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Help With Severe Acne Scarring

 
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2
(@readytolive)

Posted : 12/23/2013 7:51 pm

after several months off accutane all my acne is gone, but my skin texture is horrid. my scarring is so bad that no one can really notice my acne is gone bc my skin still looks terrible! I just want to look like a normal person, HeLp!!post-206615-0-09822200-1387846249_thumb.

post-206615-0-09822200-1387846249_thumb.

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7
(@u1971)

Posted : 12/23/2013 9:16 pm

 

I remember the time when my scars were still fresh. They were exactly like yours. The redness will slowly subside and the overall appearance of your face will improve even if you do not treat your scars. The scars also fill in a little as time goes by (I can tell you that for sure because I'm 42 now and I have scars since I was 19). Fortunately we have a lot of treatments available nowadays. They are not always effective but we can get a lot of improvement if we persevere.

What has helped me lately is dermaroller. I will also try dermastamp.

 

 

I have never taken accutane but I have read you should wait 1-2 years before starting treating your scars.

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81
(@dudleydoright)

Posted : 12/23/2013 9:38 pm

I ma not going to kid you, you need to talk to the Asians on this board. You need Fraxel Repair at maximum settings and you need multiple treatments. Don't waste time or money on lesser treatments.

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7
(@wrocky)

Posted : 12/23/2013 11:50 pm

after several months off accutane all my acne is gone, but my skin texture is horrid. my scarring is so bad that no one can really notice my acne is gone bc my skin still looks terrible! I just want to look like a normal person, HeLp!!attachicon.gifimage.jpg

How long ago did you finish accutane? I checked your other thread, the accutane one, I have similar scarring(huge pores bother me the most!), however I am almost 12 months post Accutane. It is important that you wait ATLEAST 6 months, preferably 12 months. I am considering subcision + fillers for rolling scars, tca cross for ice picks and once I am done with that, then Fraxel Repair or Deep FX to smooth things out. If you have any questions, let me know on here or send me a message, as I know what you are going through.

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3
(@colormeblind)

Posted : 12/24/2013 2:22 am

Like others have said. There are treatments available that can help you. Focus on the fact that you are doing something about it and not just accepting it. It can get better. :)

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MemberMember
2
(@readytolive)

Posted : 12/24/2013 9:43 am

it's been 4ish months and I plan on pursuing treatment over the summer. I want to do what's most effective. so far fraxel and dermarolling look the most promising but I was looking for advice! also, what type of scarring do I have? rolling boxcar etc? thank you!

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MemberMember
8
(@4meracneguy)

Posted : 12/24/2013 12:35 pm

it's been 4ish months and I plan on pursuing treatment over the summer. I want to do what's most effective. so far fraxel and dermarolling look the most promising but I was looking for advice! also, what type of scarring do I have? rolling boxcar etc? thank you!

I agree with dudley, you should do Fraxel Repair multiple times. Not Fraxel Restore, which is completely different. After the Repair is done you should try fillers. Dermarolling cannot compare with Fraxel Repair, take a look at all the scientific journals on Repair. You have rolling and boxcars btw.

How is the right side of your face?

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MemberMember
2
(@readytolive)

Posted : 12/24/2013 1:26 pm

it's been 4ish months and I plan on pursuing treatment over the summer. I want to do what's most effective. so far fraxel and dermarolling look the most promising but I was looking for advice! also, what type of scarring do I have? rolling boxcar etc? thank you!

I agree with dudley, you should do Fraxel Repair multiple times. Not Fraxel Restore, which is completely different. After the Repair is done you should try fillers. Dermarolling cannot compare with Fraxel Repair, take a look at all the scientific journals on Repair. You have rolling and boxcars btw.

How is the right side of your face?

both sides look almost exactly the same! and ok will do more research on it, thanks!

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MemberMember
8
(@4meracneguy)

Posted : 12/24/2013 1:48 pm

it's been 4ish months and I plan on pursuing treatment over the summer. I want to do what's most effective. so far fraxel and dermarolling look the most promising but I was looking for advice! also, what type of scarring do I have? rolling boxcar etc? thank you!

