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Member Since 18 Sep 2012
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#3468491 Is This Normal After Cortisone Injections? Some Help Please

Posted by blahblah82 on 18 January 2015 - 04:50 PM

Definitely progress.  If it starts to get more inflamed I'd get another kenalog shot to nip it in the bud.

#3467682 Is This Normal After Cortisone Injections? Some Help Please

Posted by blahblah82 on 12 January 2015 - 01:03 PM

I believe that a lot of the negative press stems from very aggressive law firms that have a vested financial interest in suing Roche and other generic accutane makers.  They stand to make a ton of money from those lawsuits.  For me Accutane was a life saver.  I just wished I had started it earlier, but I was like everyone else and overly fearful of all the purported side effects.  I could have saved myself from a lot of heartache and scarring if I had done it sooner.

#3467387 Things I've Learned In My Acne Scar Journey

Posted by blahblah82 on 10 January 2015 - 12:12 AM

If this is addressed to me, I'd say excisions are high risk, high reward.  There is the real possibility they can leave worse scarring if you don't heal well.  Again, it comes down to your own personal physiology.  I'd highly suggest doing only one as a test and go from there.  You do not want to do a whole bunch at a time and then have them turn out disastrously. 



Curious to hear your thoughts on excision. Thinking of having 2-3 done on my cheeks (cheekbone area). Thanks.

#3467354 Is This Normal After Cortisone Injections? Some Help Please

Posted by blahblah82 on 09 January 2015 - 07:57 PM

Sometimes I wish some of those "stop being vain" people could just spend a week in our shoes.  I think most would break down and curl up in the fetal position.  I think those of us who suffer from severe acne, and then the scars that follow are some of the strongest people.  Don't forget that!

#3466976 Bellafill Approved By The Fda For Treatment Of Acne Scars

Posted by blahblah82 on 07 January 2015 - 08:06 AM

I'd suspect this is purely down to marketing.  Nothing has been reformulated from what I gather.  I guess with newer, more advanced fillers coming out, they felt the need to compete in a crowded market.


@Waitingforcure - I never really followed your case, but I'm sorry to read that your laviv treatmenats didn't really pan out.  As for fat grating, that's readily available right now, and many many plastic surgeons offer this.

#3466508 *skin Update W/ Photos* But Still Need Assistance

Posted by blahblah82 on 03 January 2015 - 11:40 PM

Great improvement.  Stay the course and be consistent instead of looking for a quick fix solution that may do more harm than good.

#3466372 Plastic Surgeon Can Fix Scars

Posted by blahblah82 on 02 January 2015 - 10:56 PM

They do..... Unfortunately fixing acne scars is not straightforward or as simple as "going to a plastic surgeon."

#3466279 Is This Normal After Cortisone Injections? Some Help Please

Posted by blahblah82 on 02 January 2015 - 05:23 AM

This is a very deep seated cyst, and I agree that the longer this stays around, the deeper and more severe the scarring.  At this rate, this will probably scar, but the question is now to what degree?  If you treat it sooner rather than later, you could minimize the damage.   You can have it lanced and drained, or try another cortisone shot.  

#3464810 Scar Treatment Advice Uk

Posted by blahblah82 on 21 December 2014 - 10:07 PM

I think you can start with Steroid+5-FU injections and see how much they flatten.  Surgery is definitely the most aggressive route, and sometimes it can make things worse if you don't heal well.

#3464081 Red Acne Scarring On Cheeks

Posted by blahblah82 on 15 December 2014 - 08:29 PM

Dude seriously, are you promoting a website or something?  Every single one of your posts add nothing to the conversation and are all about promoting manuka honey.

#3458066 Where To Buy A Retinol Cream?

Posted by blahblah82 on 29 October 2014 - 07:50 PM

What's your point in asking why I knew that?  You are the one who initially brought up the point about it being clumped together, and I simply was explaining why they might have done that.  I'm not sure what you are insinuating.


But to answer your question, I know that because I have an uncle who is a physician and I am interested in medical stuff.  Regardless, this doesn't help move the conversation forward and address the original question.    To your original question, the main indication for Retinoids are for acne, however, it was inadvertently discovered that they had anti-aging benefits.  That is why you see all the cosmetic companies jumping on the bandwagon and offering "Retinol."  Of course, they cannot offer the prescription level tretinoin, so they are using a cosmetics grade version of Vitamin A for their over the counter products.  The truth is that Retinol is converted to Retinoic Acid (which is Retinoic Acid / Tretinoin), when it is absorbed into the skin, but is many many times less potent than true Retinoic acid.  

#3457973 Where To Buy A Retinol Cream?

Posted by blahblah82 on 29 October 2014 - 07:07 AM

I feel like you are fixated on arguing semantics than knowing how the FDA actually classifies drugs based on specfic criteria. 




