Hello. i have contacted with 2 different doc. One can apply TCA Cross treatment and other can make subcision and excision treatments.

Now which one i should get first? Tca cross to ice picks or excision to boxcars?

For peels in general, it's all about the frequency of treatment so they arent really that effective until you have many of them done. Excision i think will give you instant results though.

Definitely look at all of your options and look around for doctors

Ematrix

Of all stand alone procedures this seems the most promising when you look around the web.

I think you should get one of each first to see for yourself. People should ALWAYS begin with a "test" scar for ANY PROCEDURE! It's your best hope of having no regrets, why would you want to risk more? Go and have ONE tca cross done on ONE icepick, and have ONE excision done on ONE boxcar, wait ONE month, and then decide for yourself if you want to continue to pursue these procedures. If they both fail, it's not a big deal, but what happens if you did your entire face and it failed? Always, ALWAYS, do test scars, there's nothing to lose except a little more money and time.

People who jump on procedures they have no clue about and do their entire face the first time just based solely on the recommendation of their doctor should NOT be complaining if it failed, because you didn't do your own research and you didn't take precautions by doing test areas/scars first. You went in clueless then don't expect any sympathy. Doctors prescribe the wrong procedures for the wrong conditions all the time, it is up to YOU to decide what's best for YOU, you can't be lazy and hope someone else's opinion is the best one for you. Notice how different doctors have different opinions and prescribe different treatments depending on who you ask all the time? Do you really want to play Russian roulette with your face? Unless you know how the procedure works, all the pros/cons and dangers and risks of the procedure, you should not be doing the procedure, the theme here is, don't be lazy and just rely on other people to take care of you. These caretakers make mistakes all the time, unless you know what you are talking about, you aren't able to provide that check and balance to the BS that doctors recommend sometimes.

Left Picture: The large scar I would get excised. The rest I would TCA Cross.

Right Picture: There is one I would possibly consider getting excised and again TCA cross.

After that I would look at getting some form of resurfacing.

just talked with a plastic surgeon about excision. He was the doc who offered me laser for my scars. Now he is scaring me about excision. He said after the excision the sewing scar wil be there forever. Is is true? Or he is still trying to sell laser?

I got a price for TCA cross btw. Offer is 150 usd per session. Is it ok price?

Well I'm not a plastic surgeon. But even with resurfacing some form of scar will always be there as well. The goal is to minimize the appearance and create as much of a smooth texture as possible with the scar tissue and surrounding skin. It also comes down to personal preference. For me a small linear scar level with the rest of my skin is more appealing then a shallow indented acne scar. I also think it's easier to resurface a linear surgical scar then a deep indented acne scar especially if you do an amazing job on your post surgery care. If you trust the surgeon then do what he says but I would meet with at least 3 - 5 other surgeons before making a decision. That's what I ended up doing and it worked well for me. Yes $150 is the standard price for TCA cross at least that's what I paid for it in Canada. Hope that helps! : )

For me its better to have a little sewing scar than a hole on my face. I only wanna try laser as last resort. What my plan is to get excisions first. Then tca cross and tca peeling at the end. But i also think about fat transfer. I am so confused about the treatment line. which one i have to get fist and which follows it? I know this will take a year maybe more. I think its better to get the fat transfer at last. You aggre?

New photos updated. These are better.

I think multiple tca cross treatments.

hmm, im no expert in acne scar treatments... but if you can excise all of those and trade it in for just one linear or two-3 linear scars... isn't that worth it?

Excision should be your last resort because once youve done that, you can use laser to smooth out the scar left behind but it's not like you can then try other scar treatments in the way you would before excision.

You can't just excise such a large area for one or two lines, too much tension on the excision scar and it'll most likely split and cause more damage. You could definitely look into excising the scars that are very close together like the one i notice which is a deep long looking scar. Otherwise, I guess you could pick a couple of your most deep and noitceable scars and excise them and wait a few months to see how it turns out and if it's positive, do it on the other ones (if that's financially feasable).

Laser won't be fixing your deeper ones. COULD help with texture and smoothing them out but laser tends to make deep narrower scars a little less shallow and smooth but wider. Laser could also result in bad hyperpigmentation.

Every procedure has its risks but it's about finding the right one for you based on your scar type, time you have, financial status etc.

