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With Deep FX, my doctor only treated my scars on my cheeks & temple. I didn't experience any peeling after treatment. I had redness, bleeding, and swelling. I wasn't looking to improve overall skin texture, like you. If you're looking to improve deep wrinkles & acne scars, plus overall texture & superficial scars with UltraPulse, you'd go with Total FX (Active FX & Deep FX). They'd use Deep FX on deep wrinkles, scars, etc. and then Active FX to resurface your entire face. In the Youtube video, they are doing Total FX on the person. Deep FX is first applied to the areas of deep damage, and then Active FX is done over the person's entire face. With that said, I really think Total FX is equivalent to Fraxel Re:pair because your skin is resurfaced while deeper tissue is treated with Repair. I could be wrong about this though. I don't know a whole lot about Repair and am basing my opinion on what I've watched in videos.
In terms of price, I believe it's more expensive to maintain the Fraxel laser. Maintenance, plus disposables, add to the cost of treatment.
CollegeBoy, very good info. I don't think there is any need for 2mm penetration anywhere on the face. Try to push in anywhere but your cheeks and I bet you can't push 2mm without hitting bone. http://dermatology.a...y/a/anatomy.htm I have no medical knowledge, but I do have a ruler. If anybody understands why 70mj or Re:pair = about 17.5mj of Deep FX please explain. Everything on lasers is confusing, and the companies don't advertise abalative or non-ablative because in most cases John Q Public relies on what the doctor tells them. It is only through sites like Acne.org that a patient can become more informed.
You may have a point with your comment on stretching the skin and the different delivery methods, I never thought of that.
TokyoGirl, Re:pair has always been more expensive than Deep FX. I paid $5000 for my first Re:pair in 2008, and I think DeepFX was going for 3-4 K. There is some kind of difference between them because of the different mj levels, but I am at a loss to explain it.
Lasers are hard.
This is a better video showing Deep FX. Notice how he talks about pulling the skin and only treats areas with wrinkles and scars. He follows up Deep FX with Active FX, but the Active FX for superficial resurfacing of her entire face is not shown.
My doctor did the same thing with pulling my skin slightly. I did not do Active FX. For some reason, my doctor wanted to do Total FX for my second treatment. He wasn't willing to do it the first time.
This pdf (download) talks about the depth of penetration, and also mentions 5-100% ablation is possible with UltraPulse:
[Edited link out]
It also mentions the low cost to maintaining UltraPulse. I have read elsewhere, the Fraxel laser is very expensive to maintain and the consumables required for each treatment are the most expensive of all the lasers out there.
I wish I could find more information on MixTo. I can't find very much on it.... grrr
I also think the spot size really matters. Deep FX is micro-fractional and delivers more heat. I am really unclear on how MixTo (also micro-fractional like Deep FX) compares. I realize the level of penetration is less than both Deep FX and Repair, but I believe there are several factors that play into whether scars benefit from treatment.
This is interesting on a comparison between Fraxel & Active/Deep FX:
http://www.realself.com/question/how-does-active-fx-laser-treatment-compare-fraxel-laser-treatment
One doctor says Active/Deep FX is the most expensive laser. Who knows? So much conflicting information out there.
This is interesting on a comparison between Fraxel & Active/Deep FX:
http://www.realself....laser-treatment
One doctor says Active/Deep FX is the most expensive laser. Who knows? So much conflicting information out there.
I agree, a ton of conflicting info. As others have said, I think doctors just try to sell what they use at their particular office. This is part of the reason I put so much faith into my doctors at the Skin and Laser Center of Northern California. They have all the popular CO2 and erbium lasers so there is no need to sell me lies. In fact, I went in there asking for a full face and they tried talking me into just half cheeks so clearly they aren't hurting for money.
Oh and Dudley, I see your point. I pulled out a ruler to get an idea of how deep 1 MM is and to my surprise, I may only have 1 scar that is about 1MM deep. With this logic, my Fraxel:Repair at 50 Joules (which should penetrate about 1.35MM deep should hit ALL my scars including the icepicks. Perhaps the coverage rate will need to be increased next time around.
