my face to handle, so I was dealing with some pretty bad hyperpigmentation for about 3-4 days, so just remember, when you do stop acne prescriptions after the laser treatment, make sure you let your face get acclimated to the prescriptions once your face is ready...meaning put on a little bit and gradually put a little more every night. Other than that, still somewhat disappointed after this first laser, and I hope the second one can bring upon more improvement, which leads me to my next topic. I have scheduled a second mixto laser session with Dr. Rahimi on March 9th. I am excited to go at it once again, but that date is tentative as I am pretty busy at work, and I am unsure Ill be able to take 2 weeks off of work, so I may need to schedule to a later date. Ill keep you guys posted, take cares.

 

3/2/13: Week 11 Update.

 

Hey guys, ive uploaded 4 new photos to show where im at 11 weeks 1st post mixto. I had some bad acne breakouts due to my hyperhydrosis.....so I stopped working out for the past 2 weeks and have been swimming to maintain my cardio fitness. I hope the acne subsides by next week because I will be getting the 2nd mixto treatment next Saturday. Luckily my manager has given me the green light to take 2 weeks off of work. I also saw Dr. Rahimi last week just for a check up. He stated to me that he went medium-level the first time, but will be going aggressive this time around. He stated that he will probably be using the same settings but will just go over my face with more passes with the laser. Judging by my pics, i would say after one mixto treatment, I got 15-20% improvement. I'm pretty excited for my second treatment hope it goes well. Take cares.

 

3/10/13: 1 Day Post Mixto #2:

 

Hey guys, Ive uploaded 4 new photos. 2 Photos are from right after the surgery, and 2 are from today in the morning. I had my second mixto done yesterday, went very smoothly. I arrived there around 8 am, he gave me these 2 small pill/tablets to leave under my tounge, applied numbing cream, applied a heart rate monitor on my middle finger, then injected about 8 shots of some kind of sedative (i forget what its called), 2 on my right arm, 4 in the 4 quadrants of my mouth, and another 2 above eye brows. I asked him to go more aggressive this time and to focus mainly on the cheeks/temples since those are where my scars are localized. Unfortunately, this time around, I wasn't knocked out like last time. If you recall last time I was literally unconscious for the whole procedure. But this time around, i was at a state of semi-unconsciousness, meaning i could feel the laser burning my skin. luckily, it didnt hurt whatsoever, it literally felt like how you could imagine, this light beam of high intensity heat in small fractionated diameter holes burning through the surface of your skin). but it didnt hurt fortunately since the combination of numbing cream and sedatives were working blocking the pain receptors. If anyone is wondering how long the procedure takes, it takes about 30-60 min for the numbing cream and sedatives to take settle in, and  the procedure takes about another 60 min. So total about 2 hours. If you want to leave immediately right after the procedure, you will need someone to take you back because it takes  approximately 4 hours for the sedative to wear off enough to the point where you will be able to drive back home. If you cannot find a ride, you will probably just have to wait 4 hours after the procedure in one of his waiting rooms.  I will probably not be journaling my experience from day 1 - day 7 like i did last time, because it will probably be the very same. But ill be back in a week or so to give a Week 1 Post Mixto # 2 update. Anyways steady as it goes, God Bless.

 

3/16/13: 7 Days Post Mixto #2

 

Hey guys, ive uploaded a ton of new photos which i took along this entire week to give you a glimpse of how my face looked as I was going through the first week process after the mixto. Please note that some pictures may not be in chronological order. I am not going to go into too much detail because the experience was identically the same as the first mixto (scroll up near the beginning to read about my experience during the first week of my first mixto treatment). Anyhow, Ill state some main points however in this blog entry. Make sure you continuously apply aquaphor, wash it over 3-4 hours later, and apply again. Extremely important during the peeling process. And yes the peeling process (Days 1-4) is very irritating and uncomfortable when you sleep. Because you have all this aquaphor on your face and it starts to produce a not too pleasant stench during your sleep, and it does dry it up after 3-4 hours (especially if you roll your face around on your pillow unconsciously during your sleep), which will than dry out your face and it will force you to wake up because it feels like your skin is crushing your face...and will need to wake up in the middle of the night and reapply some more aquaphor and hopefully will be able to go back to sleep again. Anyhow, other than that, after the peeling, it is smooth sailing from there. I finished peeling around Day 4, and day 5 - day 7 , i started my aquaphor/1% hydrocortisone combo. Further. today (day 7) i started to apply a dermaesthetics DNA Serum that my esthetician provided for me. Not sure exactly what it does, she explained to me it will help hydrate and heal my skin, so ill be applying that as well. So i think around day 7 you do not need to apply anymore aquaphor because all the peeling is definitely done by than. So I will just be using the 1% hydrocortisone until i finish the tube, as well as the DNA serum until i finish the bottle. Also, Ive been living like a vampire in my room, blinds closed, no lights, for this past week. Trying to stay away from the sun rays as much as possible. But ya steady as it goes....ill be back in a month to give a 1 month post mixto # 2 update and will check periodically if any of yall have any questions, God bless. 

