Might just be an exceptionally poor healer.

Might also be NQR - not quite right. Only the notes will reveal the truth, so @tryinghard123its your call. If you are indeed correct, you have exposed a fraudster, but if you are not quite revealing the whole history, well its your respect you have to loose? How much is respect worth????????? No idea, in most patients eyes its priceless. Next move by Trying123 very hard indeed.

@Obi wan You seem to know a lot about Dr Lim. Are you Dr Lim yourself or someone who works at this clinic? I have nothing against Dr Lim, but I think you should reveal your true identity.

I am a tech, I do all the AV for presentations and have a background in science. I have watched Lim present for the past 10 years in almost every conference, for someone who has 3 posts, your accusations are inappropriate. Please read my 373 post to understand who I am and my limitations. This forum is for the better good of people, and one to create a positive vibe, not a negative one. Not here to attack anyone including you as Scars really do suck. (There is a come back line here, but the moderators will remove it if I continue.) Let move on with this topic.

You should try Dr Danny Lanzer in Melbourne, he does anything you want. As for Sculptra, Lim does this for atrophic scars in the correct setting. If you have too much tethering the collagen build up will give you a donut effect. If you really want a menu to choose from Dr Lanzer is the dermatologist of choice. If you want the truth Prof Goodman in Melbourne. We are all here to help you @tryinghard123 . If you want to invest in a face lift, the best person in Australia is Dr Mendelson, just tell him how much you want the skin stretched, and he will do it for you.

Wanted to share""Why A Dermatologist / Acne Scar Specialist May Refuse To Treat You"" - discuss. @2mins 28seconds and afteris the most interesting bits. I just want to remind everyone there are many practitioners who can treat you to meet your end goals with scars, worldwide. Find a Dr that can get you where you need to be, many paths to the prize, we have a list of recommended Drs in the FAQ, first post in the scar treatments sub(End of post).

Hey everyone. I have been struggling with acne and with very self-esteem killing acne scarring since teenage years.

Looking at my photos, what type of scarring you think I got and what treatment do you believe is best? (sorry couldn't take sharper selfies)

After tons of research & reading, I have done microdermabrasion, 3 skin grafting treatments + few laser treatments ( I think CO2) with Dr Sinclair, then skin needling + PRP +  fraxel lasers with Dr Lim, and after that laser and even filler with Dr Goodman! I've also done quite few sessions of skin needling at home with Derminator few months apart.

To be completely honest, not impressed with any of the doctors (my hopes were high), thousands & thousands of dollars later... Dr Sinclair was the nicest, Dr Lim was the most arrogant ( he's got a certain "laid back face" on social media but quite different in real life, at least in my experience, I felt uncomfortable around him every time; But hey - if I saw RESULTS I wouldn't care about his snobbish demeanor!)

So now I am looking into other options such as subcision, TCA cross and incision..fat grafting, punch excision, some kind of surgery - I dont know anymore!!!?

Looking for help here as a last resort....

any advice is appreciated!

-eternally frustrated

@welldone28I am sorry you feel treatment was a waste of money. Can you tell mewhat did work, at least somewhat. I see improvement and can imagine the deeper scars. I don't know if you want me to offer any other treatment as you seem to think it's not worth it. With all those Drs they would have different ways of treating potentially making it worse. Itseems you have orangepeel - boxcars and some larger pores from the work they did.

I don't see microdermabasion doing anything in your case. Skin grafts can make things worse and cause more scars.

You can do subcision if you wish with a cannula(a few sessions). Fat grafting will not work in your case, it will turn out lumpy and you will be displeased. IF I was you I would do A vial or 2 of sculptra over dilute before my laser(they use a cannula and inject throughout the cheeks -can be done w/ subcision) or really plump up the cheeks with Voluma which will hide some of those scars. (or both at different times). Again volume hides a lot of orange peel, if they filled you before individually that is not what I mean, ... I mean to volumize the whole cheek (not scars).