CollegeBoy, very good info. I don't think there is any need for 2mm penetration anywhere on the face. Try to push in anywhere but your cheeks and I bet you can't push 2mm without hitting bone. http://dermatology.a...y/a/anatomy.htm I have no medical knowledge, but I do have a ruler. If anybody understands why 70mj or Re:pair = about 17.5mj of Deep FX please explain. Everything on lasers is confusing, and the companies don't advertise abalative or non-ablative because in most cases John Q Public relies on what the doctor tells them. It is only through sites like Acne.org that a patient can become more informed.
You may have a point with your comment on stretching the skin and the different delivery methods, I never thought of that.
TokyoGirl, Re:pair has always been more expensive than Deep FX. I paid $5000 for my first Re:pair in 2008, and I think DeepFX was going for 3-4 K. There is some kind of difference between them because of the different mj levels, but I am at a loss to explain it.
This is interesting on a comparison between Fraxel & Active/Deep FX:
http://www.realself....laser-treatment
One doctor says Active/Deep FX is the most expensive laser. Who knows? So much conflicting information out there.
I just want to request some feedback from people who've actually had laser treatments who can give genuine opinions from personal experience.
Thanks.
@ Dudley and TokyoGirl: Does having laser treatments destroy scar tissue if it's ablative? Supposing the scars in question are quite shallow (despite being boxcar and ice pick), then considering the intensity of the laser, and depth of penetration, would it not achieve (for example in the case of collegeboy84) with subsequent treatments completely scarless skin, or skin that is 'virtually' scarless in appearance even in the harshest light (since I've read many times that scars are 'permanent')?
Photos of my scars are in this thread: http://www.acne.org/messageboard/index.php/topic/316775-scars-laser-treatments/page__p__3254395#entry3254395
I've tried to capture images of them in the harshest lighting.
This is interesting on a comparison between Fraxel & Active/Deep FX:
http://www.realself....laser-treatment
One doctor says Active/Deep FX is the most expensive laser. Who knows? So much conflicting information out there.
I agree, a ton of conflicting info. As others have said, I think doctors just try to sell what they use at their particular office. This is part of the reason I put so much faith into my doctors at the Skin and Laser Center of Northern California. They have all the popular CO2 and erbium lasers so there is no need to sell me lies. In fact, I went in there asking for a full face and they tried talking me into just half cheeks so clearly they aren't hurting for money.
Oh and Dudley, I see your point. I pulled out a ruler to get an idea of how deep 1 MM is and to my surprise, I may only have 1 scar that is about 1MM deep. With this logic, my Fraxel:Repair at 50 Joules (which should penetrate about 1.35MM deep should hit ALL my scars including the icepicks. Perhaps the coverage rate will need to be increased next time around.
Just out of curiosity, what kind of outcome do you hope to achieve after laser treatments? Do you want to reach 'flawless skin', or just as much improvement so that your scars look virtually unnoticeable even in the harshest light (florescent, natural sunlight) which casts shadows therefore accentuating the indents?
I just want to have someone else's opinion, considering we have similar scarring (at least I'm not alone in being told that my scars are 'barely noticeable' or simply 'minor imperfections' since they everyone I know tells me to stop worrying since they are 'shallow' and 'small'). But honestly, I don't think they understand that having scars affects someone's confidence, as they obviously don't have scarring to know what it feels like.
Alex, yes Deep FX and Re:pair ablate tiny columns of skin destroying tiny columns of scar tissue, hence the tightening effect. At least that is the way I understand it. We have not reached the point of "flawless skin", but the effect is so dramatic as to change your life. Here is a good post.
"Active Fx vs. Fraxel Re:pair for acne scars
Dr Rvikin
I am also considering the Fraxel Re:pair, and weighing the difference between it and Total FX. I am interested in acne scars and have had dermabrasion and CO2. I understand the Re:pair goes deeper than the FX, but I don't quite understand the principle that if it promotes collagen why that would help reduce an acne scar. ie if you had a dimpled piece of fabric and put a flat piece of fabric under it the top layer would still be dimpled.
hi,
the depth of penetration between the re:pair and the Fx is not significant in terms of making a treatment difference. they are essentially the same technology. the way they work is by punching thousands of microscopic holes into your skin. the surrounding tissue is unharmed and helps with healing. each of those little holes heals into a more normal patch of skin, so you have thousands of little pixels of normal skin making your skin look smoother.
the collagen stimulation works like a foundation under the skin, making it firmer and giving it support. one of the reasons why acne scars are indented is that they have lost support and have caved in.
hope that helps."
