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(Photos) What Scars Do I Have? How To Get Rid Of Them?

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I have quite a lot of scars on both cheeks left by acnes for a few years. Recently, most of the time when the acnes are gone, they leave scars on my face even though I didn't pop them out. I just use Dan's BP treatment until they go away. I got 2 new scars right between the two eye browns and a few on the two sideburns. It's very annoying looking at the scars. They seem to get worse recently. I'd like to get rid of them or at least make them look not noticeable. I'm asian, in my late 20's, healthy, fit, non smoker, not a heavy drinker, no stress.
I'm in the mid-west US, close to Chicago. What scar treatment should I do? Any good dermatologist would you recommend?
Thanks,

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You look like you have a mix of ice pick + smaller boxcars + big pores. Sadly this type of scarring is the most difficult to treat - but minus a few, they seem fairly shallow/small.

You're most likely going to need more than one treatment "type" - I would look into retin a + tca cross + fractional co2 + needling. If none of that works, you have the option of excisions (punch float) + dermabrasion (just keep in mind these carry a lot of risks).

Personally I would start using retin a to generally make your skin/pores look better and then tca cross on the ice picks and either laser/needling on the scarred areas (you'll need more than one session).

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wouldn't peels make them less noticeable as well?

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Glycolic peels might help with the hyperpigmentation.

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You look like you have a mix of ice pick + smaller boxcars + big pores. Sadly this type of scarring is the most difficult to treat - but minus a few, they seem fairly shallow/small.

You're most likely going to need more than one treatment "type" - I would look into retin a + tca cross + fractional co2 + needling. If none of that works, you have the option of excisions (punch float) + dermabrasion (just keep in mind these carry a lot of risks).

Personally I would start using retin a to generally make your skin/pores look better and then tca cross on the ice picks and either laser/needling on the scarred areas (you'll need more than one session).

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retin a is helping me get rid of scarred pores and small pits so i know peels would

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retin a is helping me get rid of scarred pores and small pits so i know peels would

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thats so crazy ...retin a is eating away old skin ...my face has peeled so many time since i started using it 4 weeks ago or so ...and i'm planning on using it for good ...check out the 70yo man on www.owndoc.com that uses it regular he looks really young!

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thats so crazy ...retin a is eating away old skin ...my face has peeled so many time since i started using it 4 weeks ago or so ...and i'm planning on using it for good ...check out the 70yo man on www.owndoc.com that uses it regular he looks really young!

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i don't know ..is a box scar like a pit? u should prolly single needle them ...but i don't know much about it ..i just roll my face every month or so ...

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if you look at my photos, they are the indented scars that look like a square box.

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Has any got good result treating boxcar scars with dermarolling and retin-a? Please advise.

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Has any got good result treating boxcar scars with dermarolling and retin-a? Please advise.

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I have a pretty good sized boxcar that has responded pretty well to the needling. It will take many months though, before you see enough improvment to get excited about. a year or more to really see them "go away". I've been doing the rolling for about 5 months now, and it's made a huge difference, but you have to eat very very healthy and take msm and hyaluronic acid and plenty of vitamin c. I use copper peptides and a retinol product post roll. I do the "big roll" (1mm roller and 1.5mm stamp for trouble areas) about once a month and "small rolls" with a .5mm roller a couple of times a week for topical absorbtion. It's been very productive. I was comparing before pics to now pics last night and the results are there for sure. I will probably never stop dermarolling forever. I did a tca cross for my ice picks 8 days ago. They're healing nicely, and I am optimistic that the TCA cross is going to help me but it's going to take a number of treatments by the looks of it, and it's a laborious and mentally taxing process to be sure. Didn't want to even go out for the first few days because it looked like I had cold sores all over my face. I have decided that I am just going to have to suffer through it for a while. I want my old self back.

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I have a pretty good sized boxcar that has responded pretty well to the needling. It will take many months though, before you see enough improvment to get excited about. a year or more to really see them "go away". I've been doing the rolling for about 5 months now, and it's made a huge difference, but you have to eat very very healthy and take msm and hyaluronic acid and plenty of vitamin c. I use copper peptides and a retinol product post roll. I do the "big roll" (1mm roller and 1.5mm stamp for trouble areas) about once a month and "small rolls" with a .5mm roller a couple of times a week for topical absorbtion. It's been very productive. I was comparing before pics to now pics last night and the results are there for sure. I will probably never stop dermarolling forever. I did a tca cross for my ice picks 8 days ago. They're healing nicely, and I am optimistic that the TCA cross is going to help me but it's going to take a number of treatments by the looks of it, and it's a laborious and mentally taxing process to be sure. Didn't want to even go out for the first few days because it looked like I had cold sores all over my face. I have decided that I am just going to have to suffer through it for a while. I want my old self back.

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I have a pretty good sized boxcar that has responded pretty well to the needling. It will take many months though, before you see enough improvment to get excited about. a year or more to really see them "go away". I've been doing the rolling for about 5 months now, and it's made a huge difference, but you have to eat very very healthy and take msm and hyaluronic acid and plenty of vitamin c. I use copper peptides and a retinol product post roll. I do the "big roll" (1mm roller and 1.5mm stamp for trouble areas) about once a month and "small rolls" with a .5mm roller a couple of times a week for topical absorbtion. It's been very productive. I was comparing before pics to now pics last night and the results are there for sure. I will probably never stop dermarolling forever. I did a tca cross for my ice picks 8 days ago. They're healing nicely, and I am optimistic that the TCA cross is going to help me but it's going to take a number of treatments by the looks of it, and it's a laborious and mentally taxing process to be sure. Didn't want to even go out for the first few days because it looked like I had cold sores all over my face. I have decided that I am just going to have to suffer through it for a while. I want my old self back.

Congrats on your progress. Do you mind posting the before and after pictures?

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macnoob, I posted some pics in my gallery to show the overall progress of the deep pitting in my right cheek. what the photos don't clearly show are the small ice picks and boxcar scars riddled throughout the pit, and scattered around my face. as I started out, the deep pit in my cheek was my main concern. for only 5 months, I think the progress I have made is outstanding. I can't believe how much the pit has puffed back out. this is the first time I have been able to make a side by side comparison even for myself. if you look in the center of the pit, you can see a small dark spot, that is my boxcar. in the later pics, you can see that the dark spot has become lighter as the boxcar has also improved. I think this is a strong case for the effectiveness of needling. but diet and topicals are crucial.

one of the people I work for pulled me aside last week and told me that whatever I was doing, I should keep doing it because my face was looking a lot better. and the guy who did it doesn't do things like that. so, it made me feel pretty good.

i realize my example isn't like your scarring, but the ice pick type scars i do have have also softened and improved with the needling, but it think it would take a year or two to make enough of a difference for you to be totally happy with, unfortunately. I have seen some pretty good examples of excision followed by lasers that worked for your type of scarring, but finding a really good plastic surgeon would be absolutely the key to your success, and it likely wouldn't be cheap. and there is the chance a few of the excisions might fail. do a search for excision followed by laser and see what you think.

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