I agree with dudley, you should do Fraxel Repair multiple times. Not Fraxel Restore, which is completely different. After the Repair is done you should try fillers. Dermarolling cannot compare with Fraxel Repair, take a look at all the scientific journals on Repair. You have rolling and boxcars btw.

How is the right side of your face?

both sides look almost exactly the same! and ok will do more research on it, thanks!

Buy a wrinkle filler (makeup for people with wrinkles), like Dermasilk Flawless, to acheive an immediate reduction in acne scar appearance. It will reduce the appearance of rolling/boxcars about 30% in my experience. Experiment with different wrinkle fillers and find which one reduces the appearance of your scars the most. If your scars become shallow enough with treatment, these wrinkle fillers can give you scar free looking skin.

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MemberMember
1
(@daynecarter)

Posted : 12/24/2013 2:01 pm

it's been 4ish months and I plan on pursuing treatment over the summer. I want to do what's most effective. so far fraxel and dermarolling look the most promising but I was looking for advice! also, what type of scarring do I have? rolling boxcar etc? thank you!

I agree with dudley, you should do Fraxel Repair multiple times. Not Fraxel Restore, which is completely different. After the Repair is done you should try fillers. Dermarolling cannot compare with Fraxel Repair, take a look at all the scientific journals on Repair. You have rolling and boxcars btw.

How is the right side of your face?

both sides look almost exactly the same! and ok will do more research on it, thanks!

Buy a wrinkle filler (makeup for people with wrinkles), like Dermasilk Flawless, to acheive an immediate reduction in acne scar appearance. It will reduce the appearance of rolling/boxcars about 30% in my experience. Experiment with different wrinkle fillers and find which one reduces the appearance of your scars the most. If your scars become shallow enough with treatment, these wrinkle fillers can give you scar free looking skin.

this doesnt clog porns/cause acne?

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MemberMember
8
(@4meracneguy)

Posted : 12/24/2013 2:54 pm

it's been 4ish months and I plan on pursuing treatment over the summer. I want to do what's most effective. so far fraxel and dermarolling look the most promising but I was looking for advice! also, what type of scarring do I have? rolling boxcar etc? thank you!

I agree with dudley, you should do Fraxel Repair multiple times. Not Fraxel Restore, which is completely different. After the Repair is done you should try fillers. Dermarolling cannot compare with Fraxel Repair, take a look at all the scientific journals on Repair. You have rolling and boxcars btw.

How is the right side of your face?

both sides look almost exactly the same! and ok will do more research on it, thanks!

Buy a wrinkle filler (makeup for people with wrinkles), like Dermasilk Flawless, to acheive an immediate reduction in acne scar appearance. It will reduce the appearance of rolling/boxcars about 30% in my experience. Experiment with different wrinkle fillers and find which one reduces the appearance of your scars the most. If your scars become shallow enough with treatment, these wrinkle fillers can give you scar free looking skin.

this doesnt clog porns/cause acne?

Not if you use something that speeds up skin cell turnover rate like Retin A. Experiment with other wrinkle filler makeups as well...If something can fill wrinkles, it can work pretty well on scars.

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MemberMember
0
(@farrison-hord)

Posted : 12/24/2013 4:08 pm

Look forward to the fact that you can do scar treatments very soon, and that each individual scar appears to be somewhat shallow. My research suggests co2 laser and subcision+filler for the deeper rolling types. The redness is what draws the most attention methinks, perhaps youre using something that doesn't actually agree with your skin? cleanser/moisturizer etc.

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42
(@leadingforce)

Posted : 12/24/2013 4:16 pm

you need to get fraxel repair , co2 deep fx one of those lasers and maybe subcision as i hear it effective on those scars

if you gonna get fillers , it is only temporary so just letting you know results dont last long

there is no cream treatment for those scars

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7
(@wrocky)

Posted : 12/24/2013 5:23 pm

you need to get fraxel repair , co2 deep fx one of those lasers and maybe subcision as i hear it effective on those scars

if you gonna get fillers , it is only temporary so just letting you know results dont last long

there is no cream treatment for those scars

Not all fillers are temporary, some members on this forum have had good results with silicone microdroplets, they are permanent.