[Edited link out]
Tokyo Girl, some better discussions though dated exclude the non-ablative lasers for the most part. Remember all of these discussion are dated, and don't take into account what has been learned over 4 years.
http://www.realself.com/question/fraxel-repair-vs-active-fx-deep-fx
http://www.realself.com/question/deep-fx-fraxel-repair
[Edited link out]
http://medicalspamd.com/the-blog/2008/6/16/deepfx-forum-exclusively-for-encore-ultrapulse-users.html
On 6/17/2012 at 10:38 AM, DudleyDoRight said:Tokyo Girl, some better discussions though dated exclude the non-ablative lasers for the most part. Remember all of these discussion are dated, and don't take into account what has been learned over 4 years.
http://www.realself....tive-fx-deep-fx
http://www.realself....x-fraxel-repair
[Edited link out]
Thanks for the info. I've read these links in the past. In fact, I read the realself ones earlier today but chose to omit them because they are dated and many of the comments were made when Deep FX was new on the market. Reading the Medspa links again, I now realize why I thought Deep FX was a deeper, more effective treatment. Interestingly, the information between those two links does still conflict. One says, Deep FX has a penetration of 1 mm while the other says it goes as deep as 2 mm. There's even specific information, such as "30 mj of energy with DeepFx penetrates 1.9 mm deep". One of the links also confirms why I thought I had read Max FX was an old technology. Apparently, it was used in the 1990s for full ablation, and has now carried over to Active FX at 100% density. Interesting details and links. Fact or fiction though, I am not sure all the information is correct. Either way, thanks, Dudley
On 6/17/2012 at 6:16 AM, collegeboy84 said:I agree, a ton of conflicting info. As others have said, I think doctors just try to sell what they use at their particular office. This is part of the reason I put so much faith into my doctors at the Skin and Laser Center of Northern California. They have all the popular CO2 and erbium lasers so there is no need to sell me lies. In fact, I went in there asking for a full face and they tried talking me into just half cheeks so clearly they aren't hurting for money.
At the end of the day, I think it depends on your provider and his/her chosen modality. Your doctor is obviously confident with helping you reach your overall goals using Re:pair. That's a good thing. My doctor had both Fraxel and UltraPulse, plus other lasers. He chose Ultrapulse Deep FX.
TokyoGirl, I wish Consumer Reports would do a comparision. It is like muddy water trying to get good information, the info either comes from self-promoting doctors, or it is delivered in such technical terms as to be useless to the layman. This is about as close as I have come to anything usefull and it is dated.
http://www.miinews.c...t_v2_022709.pdf
I forgot about the link in my signature from the NIH that is about the best at explaining and seperating ablative and non-ablative.
This is a little off subject but I wanted to give a little history about my scars. Most people will find this very hard to believe but my scars are not from acne. I actually made several posts about this a year or so ago.
I had mild acne in my teen years but by the time I reached 20 my skin was 99% acne free. For the next 6 years my skin was acne free with maybe the occasional white/black heads. This scarring started appearing on my cheek when I was 22-23 years old and has not changed much since then. I did have breakouts reoccur when I was 26-27 but that was kept in check with aczone/differin. I should also note that any pimples I had pre or post scars were almost always on my temples. Rarely did I have any pimples on my cheeks (where the scarring is).
I have a theory as to how my scarring has formed. First notice my scarring is ONLY on my cheek, ABOVE my beard line. When I was in my early 20s I started getting these random beard hairs that would pop up above the "natural" beard line. I was afraid that if I were shave these hairs they would not only grow back darker and thicker but faster as well. So what did I do? I would pluck them! HOW PAINFUL. It is one thing for a woman to wax her thin,shallow,peach fuzz hairs... but my hairs? Very painful. I always had dark, thick, deep facial hairs, so imagine plucking 1 where the roots easily went 2 MM into the skin. I was plucking these hairs for years until 1 day, I noticed scars!
Anyways I have a feeling that improper plucking is what caused my scarring. By improper plucking I mean...
-pulling out hairs in the wrong direction
-maybe not cleaning the tweezers and getting an infection
-pulling hairs that are just way to deep
-not properly cleaning the area before/after which could result in an infection in the skin
Couple this with working outside in the sun 24-7 and smoking (neither bad habit which I practice to this day) and WAHLAH! Got yourself some "acne scars."
