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blahblah82

Member Since 18 Sep 2012
Online Last Active Today, 04:23 PM

#3443305 Can Red Marks Look Indented But In Reality Not Be?

Posted by blahblah82 on 25 July 2014 - 04:50 AM

Well I think what you can do is get a good concealer that is highly pigmented, but not too cakey, apply it over the red marks and see if there is still a shadow.  If it does not cause pitted shadows, then it's just redmarks creating an illusion of depth.  If it is pitted, then well you have your answer. 




#3442876 Mederma For Acne Scars?

Posted by blahblah82 on 22 July 2014 - 10:10 PM

Your derm recommended it?  I don't know who she is but it doesn't sound like she's up on her skin care products.  




#3442508 Time To Address Acne My Scars

Posted by blahblah82 on 21 July 2014 - 12:43 AM

Resurfacing procedures like lasers work best AFTER the rolling scars have been elevated as much as possible to the level of normal skin.  For that, I think multiple subcisions will help.  Check out Mr. Matt's profile and his pics.  Those are probably the best examples of what subcision can accomplish in terms of leveling off the scarring with normal skin.  After getting the maximum improvement from subcision, then you can decide if you want to pursue lasers, or maybe you'd even be satisfied enough to not do any resurfacing.  Fillers could probably be used at the very end to fine tune the results and raise any remaining rolling scars.




#3442456 Enerjet Works For Scars - My Experience.

Posted by blahblah82 on 20 July 2014 - 05:19 PM

Well you shouldn't inject any filler in an area that is breaking out in active acne.  The fillers in and of themselves don't cause breakouts, but certainly anything done to irritate the skin in an area with active acne can exacerbate it.  




#3442407 Excision Surgery..finally! (Pics)

Posted by blahblah82 on 20 July 2014 - 09:56 AM

I'm going to be really honest.  If by normal looking skin you mean like the acne never happened, that is not yet possible.  Sometimes dramatic improvement is possible, I've seen it, but "normal" skin is still out of reach with current available treatments.  We can only strive for improvement.  Dermabrasion helps to soften the edges of scars and to flatten the ridges of scars so that they create less of a shadow.  It will not give you normal appearing skin.  I've done spot dermabrasion, and it does help for select scars, but it does not give you the look of untouched, normal skin.  




#3442203 Excision Surgery..finally! (Pics)

Posted by blahblah82 on 19 July 2014 - 12:08 AM

Poppy please do NOT do full face dermabrasion.   That's insanely aggressive and totally unnecessary.   If you choose to do dermabrasion only do spot dermabrasion.   Do not let any doctor convince you to do full face.  I've seen a few disasters on asian skin,  and is unpredictable when done on a large area.   Dermabrasion should only ever be used in a very limited capacity.  

Why would you sand down normal skin?  Your scarring is not severe at all and it seems the excisions have helped.


#3441185 Tightening Skin

Posted by blahblah82 on 13 July 2014 - 04:37 PM

I disagree as well.  Even if they truly meant it to "encourage" him, I would STILL delete this person for the simple fact that they are monumentally stupid and ignorant to think it would be acceptable.  Two things I can't tolerate in life are mean people and stupid people.

 

It's no one's place to tell anyone else how they should look.  The only situation where I think something like that can even be considered acceptable is if Rob himself asked someone to photoshop him.  This person took it upon himself, unsolicited, and sent Rob that photoshopped picture.  How is that acceptable and excused by "good intentions"?   Unfortunately, you are right though that people are indeed that ignorant about scarring, and think that a few zaps of laser can give someone porcelain smooth skin again.   Again, it's part of the psychology of blaming the scar sufferer, like "stop whining and fix it with laser."  If only it was that easy.

 

People who do nasty stuff like this are let off too easy, and when they are confronted, they backpedal and say it was not their intentional.   




#3441105 Tightening Skin

Posted by blahblah82 on 13 July 2014 - 06:34 AM

Wow, sorry that happened.    Every time I think I've seen and heard it all, I'm just dumbfounded by people's capacity for cruelty.  

 

Cut them off, you don't need people like that in your life at all.   I completely understand what you mean when you say it can really do a number on your psyche.  Just know you're not alone, because I've gone through some major personal crises and really dark times as well.  If you have people in your life that love you unconditionally, flaws and all, focus on that.  

