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Member Since 18 Aug 2012
Offline Last Active Sep 08 2014 01:21 AM

#3440021 Tightening Skin

Posted by acnescar123 on 08 July 2014 - 12:34 AM

+1 to subcision + sculptra. Finish it off with some facial hair and you'll be good to go.


Fat grafting won't do much for acne scars - since fat is too soft/palpable and sinks back down with the scar.


Your main temporary options are hyaluronic acid fillers - which are more for finishing touches and not overly deep scars and they last 6 months - a year OR something like sculptra/radiesse - which is more a deep filler and it works kinda like scaffolding attracting collegen to grow - it lasts about 2 years. Personally I think sculptra is the best filler to mix with subcision. The main goal of fillers isn't really to improve your result, it's moreso to prevent the scar bands from reattaching after subcision. Also a lot of doctors will mix different fillers together to give a better result.


For Rob, I feel like these scars are perfectly suited for subcision and volume replacement with fillers.  In general fat doesn't seem great for small indentations, but are good for large areas of volume loss.  For example, if your acne caused so much scarring that there is volume loss in the cheeks, ie sunken cheeks, then I can see how fat grafting would help replace that volume and give a more normal contour.  If you have small but numerous indentations, then most doctors I've read on Realself say fat is too globular and lumpy to be injected smoothly beneath a small indentation.   


Also, in the fat grafting pics on that doctor's site, notice that they all had significant volume loss in the cheeks.  That is why fat grafting was appropriate.  If say they had smaller, but numerous indentations, fat probably would not have worked so well.  Isn't it also interesting how acne scarring can age a person through the loss of volume?  





What kind of fillers are we talking here?

In my opinion they are worthless since they dissolve after few months and the scars reappear again.

Best solution here are the permanent ones but they come with some risks. Also a lot of doctors on realself claim that its difficult to get good results on acne scars with fat grafting.

Best results ive seen were done with silicone injections and they are permanent.

#3439303 Recommendations For Reliable Sources For Diy Scar Treatment

Posted by acnescar123 on 03 July 2014 - 10:23 PM

For the "official" stuff:


The official dermapen is ~$400 for the personal (fixed needles - sold with 0.5mm but you can swap out to 1.5mm ($75 for 5)) and although prices aren't listed, I'm gussing ~$700 for the professional and ~$1000+ for the medical version.


The my-m http://bellaireindustry.com/my_m.html you can get the official version for around $450-$500.

The mesopen http://www.bellairei...om/mesopen.html - not sure on price.

The eclipse http://www.eclipsemicropen.com/ is around $3000 for a full medical starter kit with materials + needles and such.


Keep in mind disposable costs for the needles as well.


The you have the better quality knockoffs like:




Which IMO - I would rather pay extra for the "official" versions.


The cheap knockoffs, no idea - but I would be somewhat scared of blunt needles.


This thread might help as well :



Another option that can be looked into is a tattoo gun and doing "dry tattooing."




TCA you should be able to get here:




Scroll down for the higher concentrations. Ie I think :







#3439298 Deep Scar / Ice Pick Scar Cure By Water Fast

Posted by acnescar123 on 03 July 2014 - 09:40 PM

Glad to see Panos back on the forum. crazy2.gif

#3397143 Does Moisturization Helps Scars To Fade?

Posted by acnescar123 on 25 November 2013 - 11:25 PM

My scars look better after appling moisturizer as well - but next day they're back to normal. Think it just looks better while its applied.

#3354411 Mixto Sx Co2 Fractional Laser Surgery Diary: Asian With Ice Pick Acne Scars O...

Posted by acnescar123 on 02 June 2013 - 11:09 PM

Collegeboy - that's most likely because traditional co2 doesn't go deep at all




I think what most likely happens is that the top of the columns gets healed quickly (within the 1-2 weeks) and then the columns underneath the top layer take a few weeks to properly build up collagen and thus why you notice a plumping effect a few weeks later. I don't think they need to go deeper than the scar itself, but they need to go deep enough to hit the bottom of the scars. Technically speaking - I don't think blood matters a lot with lasers as in principle lasers are supposed to coagulate the blood vessels at the same time as they burn it off.