Obviously I know now to just shave the hairs but I really do believe this is the cause as all my scarring is in areas that I plucked hairs. If i did not shave for a few days, you could actually see these hairs growing out of the scars.... hahaha. Yes, gross I know. [Edited image out]
So in conclusion, location and time of scars formed correlate with location and time of hair plucking. Scars did not form within years of having pimples and the location of these scars just don't add up. Weather the cause of the scars will change the results from my laser treatments I will most likely never know. I have actually tried discussing my theorys with many doctors in the past by they always scoff at the idea and assure me my scarring is acne related. Silly doctors.
Collegeboy84,
You remind me so much of my husband. He has the same kind of scarring too. While he does suffer from mild breakouts, I do think his scars are related to facial hair. He plucks too, and it often leads to infection. However, he claims the infection is caused by ingrown hairs, which he also plucks. He's always taking my tweezers. It drives me crazy. I tell him to just leave it alone, but of course, he doesn't listen. Anyway, seeing what I've seen, I have to agree with you.
Collegeboy84,
You remind me so much of my husband. He has the same kind of scarring too. While he does suffer from mild breakouts, I do think his scars are related to facial hair. He plucks too, and it often leads to infection. However, he claims the infection is caused by ingrown hairs, which he also plucks. He's always taking my tweezers. It drives me crazy. I tell him to just leave it alone, but of course, he doesn't listen. Anyway, seeing what I've seen, I have to agree with you.
So plucking facial hairs can lead to scarring? I think it is increased signically by the fact college was also on tretinoin at the time also.
@Dudly,
The main piece of information is exactly how deep can the Deep FX penetrate.
These are my numbers,
Active FX = .3mm
Deep FX = ????
Scaar FX = 4.0mm
FraxelRepair = 1.7mm
Ive dont research on the Deep FX and never found a consistant number, the Fraxel doctors say 1mm and the FX doctors say up to 2mm. >.>
Collegeboy84,
You remind me so much of my husband. He has the same kind of scarring too. While he does suffer from mild breakouts, I do think his scars are related to facial hair. He plucks too, and it often leads to infection. However, he claims the infection is caused by ingrown hairs, which he also plucks. He's always taking my tweezers. It drives me crazy. I tell him to just leave it alone, but of course, he doesn't listen. Anyway, seeing what I've seen, I have to agree with you.
So plucking facial hairs can lead to scarring? I think it is increased signically by the fact college was also on tretinoin at the time also.
@Dudly,
The main piece of information is exactly how deep can the Deep FX penetrate.
These are my numbers,
Active FX = .3mm
Deep FX = ????
Scaar FX = 4.0mm
FraxelRepair = 1.7mm
Ive dont research on the Deep FX and never found a consistant number, the Fraxel doctors say 1mm and the FX doctors say up to 2mm. >.>
@Tokyogirl -Haha that is funny he steals your tweezers. I haven't tweezed in years and fortunately no new scarring has formed since. I do however use a very, very good Wet/Dry Electric Shaver made by Pansonic that blows any regular razor or even a Doubled-Edged razor away. The shaving process is so fast and the quality is so clean and irritation free that I could literally shave every couple hours and never get the "12-o-clock shadow". P.S.- I never had issues with ingrown hairs.
@ LZOMG - I was never on Retin-A or ANY acne medication for that matter during my tweezing/scarring years. I did not start Differin (a newer generation retinoid) until I was 26 which was about 3-4 years after my scarring had occurred. Actually I feel the Differin has helped my scarring and texture a little. But I think your right, Tweezing DEEP hairs while on Retinoids could be dangerous. When I was in my early 20s I was just oblivious to skin issues in general as I had near perfect skin. Never got acne, always worked outdoors in the sun without a hat or sunsncreen for 8 hours a day, smoked like a freight train, ate whatever foods I felt liked, partied, got drunk and smoked assortment of hazardous drugs. Now I am paying for my careless lifestyle.
As far as the DeepFX goes, 2.0 MM seems to be the norm from what I read now in days. Honestly do 2.0 MM scars really exist? I mean looking a ruler that is pretty freaking deep. I would be scarred scared to allow a 4.0 MM laser penetration on my face.
The main piece of information is exactly how deep can the Deep FX penetrate.
These are my numbers,
Active FX = .3mm
Deep FX = ????