If you were to do tca, I would do paint method where they paint tca inside the box car 3x in one session to raise the floor, tca cross is done for smaller icepicks, but yours look relatively shallow.

RF needling or fractional co2 is done next to break through the fibrous scar tissue and stimulate healing.

You can do fully ablative erbium resurfacing or several TCA peels. Dr Lim is the most skilled at laser in AUS, ... perhaps you can do a treatment with him. Some of those scars are too deeep for fully ablative resurfacing until scarsare raised first! Never do laser work, without manual work...Manual methods always first!

Regarding the Drs, sometimes they are just not a good match for our goals or personality. There are others out there if you dare spend more or try someone else.

Have you tried a Urea based cream, it might help to restore your moisture barrier.

I would not do punch elevation or floats all over your skin, but that is your choice. I have seen good and bad outcomes.

It all depends on how you heal. Everything is optional, if you do only one set of things I would say subcisions and filler.

The first doctor offered skin grafting and that can be very hit and miss. Was that your very first scar revision treatment? I wouldn't do skin grafting and lasers first up.

What percentage improvement did you get from each doctor? Any improvement? I'm surprised Lim chose microneedling over subcision. Don't some of those cheek scars look tethered?

It might just be some people do not improve with current acne scar treatments available. Some people do not heal well and scar revision is not an exact science.

How long between each treatment? How many years have you done these treatments with the three doctors? And what kind of lasers? Fully ablative?

Quote

I wouldn't go back to the same doctor and do more treatments if I got zero improvement. Hmm.

Guess its a good insight in regards to why dermatologist or plastic will not treat you, now we know. I still like BA suggestions, see a few dermatologist or plastics and stick to who think is best. Lim can be blunt as he is trying to cause a change in the Derm world. If you don't like his approach see someone you are more comfortable with. His presentations are always controversial as he challenges the mainstream though of scar revision by dermatologist and plastics. I guess you got to have some kind of confidence to present your theory which goes against laser companies and other colleagues. I will tape record a few of his presentations and load them up somewhere - if I am allowed. As a senior AV tech in the aesthetics world we run into the same lecturers around the country and even the World, granted permission with the moderators, I can record talks by all the other presenters on acne scarring.

A HUGE thank you to all of you for taking time to reply and give your opinions.

I will reply tomorrow in more depth as to help others understand what has helped better and what didn't in my case.

Quote

I will tape record a few of his presentations and load them up somewhere - if I am allowed. As a senior AV tech in the aesthetics world we run into the same lecturers around the country and even the World, granted permission with the moderators, I can record talks by all the other presenters on acne scarring.

@Obi wanI think that would be a great idea, a "new" Youtube channel - made anddedicated to acne scars presentationswith the videos uploaded and or shared here. Even if you just get the audio and upload to the channel that could be good. Contact me back channel if you would like to know some devices that record turnkey style, ... but I am sure you have this already under control. Everyone should be aware the talks can be ""experimental,"" give it some time to work out the kinks unless you want to be a BETA tester, sometime the content is theoretical, education is power.

On 12/12/2018 at 2:02 AM, beautifulambition said:

@welldone28I am sorry you feel treatment was a waste of money. Can you tell mewhat did work, at least somewhat. I see improvement and can imagine the deeper scars. I don't know if you want me to offer any other treatment as you seem to think it's not worth it. With all those Drs they would have different ways of treating potentially making it worse. Itseems you have orangepeel - boxcars and some larger pores from the work they did.

I don't see microdermabasion doing anything in your case. Skin grafts can make things worse and cause more scars.

You can do subcision if you wish with a cannula(a few sessions). Fat grafting will not work in your case, it will turn out lumpy and you will be displeased. IF I was you I would do A vial or 2 of sculptra over dilute before my laser(they use a cannula and inject throughout the cheeks -can be done w/ subcision) or really plump up the cheeks with Voluma which will hide some of those scars. (or both at different times). Again volume hides a lot of orange peel, if they filled you before individually that is not what I mean, ... I mean to volumize the whole cheek (not scars).