 

3/25/13 Day 16 Post Mixto #2

 

Hey guys, ive uploaded 4 new pics. Healing has been going well, hyperpigmentation is still active, but has been deterioriating slowly. I actually went back to work after one week, although i was still a bit red, it was good enough for me to go back to work. Since the doctor went a bit harder this second time around, ive been noticing some better improvement. Although not major, and not microscopically better, when I do look in the mirror from a distance, my face does look like its improving, which I am very happy with. I do hope that 2-3 more times of these sessions will get my face where I would like to be ultimately. But as of now, healing has been going great and hopefully ill see some more improvement in a month or so. God bless. 

 

4/7/13 Day 30 Post Mixto #2

 

Hey guys, I put up some new pictures up. Ive basically healed up, still slight hyperpigmentation @ the temple region, but other areas of my face no longer have any hyperpigmentation. Healing went well, no negative side effects. But unfortunately, a lot of my acne scars did reappear, havent noticed any significant improvement after 1 month from this second treatment (relative after my first mixto). Ill need to wait a little longer around month 2 - month 3, ill probably see some gradual improvement like I did from my first mixto. Still not satisfied however, and will definitely be going in for a third treatment by month 3-month 4. 

 

Per someones request, I have uploaded my pictures within a gallery, please see the link below. 

 

http://imgur.com/a/5p3QB

 

05/04/13 Week 8 Post Mixto #2 and Around Week 20 Post Mixto #1

 

Hey guys, Ive uploaded some new pics today shown below. I did not update the imgur though cause kind of lazy, ill update that one next time (or when I have some more free time on my hand). also excuse me for my acne! i dont know why i keep breaking out (most likely due to stress from work, studying, lack of sleep, etc). Anyways, just to give a quick update, Ive definitely noticed improvement, it might be hard to gauge from the photos, but I do notice slow and gradual improvement. As of now, I would say Im around 30-35% improved from the beginning. There is definitely a lot more work that will be needed, but it makes me happy to see how Im improving gradually and slowly, I even notice some of my deep acne scar marks filling up with tissue, which was very exciting to see. But like i said, microscopically, All the scars are still there, but macroscropically, my face does look better. I plan on going in next month again for my third treatment, Ive scheduled a date for June 8th with Dr. Rahimi, but that is tentative as i might need to go travel for work, so i may push it off to a later date that month when i do come back. Furthermore, Ive had a lot more confidence lately when i do go out such as for work or going out with friends, I know this may sound really girly, but Ive been using this neutrogena liquid foundation (non comedogenic of course) which gives my face an even skin tone (not rugged like my pics), and tends to mask some of my acne scars. My sis introduced me too it since I was desperate to find something to cover up my scars when i do go out for events/leisure, date nights, glad i found that, haha! but HOPEFULLY, these procedures will start to improve my skin more and more so that in the future i wont need to rely on that. But anyways, steady as it goes, Ill come back with another update sometime next month. Happy May guys! hope everyone else is doing great, God Bless Take Cares. 

 

 

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Edited by slee3, 04 May 2013 - 10:08 AM.


#2 awesomenesssquared

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Posted 18 November 2012 - 12:25 PM

thank you for doing this. you are helping alot of people by documenting your journey.

Keep us updated!

Thanks!

#3 pursuit of happyness

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Posted 18 November 2012 - 01:56 PM

thanks for sharing and i hope the best for you,, also i would to ask u about doxycycline?? are you know the role of it?,cuz my docter gave it for me to treat my face redness that caused from using 10%hydroxy acid exfoliator 7 months ago..

Edited by pursuit of happyness, 18 November 2012 - 01:57 PM.


#4 *Inspired*

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Posted 18 November 2012 - 02:01 PM

Thank you for sharing your experience.

You said Vicodin ES for cold sore prevention. Do you really mean Valtrex? Vicodin a painkiller. It won't do anything for cold sores.

180 micrometers (0.18 mm) is actually very superficial for scar treatment. 300 micrometers (0.3 mm) is deeper. 0.3 mm is how deep Active FX penetrates. This is the reason I chose not to proceed with MixTo.