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2
(@readytolive)

Posted : 12/24/2013 6:21 pm

Why are people telling her to get re:pair? if she has asian skin it will be tough to even find a clinic that will take the risk.

this is true, as I hyperpigment very easily...what else would you suggest? dermarolling? sometimes my skin is not that red, but whenever I exercise or get hot I get so flushed and blush a lot, so sometimes it's actually not red like the picture, I just wanted to post the worst picture of my skin I could find

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MemberMember
8
(@4meracneguy)

Posted : 12/24/2013 6:25 pm

Why are people telling her to get re:pair? if she has asian skin it will be tough to even find a clinic that will take the risk.

this is true, as I hyperpigment very easily...what else would you suggest? dermarolling? sometimes my skin is not that red, but whenever I exercise or get hot I get so flushed and blush a lot, so sometimes it's actually not red like the picture, I just wanted to post the worst picture of my skin I could find

BS, as we know the hyperpigmentation is temporary. You are very light skinned and there are no permanent risks.

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MemberMember
7
(@u1971)

Posted : 12/24/2013 6:57 pm

Why are people telling her to get re:pair? if she has asian skin it will be tough to even find a clinic that will take the risk.

this is true, as I hyperpigment very easily...what else would you suggest? dermarolling? sometimes my skin is not that red, but whenever I exercise or get hot I get so flushed and blush a lot, so sometimes it's actually not red like the picture, I just wanted to post the worst picture of my skin I could find

BS, as we know the hyperpigmentation is temporary. You are very light skinned and there are no permanent risks.

How can you say there are no permanent risks? All existent treatments have potential risks. Both Repair and dermaroller have some sort of side effects.

Just take a look at the "worth it rating" on realself. Fraxel Repair was rated worth it by 58% of the users. Dermaroller had 74% of the ratings being positive.

http://www.realself.com/reviews

I'm not implying Repair is worse than Dermaroller or that Realself should be the only source when it comes to deciding what treatment to choose, but let's be honest. Not every treatment works well for everyone. In any case, Repair or dermaroller, several treatments will be needed and there is always the risk of not getting the desired results, even in the long run.

I mentioned dermaroller because it is something I have tried personally and It has helped me, but I read many bad reviews about it too.

I advise everyone to do their own research before deciding the way to go. Using the advanced seach tool mode here is the beginnig. Not the basic search but the advanced one (I can post how to do it if someone asks). People wrote a lot of valuable information over the years about many different treatments.

I read a lot about acne scars and I know there is hope, but there are risks also and no universal solution is avaiable yet.

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1
(@325world)

Posted : 12/24/2013 7:29 pm

.

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MemberMember
7
(@u1971)

Posted : 12/24/2013 8:09 pm

Yes, I have read literally every dermaroller thread on here, realself reviews/Q&A, google, called/visited estheticians, etc. It really does seem like the only shot (other than fraxel re:pair, and for people who have exhausted the softer methods).

Did you read that huge thread started in 2002 by former moderator Maya? It was about skin needling in general, but it applies to dermaroller also. Some posters who unfortunately no longer post here wrote many interesting rewiews about skin needling.

BTW, if I lived in the USA I would try subcision or punch float before dermaroller/dermastamp. They could make the scars less deep.

Dermaroller tests our patience all the time. It works, but it's so slow... and we will know if it works or not in some cases more than a year after we started.

After 11 months rolling my scars I see an overall improvement of about 20%.

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MemberMember
1
(@325world)

Posted : 12/24/2013 8:39 pm

.

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MemberMember
42
(@leadingforce)

Posted : 12/25/2013 11:06 am

Why are people telling her to get re:pair? if she has asian skin it will be tough to even find a clinic that will take the risk.

doesnt matter , dermaroller arent going to get you results that make you happy

only risk is probably hyperpigmentation but that is normal for everyone and she can cover it up which makeup

Why are people telling her to get re:pair? if she has asian skin it will be tough to even find a clinic that will take the risk.

this is true, as I hyperpigment very easily...what else would you suggest? dermarolling? sometimes my skin is not that red, but whenever I exercise or get hot I get so flushed and blush a lot, so sometimes it's actually not red like the picture, I just wanted to post the worst picture of my skin I could find

BS, as we know the hyperpigmentation is temporary. You are very light skinned and there are no permanent risks.