If you were to do tca, I would do paint method where they paint tca inside the box car 3x in one session to raise the floor, tca cross is done for smaller icepicks, but yours look relatively shallow.

RF needling or fractional co2 is done next to break through the fibrous scar tissue and stimulate healing.

You can do fully ablative erbium resurfacing or several TCA peels. Dr Lim is the most skilled at laser in AUS, ... perhaps you can do a treatment with him. Some of those scars are too deeep for fully ablative resurfacing until scarsare raised first! Never do laser work, without manual work...Manual methods always first!

Regarding the Drs, sometimes they are just not a good match for our goals or personality. There are others out there if you dare spend more or try someone else.

Have you tried a Urea based cream, it might help to restore your moisture barrier.

I would not do punch elevation or floats all over your skin, but that is your choice. I have seen good and bad outcomes.

It all depends on how you heal. Everything is optional, if you do only one set of things I would say subcisions and filler.

@beautifulambition

Firstly, I'd like to express my gratitude to you - for taking your precious time and really trying to help others! Much respect.

Ok, so what I think has worked the most is skin grafting... I had 3 sessions altogether. I know in the post years ago I said I had 70% improvement and I probably just got excited and exaggerated a bit + swelling effect. Having said this, I am sure I had significant improvement regardless, my scars were much deeper before. Now it seems like I got a lot of shallower scars...and because of that combined with large pores, it resembles orange peel effect.

Dermabrasion (many many years ago) was the first thing I did and that did absolutely nothing, Doc convinced me because he really talked the talk ugh.

With RF needling/ fractional co2 that I've done , it seemed like the scars were shallower in the beginning, but months later it felt like it went back to what it used to be. I did take some before/after photos with dr Lims sessions, so if anyone is interested, I can send them through.. I don't see big improvement myself.

I am not really interested in getting volume in my cheeks, but simply getting rid off the worst indentations. Dr Sinclair who does derma grafting usually works on deeper scars, so might not even want to do mine.. as its not worth it for him, he needs at least 5-6 deeper scars per cheek to make it worth his while, but if you're considering..I'd check with him.

I wish I could find a doc that doesn't make you feel like you're on assembly line, without rushing and really look at scars with angled light (crucial!)

I am also interested in doing subcision myself - I have very steady hands and I know my face better than anyone. Fillers scare me... I've done it once with dr Goodman and instead of lasting for at least a year..it was gone within months and even in the beginning wasn't that much of improvement.

Let me know if you have any other question or need me to elaborate.

19 hours ago, Obi wan said:

For reference you have you last post dated 9th of March , 4.5 years ago- you we were happy with the improvement (See below). Now in that 4.5 years you have deterioratedsignificantly. Compared to the '70% better post. '

1. You had dermal grafting, by Dr Sinclair. You had the donor sites are from the back of your ear.

2. Tiny grafts we sliced and placed. A suture was used.Now, the suture mark were the donor site was taken from didn't go so good. But its not a problem because it can not be seen.

3. If you had 1 session with Dr R Sinclair, you have one graft site. If you had 3 sittings, your other back of ear has a suture mark. ( back of both ears have scars)

4. If you saw him5 years ago, he was undergoing the Fraxel trialafter the dermal grafting. IF you saw him before this he would have used CO2 fully ablative.His fully ablative after dermal grafting a decade ago worked better.

5. If you can see the dermal graft sites (stretch your skin), you see white lines running HORIZONTAL.Touch them. Feel them. A tiny lump? Stretch your skin and touch the graft sites. Feel the pull. Touch carefully, feel the grafts going from the base to the top of your skin? At the graft sites at an angle, see the pull that corresponds to the slight 'lump'?

