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PLEASE HELP URGENT!!! Acne Scarring (PICS)!!

MemberMember
5
(@realtalkgurl)

Posted : 08/04/2016 2:28 pm

I have struggled with acne for quite some time starting at 16 whenI was prescribed progestrogene pills from my pediatric doc because I mentioned to her my acne was bothering me at that point it being fairly mild but still bothersome. She gave  me this because I asks her of birth control pills which i hear helped. fast forward I continually took them for 6 months later developing moderate acne that was just not getting better when my parents and I decided to stop  taking them after we consulted with my doctor.  The consecutive months I believe my hormones became extremely imbalanced and I developed really severe acne went back to my pediatric doc who gave me antibiotics idk why not refer me to a derm or just get me right away to the door of ones office but the best she could do was 2 months. This time I was in all hell and literally could do nothing just wait see and this is the damage after and 2 accutane rounds.  I was wondering if I could get some advice and how to go about treatment and if people have experiences what would you suggest. I honestly just want 6 rounds of TCA 35% jesssners peels and then see where to go from there by my derm. I want to have her layer it just on my cheeks but would you guys think an additive after these sessions like a filler would help on my rolling scars? I have a mix of scars boxcar and icepick and rolling but idk how to differentiate them because I obsess over them and don't know which are more prominent. 

I asked my derm of tca cross and she said 100% once and thats all I need but I'm not too sure and scared to fuck my skin up more. do you guys have any experience ? I was on a dose that went up to 160 mg of accutane a day for the last 2 months on my first course accutane and right now on my second course were ending again at 160 mg and I am worried of delayed healing. I weigh 120lbs but have only had dry lips as a side effect idk if my dosage is unusual i have relatives who have also take such a high dose without problems. but my deal is if I should also wait at least 12 months or okay to do at 6 months.  we would do a patch test but even that scares me and i have that gut feeling . any of you guys had that? so Im wondering if my plan is a viable solution in others opinions and would appreciate the feedback.  Is 100% too strong?

Do you guys think peels a good step? I would try micro needling and lasers but Im not too convinced and the danger of losing fat in my face really puts me off and dermrolling Ive researched can do that.  loss of fat really ages people in mores that acne scars  but people can disagree and i also understand the scars to be degrading and devastating.  
I want to go to dr greg morgan roth in mountain view cali  to get subsection after all these sessions if my derm approves and as a last step get fillers and subsections againIm just scared of losing fat in my face or getting more depression. I think I have more of a textural issue to my skin but idk would like so more opinions on that if people don't mind. my mother says there shallow but I have so many and i tried to capture them in a lot of different lighting to show the differences. one girl on here got phenomenal results for sub scion from greg while another with username  "scar" something  got more depressed region so it is not without risk but I'm thinking maybe if i get filler i won't have that problem again though; is it the best to just resurface with peels for now and then from there decide tca cross and fillers?

I am very clueless to everything have come across this though

http://www.ncbi.nlm.nih.gov/pubmed/25041112  and its why i kinda don't want to try demrarolling or laser but idkidk i could have just been feed lies by this study . the thing is that though people praise derma rolling and sometimes laser i have yet to meet anyone or see conclusive results except for 
Dragz and mr . Matt the later having laser just for resurfacing and smoothing purposes. .. dr..rahimi  would probably be the one i go to as my last resort but idk maybe i don't have anything to fear but that gut feeling is strong. please help any advice is much appreciated. I actually have stopped using tretinion while one accutane  and will start up afterword on .1 but don't use a vitamin c so if someone could recommend a good that would really help. Idk but my skin actually looks better that I'm not using it and just using sunscreen but it could be my imagination i know long term there are benefits when i start it again i probably use it less often maybe 4 times a week and 5 at most as it dryer out my skin and possibly was aging me in that effect even though it itself is for antiagin purposes.2016-08-03 22.01.51.jpg

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MemberMember
29
(@keeping_up)

Posted : 08/04/2016 4:01 pm

You could try dermarolling / dermapen. Tca cros work on icepick scarring. Tca peelor deeper erbium yag / or co2 is for texture and it really depends on the practitioner what results you get. Healing is important during all treatment. A good moisturiser proteins and colored vegetables. Plenty of sleep and fluids.

