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Ehh that's not misinformation dude. He's an expert doing a complex procedure. I can't go drive my car @ 160mph & when I crash blame Top Gear for misinformation.
TCA cross seems to me like something I wouldn't like to mess around with, not even if done bya pro. I've Heard too many horror stories about it.
Note From MOD Please Do Not Post about ...:
- Potentially dangerous content.Any medical procedure must be performed by a qualified board-certified doctor. Do not post advice or how-tos on at-home, do-it-yourself, and/or illegal medical procedures or treatments that could be dangerous.
In your case, Ammeo, if the wound has been healing over time, why not wait a bit more and see how it develops? If it doesn't you may want to consider subcision. I seems to work for box and Rolling scars no the nose tip. If that doesn't work, only then I'd consider a more hardcore treatment such as excision.
Its been 5 months now and i dont think it would improve any more or maybe just slight improvement but the indent will still be very clearly visible. I have shown my scar to many dermos and plastic surgeons now on the internet and majority of them suggested Excision.
I am not fully sure how much Subcision will be helpful here cause i have checked a few cases on Realself where Subcision didnt do much help to smooth out indented scars on nose tip.
31 minutes ago, Ammeo said:Its been 5 months now and i dont think it would improve any more or maybe just slight improvement but the indent will still be very clearly visible. I have shown my scar to many dermos and plastic surgeons now on the internet and majority of them suggested Excision.
I am not fully sure how much Subcision will be helpful here cause i have checked a few cases on Realself where Subcision didnt do much help to smooth out indented scars on nose tip.
Dr. Novick on RealSelf seems to use subcision as the standard procedure for Rolling&boxcar scars on the nose tip. There are several cases in which he suggested exactly that.
This Guy actually seems to have a similar (but probably slightly worse) scar to yours and in the same area. Novick recommended subcision with maybe a filler: https://www.realself.com/question/lexington-ky-treatment-recessed-scar-nose-left-cold-sore#
Here Novick again recommends subcision for a depressed nose tip scar: https://www.realself.com/question/denver-nose-scar1#
For what it's Worth, I recently had subcision for an indented nose tip scar and so far it seemed to yield improvements.
I don't think that's a fair critique of Dr. Lim. He's a professional using medical grade tools in an office environment. Someone doing TCA Cross at home can damage themselves with just a toothpick. We've seen it many times on here. Sure you can do a lot more damage with a syringe, but is that really the fault of the doctor?
And honestly, your scar is so small and minor given what happened to it several months ago. I would absolutely not risk excision on the nose, which can potentially stretch and look worse.
Remember, when they do an excision, the incision is going to be larger than the scar so that the edges align flat. You potentially could have a much longer and deeper scar.
This thread is a joke, right?
You did a really silly and dangerous thing at home because you watched a qualifed dermatologist do it on a video?
And now you blame the dermatologist?
Stop blaming people and take responsibility for your actions. Have you seen Dr Lim? How can you evaluate a doctor you have never seen? Very unfair and unnecessary thread.
On 12/08/2018 at 6:53 PM, eekman said:The more information on the internet, the better. If you are too retarded to evaluate risks, then its your problem.
Thats not how you talk to someone. Maybe you should look into yourself before judging anyone else. The more info? Well, the info that he has available is dangerous. No one throws a drop of TCA into a Scar. Even for him it is very dangerous and i am sure he might have messed up someone with his risky self-innovated procedure.
And Many of us are first timers so there is a change of something going wrong and with the info Davin Lim is sharing on the internet, the chances of messing up a simple TCA procedure are even high.
13 hours ago, Ammeo said:Thats not how you talk to someone. Maybe you should look into yourself before judging anyone else. The more info? Well, the info that he has available is dangerous. No one throws a drop of TCA into a Scar. Even for him it is very dangerous and i am sure he might have messed up someone with his risky self-innovated procedure.And Many of us are first timers so there is a change of something going wrong and with the info Davin Lim is sharing on the internet, the chances of messing up a simple TCA procedure are even high.