6. That tether from the dermal graft is called an Iatrogenic scar. When you had the dermal grafts you skin had plenty of surrounding collagen, but now, 4.5 years later - it depleted of fat and collagen and you are back too your original condition, but with a bigger problem. More scars pulling down due to dermal grafts pulling down.

7. He was a pioneering dermatologist. Goodman used fillers in a way without subcision. He used hard fillers - ask for his notes- JUVEDERM or Perlane, the filler was under each scar supporting the bottom not the top of the scar. So your base is supported but the top isn't.A short acting HA filler haven given you a temporary fix to improve things slightly but then your skin degraded from theIatrogenic scar. Goodman uses the DEKA laser.

8. You have strong masseters. Very strong. Place your finger 3 cm from the front of you ear, now go down 2 cm. Clench on your back teeth. The bulk of you skin pull is from these muscles.In 5-7years from now when atrophy of your masseters kick in then you will this post and realize that re- draping of muscle atrophy, together with collagen and fat atrophy plays a role. Further execrating your problems. This can fixed by good dermatologist.

9. Don't worry your collagen is still there but the tether from the dermis to the fat layer need to be broken. You need manual scar work not a bunch of lasers. Manual methods always first!

10. Subcisions and TCA CROSS combined with erbium laser and Co2. Dr Peter Rullan or Dr Nelson Novick. Your tethering will be super easy to break, so Novick will be up front with your with charges and the amount of tethering you have. Dr Rullan will be upfront.He will tell you that you need 4-8 sessions and use many manual methods to get the job done correctly. The first treatment you will receive little change ( if you fill out the questionnaire with HONESTY), there after you will get improvements. Peter is old fashioned but a very noble gentleman.

11. Oh,if you like fat grafting and erbium laser, see Dr Danny Lanzer, he can be quite expensive.

As with all patients I wish you well.

See you POST from 4.5 years ago below.

PostedMarch 9, 2014

Hi Happymelon,

 

I have done derma grafting and its been really succesful!

Had 3 sessions so far and improvment is solid 70%. Its not 100% perfect of course but what a difference!

 

I am planning to having a few laser sessions to smooth things out.

 

I am in Australia by the way, and I found out about this procedure here, on this website...luckily I was not too far from the surgeon that does it.

 

Don't have any photos of before and after..to be honest I 'd hate to have any reminder of my scars...all I know is that I am not scared of different harsher lighting and I wear less make up.

 

I'd say do you reaserch and definitely do it!

 

@Obi wan
You seem very knowledgeable! Thanks so much for your reply, really appreciate it.

Yes, thanks for bring up my old post - I think my perception + skin must have changed over years but I certainly did see improvements from skin grafting.

So: I had 3 skin grafting sessions and few more lasers (with Dr Sinclair) , both Fraxel and Co2.
I think I felt lumps behind my ears before and now I dont.

re messeters: I am half Asian and its actually my bone structure, although there might be a little muscle growth, but I dont think its substantial

I agree about manual scars work and will look into your recommendations -
what percentage TCA CROSS? do you believe doing it yourself is a bad idea?
( I have very steady/artistic hands and good with pain)

On 12/12/2018 at 12:55 PM, ScarRight said:

The first doctor offered skin grafting and that can be very hit and miss. Was that your very first scar revision treatment? I wouldn't do skin grafting and lasers first up.

What percentage improvement did you get from each doctor? Any improvement? I'm surprised Lim chose microneedling over subcision. Don't some of those cheek scars look tethered?

It might just be some people do not improve with current acne scar treatments available. Some people do not heal well and scar revision is not an exact science.

How long between each treatment? How many years have you done these treatments with the three doctors? And what kind of lasers? Fully ablative?