Scaar FX = 4.0mm
FraxelRepair = 1.7mm
Ive dont research on the Deep FX and never found a consistant number, the Fraxel doctors say 1mm and the FX doctors say up to 2mm. >.>
Watch the Lumenis video posted to the SCAAR FX thread. It gives all the information in a chart. Appears, Deep FX can reach a depth of 2 mm, but whether it's really necessary to go that deep is hard to say. I don't think most doctors will do it for acne scars.
Here are the photos from before and after. EDIT: For some reason it won't let me upload the before photos. The one closeup of my eye is to show the difference in color between the Ultrapulse MaxFX and the fraxel:repair. The MaxFX under one is very pink and healing slower as the doctor warned. As for the pinkess from the repair, I actually don't think I look that pink in real life, my camera is just low quality.
There is a definite improvement that I can see in person but as far as the photos go, it is really hard to tell. The difference in lighting (even though I tried to stay consistent) and my pigment discoloration from the day-25 photos makes it difficult to see the improvement. I actually think the pigment difference and change in lighting makes my texture look worse then before but I think there was some significant improvement in person.
I had 1 boxcar scar that was located between my eyes, above the bridge of my nose which has completely faded (the only scar that is not located on my cheeks) . If I look carefully I can actually see some of the scars fill in a little more with each passing day. I had a boxcar scar, my second biggest scar, about 1 inch from my nose, left side which has filled into quite a bit. One side of the scar actually seems to be filling in faster which is actually changing the shape of the scar. Before it was a perfect box but now it is more of a shallow boomerang looking type scar. Hard to see it from the terrible photos I took but it is there. There are a handful of scars aside from the 2 I noted where I can see a significant shallowing, as for the rest, it is really hard to tell at this point. If I continue to see this improvement over the next 3-5 months I will be very happy. Needless to say I will be back for another repair by December.
Will post photos again in a few weeks (hopefully by then the pinkness fade) [Edited image out]
[Edited image out]
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Yeah, you are still pretty pink! I see a little bit of hyper-pigmentation (?) under your eyes, hope it will fade...! But I am glad you are seeing some improvement so far.
Wow...another one in December? {Edited image out[
Thank you for the update, good luck collegeboy84 [Edited image out]
On 6/20/2012 at 11:34 AM, collegeboy84 said:Here are the photos from before and after. EDIT: For some reason it won't let me upload the before photos. The one closeup of my eye is to show the difference in color between the Ultrapulse MaxFX and the fraxel:repair. The MaxFX under one is very pink and healing slower as the doctor warned. As for the pinkess from the repair, I actually don't think I look that pink in real life, my camera is just low quality.
There is a definite improvement that I can see in person but as far as the photos go, it is really hard to tell. The difference in lighting (even though I tried to stay consistent) and my pigment discoloration from the day-25 photos makes it difficult to see the improvement. I actually think the pigment difference and change in lighting makes my texture look worse then before but I think there was some significant improvement in person.
I had 1 boxcar scar that was located between my eyes, above the bridge of my nose which has completely faded (the only scar that is not located on my cheeks) . If I look carefully I can actually see some of the scars fill in a little more with each passing day. I had a boxcar scar, my second biggest scar, about 1 inch from my nose, left side which has filled into quite a bit. One side of the scar actually seems to be filling in faster which is actually changing the shape of the scar. Before it was a perfect box but now it is more of a shallow boomerang looking type scar. Hard to see it from the terrible photos I took but it is there. There are a handful of scars aside from the 2 I noted where I can see a significant shallowing, as for the rest, it is really hard to tell at this point. If I continue to see this improvement over the next 3-5 months I will be very happy. Needless to say I will be back for another repair by December.
Will post photos again in a few weeks (hopefully by then the pinkness fade).[Edited image out]
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It's nice to see you're still hopeful. Just come back from my consultation. To cut a long story short, I've been told to just live with them. Apparently, my scars are who I am. No, it wasn't meant to be this way. I give up, after battling this issue for more than 4 years. I'm just exhausted. Sorry to off load. But, it's cool you're still going. Hopefully, you'll be one of the lucky ones. Cheers.
On 6/21/2012 at 5:10 AM, AlexWong said:It's nice to see you're still hopeful. Just come back from my consultation. To cut a long story short, I've been told to just live with them. Apparently, my scars are who I am. No, it wasn't meant to be this way. I give up, after battling this issue for more than 4 years. I'm just exhausted. Sorry to off load. But, it's cool you're still going. Hopefully, you'll be one of the lucky ones. Cheers.
sorry you feel that way...but there are different acne scar treatments available, such as subcision. but i really understand how you feel...i am really sick of dealing with and stressing out over acne scars, too...[Edited image out]I do have shallow scars and doctors keep telling me those are hard to treat. So frustrating...!
