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TCA Cross + Subcision + Low Dose Accutane

* Day 10 * ( Picture : Left (Before treatment), Right (Today) ) Almost all scabs fell off and honestly, I do not see any improvement at all. 3-4 months ago, my Dr have done test spot with TCA for 2 of my scars. This time, after the treatment, I have not moisturizing at all and the scab was hard and took longer to be fell off. After scab fell, these tested spots were very red and took about 10 weeks to be normal. This time, I moisturized soooooo much, like at least 5 times/day. I found out that when I moisturize too much, the scabs did not become hard but rather, stay on the skin like another jellish skin layer on top of my skin. I noticed that after these jellish scabs fell, the treated scars are not even red or anything, it is just basically the same as before the treatment, literally. The scar/scab condition after the treatment when I did not moisturize and when I moisturize a lot was totally different.  I know it is little too early to tell whether I am improved or not, but its been 10 days and there should be at least a little bit of improvement. Most of the treated scars are not even red, it is seriously the same as before  I am assuming that I moisturized too much that I did not allow the scabs to form completely (or to be hard), so the acid did not do much for the scars.. my skin reacting totally different than before when I did not moisturize much after the test-treatment.  Looking at these scars which are not even red, it seems like the healing is already done (and I heal very poorly and slowly).    Would this be okay...? I am so worried that the treatment did not go well.. Anyone has any ideas?   Thank you so much

Gimozzi

Gimozzi

12/30/2018

Last Reply:
12/31/2018

 

Subcision + TCA Cross + Low Dose Accutane (Photos)

* Day 7 * - I have been moisturizing many times to make sure all the spots moist. This made all the scabs to be jellish? and while I very softly applying cream on my face one of the scab fell off. This spot was very deep pitted ice pick scar and it seems to be wider  (but the depth is hard to tell whether it is improved or not- no visual improvement)  - 2 other scabs fell off for more swallow scars and they became wider (again, no visual improvement in depth wise, so far). It is certainly less red compared to the very deep pitted spot. I guess, redness after the treatment is proportional to the scar depth? and TCA concentration. - Since yesterday, I am not moisturizing often as I am afraid I might scrub the scabs while applying creams. I am going to apply creams to the spots w/o the scabs now.  - I felt very tingly itchiness on random part of my face. - I tried all my best to keep all the scabs as long as possible but within a week, 2 fell of naturally and 1 fell off by my mistake (pretty much no improvement for this scar) - Planning to start taking Accutane again, 20mg/week.   Its only been a week, so its hard to tell whether I am healing okay or not (I am very sensitive and my healing ability is not good at all) but so far, looking at the 3 spots with scabs fell off, there is pretty much no improvement. I see spots being wider for sure and no visual improvement in depth. Redness is there always. Hopefully, they will heal well over time My next treatment plan is ( Intracel RF + Duet RF  or maybe add TCA Cross for some deep scars)  - 3 months later.   Cheers,

Gimozzi

Gimozzi

12/27/2018

Last Reply:
12/30/2018

 

Subcision + TCA Cross + Low Dose Accutane (Photos)

* Day 3 * - Seems like scabs are slowly forming  - Most of the treated spots became so much darker - Trying to keep spots moist all the time (3~5 times a day) with polysporin and Taro-Mupirocin  - Swelling slowly going down but still there - I had 4 subcision point and 3 of them are healing pretty well but one of them has a really big hole and does not seem to be healing well. - Had small bruises around the subcision points and I felt a little pain and discomfort but I feel better on 3rd day   It is  frustrating and depressing to look at the mirror every day and see all these scabs and dark treated spots on my face.. it is very mental draining.. I will try to stay strong and focus on something else.. all I can do now is to wait and hope I heal well, I guess  Have a great holiday everyone!  

Gimozzi

Gimozzi

12/24/2018

 

TCA Cross + Subcision + Low Dose Accutane

So after a very long purging period (almost 3 months) I finally did first session of TCA Cross + Subcision. Treatment did not go well but I think it was okay. One of the scar has excess TCA around it and it became quite dark.  My Doctor did not really do TCA paint but rather treated all the scars (ice pick and boxcars) the same way, TCA Cross. He treated my right cheek with 50% TCA and left cheek with 70% for some reason. Maybe because my left cheek is more severe? It could be good comparison, I guess.. Anyways, I have attached the pictures, first 2 are before the treatments, last 2 are right after the treatments.  I will post another pictures within few days after scars are formed.    My treatment plan (3 months apart): - TCA Cross + Subcision  x 3 - Intracel RF + Duet RF x 3 - Subcision + Scultra (maybe if needed depending on how I heal) - Erbium peel or TCA Peel or Laser resurfacing (after when all the treatments above is done, if needed) - Picosure for pigmentation    Cheers,

Gimozzi

Gimozzi

12/21/2018

 

Low Dose Accutane (D109) / TCA Cross (D94)

Low Dose Accutane (10mg/day) - Day 109 It took me about 109 days until the initial break is finished.. holy... Face became extremely prone to scarring > most recent pimples left me one deep box car and one deep ice pick scars (Yellow circled);  Face so dry It is certain that the side effects is certainly less severe for low dose Overall, for past 109 days, my face got worse and worse everyday  -TCA Cross: test treated - Day 94  (Red circled) I thought they got improved about 15% in depth but this week they became very deep pitted ice pick scars. I was comparing them with my old pictures and I am certain they got worse maybe due to Accutane? One of the treated scar got conned with another scar. I made an appointment for my TCA + Subcision session on 21st but I am now so worried about my scars getting worse because of TCA.. my face is so damn prone to scarring now.. it is extremely sensitive and dry..  Maybe I should stop taking acctuane 1 week before the treatment and start again 1 week after the treatment.. I think my next post will be after the treatment of TCA Cross and subcision. 

Gimozzi

Gimozzi

12/12/2018

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