@ScarRight

yes, it was pretty much first treatment many many years later after dermabrasion. I'd say fairly small improvement from each Doc, 20% from skin grafting, and then 5% after lasers.With skin grafting, I told doc to take it slow & not overfill ( I read some scary stories about overfilling)

I don't know why Lim chose what he did...maybe because it benefited him in some way. He did say "if all goes well, you'll see 50% improvement" Sorry, I am pretty disenchanted with all docs at this point.

and you're right its tough to treat scars, but with today's technology there must be something better than all this.

about 3-4 months between each treatment - sometimes more, so plenty of time for healing, for about 4-5 years. Lasers were Fraxel and co2.

Also Dr Novick and Dr Peter Rullan are in US?

Dr Danny Lanzer doesn't seem to specialise in acne scarring, am I wrong?

I need someone in Aus...Brisbane/Melbourne or even Sydney area preferred. Thanks people...!!!

Also read this in successful case studies:"Subcision followed by 50% TCA CROSS was done at 4 weeks interval for three sessions. " is that TCA cross right after subcision..meaning as part of same session?

I told everyone and know of many of his patients who have the same view ....Dr Lim is a criminal bastard a liar .....STAY WELL AWAY FROM THIS CROOK

welldone28 dr lim is a criminal yes

i could relate to Ammeo's "warning" in regards to syringe use in TCA Cross procedure. However, Dr. Lim does not at all suggest explicitly that TCA Crosscould be done at home with a syringe. Furthermore, as a derm with many online followers, he does unconsciously put influence to hiswatchersthat using syringe could be more effective than usual toothpicks. I was almost drawn to this first as well. Let this be a good sharing from Ammeo that this method could only be done by professionals who are comfortable doing so. I believe many professionals still use toothpicks.

With that said, i think the title of this thread is very misleading and does not do justice for the doctor. i really appreciate the videos he uploads and the information given. i've been the victim of those modern approach doctor so i appreciate doctors such as Dr. Lim who still sticks with his principle in which method is better for patients and not just based on which machine is more hyped at the moment.

Lim looks so nice and approachable in the videos... like he could be your best buddy, pretty mind blowing to see a TOTALLY different man in real life on few separate occasions. Takes some serious social media acting skills. Definitely not looking for "psychotherapist", hell - not even a "nice" guy, just a decent, respectful human being. Was taken in, took a small fortune, treated with the most expensive methods (def not most effective), not even for a moment made me feel like he cared. I wish he didn't treat me. Oh well, lesson learned. Not trying to defame him, but the whole experience (every.single.time.) has left a bit of traumatic effect... I find the whole "I don't tolerate rudeness" attitude quite a paradoxical.

On 5/1/2016 at 9:25 PM, Hope01 said:

Hello was just wandering on the communities thoughts on dr david Lim seems to be one of those few docs in the world that has proper knowledge on acne scars and can deliver on results. Just wandering if anyone has considered getting treatment with him or has had treatment with him outside of Australia.

I know your post is old, but if you're still wondering, my experience with him was not good to say the least. He talks the talk and that's about it... in fact I think he's a skillful actor who understands the power of social media and preys on desperate people who will try anything to improve their scarring.

On 2/6/2017 at 1:22 AM, ZugZug said:

Hi guys. I saw him about 5 years ago before he started making videos which made him famous.
My experience was negative. I gave him +$100 for initial consultation and all he said was to look at the website. I also talked about my previous acne treatment in Korea and he said Korea is the best place for skin treatment and if it didn't work, there wasn't much to be done about my skin. It was waste of my money and he didn't give any solution/help to my skin condition.

I was researching on scar treatment then I came across his name online. It seems crazy how his reviews changed from 1-2 to 4 stars on Google after the Youtube Video and people calling him the best without even seeing him.

I just want you guys to judge it yourself based on before&after treatment photos. Some of them were fishy because the scar treatment pics have different lighting in befo&after, and you know how important lighting is.. If you look at the angle where the light comes from and where it creates shadow, his after photos lights come perpendicular from skin surface, whereas befo pics' light is at angled to really show the depth of scars (NOT pigmentation scars). I also read someone's comments about how he tried to fake the scarring results by altering lights. (I think i read this from google). People from different countries should STOP giving him 5 stars when they haven't even seen him!! It gives high hopes to other people who look at review stars, and you can tell that the doctor is checking every review by commenting on it.