I think you should get one of each first to see for yourself. People should ALWAYS begin with a "test" scar for ANY PROCEDURE! It's your best hope of having no regrets, why would you want to risk more? Go and have ONE tca cross done on ONE icepick, and have ONE excision done on ONE boxcar, wait ONE month, and then decide for yourself if you want to continue to pursue these procedures. If they both fail, it's not a big deal, but what happens if you did your entire face and it failed? Always, ALWAYS, do test scars, there's nothing to lose except a little more money and time.

 

People who jump on procedures they have no clue about and do their entire face the first time just based solely on the recommendation of their doctor should NOT be complaining if it failed, because you didn't do your own research and you didn't take precautions by doing test areas/scars first. You went in clueless then don't expect any sympathy. Doctors prescribe the wrong procedures for the wrong conditions all the time, it is up to YOU to decide what's best for YOU, you can't be lazy and hope someone else's opinion is the best one for you. Notice how different doctors have different opinions and prescribe different treatments depending on who you ask all the time? Do you really want to play Russian roulette with your face? Unless you know how the procedure works, all the pros/cons and dangers and risks of the procedure, you should not be doing the procedure, the theme here is, don't be lazy and just rely on other people to take care of you. These caretakers make mistakes all the time, unless you know what you are talking about, you aren't able to provide that check and balance to the BS that doctors recommend sometimes.

well said, and i agree!

Unless youre wealthy and have an abundance amount of time, it's not practical to try every single treatment possible. And many treatments require multiple sessions, so are u going to be hopping from clinic to clinic emptying your pockets to treat scars differently?

Excision should be your last resort because once youve done that, you can use laser to smooth out the scar left behind but it's not like you can then try other scar treatments in the way you would before excision.

 

You can't just excise such a large area for one or two lines, too much tension on the excision scar and it'll most likely split and cause more damage. You could definitely look into excising the scars that are very close together like the one i notice which is a deep long looking scar. Otherwise, I guess you could pick a couple of your most deep and noitceable scars and excise them and wait a few months to see how it turns out and if it's positive, do it on the other ones (if that's financially feasable).

 

Laser won't be fixing your deeper ones. COULD help with texture and smoothing them out but laser tends to make deep narrower scars a little less shallow and smooth but wider. Laser could also result in bad hyperpigmentation.

 

Every procedure has its risks but it's about finding the right one for you based on your scar type, time you have, financial status etc.

why couldnt he just excise all of them, even the smaller ones? What would he do for the smaller ones?

Unless youre wealthy and have an abundance amount of time, it's not practical to try every single treatment possible. And many treatments require multiple sessions, so are u going to be hopping from clinic to clinic emptying your pockets to treat scars differently?

well, what if you ARE wealthy and do have an abundance amount of time??

well you'd be the first person on this board ive talked to who has

Unless youre wealthy and have an abundance amount of time, it's not practical to try every single treatment possible. And many treatments require multiple sessions, so are u going to be hopping from clinic to clinic emptying your pockets to treat scars differently?

If you are trying every single treatment possible, then you obviously haven't done your homework. There are only a few specific procedures that work for specific scar types. If you have researched each procedure well, and understand what the defects are, and how you want to treat it, and how each procedure works in treating scars, then you can make a very educated guess at which procedure will work for what and more importantly why and why not. You can then narrow down your field of procedures to one or two, or maybe even three. And that's all you need to pursue, starting from least invasive to most invasive. In my opinion, people who try everything under the sun just don't have a good enough understanding of either the scar or the procedure, and whether each is a good fit for one another. For instance, you should never pursue laser for icepicks, it is not the right procedure for this scar type, but yet, I see people do this all the time. Either they don't understand the scar type enough or the procedure enough, or just believed in whatever a "doctor" or someone on this board suggested without actually doing any research. Well, what can I say, if you want to live life dangerously, by all means...I guess I can be convinced it is rather exciting to just believe blindly whatever someone else says and hope for the best, but I'll pass and stick to doing massive amounts of research myself.

I dont plan to try every single treatment. All i am trying to do is to understand my scars and which treatments i need. I have to make a treatment line. which one i should get first and which one last

Now i have contacted with two docs. The plastic surgeon gave me 300 usd for all my deep scars which is most suitable for excision. I will start my treatment at the end of this summer.

What i know is i really need tca cross, tca peeling, excision, fat transfer and laser maybe.