70 MJ is the maximum energy setting for Re:pair. You can't really compare it to other lasers because every laser uses energy differently. In other words, 70 MJ is only relevant to depth when you're talking about Re:pair. You get about the same depth with Deep FX around 18-20 MJ. I'm not sure of Deep FX's setting exactly but it's much lower than Re:pair at the same depth.

I hope this treatment works for you, and am hoping for the best! Best of luck!

thanks for sharing and i hope the best for you,, also i would to ask u about doxycycline?? are you know the role of it?,cuz my docter gave it for me to treat my face redness that caused from using 10%hydroxy acid exfoliator 7 months ago..


I am using Doxycycline right now for active acne, and used it before and after laser treatment to prevent acne. Does your doctor think you have an infection? It is an antibiotic.

#5 pursuit of happyness

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Posted 18 November 2012 - 02:47 PM

yes it's oral antibiotic,i don't know if i have infection or not,and this redness is here from 7months ,so can infection still for this long period?? another doctor said to me that's may be Butterfly rash or eczema,redness make scars looks more worse:(

#6 slee3

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Posted 18 November 2012 - 03:29 PM

Yes, your right Tokyo girl, hmmmm not sure why he stated the 180 micrometers....maybe he got confused, ill need to double check with him.

Actually im a bit confused, the mixto website states that the 180 micrometer is for the deeper settings, but then contradicts itself and says 300 micrometer is good for acne scars.

http://www.mixtoskin...cians/faq3.html

not sure anymore, I emailed Dr. Rahimi, Ill see what he says.

#7 *Inspired*

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Posted 18 November 2012 - 04:19 PM

Yes, your right Tokyo girl, hmmmm not sure why he stated the 180 micrometers....maybe he got confused, ill need to double check with him.

Actually im a bit confused, the mixto website states that the 180 micrometer is for the deeper settings, but then contradicts itself and says 300 micrometer is good for acne scars.

http://www.mixtoskin...cians/faq3.html

not sure anymore, I emailed Dr. Rahimi, Ill see what he says.


On the MixTo site, they're talking about spot size, not depth, when they mention 180 micrometers vs. 300 micrometers. 180 micrometers is actually their microfrational spot size. I don't see any mention about depth on their site but I do know MixTo has a maximum depth that's a bit more than Active FX.

I guess Rahimi was mentioning spot size, not depth. I was confused by your comment because I was thinking about depth. I assume the Watts determine the depth. Can you ask Dr. Rahimi how deep MixTo actually ablates at the settings he provided you? I'm really curious about the depth settings.

Edited by TokyoGirl, 18 November 2012 - 04:46 PM.


#8 *Inspired*

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Posted 18 November 2012 - 05:28 PM

I just came across a MixTo study. You might find it interesting:
http://derm.md/dev/l...White paper.pdf

It discusses the settings (index & watts), 20% vs.100% ablation modes, depth and spot size a bit. According to the study, MixTo has a depth of 20 to 500 microns (0.02 to 0.5 mm). I'm not sure if that's ablation depth or total depth (ablation plus heat).

#9 DRaGZ

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Posted 18 November 2012 - 08:22 PM

I forgot where I read the study, but the ablation depth for the Mixto is not as deep as the Re:pair or DeepFX, but the heat value is much higher and goes deeper than any other laser. Apparently, this is why they had to do the weird lasering quadrant pattern for the Mixto whereas Re:pair and DeepFX did not, because it was just so much dang hotter, and that is likely where there is less actual ablation.

Basically, it'll heat up the skin deeper than other lasers (other than probably the SKAAR FX), but it doesn't ablate as much. Mixto has apparently been an oddity amongst fractionally ablative lasers and some doctors wonder if this means it's better or worse because it's so much hotter but doesn't ablate as much.

When I have some time, I'll find the study and post it.

Edited by DRaGZ, 18 November 2012 - 08:24 PM.


#10 slee3

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Posted 22 November 2012 - 11:25 AM

Thank you for sharing your experience.

You said Vicodin ES for cold sore prevention. Do you really mean Valtrex? Vicodin a painkiller. It won't do anything for cold sores.

180 micrometers (0.18 mm) is actually very superficial for scar treatment. 300 micrometers (0.3 mm) is deeper. 0.3 mm is how deep Active FX penetrates. This is the reason I chose not to proceed with MixTo.

70 MJ is the maximum energy setting for Re:pair. You can't really compare it to other lasers because every laser uses energy differently. In other words, 70 MJ is only relevant to depth when you're talking about Re:pair. You get about the same depth with Deep FX around 18-20 MJ. I'm not sure of Deep FX's setting exactly but it's much lower than Re:pair at the same depth.