He may be good with other treatments, as they do work, but acne scars (indented) are very very difficult to be treated.It is up to you if you go see him, but I think he's not worth the visit if you come from another country, especially the visa cost is high if you want to stay longer than 3 months. If I were you, I would rather go to Korea because it's very advanced in skin cosmetics (David said this himself) and a lot cheaper as it is a competitive market. Language would be an issue, but it's cheaper, more practitioners with minimal waiting period. Downside is language problem and qualification is not necessarily.

My personal opinion as a local,,he is money driven+hype from social media. His reputation definitely changed drastically. He even changed the practice's name from "westside dermatology" (which had bad reviews) to "laser lift". you can still see the review on google. I would only recommend him if you are local and rich.

This is my very personal opinion on acne scar treatment. I like this website and I hope it helps you guys.

I agree with your opinion 100% as I had negative experience with him too. People MUST stop rating him or even talk about him without seeing him personally. Recommending other doctors ? - so what...another trick to make himself look better & more "genuine", he's got no shortage of fools going to him or wanting to see him. I know - I was one of them.

On 11/6/2018 at 4:20 AM, grandor said:

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

I saw him on numeral occasions and every time I felt a pang of regret and shame for going back to him in hopes that he'll improve my scarring. Please, please do not believe his social media "face". He's like a professional actor who acts like your best buddy in the videos and its exactly the opposite in real life; taking (lots) of money and moving on...to the next fool. I don't believe anyone here is trying to bring any doctor down unless they truly feel its deserved (at least their their subjective view). Whats the point of that? competition? trolling? I don't think so. I would really ask people not to rate or comment about him or any other doc without having actual experience with him.

On 11/11/2018 at 12:25 AM, dazzed said:

Making a drive-by post to slander someone is not cool. Either back it up or be called out for being a troll.

How do you back it up - show you my bills? I CAN do that actually!

@welldone28 Your very welcome, trying to help. That is interesting about the skin grafts, I have had to help so many horror stories as Obiwan mentioned above who have new scarring or worse skin conditions several years down the road after it looking nice at first. It basically causes tethering and destroys the fat. This is why I think subicsion and filler will help you. I am sure you can goto Any of the recommendations in the FAQ - first post in the scar treatments main sub, then the bottom has Drs. I think you need several sessions of subcision. Then worry about any energy treatments. That makes since about the RF needling and fractional laser, because of the Iatrogenic scars the grafting made. The laser or rf would not work as they are deeply attached to the fat layers beneath. I suggested the Volume because I know if you push out the cheeks it does help in these cases if nothing else will, just a option down the road. I would not do any more dermal grafting, I can't stress how bad the results are 5 years latter because of histology, you know those sections of skin they cut out to see what's going on in studies. It shows new scars and worse skin conditions are made. 1 step forward for immediate improvement, 2 steps back after 5 years and it must be revised. Try Dr Adrian Lim at U-republic Syd or Darlinghurst derm and see if they will do subcison. IF you wish to try things yourself, ... we can't put subcision sadly on the forums as it is illegal and considered a dr based surgery. Of course you can do anything in private. I have had to help so many mistakes and emergencies it really is a nightmare when someone tries a surgery. We had one girl ruin her face by causing further fat damage and just poking around, ... she hit a artery and needed to goto emergency for it to be reattached.

