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Member Since 18 Sep 2012
Offline Last Active Yesterday, 01:25 PM

Posts I've Made

In Topic: Stay Away From Restylane And Other Fillers

30 June 2015 - 07:54 AM

Why ?  Subcision and fillers work.  

In Topic: Pmd Tore Up My Skin-Now What? Please Help Photo Attached

28 June 2015 - 06:55 PM

Good to hear.  

Actually I don't think what you saw was an actual indentation.  What I really think happened was that the suction made the skin inflamed and it became swollen around the area where you lingered too long.   Basically the skin surrounding the target area was puffy, so of course the area in the middle would look indented.  The red, inflamed skin probably also made it look more indented than it actually was because it looks like it is in shadow.  

In Topic: Subcision Improvement

25 June 2015 - 06:54 PM

Well in this case you do want SOME atrophy, because you are trying to flatten what is essentially a lump of scar tissue under the top layer of skin.  Kenalog will definitely bring this down if a strong enough dose is injected.  A concentration of 2 mg/ml is not going to do much for a mass of scar tissue like that.  Thanks for the pic.  I see what you are saying.  

Personally, I'd try the Kenalog and 5-FU injections before doing anything radical like excision.  This is too big of an area to be excised, and I am certain that would be a disaster.   

In Topic: Really Need Advice On Scars!?

25 June 2015 - 03:10 AM

Well you're in luck because this is a relatively easy fix.  Get subcision with or without filler like Robertito said.  A dermatologist or plastic surgeon can do it.  I can see you getting 90% improvement in this case, which in my book is a cure.  

In Topic: Subcision Improvement

25 June 2015 - 03:05 AM

Do you mind showing a pic?  My guess is that your surgeon is being conservative with the concentration of kenalog because of the risk of atrophy.  You either need to do a few sessions to fine tune the results or increase the concentration.  For example, the highest concentration is Kenalog 40, or 40 mg/ml.   To give you an idea, a concentration of only 2.5 mg/ml is used to flatten an acne cyst.  You might need 5 mg/ml or even 10 mg/ml to get some effective flattening.  

Some surgeons use Kenalog plus 5-FU to increase the effectiveness.  I would strongly advise AGAINST getting an excision without first increasing the dosage of kenalog.