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Just had CROSS treatment using 100% TCA!

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Imbue:

Yeah my scabs start falling off on day 6, but only continue until about day 8 or 9. I wonder if your treatment was a little deeper? :-k

This last treatment I had was more aggressive. Maybe it will take longer. Or maybe I just heal faster. I apply Bacitracin or Neosporin everyday. What do you use?

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Stefany,

You should not moisten your scabs because that is the reason they are coming off so quickly. Having them come off too soon is not a good thing in this case.


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I am new to this forum - I live in Toronto, Canada and my doctor told me about this new treatment and asked if I wanted to try it and I decided to go ahead with it - but just on around 5 icepick scars on the side of my nose. He said he would do more if we get good results.

I just went in for my second treatment after 1 month.He told me to apply polysporin ointment for 3 to 5 days - then scabs formed and fell off 4 or 5 days later - but the skin remained red - even after one month.I asked him how long it would stay red and he said he didn't know?

Have others who have had this treatment experienced this prolonged redness too? Did your doctors tell you when the redness would fade? I find it hard to see if there is an improvement while my skin is still red?

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Imbue,

My doctor disagrees with the theory that you shouldn't moisturize after so many days. He believes keeping a wound dry would only cause more problems.

Butterfly200,

I have redness too, but it usually goes away after 2-3 weeks. Maybe you should be using hydroquinone and Retin-A? I will be starting on that regimen on Day 7.

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Stefany and Butterfly,

I am curious to know whether or not you have seem a marked improvement in your scars since having the TCA spot peel done.

Butterfly,

I am most interested to know more about your experience - for 2 reasons. First I also live in Canada and would go to Toronto if this procedure would help. Secondly the scar that bothers me is an ice pick scar on my nose. Please let me know the name of your Dr. and how I could contact him/her. Also, please let me know if you are happy with the results. Do you still have redness? I had laser and dermabrassion on my nose and the redness persisted for quite some time (3-4 months).

Eddy.

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Have others who have had this treatment experienced this prolonged redness too? Did your doctors tell you when the redness would fade? I find it hard to see if there is an improvement while my skin is still red?

Have you completly stayed out of the sun and used a hat with sunblock at all times outdoors? Also the nose heals differntly than other areas of the face, so perhaps you will need an IPL treatment when you are done with the local TCA peel.


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Eddy

I don't know where you live in Canada - but probably some local dermatologists in your area may know about this. The doctor I went to is Dr. Howard Bargman - he is the head of the laser department at Sunnybrook Hospital in Toronto (416-493-0606). He has only tried this on 4 or 5 patients so far, but he said he was impressed with the results reported in a medical article he read. He charged me $150 each time.

Because of the redness, I can't really tell if there has been improvement yet - after the second treatment, he told me not to come back for 8 weeks so hopefully by then I'll be able to tell.

Stefany

When you mentioned hydroquinone and Retin-A for redness, I was wondering if these might help me with another problem I have. I had dermabrasion done quite a few years ago and always kept out of the sun - but stupidly I got careless and got my skin sunburned last summer.

Now I have a real difference in the pigmentation of my skin - the dermabraded skin is alot whiter then the rest and this makes my scarring so much more noticeable. I thought this would go away with time but even after a year there is still quite a contrast in pigmentation. Before this I never even used to use makeup and noone gave me a second look , but

now even with makeup I get looks from people which makes me realize how more noticeable it is than before. Do you think hydroquinone and Retin-A would help lighten the darker pigmented areas - I am also wondering if IPL treatments might help.

Has anyone else with dermabraded skin had this problem?

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Butterfly,

Thank you for providing the information. I live in Montreal - traveling to Toronto is not a problem. I have an appointment with my derm tomorrow. I am really hoping he will be able to help me. I have this scar on my nose that really controls my life. I have already had the scar punchgrafted, followed by laser surgery. Then had the area dermabraded and finally last november I went to another Dr. who excised the scar. After all that I still don't like the scar. Actually, I think the scar looks worse than it did before I started all this - maybe not but my self esteem is lower than it was before I started all this. I keep searching for something that will make my scar less noticeable. Maybe subcision? Maybe needling? or maybe CROSS is the answer? The search continues....

Eddy.

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Butterfly:

Retin-A and 4% hydroquinone are a powerful combination in getting rid of hyperpigmentation. I would try it if I were you. Let us know if you decide to try it.