I get that you have been taken advantage by derms and I am truly sorry. I do ask that we not carry this on to multiple posts about a specific Dr. From What Obi Wan said above it seems like a combination of a few drs and mistakes that led us here (some were not intentional as we progressed from Grafting to more current treatments). Sometimes Drs just are not a good fit for our personality or goalsand we don't do well with them. Please be aware we have active trolls who post any time the word"Lim" is posted. They have never seen him and have all kinds of ulterior motives weather competition(Drs) or people dealing with mental difficulties and _________. I get it you don't like Lim and that is completely fine but let's try to fix your scars. I feel there are going to be more posters who are disgruntled, ... many, many have seen Lim here and been actuallytreated with excellent results. You won't find them by searching as they leave once they gain success and private message me. Regarding the other person who posted above, please click on his username to the left, and see his post concerning Lim. If you want to post your patient notes from Lim feel free, his office will send them if you ask I believe.

Oh Yes, Dr Rullan is in San Diego - USA and a Scar Specialist. Danny Lannzer is a cosmetic surgeon who does fat grafting, etc...

In your case you would need 4 subcisions I feel, as you have lots of tethered areas of the cheek. ... In the study you alternate the treatments, 3 months between. The body is exceptionally slow to heal. Some Drs will want to TCA cross and subcise you the same time. I would hold off on laser till after, as we are exceptionally slow to heal again and we want to see the results first.

Lim mentions hewill be doing IG or YouTube live. I think this is good, because for all the patients with negative or positive results, the medical records can be shown online. This means a two sided viewpoint - balanced. As in his IG post, Lim is arrogant enough to say he discharges patients that don't get along with his personality type. Keep reinforcing BAs view point that patients should CHOOSE doctors they feel comfortable with, and not go with medial hype. In the scheme of skin treatments, he's a very very small fish in the pond of Epione and Emer etc...

Back to acne scarring, take BAs suggestions if you won't take mine @welldone28 - the things I could predict about all your experiences were true indeed, only thing I don't know about is Lim because he keeps changing his methods, so i don't know what you had (until you revealed). I think you have seen the best in Australia, time to move on to the US. Americans love Aussies - if you want 'nice' Emer is recommended, but if you want realistic results, follow BAs advice .

6 hours ago, beautifulambition said:

@welldone28 Your very welcome, trying to help. That is interesting about the skin grafts, I have had to help so many horror stories as Obiwan mentioned above who have new scarring or worse skin conditions several years down the road after it looking nice at first. It basically causes tethering and destroys the fat. This is why I think subicsion and filler will help you. I am sure you can goto Any of the recommendations in the FAQ - first post in the scar treatments main sub, then the bottom has Drs. I think you need several sessions of subcision. Then worry about any energy treatments. That makes since about the RF needling and fractional laser, because of the Iatrogenic scars the grafting made. The laser or rf would not work as they are deeply attached to the fat layers beneath. I suggested the Volume because I know if you push out the cheeks it does help in these cases if nothing else will, just a option down the road. I would not do any more dermal grafting, I can't stress how bad the results are 5 years latter because of histology, you know those sections of skin they cut out to see what's going on in studies. It shows new scars and worse skin conditions are made. 1 step forward for immediate improvement, 2 steps back after 5 years and it must be revised. Try Dr Adrian Lim at U-republic Syd or Darlinghurst derm and see if they will do subcison. IF you wish to try things yourself, ... we can't put subcision sadly on the forums as it is illegal and considered a dr based surgery. Of course you can do anything in private. I have had to help so many mistakes and emergencies it really is a nightmare when someone tries a surgery. We had one girl ruin her face by causing further fat damage and just poking around, ... she hit a artery and needed to goto emergency for it to be reattached.

I get that you have been taken advantage by derms and I am truly sorry. I do ask that we not carry this on to multiple posts about a specific Dr. From What Obi Wan said above it seems like a combination of a few drs and mistakes that led us here (some were not intentional as we progressed from Grafting to more current treatments). Sometimes Drs just are not a good fit for our personality or goalsand we don't do well with them. Please be aware we have active trolls who post any time the word"Lim" is posted. They have never seen him and have all kinds of ulterior motives weather competition(Drs) or people dealing with mental difficulties and _________. I get it you don't like Lim and that is completely fine but let's try to fix your scars. I feel there are going to be more posters who are disgruntled, ... many, many have seen Lim here and been actuallytreated with excellent results. You won't find them by searching as they leave once they gain success and private message me. Regarding the other person who posted above, please click on his username to the left, and see his post concerning Lim. If you want to post your patient notes from Lim feel free, his office will send them if you ask I believe.