That might help you understand the difference.  I see where you are coming from in the sense that all prescription drugs are controlled because they cannot be bought freely without a prescription, but that is not the legal term of art used for controlled substances.  Controlled substances are defined by the FDA are classes of drugs that may face even stricter scrutiny then your regular prescription medications for things like constipation for example.  These drugs are hardcore narcotics and hypnotics that must be used under the strict guidance of the attending physician.  

#3457799 Please Share Your Filler Experiences With Me :)

Posted by blahblah82 on 27 October 2014 - 10:47 PM

Yeah, that's what I meant.   I don't think they should mix different fillers in one vial though.  I think they would layer them.


What I meant was that Voluma is used deeply to rebuild the contours, of a cheek that has fat loss from cystic acne for example, and a thinner filler to fill in the superficial indentations.  


As for off label uses of filler, most fillers are technically used off label anyway.  For example Restylane is approved specifically for laugh lines, but it is used off label all over the face by doctors.  As for risks with Voluma, the only real risk is lumpiness if injected too superficially because of it's thickness.  The depth of injection is different precisely because of the thickness of the fillers.  The thicker they are, the deeper they must be injected.  Hence that's why I made the point to show the order of decreasing thickness of commercially available dermal fillers.






It's not just thickness that differs - the depth of injection differs a lot as well. From what I've read voluma is a good filler, but needs to be injected too deep and doesn't have a huge effect on acne scarring at that depth. There are doctors who do it at more superficial depths, but that's considered "off label" use and there are some risks involved.


You need to do a variety of fillers or a mix of them in one vial IMO depending on the type of scarring one has.

#3457657 Please Share Your Filler Experiences With Me :)

Posted by blahblah82 on 26 October 2014 - 10:50 PM

Actually, Voluma should last as long or even longer than Radiesse with out all the downsides.  Allergan, the maker of Voluma, states that it can last "up to 18 months."   I think the reality is that it is probably not quite as long as 18 months, but even if it only lasts 12 months, that's a significant amount of time.  


Voluma is hyaluronic acid just like Restylane, regular Juvederm, and Belotero.  They are all hyaluronic acids.  The only thing that makes them different is how hard / thick they are and that they are made by different companies.  In descending order from thickest to thinnest consistency its Voluma > Restylane > Juvederm > Belotero.  


I would think that subcisions and filler would work in your case because it's mostly rolling scars with volume loss. If you injected the hollow part of your cheek, it would reestablish that curve to your cheek so that it doesn't cause as much shadowing.   It would take an in person consultation to know if they tethered or not.  If they're bound down, you'd probably need a few subcisions and maybe suction to prevent the scars from reattaching.  Or you may be lucky and they are not tethered and you can fill it directly.  


The one key thing, is that it really comes down to the skill of the injector.  Most I've encountered just plain suck at injecting scars.  They're used to injecting cheeks and lines / wrinkles, not acne scars.  It is really critical to use severe angled lighting to really highlight those scars.  Also, show them pictures in bad lighting and do not be shy about pointing out exactly which scars bother you the most.  Almost every time I've read about someone being disappointed with fillers, it's because they assumed the doctor could see the scars and know where to inject.  


To be fair, it takes tremendous skill to really fill scars correctly so that they are not undercorrected, overcorrected and cause lumps, or inject next to instead of in the scar.  


THEY DON'T SEE YOUR SCARS THE WAY YOU DO.  SPEAK UP.  Also, one must always have realistic expectations.   It may take a couple of sessions because there is quite a bit of swelling which would make it hard to see every scar.  Once you start injecting the skin starts to swell immediately so it becomes increasingly harder to see your true baseline.  Do one session, let the swelling go down, reassess, and then decide if you need to fine tune. 


And yes packages are almost always a money making ploy.

#3457451 Please Share Your Filler Experiences With Me :)

Posted by blahblah82 on 25 October 2014 - 09:03 AM

LUngha, great post.  


When acne scarring involves fat loss, the actual indentations can actually overlap with sunken areas of the cheeks due to repeated inflammation and destruction of the fat layer.  This was my problem.   Not only did I have indentations, I also had fat loss because my cystic acne keep returning in the same spots.  As you can imagine, after being damaged repeatedly the whole area looks like it lost volume. 


Personally I feel Radiesse is a bit outdated, since Voluma can be injected deeply to add fullness and volume back to the cheek area.  A thinner filler like regular Juvederm or Belotero can be used to fill the actual indentations themselves.  Radiesse sets very hard, and very prone to lumps and bumps if injected superficially in the skin.  It is always nearly injected below the skin, in the subcutaneous fat, to prop up a sagging face.  Think of it more like an injectable implant, than an actual filler.