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Eddy

I know exactly how you feel - I also had some scars excised and ended up with scars that looked worse than the original - I was devastated and it really affected my self esteem. Luckily I had a few dermabrasions done afterwards that helped quite a bit. Unfortunately now I have the pigmentation problems to bug me. I tell people I know how bad my scars make me feel but they always make light of it and say I make too much of it. People who have not experienced the psychological effects of acne as well as the resultant scarring just don't understand how it effects the way you feel about yourself and also your ability to socialize - it has been many years that I have been dealing with skin problems and it still bothers me soooo much. I hope the TCA Cross will help all of us!

There should be some doctor in Montreal who knows about it. Good Luck!

Stefany

Thanks so much for the info - I will ask my derm about it. Maybe some kind of face peel might help too.

Dealing with skin problems really does seem like an endless quest sometimes!

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Butterfly,

Thanks for the kind words. I just got back from a visit with my derm. He is now suggesting either dermabrasion or subcision. I told him that I had the scar excised and he replied that it look to him like the stitch opened up. I have thought the same thing for awhile?!?!?! Anyway he is not convinced that subcision will help in the nose area but said it's worth a try. I talked to him about CROSS TCA and Cooltouch and he said they wouldn't help. Crazy thing is that I wanted to ask about Smootbeam but for some reason I think I said Cooltouch - I don't know why.

To tell you the truth, I'm soo confused about what to do. I went to see another 2 Plastic Surgeons last week and one suggested to re-excise it, the other suggested dermabrasion.

I don't know which approach is best? Is each Dr. simply promoting the techniques they know, or is it that subjective that you can take different approachs towards the same goal?

Right now I'm leaning towards the subcision. I have an oppointment for end of August.

Eddy.

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Eddy

I know it is really hard to decide who to listen to - right now I am going to different dermatologists and plastic surgeons to get as many opinions as I can get. Some have suggested CO2 laser - others have said this could actually make me look worse!

Since Dr. Bargman is a laser specialist I asked him about smoothbeam and he said he has tried it on a few people with acne scarring and has seen very little improvement so he didn't recommend it. But if you read some of the postings here it seems that it has helped some people quite a bit. Like you, I am pretty confused at this point.

I'd be very careful about letting someone excise the scar, I guess since I had such a terrible outcome doing this and it sounds like you had a bad

result too. There is such a danger of getting even an uglier scar.

I've never tried subcision or needling - this might help. It is certainly worth a try and you don't have to worry about more harm being done.

Dealing with scars is such a tricky, confusing, frustrating and expensive problem!

Good luck - let us know if you find something that helps.

I have to wait awhile to see if the TCA Cross has helped - it is hard to be patient!

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It is day 8 after my 3rd CROSS treatment, and I notice quite a bit of improvement this time. The esthetician was a bit more aggressive, and I can tell it is paying off. However, my previously scabbed areas are a lot more red, but I am using 4% hydroquinone which will hopefully prevent hyperpigmentation. As of right now, I would estimate a 40-50% improvement on my less shallow scars, and a 35% improvement on my deeper ones. Collagen remodeling is supposed to continue for at least 30 days, so I will have to post again in a few weeks. :(

I am very interested to see how everyone else is doing with the CROSS.

Please keep posting.

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I haven't had the CROSS treatment myself but I thought I would just write up a short message on what I have learned. I am actually in Korea now visiting my cousins and although I am only staying a couple of weeks, I thought I would do some research on the CROSS here, seeing as it originated from Korea.

I found out that the derm who first came up with this method has several offices in Seoul (he apparently started this method in 1990 and has treated more than 3000 CROSS cases since then). I logged onto his clinic's website and found several "after-treatment-experience-logs" written by people who've had the CROSS treatment done. Quite a few of them had done it 4-5 times and nearly all reported really good results. Some of them sounded deliriously happy. A couple of people reported no results at all after 2 treatments but I would have to say most of the people seemed very happy. One patients wrote that the CROSS method seemed to work faster on scars on the temple area and much slower on the cheeks. In the Q & A section, the doctor recommended CROSS for acne scars as well as scarred pores. He says CROSS works for scarred pores just as well.

I also found a book on acne treatment that the same doctor wrote (yes, I have made this trip my "let's find out all about CROSS treatment" trip...) and in it, there is a before and after picture of a patient who's done 5 CROSS treatments. I must say the after picture was quite impressive. The only bad thing about this doctor/practice seems to be that he is quite expensive but patients seemed happy with the results and after-care. He also sounds like he is super sympathetic.

I know this won't really help you guys hoping to get CROSS done in the States and elsewhere, and believe me, if I could take a year off, I would move in to my cousin's house here, just work on my scars and start an online diary on my improvement =P~ . Especially because it looks like a lot of the derms here specialize in scar treatment. But I just wanted to share what I learnt. Hope this helped.