Oh Yes, Dr Rullan is in San Diego - USA and a Scar Specialist. Danny Lannzer is a cosmetic surgeon who does fat grafting, etc...

In your case you would need 4 subcisions I feel, as you have lots of tethered areas of the cheek. ... In the study you alternate the treatments, 3 months between. The body is exceptionally slow to heal. Some Drs will want to TCA cross and subcise you the same time. I would hold off on laser till after, as we are exceptionally slow to heal again and we want to see the results first.

 

@beautifulambition

Yes with skin grafts, I told Dr to go really slow, so whenever he added a bit of my own "cells" under the scar, he did only a little at the time. I think this helped. To be honest I dont understand how skin gets worse after 5 years with this procedure, I dont believe mine did. I know memory is very subjective (I dont have photos to prove), but my scars were quite deep before skin grafting. Now my issue is getting rid of a bunch of shallow scars/texture. I will try subcision/tca cross as you have suggested. Thanks again:)

I will not post my opinion on Docs, but how are people meant to know, especially those that specifically ask? I found the important info here on forums and on doctors as well. My experience and opinion is one, but when you see more people experiencing the similar thing, you start seeing a pattern. Isn't it the same with "praising" any specific doc? same, very subjective, and can be a "troll". So far from what've seen, it seemed like people who wrote their negative or positive opinions seem genuine, just stating their experience. Anyway, just wondering.

17 hours ago, tryinghard123 said:

I told everyone and know of many of his patients who have the same view ....Dr Lim is a criminal bastard a liar .....STAY WELL AWAY FROM THIS CROOK

welldone28 dr lim is a criminal yes

What is your motivation here? Clearly you are dissatisfied with a doctor and their results? Why not post some actual hard evidence? Photos, doctor notes, maybe a link to this so called Instagram post?

You have posted the exact same post several times across many threads. What is your goal? I'm not defending the doctor, but there is two sides to every story.

10 hours ago, welldone28 said:

Lim looks so nice and approachable in the videos... like he could be your best buddy, pretty mind blowing to see a TOTALLY different man in real life on few separate occasions. Takes some serious social media acting skills. Definitely not looking for "psychotherapist", hell - not even a "nice" guy, just a decent, respectful human being. Was taken in, took a small fortune, treated with the most expensive methods (def not most effective), not even for a moment made me feel like he cared. I wish he didn't treat me. Oh well, lesson learned. Not trying to defame him, but the whole experience (every.single.time.) has left a bit of traumatic effect... I find the whole "I don't tolerate rudeness" attitude quite a paradoxical.

Did any of these doctors provided a follow up appointment and advice? Or did they pretty much say that's all we can do? I do feel for you, nobody deserves to spend thousands with minimal results. I hope you are okay.

Just now, ScarRight said:

What is your motivation here? Clearly you are dissatisfied with a doctor and their results? Why not post some actual hard evidence? Photos, doctor notes, maybe a link to this so called Instagram post?

You have posted the exact same post several times across many threads. What is your goal? I'm not defending the doctor, but there is two sides to every story.

Did any of these doctors provided a follow up appointment and advice? Or did they pretty much say that's all we can do? I do feel for you, nobody deserves to spend thousands with minimal results. I hope you are okay.

Look, you have your procedure many months later you're healed and see 'real' results without swelling, at this point you don't follow up with docs, you need to make another appt which will take another few months + $! none of them will see you for free even as a follow up. If they do, let me know which one...I am curious.