On 1/15/2021 at 11:21 PM, Sirius Lee said:I don't actively follow Lim, but from what I know, he doesn't use TL. Who knows what"modified instrumentation subcision" might mean. Doctors like to come up with these fancy names just to confuse the f*ck out of their patients.
I personally am quite critical of these cocktail approaches. Other than Rullan's, who mostly offers his patients with cocktail treatments,I haven't read any studies purporting this method is better than ala carte treatment. The improvement could have come from any one of the treatments in the cocktail. So the other two would have been a waste of money.
Any treatmentthat can possibly char the skin will cause redness. That would include not only laser, but dermabrasion, RF micro like Infini/Genius, as well as chemical peels like TCA. There are many factors that can contribute to redness. First, the way you heal plays a vital part. If you're a poor healer, it can last a long time. Another factor is how aggressive the treatment was. Overall,the redness can last up to 6 months for some.
Well, that's not entirely his fault IMO.How many people would oblige to show up in-person to take a picture of their face after 6 months, especially those who came from abroad? I suppose he could ask them to submit a photo, but lighting would be all different and that would create a ruckus amongst those who always b1tch about different lighting, and so on.
By no means am I in support of Lim, but a lot of you spend inordinate time criticizing Lim. He is just a human and not a godl.I'm sure he has his usual flaws, no different from any other doctor.
I am not vilifying Dr Lim, I am offering constructive criticism.
6 hours ago, Sisi90 said:
Redness can last for up to 6 months yes, but usually redness goes with microswelling, meaning the skin hasn't ' 'settled' yet. I've talked to many who have had fractional or fully ablative lasers who say the redness and swelling can last to up to 4(!) months. Poor healer or not, slow responder or not, usually redness= residial microswelling. That's why I am saying those photos should be taken with a grain of salt.
I have read something similar. You can have microswelling without redness as it fades away quickly in some cases, but you usually can't have redness without some swelling. It means the skin isn't done remodelling itself.
13 hours ago, Sisi90 said:Redness can last for up to 6 months yes, but usually redness goes with microswelling, meaning the skin hasn't ' 'settled' yet. I've talked to many who have had fractional or fully ablative lasers who say the redness and swelling can last to up to 4(!) months. Poor healer or not, slow responder or not, usually redness= residial microswelling. That's why I am saying those photos should be taken with a grain of salt.
6 hours ago, BlueMaloney said:I have read something similar. You can have microswelling without redness as it fades away quickly in some cases, but you usually can't have redness without some swelling. It means the skin isn't done remodelling itself.
Totally understand where you're coming from, but you need to understand that you could still have post-inflammatory erythema(PIE) long after the swelling is gone. It's the PIE that can last up to 6 months, not swelling.
Have been on/off this board for 4 years (since weirdly some people in this thread seem to question any positive review here as illegitimate from fake/marketing accounts), and finally got a chance to see him myself recently. Once enough time has passed, I'll be sure to share before/after pictures (might be in a separate thread though).
Just a bit of context, in my city treatment options and specialists are quite limited I would say, but I did previously have 5 subcisions from 2 different doctors - all were the oldschool regular (hypodermic?) needle method.
SoDavin did what was now my 6th subcision, and in the 5 prior subcisions from the other 2 derms there was less and less popping/tether breaking sound each time, with almost none at the end. However with Davin I heard heaps of tethers breaking, to me it not only was an indication of his skill with surgical methods, but also his attention to detail and how thorough he was, ensuring he didn't miss areas or smaller scars, and taking his time ensuring they break.
I've always heard what seperates great specialists from others is surgical skill, rather than laser, and yes this review might sound very 'glowing'already,but after 5 previous subcisions, to hear so much snapping and to break so many tethers that other doctors failed to break or missed entirely left me immediately impressed, and also optimistic that the results will be good (especially given I had decent results from previous doctors less efficient subcisions).
He also did punch excision on a few scars, and a form of CO2 laser that I forget the name of in the same session (wasn't ablative, but did leave me quite red for a while - just over a week). I've followed him for a number of years but to be honest didn't know he did punch excision much/if at all, so was a pleasant surprise for him to use it on appropriate scars.
One other positive thing I'll add is during consultation he told me on the day of the procedure I can let him know how much downtime I can afford and he will adjust based on that. Besides this, you don't really have input on what he does (as someone noted on the previous page), but this is not an issue for me nor imo should be for anyone- he is the expert after all. But of course, if you're concerned about getting something, for example ablative laser due to downtime, just let him know and he won't.
I've seen a lot of negativity here (towards all the 'big' specialists on this forum, but especially Dr Lim) over the years and must say I was really looking forward to seeing him at long last purely for the fact Icouldsee for myself if he was all hype or legit and also to offer a reviewand eventual resultsfor this forum.I just looked back at some negative reviews online and its either rushed consultation (wasn't the case in my experience, was probably chatting to him for at least 15 mins which is more than enough time to assess scars), or people complaining about not getting results from the treatment they had, but I've been here long enough to become very much a realist and understand that all treatment is gradual and acne scars are very difficult to treat; I can only assume a lot of people go with the expectation one set of treatments with Dr Lim is going to fix all their scarring, and are subsequently disappointed - or they simply don't understand it takes many months to see the true results from most, if not all procedures, and aren't giving it enough time. Why do I bring this up? Because I've seen a lot of big doctors get trashed on this forum over the years and in many instances these people posted 2 weeks after their treatment with frustration but then months later are admitting that they did in fact get results. Also, people also respond differently to treatments so their disappointment may not be from doctor skill but simply their bodies own ability to heal and model collagen etc. Online reviews will always skew negative though because people are more compelled to review a bad experience than a positive, understandably.
Ultimately,I can only speak for myself, but as someone who is well-researched and has seen other derms, I can happily say it wasa great experience personally that exceeded expectations and will definitely look to go back. One key takeaway is that subcision alone proved how much better he was than other derms I've seen, and really makes me wonder how many people out there who have had sub that didn't see results or only minimal results in fact had very mediocre or bad subcision.I actually had pretty good results from my first 5 subs and really rated subcision highly (especially with how much literature is also on it), but now I really rate subcision knowing I got such results from some very average subcisions, and look forward to seeing how my skin looks in a few months time.
@Flooressencewhat type of scars were excised? Ice-picks or box-scars? What was the reason to excise them instead of treatingthem with traditional methods?
ps. I agree, some docs just cant subcise scars properly, was my experience as well.
21 minutes ago, Candy Says said:@Flooressencewhat type of scars were excised? Ice-picks or box-scars? What was the reason to excise them instead of treatingthem with traditional methods?
ps. I agree, some docs just cant subcise scars properly, was my experience as well.
A lot of the punch was on the temples - notably those atrophic types of scars that don't quite fit the category of rolling or boxcar that commonly appear on the temple. Also excised some deeper atrophic and boxcar scars on the cheeks.
edit: will add they were mostly 1mm and a few 2mm excisions, if that is of any interest to you, which the nurse told me afterwards is quite small and that he does do deeper ones.