100% TCA is used for ice Pick scars by several doctors, not just Lim. However, I don't fully understand what type of ice Pick scars it should be Applied to or the complexities derived about it.
I actually thought about doing self-TCA cross myself and I even bought 100% TCA online but I discarded the idea after seeing so many cases gone wrong and also because the prospect of pouring acid into my face somehow didn't seem like the best idea.
I actually think TCA cross is one of the most potentially dangerous acne-treatment procedures there are. I know it can work but I also know it can end up badly.
1 hour ago, tasinhoooo said:Why is this thread still here?
Why should it be removed?
On a side note, I find it curious how threads about at-home TCA-cross treatments are permitted while threads about at-home surgical procedures aren't. I personally think the former can be potentially more dangerous.
Anyhow, I am of the opinion that all at-home treatments discussions should be allowed. People are going to keep doing self treatments with or without discussion about it. It'd be best if we could openly discuss it imho.
The thread isn't front page of the paper stuff in terms of its reach, but claiming a named reputed doctor is going around spreading medical misinformation is flirting with the libel laws. I likewise question whether there is a case for it to be therefore removed.
@tasinhooooBecause it's someone's opinion, just like reviews of Drs are subjective, if we read above the premise has been challenged based on extra information.If it causes education, this is the purpose of this sub.
@abraxas21@TO_ALL_READERS:
There is a report icon to your right (a flag) please use it to report posts. IF we get reports we will look into the matter further. Dr Lim has been defended here several times and people said it was not his fault. It is Ammeo's view point there was not enough warning for safety of doing this procedure, to reiterate he was never treated by Dr Lim. How can someone be "libel" if they are not performing the procedure and providing general medical training as several other Drs do on Youtube for education. That being said I believe Ammeo wanted to warn other's and that is a valid concern.
Ammeo's post was concerning having his doctor do this. He messaged me that he has a plastic surgeon who tried this. So his post is his own viewpointis that this advice should not be given. Of course Dr Lim never says to perform the procedure on yourself, ... nor does he say to have anyone who is unskilled who has not trained doing hundreds if not thousands of treatments of these procedures.Anything in the wrong hands can do incredible damage.
I think Ammeo's scar actually looks better, the scar floor has raised and widened as expected with Cross. It just needs resurfacing... or nothing at all.
TCA Cross works,... but itn the wrong un-skilled hands it can be dangerous especially at 100% even doctors make mistakes. You obviously have not read the peel guide it clearly says to do low -level street-legal (for the public) peels, we teach safety and responsibility. It also says in the guide it's best if a doctor performs all these "treatments."
TCA cross with 30-35% acid is considered legal in the USA where this site is located. If you do anything illegal like buy higher percentages, try things in videos not covered in the guide or obtain illegal medical equipment that is illegal and or considered black market you are taking on self- liability, that your responsibility in private. Just like if you do other type of un-responsible or illegal activities. We have desperate "kids" here who do not need to be egged on to ruin themselves out of desperation for anything that can help. As you notice even a glycolic peel is sold in the Acne.org store for the general public.
50-100% TCA sold on Amazon is actually not 100% (diluted), but can seriously damage and harm. It is car part cleaner from China - terrible for the body/skin (toxic). Read the product reviews, they harmed their face.
In Europe Any % acid sold to the consumer is Illegal.
We do not provide illegal information here.Sure It's out there if you look, ... Example: how to perform your own open-heart surgery is also out there and I am sure there are people who will do it, or your own face lift.
Microneedling is legal in the USA to use at home (smaller mm length). Peels with 30-35% acid are considered legal in the USA (you can buy many of these items at Walmart, Amazon, and pharmacies - OTC). Please check with your country for it's laws concerning this.
I have put the warning multiple times that it's best for your Dr to do the treatment. Some do not have this option or their doctors have no clue how to do a procedure that are considered "at home." This is why the guide was made not for you to be your own dermatologist at home.We covered many acne scar treatments are considered surgery's by skilled physicians and are illegal to DIY, your obtaining medical equipment black market, and not heeding warnings.
