Montana,
See my update below.
paulandrei,
Thanks for your encouragement.
When there are many punch evalations concentrating in a small area, my recovery is slow. I don't mean to scare anyone but to be truthful. The 15 punchs I had are in three areas of my face. Two of them looks fine now (just like pic posted by misty) but one of them (9 punchs) looks bad (bruise). As for the hypertronic scar, I don't have much concern for it since it will be flatted out in dermabrasion. There is no way to make sure my icepicks/boxcars, after punch, growing to exact level of their surounding skin. All my tapes/scabs come all on day 11.
dolmal,
you were not the only one. It was very hard for me the first two weeks!! I could barely get out to the store. I wore a hat and sunglasses for the first week and a half. Then when the tape came off I looked like a chocolate chip cookie, extra chocolate chips!! 20 punches.
LOL portland!!! i know exactly how you feel.. i have so many scars. a funny side note, i went to a new derm the other day, because the one i was going to was completely incompetant. and i found out that i have ice pick scars!!!! LOL i never thought i would be so happy about something like that. But i knew if they were ice pick that most likely dr y could punch float them. My incompetant derm told me they were 'rolling' scars, lol.. an she was a cosmetic derm..lol.. so yay for me having ice picks, hope everyone is doing well.. thanks for all the awesome updates misty!
Well guys I had a second round of punch floats with Dr. Y on Tuesday (03/28/06). I will update my progress in this old thread instead of starting a new one. I had 12 floats total...6 on each side. I will post new pictures when the steri-strips fall off.
The skin tone looks off in the pre-ops b/c I tried to enhance so you could get a better view.
Wow Misty,
Even close up your skin looks really nice. Is this your last treatment? I mean at some point you are going to be satisfied right? I mean I would hate to see you on here at 50 talking about your 22nd dermabrasion and your 519th punch float . Put the scar treatment down and step away. Really though, Misty congrats and step away!
Is this your last treatment? I mean at some point you are going to be satisfied right? I mean I would hate to see you on here at 50 talking about your 22nd dermabrasion and your 519th punch float
.
I am hoping this will be my last "big" treatment, I am tired! I got a big lol about the 519th float! Shouldn't I get a crown or something by this point? I want to be finished, I really do and I work hard at seeing the big picture and not just the flaws. Dr. Y told me I was splitting hairs at this point and I know he is right. I just wanted these last few things taken care of, too bad you can't do a punch float on the brain to remove that negative voice!
Will you do anything to smooth things over if the floats need it?
I am hoping that I won't need to do anything like a spot dermabrasion. I am going to give it time to heal and then determine what, if any, steps need to be taken. They were easily covered by makeup last time, so I am hoping I can get away with that!
Thanks for the well wishes Opp!
Day 5 update. Most of the steri-strips are off and the areas seem to be healing nicely. I will have to take a better picture of the right side, it turned out a bit blurry.
On the comp shop I circled the landmarks in black on the second pic. This kind of gives a reference point.
Thanks again for the well wishes guys.
Hey animegirl! Just wondering how your punches are coming along after the one week mark? I hope BEAUTIFULLY!!!!!!!!!!
Everything is looking very well. I seemed to have healed quicker this time around. I wore makeup today with no problems. I have been keeping zinc oxide on them for the past few days and I think that has helped. I'll post some updated pics in a couple of days. Thanks for checking on me.
hey misty or anyone else knowledgable of punch float,
I do get the principle of punch float in that the scar is punched out and the tissue below brought up. However wanted to ask three things.
1) What is this tissue that is brought up from below the scar? The only thing I can think of is fat and that doesn't make sense.
2) What is used to keep the new 'graft' in place? Why dosn't it just sink back down again?
3) Can other scars like rolling be floated? If not, why not?
Thanks.
I had floats - some worked great, others did nothing.
1). I'm guessing that the epidermis and dermis are pulled up (they are bound down. Fluids, blood fill the space below to be followed by collagen rebuilding as it heals. Also, his technique seemed to be to pull up at and angle (no liftng from scar edge that is level with skin, but lifting up the other side of scar that is sunk belwo skin surface).
2). A steristrip holds the graft in place. Several of mine stuck in place ok and I got a very nice result (steristrips come off at day 7). Others pulled back down - in some cases this was becasue strip came off early while sleeping. Dr Y also thought that those that did not work, even though the strip was on long enough, did not work either becasue a blood clot pulled them back down or maybe the graft came out when I pulled off the steristrip. He also noted one float during the procedure which kept trying to pull back down.
3) This procedure is best for deeper scars that are close to circular in shape, not rolling. Ironically for me, it tended to work better on box scars than on ice picks. Not sure why. But, the ice picks tended to be very small (and not very deep scars on nose or under eyes). My theory is that they were simply to small (depth and width to be treated this way) and/or this area is oily and the steristrips tended to fall off at night. He also tried a couple floats over an indet from a surgical scar, this too did not work.
Becasue I had read about so many successes with this procedure and I traveled from California, I asked him to be aggressive in deciding which ones to do. Hindsigt, this was a msitake as virtually none of the very tiny ice picks worked out.
In sum, I got 90% improvement to about 30% of the treated scars, but no benefit to the other 70%. Fortunately, the ones that benefited tended to be my worst scars.