Since I recently moved and there is this top doc plastic surgeon nearby I went in for a consult on anything and everything he does for acne scars. I have to say he is one the most honest doctors I've ever talked to. He told me right off the bat I probably won't be satisfied with any of his treatments and they are all very costly. We talked about subcision and how I've had two other doctors tell me I wasn't a great candidate for it, perhaps my scars aren't tethered much. Well he said ALL scarring is tethered to some degree or it wouldn't be scarred, but the one's with the deepest scarring are the one's who see the greatest improvement from subcision. He said at most I could hope for 50% improvement and to be honest that is pushing it, from one subcision. And get this, he would charge me $2000 for just a few spots! That is too much $$ for me but I understand he is in demand because of his great reputation. I would give his name but they make you sign a confidentiality agreement so I'd rather not. But I have nothing negative to say about him so it probably wouldn't matter, if you are interested pm me.
So then we were talking about fillers, he said fillers will help some after subcision, but on their own they are pretty worthless. I asked him if he'd read the subcision suction method, I said I saw the document from a medical journal online and he goes on to tell me he has edited journals before and a lot of these studies are not done properly, etc. and you can't just look at any study online.
He says lasers are pretty much crap for scarring. He said he can get rid of sun damage, wrinkles, everything else but scars. He said the improvement he has seen in acne scars from laser in his experience, (and he has done a lot of erbium fraxel and full resurfacing procedures) shows only little improvement and his patients are generally unsatisfied, but sure if I want him to laser a spot he will do it, but later I learned the prices are astronomical for even a few spots, like $3500!!
I asked him in theory what he thought about silicone microdroplet (I didn't tell him I'd had a little put in before without much improvement) he said he doesn't do it, never would do it and has seen bad complications from it. He said Priscilla Presley had it done in microdroplet form (I had thought she'd got a lot in at once) but he said no they've been doing microdroplet, and her face is horrible, she has granulomas. Well that got me depressed I may have complications one day again.
So, I will probably continue on with my dermastamping or single needling as this whole business about going to the doctors seem a waste. He did tell me I should feel good my scarring is not worse. I asked him about excision and he said he would only do scalpel excision on me if I was worse, because the scars it leaves would ultimately be worse.
Hope this helps someone!
Edited by tricia, 25 January 2013 - 12:25 PM.