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Just consulted with my esthetician yesterday and I will have my 4th CROSS treatment this Wednesday. I have mild hyperpigmentation, so she increased my 4% hydroquinone to twice per day---at night I mix the hydroquinone with .025% Retin-A. In addition, I am using Biomedic cleansers and Glyderm exfoliants. My skin keeps improving----my rolling scars are at approximately 35-40% improved, and my more shallow scars are at approximately 50% improved.

My next treatment will consist of a 2% bleaching peel with a 45% Lactic Acid peel, dermaplaning, and of course, the TCA spot peel. I am really excited. Will post after my next treatment.

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Hi Stefany,

I'm getting my first TCA CROSS done next month by Dr.Ridenour(Only on my nose area).

Can I face the public after two days without any makeup(I'm a male, so I don't like to put makeup).

What should I cover it with?

What if I cover it with a Adhesive Bandage for couple of days?

I heard that the redness last upto about four weeks.

Please let me know your suggestions.

Thanks,

Morris.

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Morris:

After 2 days, you will have reddish-brown scabs that will be quite apparent. I realize wearing makeup may not be too exciting for you, but it does help conceal the treated areas. I have been using Almay foundation and concealer, however, I will be switching to GloMinerals makeup which Dr. Ridneour's office carries. It is supposed to be much healthier to use after chemical peels.

As far as a bandage, I am not sure what to tell you. I have been told that leaving the treated areas exposed to air, but moisturized is the best way to go. Of course, Dr. Ridenour can explain everything to you in detail. I must have e-mailed him a dozen times before my procedure! He is a great guy and doesn't mind answering all your questions. Feel free to PM me anytime! :)

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Hi stefany,

Thanks for all your suggestions and info.

I will talk to the Dr. about make up or any other

meathod to cover my nose.

I hope that I won't get any new acne by putting makeup.

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Hello... I was all set to try this treatment myself... yet when I tried to order the 100% TCA online from that website, Fisher Chemicals... they called me and told me that they cannot sell any chemicals unless 'your company has an established account' with them..... so I was wondering if anyone knew of anywhere else to buy the TCA online?

Thanks...

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Stefany - I read your updates with continued interest and excitement - I'm so happy for you to be getting these improvements. I really appreciate your informative posts. Thanks :D


The difficulties of life are intended to make us better, not bitter.

EDIT: Maya is a former moderator but unfortunately no longer posts here.


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Hello... I was all set to try this treatment myself... yet when I tried to order the 100% TCA online from that website, Fisher Chemicals... they called me and told me that they cannot sell any chemicals unless 'your company has an established account' with them..... so I was wondering if anyone knew of anywhere else to buy the TCA online?

Thanks...

I really hope you don't find this acid and scar your face worse.


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Thanks for your concern... lol..

I actually did locate the acid, yet have changed my mind about trying this myself... as I learned a serious lesson when I burned myself to a frost with salycilic acid attempting to test spot an area for an 'at home peel.' After twelve days I am still healing from that.

About scarring my face any worse... its hard to think it could get much worse than it already is. :)

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Yeah - I attempted the cross method with the glycolic acid and it's scabbed up now - but I am loathed to attempt the TCA myself now because the wierd thing is, I managed to get the glycolic on areas of my skin (such as ALL OVER my nose) without even knowing it. I think putting acid on your face when in a sitting up position also allows for the error that the acid drips down your face - guess it would be easier for someone to apply while you are lying on your back.

I am still going to continue with the glycolic cross method (poor man's cross method he he..) - I feel hopeful about it - ultimately, isn't the objective to get the pits to scab, causing some minor injury so that collagen improves? Then does it matter which acid you use to achieve this?


The difficulties of life are intended to make us better, not bitter.

EDIT: Maya is a former moderator but unfortunately no longer posts here.


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Maya,

That's exactly how I felt. I'm guessing all the acids worked the same by causing irritation and forcing the skin to heal itself, hoping it would heal better. I actually only used 30% glycolic and I eventually found a method that worked, which was to mimic the cross method exactly and using a toothpick. Using a Q-Tip will NOT work because it's just too big and it has too much coming around the sides of the Q-Tip. Also, don't get a whole drop onto a toothpick so that you can put the entire drop into a pit. That was another mistake because then it damages too much of the edges of the scar. Just poke a toothpick into the acid so that you don't see a drop of it or anything, just that the toothpick is covered and glistening, then hold it against the middle of the scar. If the scar is big, then try doing it twice, moving the toothpick the second time to an area that wasn't being touched before. The thing to learn is that you can never be too careful. Don't be lazy trying to do too much at once. You can always repeat it if you get good results, but if you get bad ones, then if you do too much, you're stuck..

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