I hope this treatment works for you, and am hoping for the best! Best of luck!


thanks for sharing and i hope the best for you,, also i would to ask u about doxycycline?? are you know the role of it?,cuz my docter gave it for me to treat my face redness that caused from using 10%hydroxy acid exfoliator 7 months ago..


I am using Doxycycline right now for active acne, and used it before and after laser treatment to prevent acne. Does your doctor think you have an infection? It is an antibiotic.


Yes your right, i mispoke, I corrected my orignal post. He prescribed me acyclovir tabs to take one day before and one day after to help prevent possible cold sores/viral infections. He prescribed Vicodin ES just in case the pain is too intolerable after the surgery. He said 90% of the time tylenol will do the job but wants me to have the vicodin just in case. 180 microns is *NOT* the ablation depth, but rather diameter of beams, supposedly the finer the diameter the better ability to go in deeper, makes sense since the intensity or rather the Energy per unit area will be much greater therefore having a higher intensity and better ability to ablate deeper acne scars.

Edited by scottjlee333, 22 November 2012 - 12:02 PM.


#11 *Inspired*

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Posted 22 November 2012 - 11:53 AM

I've read the finer spot size allows for deeper penetration. Good luck with treatment!

#12 slee3

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Posted 15 December 2012 - 07:06 PM

Updated original post.

#13 acnescar123

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Posted 16 December 2012 - 02:15 AM

Good luck, hope it goes well for you. Keep us updated!

#14 rentedname

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Posted 16 December 2012 - 08:31 PM

good luck man. will be following your thread.

#15 slee3

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Posted 17 December 2012 - 01:32 PM

12/17/12 updated original post.

#16 slee3

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Posted 19 December 2012 - 02:19 PM

12/19/12 Day 5 Update.

#17 rentedname

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Posted 20 December 2012 - 01:48 AM

Nice, I can definitely see the improvements. The temples look dramatically different and the cheeks look better. thanks for the updates dude

#18 DRaGZ

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Posted 20 December 2012 - 09:11 PM

I'm honestly really happy to see it's working out.

I was honestly originally very uncomfortable about posting my pictures online, since I tend to be a pretty private person about personal matters, but I decided to do it because I had never really seen any other definitive postings about the laser resurfacing process. So, to see that it's actually had enough of an impact to make others braver and more informed about their own scar treatments has made it all worth it.

#19 blahblah82

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Posted 21 December 2012 - 03:38 AM

Looking good so far. Having gone through the process myself, I would encourage strict sun avoidance as the hyperpigmentation usually sets in at the 3rd or 4th week.

Can you clarify a couple things? When you say you've been getting HA injections, do you mean you've been getting fillers of some sort like Restylane / Perlane / Juvederm? I'm confused because I didn't think estheticians are able to do medical procedures like filler injections. Are you referring to facials with topical hyaluronic acid? I've seen those advertised in med spas before so I'm wondering if that is what you are referring to.

Also, did you have subcision done as part of the package? I remember Dragz stated that his included the subcision as well. From your pics, it seems like you didn't really have any rolling scars, so that may not have been appropriate in your case.

Good luck.

#20 slee3

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Posted 21 December 2012 - 12:39 PM

Looking good so far. Having gone through the process myself, I would encourage strict sun avoidance as the hyperpigmentation usually sets in at the 3rd or 4th week.

Can you clarify a couple things? When you say you've been getting HA injections, do you mean you've been getting fillers of some sort like Restylane / Perlane / Juvederm? I'm confused because I didn't think estheticians are able to do medical procedures like filler injections. Are you referring to facials with topical hyaluronic acid? I've seen those advertised in med spas before so I'm wondering if that is what you are referring to.

Also, did you have subcision done as part of the package? I remember Dragz stated that his included the subcision as well. From your pics, it seems like you didn't really have any rolling scars, so that may not have been appropriate in your case.

Good luck.


Hello Blah Blah,

Are you referring to facials with topical hyaluronic acid? Yes I was referring to that, as she would place the hyaluronic acid liquid all over my face and start needling my face intensely. That is what I meant by HA injections, sorry about that confusion.

I wasnt aware of rolling scars myself as well, but Dr. Rahimi said I did have a couple, he actually only did the subscisions in like 3-4 areas near the middle of the temple/cheek region (near my eyes). I guess I did have some that i wasnt aware of.

but yes it was part of the package, he did it right after the laser session.





Also tagged with one or more of these keywords: ice pick, co2, fraxel, cortisone, needling, aha, alpha hydroxy acid, concealer, hyperpigmentation

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