So more than 2 and a half weeks ago I had subcision and fraxel repair together to rid myself of burn scars that I received six years ago from using a glycolic acid peel. The texture of those scars are now poreless compared to my surrounding skin and only on my right cheek is the one scar red at times while the two scars on my left cheek are fortunately the same skin colour as my normal skin tissue. I have had over 6 years of laser treatments (probably over 30 laser treatments with all kinds of lasers including several with Co2, Sciton Microlaser peel, IPL) so when people talk about having microswelling two to three weeks or even a month down the road that's not how my skin heals or reacts to lasers (I will only have microswelling for a week before everything goes back to normal) and I am a fast healer with thick oily skin and my skin seems to handle very aggressive treatments quite well. I am light pink right now and occasionally my skin goes pale again.
My burn scars were atrophic, as well as slightly hypertrophic in nature. They were deep enough to be labelled as severe and now they are in the shallow category (basically the borders of the burn scars are slightly showing but makeup is a lot easier now and I use dermaflage to blend in the borders) and the texture on the left cheek is improved and right cheek it is smoother but the left experienced the best results.
First my doctor did subcision on all my scars. He said they were slightly bound down but not too terribly and I had two dermatologists working on both cheeks for the subcision part. They used the Nokor needle. I experienced no bruising or swelling.
Next one doctor did my full cheeks fraxel repair (my forehead and nose and chin and eyes area are all smooth). The settings were 60 mj and at a density of 40 percent. I will insist on higher settings next time because my skin takes it very well and I am always told I have a very high pain tolerance, as I barely flinch when I get procedures done but it helped that they had used nerve blocking on me.
My conclusion is subcision combined with fraxel repair will work for most people at the highest settings. I had limited ice pick, rolling and boxcar scars that people talk of as I had wider burn crater scars (3 of them in total while surrounding skin had healthy skin) so it definitely worked in diminishing those and one looks like it's almost disappearing into my skin now. My doctor had to remove a lot of my healthy skin surrounding that damage in order to get the cheeks levelled out and he did multiple passes (probably 12 throughout four divided sections of my cheeks as I was trying to keep count lol)
On icepick scars it can make the scars more shallow but it'll still somewhat be there as I am aware those are harder to get rid of. It softened up my two rolling scars on my lower cheeks so with makeup you can't see any of this and can only see it very up close without it.
My only concern is if you are oily skinned you can form new enlarged pores and I did notice that on both my cheeks that I seem to have extra pores that sprouted out of nowhere after the Repair but I am aware that my collagen is still building and I am also aware that oily skinned people can experience this negative side effect after an invasive treatment like this.
If anyone has any questions feel free to ask! Also if anyone has any advice on what I can do about the pores which are more like scarred and stretched pores that would be great! I have had one needling session done last year by a professional with a tattoo gun and that worked really well on a forehead line and making my scars look softer. I am considering getting more needling done once I am done with my second Fraxel repair and also thinking of getting TCA peels on those damaged pores.