PCT14 liked
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MemberMember
5
(@realtalkgurl)

Posted : 08/04/2016 4:12 pm

Thanks ! Have you personally had tca cross/ do you think that 100% is okay for my scarring? my derm says yeh but she hasn't done that many tca crosses admittedly and thinks it's the best because seems to have better outcomes. I'm just scared but will prbly try out in a patch.. lol maybe i have nothing to worry about. There aren't that many practioners in my area who do acne scar treatments so I have to do with what Ive got but also admittedly i kinda like it that way so I don't rush into things without thinking it through but also a downside is there aren't many people to find or talk to about it where I'm from./// have to travel faRRR distances. If anybody can recommend a good doc that would be great thank you guys!! (edit : have her do the patch test lolololi would not even in my dreams dare it)

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MemberMember
29
(@keeping_up)

Posted : 08/04/2016 4:53 pm

Tca cross is potentially harmfull i would recommend finding someone with experience. Did tca peel and self cross with 35 % already almost damaged my skin.

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MemberMember
5
(@realtalkgurl)

Posted : 08/04/2016 5:22 pm

Thanks for replying yeh i might just do the peels and see where it goes from there maybe i have nothing to worry about i know my skin won't be perfect but i think and hope itt will improve with peels i haven't hear many people doing a series prbly because of the downtime but believe me i have been saving for this and have even calculated time and maybe ill document my progress with just peels if my doctor will perform them. as i said of course she is versed in the procedures and has done some as a test for clinical practice but she is not strictly cosmetic or dermatologic surgeon her title is dermatologist and i asked her if she performs them and she said she could.

I am thinking of seeing this lady if my derm will not perform. https://www.realself.com/find/California/Encinitas/Dermatologist/Heidi-Gilchrist

also here is a review from a lady who went to her.
https://www.realself.com/review/encinitas-ca-chemical-peel-53-year-female-child

my mother is being very precautions with me as i have been telling her about what i want to do when the time is right so she said chemical peels would be the best in her opinion and both mine too any thoughts?

i asked my question here
https://www.realself.com/question/california-ca-type-deep-chemical-peels-hispanics-series-acne-scars-doctors

this lady also got is done so i assume it is safe but really hope my derm doesn't turn me down https://www.realself.com/review/valencia-ca-24-year-light-acne-scarring-skin-discoloration-35-tca-peel-passes . my skin is light beige to light like this woman's in summer and tan in winter.. i would like to get a series of 6 of these peels like from the review of these to wonderful women.

would probably get 3 over a course of 9 months or 1 every 2 months so 6 months then from there decide to have some time off to work or continue to do the total of 6 hopefully i can do it. the 53 year old had complications with shingles so i will be very aware to ask my derm many questions before finalizing on her. If anyone can recommend a derm close to cali or washington that does great peels that would be great thanks!!

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MemberMember
5
(@realtalkgurl)

Posted : 08/04/2016 5:39 pm

My logic is here is that these peels although strong will not be as risky as lasers and derma roller

a link of what i found that puts me off of derma rolling
https://www.realself.com/review/netherlands-nl-dermapen-microneedling-ruined-skin
and like the 53 year old said in the first review of tca/ it continues to improve and if i choose i can have multiple more for anti aging purposes with my skin and for acne as it helps in that aspect also.. it seems like a win win but i know i will also need something like fillers which i will get to when the time suits. With lasers and derma rolling it seems continuous meddling in skin that deep with in structure might weaken it. i feel a superficial and mid deep peel might be enough to stimulate collagen and send signals to other part of cells to stimulate better functioning in skin but that is highly unscientific of me so there is my theory. I hope i can help people if i do this and i hope to hear so advice as i am really very unoptimistic sometimes and some help is often comforting.

this lady also got fillers which i think helped her a lot https://www.realself.com/review/torquay-uk-acne-scars-treatment-filler-acne-scars?offset=9 ..
she tried a lot of lasers and didn't do much for her so thats why i stand my case but alas not everything works for everyone. She is really improved by just one treatment!!

more women with fillers for acne scars
https://www.realself.com/review/nashville-tn-acne-scars-treatment-37-y-o-acne-scars-face-juvederm-xc?offset=33#

also this woman did it and she got moderate results but i can't help but think i could also get those results with peels hence why I'm really wanting to do them
https://www.realself.com/review/unknown-acne-scars-treatment-29yo-caucasian-female-moderate-acne-scaring?offset=0#

do you guys think that i should go for this as my last option?

this woman did what i kinda want minus the tca cross but idk if she had good result

https://www.realself.com/review/palmetto-medi-spa-summerville-sc-acne-scars-treatment-level-chemical-peel-tca?offset=40#

some references

http://cosmeticsurgerytimes.modernmedicine.com/cosmetic-surgery-times/news/modernmedicine/modern-medicine-feature-articles/traditional-chemical-pee?page=full

http://www.jcadonline.com/evidence-and-considerations-in-the-application-of-chemical-peels-in-skin-disorders-and-aesthetic-resurfacing/

http://www.totalskinandbeauty.com/about-us-our-doctors-medium-depth-chemical-peels.shtml

http://www.medscape.com/viewarticle/469514_3

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