My plan is to get tca cross treatment first then excision then resurfacing and fat transfer at last. what do you say about this line?

Btw i dont want you to find me not serious about this. I am searching all day calling doctors sending video and photos of my face.

That trying everything under the sun treatment was not directed at you, it is directed at people who "try everything under the sun" blindly because they are clueless about what they are doing, so instead of actually do the hard work of educating themselves first, it is so much easier to just close your eyes, cross your fingers, try everything and "hope" something works. In the process, they risk making things worst and losing a lot more money than if they research things first and formulate a game plan. Looks like you've done that, and in my opinion picked the right procedures for the right scar types, from least invasive to most invasive. That is a gameplan I can endorse and advocate. I only wanted to emphasize one last thing, just get one of each, do test scars first, it is always best to proceed with caution and to be able to convince yourself that the procedure works before moving on to the rest of the face. Other than that, you seem to have a good grasp of what to do and expect, good luck with everything!

I think trying TCA cross before excision will be a better idea. If you do the excision then you won't be able to try the TCA cross on the scar, but the opposite is possible.

The sergeon i have contacted, offering me to excise all the deeper scars both ice picks and boxcars. He is one of the best in here. (got this from comments) what do you think about this?

Another dermatolog that i have contacted for TCA cross want to strengt the skin with prp and carboxytherapy then apply the tca cross.. what do you think about that?

Btw the sergeon told me that he gonna use a 11 no scalpel which is very sharp. also added that we should make this one of his free days so he can focus on me more and make the excisions better. he gave me 300$ price for all the deep scars i have both icepicks and boxcars.

But i just wanna try tca cross first then excise rest.

A really importan question. I will be really happy if someone answer this.

As i said my left cheeks looks a bit thinner than right one. i believe the deep and wide ice pick cause that which is on my cheekbone. do you think a subcision without a filling can fix my left cheek thin? I cant afford a fat transfer atm so just wondering if subcision can fix abit or not?

up...

I wanted to try dermarolling till the end of summer before any other treatments. I did my 3rd dermarolling on friday and i think i start to see some improvements. What my plan is to try the cheapest and safest treatment waiting for autumn and try to roll my whole face aspeacially on the boxcars i have. I see excision as last resort thats why i am gonna go on rolling on these and i can say that i think i will have really good improvement by the end of summer. I roll every week. No pain, use nothing extra. Now my skin looks far better than i ever had. Scars still there ofcourse but i see some improvement and thats promising. The dermaroller causes some kind of peeling after 2 days i rolled which i think helps on boxcars. My aim is to save those boxcars frome excision if that happens it would be great. Not sure about ice picks but i believe if i go on like this they will also improve..

A question; Is subcision enough without any filler on a scar like dimple? I have a scar near my lips seems like a dimple but not that cute ppl can say its a scar so i wonder if subcision alone helps on that one... And if i had to get a filling should i scare about it? Cant afford fat injection. its 2000$ in here.

I wanted to try dermarolling till the end of summer before any other treatments. I did my 3rd dermarolling on friday and i think i start to see some improvements. What my plan is to try the cheapest and safest treatment waiting for autumn and try to roll my whole face aspeacially on the boxcars i have. I see excision as last resort thats why i am gonna go on rolling on these and i can say that i think i will have really good improvement by the end of summer. I roll every week. No pain, use nothing extra. Now my skin looks far better than i ever had. Scars still there ofcourse but i see some improvement and thats promising. The dermaroller causes some kind of peeling after 2 days i rolled which i think helps on boxcars. My aim is to save those boxcars frome excision if that happens it would be great. Not sure about ice picks but i believe if i go on like this they will also improve..

 

A question; Is subcision enough without any filler on a scar like dimple? I have a scar near my lips seems like a dimple but not that cute ppl can say its a scar so i wonder if subcision alone helps on that one... And if i had to get a filling should i scare about it? Cant afford fat injection. its 2000$ in here.

if i was you i would stop beating around the bush and just go ahead with the scalpel exision and save ur time and money. make sure ur surgeon does a double stich and u should be good. I think exscision is a under dog treatment if that makes sense lol. Also dont get ur improvements mixed up with micro swelling, its very common for people do this to get there hopes up and then get there hopes down as soon as the swelling has resided. look into LED's for healing, as if u added that to your treatments u would probably get alot better results.