How can you say there are no permanent risks? All existent treatments have potential risks. Both Repair and dermaroller have some sort of side effects.

Just take a look at the "worth it rating" on realself. Fraxel Repair was rated worth it by 58% of the users. Dermaroller had 74% of the ratings being positive.

http://www.realself.com/reviews

I'm not implying Repair is worse than Dermaroller or that Realself should be the only source when it comes to deciding what treatment to choose, but let's be honest. Not every treatment works well for everyone. In any case, Repair or dermaroller, several treatments will be needed and there is always the risk of not getting the desired results, even in the long run.

I mentioned dermaroller because it is something I have tried personally and It has helped me, but I read many bad reviews about it too.

I advise everyone to do their own research before deciding the way to go. Using the advanced seach tool mode here is the beginnig. Not the basic search but the advanced one (I can post how to do it if someone asks). People wrote a lot of valuable information over the years about many different treatments.

I read a lot about acne scars and I know there is hope, but there are risks also and no universal solution is avaiable yet.

everyone skin relate differently to lasers unless you tried it , you shouldnt be just reading and think its bad

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MemberMember
3
(@acnescarsarehell)

Posted : 12/25/2013 1:50 pm

I would recommend a C02 ablative treatment. You would need a series even if it is done at the most highest settings (high micron settings, double pass, spaced closely together etc). Even the most ablative and aggressive treatments would require multiple sessions. In my experience, there is no quick fix for scars. I have done fraxel restore, c02 fractionated lasers, and erbium lasers. All of them required sessions in order to get good results. As a rule of thumb if you do ablative lasers (fraxel restore is non ablative as are the other lasers such as smooth touch) you will get anything from 5-20% improvement in my personal experience. Do not waste your time with any non ablative lasers as they are not aggressive enough to get the best results. I would not worry too much about your skin color or ethnicity. I am Asian and fairly tan. I have done all the above lasers at very high settings and never hypopigmented. I did get red and dark areas, but this is expected with a large amount of laser treatments. (this can also be mitigated with hydroquinone as well).

You might also want to look into dermabrasions. I have done two dermabrasions and out of all the treatments I have done (c02 + erbium lasers, fillers, microdermabrasions, peels, smooth touch laser, fraxel restore) I noticed that dermabrasion got me the best results. I also did not hypopigment either. Keep in mind that lasers are a great way to treat scars but they also follow the contour of the pit. So they will ablate the scar evenly with the non scarred skin. This will not smooth out the edges in the sense a dermabrasion would. Lasers work by creating thermal wounds to generate new collagen to replace the lost collagen. This is one of the reasons why I like dermabrasion. It sands down the edges to make the scars less visible and will also stimulate the growth of new collagen.

In my opinion I would not go with any fillers. I have box car and rolling type acne scars. I had restalyn done and so 0% improvement. In addition, it created a lump on my face which can lasted over 6 mos. I have gone to a lot of consultations and the majority of doctors agree that fillers are best for wrinkles. In general pitted scarring is a poor candidate for fillers. I have read some people have gotten good results, so I guess it is up to you to decide. I personally would want something permanent because fillers are expensive and need to be done over and over again to touch up the fading results.

When you start to see drs take everything with a grain of salt. The unfortunate truth is that they are in the business to make money and can sometimes over promise. Good luck on your journey.

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MemberMember
8
(@4meracneguy)

Posted : 12/25/2013 6:20 pm

I would recommend a C02 ablative treatment. You would need a series even if it is done at the most highest settings (high micron settings, double pass, spaced closely together etc). Even the most ablative and aggressive treatments would require multiple sessions. In my experience, there is no quick fix for scars. I have done fraxel restore, c02 fractionated lasers, and erbium lasers. All of them required sessions in order to get good results. As a rule of thumb if you do ablative lasers (fraxel restore is non ablative as are the other lasers such as smooth touch) you will get anything from 5-20% improvement in my personal experience. Do not waste your time with any non ablative lasers as they are not aggressive enough to get the best results. I would not worry too much about your skin color or ethnicity. I am Asian and fairly tan. I have done all the above lasers at very high settings and never hypopigmented. I did get red and dark areas, but this is expected with a large amount of laser treatments. (this can also be mitigated with hydroquinone as well).