Any exception to this will not be tolerated and moderated:
Community Rule:
- Potentially dangerous content.Any medical procedure must be performed by a qualified board-certified doctor. Do not post advice or how-tos medical dermatological surgeries/treatmentsat-home, do-it-yourself surgeries, and/or illegal medical procedures, or treatments that could be dangerous.
Scars are best treated under the care of a qualified practitioner and especially the 1% of expert's in this field who can handle emergencies and treatments skillfully. Everything is at your own risk in private otherwise.
I ask is that you educate yourself before having anything done to your skin.Videos and online sources make everything look so easy, they don't show the anatomy, or the mistakes that can happen, ... the practice and skill needed, or emergency responses.Wrong information, desperation, and marketing harms the un-prepared acne scar suffer.Even the best 1% of the top acne scar Drs make mistakes.
{{Please do not debate with me, use the report flag if you feel there is a issue.}}
@Ammeo... like @ScarRightis implying, you can not be serious. TCA CROSS at the concentrations that Specialist use are somewhat scary. If a normal dermatologist does not use TCA CROSS, does that not give an indication that it may possibly be a complex procedure to treat the correct scar type. I think Lim is educating the general public that for ICE PICK scars, TCA is the treatment of choice, and not laser. The method he uses is osmotic, and not dripping, nor injections. I think common sense need to be exercised. BTW,
I think he is one of the best in the developed world. Yes his before and after pics are not real, meaning either its different ligting or he takes the after pics when there is still bruising, swelling and redness. But its not entirely his fault. Its not easy to generate so much collagen in someones skin. HA fillers is the only thing he do that gives great realisitic results. But alteast he tries his best, and willing to learn new techniques However , he does charge a lot for his treatments.
So there are both pros and cons of seeing him.
I've never had Dr. Lim as my doctor, but from his online presence, he seems genuine and trying to move the field (scar revision dermatology) forward. He generally shares as much as he can, advocates manual methods over instrumentation, and constantly tries to learn more. And like @Obi wansays, he routinely recommends other doctors over himself, and is not trying to commercialize his medical practice.
I think tryinhard is just a spam account trying to take down his reputation. If you really have a complaint, why don't you disclose what that is instead of shaming him anonymously??I can't stand haters who just try to take people down. Crabs in a bucket
@TryingHard, try harder to take him down - look at the lighting he shows on the his Instagram posts- @drdavinlim I do not see any trickery in lighting there. Anyone who ask him a question on who to see, he will give you advice, and its not usually him. If he doesn't reply, I assume politically he has no connections. I think he is doing more for the acne scar community out there than any other dermatologist. As for prices, goto LA and see some of the dermatologist there who 'specialise' in acne scars, then see Lim. Its a joke how reasonable Lim is compared to other high profile dermatologists. 'Tall poppy syndrome' Google this.
@tryinghard123, I am no Lim fan, I just decipher the information and make scientific objective comments based upon intelligence and not hate. There are no lighting changes in his posts on Instagram, go check it out. Light is used to show the degree of scarring if the ' light reflex ' is too strong, angled lighting highlights scars easier. The shadows will ALWAYS move if scars are corrected. I know you are too intelligent to understand a xyz vector in one position, try adding another xyz vector (lighting) and see if you can replicate the exact angle. Forget the lighting if you have doubts, just see the ones with light. He said on Instagram he will give anyone 100k if photos are not real, and his patients will co-operate. I guess it will look really bad if he is exposed as a fraudster especially on LIVE YOUTUBE or LIVE IG, so why don't you take up that bet? If he wins, he doesn't want your 100K, but you give it to charity- seems like a good SM stunt. I really don't know. I don't have 100k to loose, or perhaps you may have 100 k to gain? Put you money where your mouth is.
On 05/11/2018 at 10:34 PM, tryinghard123 said:listen at the end of the day the guy dr lim is biggest fraudster....his pics are posted in different lighting befores and afters....he does this every single time......he is the BIGGEST fraudster and thief.....spent thousands at him should be put on ACA and shamed
Did you spent thousands at Lim's office? Did you actually see him? What procedures did he perform on you? Please give some evidence.