Also from what I understand, almost all fractional co2 lasers can reach similiar power settings - it's just based on the doctor to properly set them up (except the ultrapulse which can reach 100% ablation).


According to slee's post - his doctor used, "7/20/9 or 7/20/10" which is an index setting of 7, density of 20% and a power setting of 10 watts which on the mixto website are the base settings for acne scars:

"21. What is the best setting for acne scars?  Use the 300µm spot - start with a setting of 12 Watts and Index of 7 with a density of 20%. For sever acne scars a double pass or an increased density of 40% could be chosen if clinically indicated."


However, if the doctor wants -


"The MiXto does have the ability to go as deep as our competition when using the 180µm handpiece with the proper Wattage and Pulse Duration, however clinical evidence is showing that while using the 300µm handpiece, at 10-12 watts, 20- 40% density, and an index of 6-5 (3.5-4ms) in enough to produce significant skin tone, color, and skin tightening results while maintaining patient comfort and satisfying their expectations."


Now in terms of depth - the mixto can go up to 500 microns, whereas the deepfx can go up to 1600 microns BUT the epidermis of the skin is only 100 microns (1600 microns is something you use for scars on the back for example). Since he's using a power setting of 10 and the mixto can go up to 20 (for 500 microns) - he's probably at around 250 microns of depth.


Personally speaking with a lot of the stuff you read online about lasers, you have to take into account skin tone, treatment parameters, type of laser etc. I haven't read too many reviews of people who actually knew they were treated at the maximum settings with a fractional co2 laser and with 2-3 treatments (and there are a lot of people who can't use the maximum settings ie asians).


I think the key to treating acne scars with fractional co2 is power + depth. If you do too much power - you won't reach deep enough to treat the scars and if you do too much depth but not enough power - you get activefx/fraxel restore. Ideally you should be at 500+ microns with a 40%+ coverage


The energy setting doesn't matter too much as that is just the power it needs to reach a certain depth i.e.




Most doctors only go until they hit the reticular dermis - which is ~300-700 microns in depth (as there is no more tissue to ablate). The issue with icepicks though is that they're usually around 2000 microns in depth (boxcars are ~500) - this is why the top of the scar will improve and look softer, but the scar itself is too deep to actually improve. Dermabrasion is usually around 300 microns and Phenol peels are 500-1000 microns. The new scarfx is 4000 microns.


The reticular dermis beings around where the pink ends in the pictures:



#3333176 Fractional Co2 Laser Results

Posted by acnescar123 on 13 March 2013 - 06:01 PM

I think most of them do 2-3 treatments in a span of 2-3 months and then wait 3 months to see what happens. That seems to be the ideal thing to do - if you can combine it with subcisision, even better.


For ice picks I would look into tca cross first, laser after.

#3333113 Fractional Co2 Laser Results

Posted by acnescar123 on 13 March 2013 - 12:05 PM

Too see reasonable improvement - you would need at least 2-3 sessions over at least a 3 month period (ideally longer though) + a few more months to see the actual final results (3-6 months).



i havent had it done but might do it in the future. i saw a plastic surgeon who said i would need 5-6 treatments spaced one month apart. i think he mentioned something about how it takes months for collagen production and that i would start to see results after a few sessions so i am guessing at least 3-6 months or so. 


That sounds more like fraxel restore, not a co2 laser.

#3332047 Silicone Microdroplets Doctor In Southeast

Posted by acnescar123 on 09 March 2013 - 12:52 PM

Maybe it might be worth contacting Dr Lam and asking if there's a doctor in your area he knows/recommends?


Here's some I found on google:


http://www.onlyfaces...ble-fillers.cfm (scroll down to the silicone part)