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Member Since 24 Jun 2013
Online Last Active Today, 08:21 PM

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Punch Excision

24 April 2015 - 02:16 PM


I had my first punch excision today.  It is so hard to find information on the net (especially before and after photos) so I promise to provide updates as things progress.

I was very worried about having this done so while I have a few scars that are good candidates for punch excision, I decided to do a small one to start.  If I like the results, I'll do a few more over the next few months.

Ok, so the scar is in the middle of the cheek bone area, closer to the centre of the face (vs. the side).  The plastic surgeon used a 2mm punch, stiched it with one 6.0 nylon thread and put a steri strip on top.  I get the stitch out in 7 days...I know some say 5 days but he was fine with the timing.  For the next week, I wear the steri-strip and do nothing else.  When the stitch comes out I can start applying a scar cream. 

The whole thing took about 10 minutes tops and I didn't feel a thing...not even the numbing needle.

The punch cost me $350 + tax.  Expensive but I wanted to pay the extra money for a PS vs. a derm.  (I had a bad experience with a derm so it's kind of scared me off).  The PS I went to was lovely.  He really listened to me.  (I've been to a lot of PS and there are some real jerks out there).  He also didn't pressure me to do anything even though the time was booked for the procedure.

Stay tuned...fingers crossed this works out.  The PS was quite confident that I'd be happy.  :)

PS.  I'm in Toronto.


21 January 2015 - 12:14 PM

I've tried dermarolling (5x), subcision + filler (2x), Profractional erbium laser (2x) and Smartxide CO2 laser (1x) with no results.  

Wondering if excision might be the best option for the 2 scars in the middle of my cheekbone?  Any opinions on this?  

Profractional Laser Spot Treatments

26 April 2014 - 06:23 AM

I don't have a ton of scarring but it bothers me nonetheless- a few small boxcars on my left cheek, a rolling scar (from trauma) on my right and picking scars along my lower cheek/jawline.  Oh, and HUGE pores.
I've had 5 Genuine Dermaroller treatments + 2 subcision and filler. I got minor improvements on most scars - some, a bit more; some, none. I'm still not pleased...of course!
So I had Profractional spot treatments yesterday morning. Settings were 350 microns (a bit deeper on the boxcars) @ 22% coverage. The plan is to do this 3-4 times. I paid $200.
I had trouble finding a complete story on the Profractional laser (even on acne.org). Oftentimes, people make one post here and there or they start a log but then disappear. I don't want to do that and plan to keep this post updated. Feel free to keep me honest if I don't!  
So far, so good. I felt no pain during the treatment and outside of the annoyance of having to sleep on my back last night, things are pretty good. It's the morning after and I'm about to wash my face. Yay!  
I've attached pics of my starting point. Not the greatest shots but all I have access to right now.  I've also attached a pic (the bloodier looking one) taken this morning so you can see the level of swelling. You can really see it in the cheekbone area.

Did the treatment around 1pm on Friday and the latest pic is what I look like about 48 hours later (on Sunday).  I wash my face every 3 hours with boiled water and vinegar (I let the water cool) and then put on Polysporin (which makes things look yuckier than they are, I think). I'm supposed to go back to work on Tuesday morning so I'm a bit worried that I won't be able to cover the redness. Otherwise, all is good. No pain. I know they'll return but man, it's nice not seeing most of my scars!

It's now Tuesday night. I'm still pretty red but was able to cover most of it up with CoverFX. I also have some blush on. (I'm sure someone more talented with makeup could have done a better job). I've attached some new pics (with and w/o makeup).  
Also, I think I have cold sores in one area. I did take an anti-viral and have started up again so I think I've managed to prevent a full blown outbreak (thank goodness!!).
Most of my scars have returned...except for the trauma scar on my right cheek. I can't see it at all. Probably wishful thinking but it would be amazing if it stayed like this!
I will only update this post again if something significant happens. Otherwise, I'll be back once I have another treatment at the end of May.  Thanks for reading!

Profractional Spot Treatments

12 April 2014 - 06:58 AM

The next step in my scar journey is supposed to be a 35% TCA peel (performed by a PS). I do have concerns about this as discussed in another post.
Fortunately I have isolated scarring so my other option is spot treatments with the Profractional laser at setting of about 500-600 microns, 22% overlap.
Should I be concerned with spot treatments?  Anyone have experience?