You might also want to look into dermabrasions. I have done two dermabrasions and out of all the treatments I have done (c02 + erbium lasers, fillers, microdermabrasions, peels, smooth touch laser, fraxel restore) I noticed that dermabrasion got me the best results. I also did not hypopigment either. Keep in mind that lasers are a great way to treat scars but they also follow the contour of the pit. So they will ablate the scar evenly with the non scarred skin. This will not smooth out the edges in the sense a dermabrasion would. Lasers work by creating thermal wounds to generate new collagen to replace the lost collagen. This is one of the reasons why I like dermabrasion. It sands down the edges to make the scars less visible and will also stimulate the growth of new collagen.

In my opinion I would not go with any fillers. I have box car and rolling type acne scars. I had restalyn done and so 0% improvement. In addition, it created a lump on my face which can lasted over 6 mos. I have gone to a lot of consultations and the majority of doctors agree that fillers are best for wrinkles. In general pitted scarring is a poor candidate for fillers. I have read some people have gotten good results, so I guess it is up to you to decide. I personally would want something permanent because fillers are expensive and need to be done over and over again to touch up the fading results.

When you start to see drs take everything with a grain of salt. The unfortunate truth is that they are in the business to make money and can sometimes over promise. Good luck on your journey.

5-20% improvement from MULTIPLE ablative CO2 lasers? I doubt that's the norm..

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MemberMember
1
(@325world)

Posted : 12/25/2013 6:22 pm

.

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MemberMember
3
(@acnescarsarehell)

Posted : 12/25/2013 10:27 pm

I would recommend a C02 ablative treatment. You would need a series even if it is done at the most highest settings (high micron settings, double pass, spaced closely together etc). Even the most ablative and aggressive treatments would require multiple sessions. In my experience, there is no quick fix for scars. I have done fraxel restore, c02 fractionated lasers, and erbium lasers. All of them required sessions in order to get good results. As a rule of thumb if you do ablative lasers (fraxel restore is non ablative as are the other lasers such as smooth touch) you will get anything from 5-20% improvement in my personal experience. Do not waste your time with any non ablative lasers as they are not aggressive enough to get the best results. I would not worry too much about your skin color or ethnicity. I am Asian and fairly tan. I have done all the above lasers at very high settings and never hypopigmented. I did get red and dark areas, but this is expected with a large amount of laser treatments. (this can also be mitigated with hydroquinone as well).

You might also want to look into dermabrasions. I have done two dermabrasions and out of all the treatments I have done (c02 + erbium lasers, fillers, microdermabrasions, peels, smooth touch laser, fraxel restore) I noticed that dermabrasion got me the best results. I also did not hypopigment either. Keep in mind that lasers are a great way to treat scars but they also follow the contour of the pit. So they will ablate the scar evenly with the non scarred skin. This will not smooth out the edges in the sense a dermabrasion would. Lasers work by creating thermal wounds to generate new collagen to replace the lost collagen. This is one of the reasons why I like dermabrasion. It sands down the edges to make the scars less visible and will also stimulate the growth of new collagen.

In my opinion I would not go with any fillers. I have box car and rolling type acne scars. I had restalyn done and so 0% improvement. In addition, it created a lump on my face which can lasted over 6 mos. I have gone to a lot of consultations and the majority of doctors agree that fillers are best for wrinkles. In general pitted scarring is a poor candidate for fillers. I have read some people have gotten good results, so I guess it is up to you to decide. I personally would want something permanent because fillers are expensive and need to be done over and over again to touch up the fading results.

When you start to see drs take everything with a grain of salt. The unfortunate truth is that they are in the business to make money and can sometimes over promise. Good luck on your journey.

5-20% improvement from MULTIPLE ablative CO2 lasers? I doubt that's the norm..

per treatment

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