On 6/21/2012 at 8:03 AM, myskin2012 said:On 6/21/2012 at 5:10 AM, AlexWong said:It's nice to see you're still hopeful. Just come back from my consultation. To cut a long story short, I've been told to just live with them. Apparently, my scars are who I am. No, it wasn't meant to be this way. I give up, after battling this issue for more than 4 years. I'm just exhausted. Sorry to off load. But, it's cool you're still going. Hopefully, you'll be one of the lucky ones. Cheers.
sorry you feel that way...but there are different acne scar treatments available, such as subcision. but i really understand how you feel...i am really sick of dealing with and stressing out over acne scars, too...[Edited image out]I do have shallow scars and doctors keep telling me those are hard to treat. So frustrating...!
@Alex- If your scars don't bother you (as they look almost non-existent in your photos) then I would take your doctors advice and forget about the laser as it can be quite pricey. However I am curious as to what your doctor has said which makes you feel so hopeless and exhausted.
Honestly? I would get a second opinion. The 1st consultation I had was with a local doctor who said my scars can be treated but it is a waste of money as my scars are so small and it gives me a "manly complexion." The whole time I was listening to this guy I was trying to figure out if I am having a conversation with a shrink or a doctor. For starters, he was the ONLY doctor in this office along with about 15 nurses. His schedule was limited as he would not work Fri, Sat or Sundays and the days he did work... nothing past noon. It was clear to me that he just simply did not want my business so he began making excuses. I would search for a practice where there are at least 5-6 doctors on staff (there are several here as Sacramento is home to UCDavis which is known for its PHD schooling.)
Anyways, your scars look much like mine and I notice a significant improvement in even my biggest scars so for your doctor to say your "stuck" with them seems like bullshit to me. Most of my ice-pick scars look more like pores to me now. I was also treated at a relatively conservative setting at 50 joules with no signs of hyper-pigmentation (as far as the fraxel-repair goes) so I will definitely ask them to kick up the juice next time around. Watch this video on how the Fraxel:Repair instantly shrinks the skin, this alone would make your scars appear smaller.
Which brings me to Myskin2012's comment. I adjusted the setting on my camera a few weeks ago so I could take photos of the dark job-site I was working at. In doing so, I apparently changed the coloring of my camera as it seems to be a bit off. I am really not that pink at all on my cheeks and if you look closely at the photo it makes my nose look pinkish/red even though I never had any laser treatment done on the nose which is its normal fleshy color. For whatever reason my camera now wants to tint the colors when I zoom up on my face. The zoomed out photo is a better representation of my true skin color. However, there is a definite skin discoloration under my left eye where they did the MaxFX treatment. The right eye healed really fast but the left side is just taking forever to heal. The good news is the pink is slowly fading away. I did have a coworker ask if I got punched in the eye last week. Hehehe. [Edited image out]
On 6/21/2012 at 8:47 AM, collegeboy84 said:I did have a coworker ask if I got punched in the eye last week. Hehehe. [Edited image out]
[Edited image out]
AlexWong,
I also think you should go see another derm/PS to get a second opinion(but if you really don't want to continue this any more, I totally understand that though...!)
My first derm(who cleared my acne so I trust him) told me my scars are too shallow, and nobody cares about and I should just live with it, and gave me retin-a(he doesn't recommend me any treatments for my scars...such as TCA or Peels/Lasers/Subcision/Fillers). I felt REALLY hopeless when I heard it, but he doesn't treat acne 'scars', and I didn't want to give up...so I went to see many derms/PS after that(every doctors disappointed me, too...many of them are money greedy doctors..!). This month, I already visited 3 derms. And I really like the last doctor I met. I hope my treatment with him will work for me, and he will be my doctor and I can use him for a long time. I am planning to update my progress after I see some results...!
To find the right doctor and treatment are so difficult, but I do believe there are good doctors and treatments that work for you...[Edited image out]! Hope you feel better...!
PS: I DO have similar scarring like yours, but some of my box/rolling scars on my cheeks are so close together and they look worse...!