 

 

i've been through so much hell now that i am 37 i don't even feel normal anymore ...i think it has messed up my head so much i can never go back




#3440905 Name That Scar!

Posted by blahblah82 on 11 July 2014 - 08:05 PM

I think in your case, these scars look suited for subcision / suction / filler.  What you got going for you is that the skin over the scars look smooth, and "normal" appearing.  You don't really have any sharp edged scars.  




#3440160 Next Step

Posted by blahblah82 on 08 July 2014 - 02:17 PM

Has he already done TCA Cross on you?  I don't see many boxcar or icepick scars, which is what TCA cross is used mainly for.  To me, I see 2 or 3 very soft rolling scars.  Looks like subcision and a tiny bit of filler would be more effective.   Your overall skin is excellent except for a 2-3 minor scars.  I'd say go to another doctor, because this guy seems stubborn and not listening to you the patient.  

 

Show him these exact pictures, instead of relying on office lighting.  At this point, I show them the worst pictures with the most severe lighting and I am not shy about getting my point across exactly. Be polite but forceful because you are paying your hard earned money.  If he's being stubborn, vote with you dollar and find another doctor. 




#3440030 Tightening Skin

Posted by blahblah82 on 08 July 2014 - 02:49 AM

Agree with everything except the Sculptra part.  I think it's a terrible product with a checkered history of complications (lumps, granulomas) and plus it takes too damn long to show results.  With hylaluronic acid fillers, what you see is what you get and you don't have to go through 5 sessions to get to your final results like with Sculptra.  I think Juvederm Voluma is superior to anything out there right now available in the US market place.  It lasts roughly as long as Sculptra, but with none of it's side effects and is fully reversible with an enzyme.   There's no do-over with Sculptra and it's imprecise because you have to wait to see how much collagen grows.  BTW, the collagen that they keep touting is really scar tissue that is the result of a foreign body reaction to wall off / encapsulate the Sculptra.   I've mentioned it before, but Sculptra is just dissolvable suture material that has been powderized, and suspended in a solution before injection.  The fact that it takes months for the collagen to grow makes it not a good "spacer" material to prevent scar bands form reattaching.  You'd need immediate volume to fill that void.  Also, like fat, Sculptra is better suited for global volumizing, not minute injections into individual scars.   It can also suddenly start growing larger uncontrollably depending on how aggressive your body responds to the material.  You could end up looking too overinjected. 

 

 

 

 

 

 

 

 

 

+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.




#3440013 Tightening Skin

Posted by blahblah82 on 07 July 2014 - 11:25 PM

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.   

 

Rob I feel like in your case, all these extreme surgical procedures are more risky then actually helpful.  I don't think you need any radical procedure.  You have the kind of scarring and volume loss that reminds me a lot of Mr. Matt, and clearly subcision and suction helped him a lot.  Of all the scar procedures, subcision is relatively affordable and actually EFFECTIVE.  

 

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.

Images of fat grafting from a plastic surgery center in NYC (scroll towards the bottom of the page); http://www.lipostruc...edure/scarring/

What is your opinion on these? They look wonderful, but I don't know whether or not to believe that this procedure would be permanent.




#3439985 Tightening Skin

Posted by blahblah82 on 07 July 2014 - 07:24 PM

Rob, have you looked into aggressive subcision, suction, and possibly fillers?  Your issues are mainly down to rolling scars and volume loss, which is the sagging you are referring to.   I feel like that combo will help in your case.   I do remember that you are pretty fit to begin with, so with such low body fat it usually takes a toll on the face, especially if you have volume loss from cystic acne.  




#3438648 Question About Tethered Scars

Posted by blahblah82 on 30 June 2014 - 07:58 AM

Just after writing this I just saw that Dr. Rahimi recently blogged about a new JAMA study that shows 41% improvement in scars from dermarollers.  

 

http://archderm.jama...ticleid=1879091




#3438238 In Need Of Wisdom And Advice For My Scarring (With Pics)

Posted by blahblah82 on 27 June 2014 - 07:46 AM

Panos lives.....?