TCA can be effective for scars at very high levels. Did you ask what percentage he uses. If you use a strong enough TCA it is the same as laser resurfacing. You are burning the top layer of skin off. Laser or TCA are only good for superficial texture issues and not for deep scars. For ice picks we use TCA cross just on the spot. For depressed places. The gold standard is Filler and Subcision. He can do this at the same time.

You can goto any aesthetic practitioner for subsion and filler. Show them the below video.

[Edited link out]

9 hours ago, beautifulambition said:

God bless you. Thanks for the feedback  

TCA can be effective for scars at very high levels. Did you ask what percentage he uses. If you use a strong enough TCA it is the same as laser resurfacing. You are burning the top layer of skin off. Laser or TCA are only good for superficial texture issues and not for deep scars. For ice picks we use TCA cross just on the spot. For depressed places. The gold standard is Filler and Subcision. He can do this at the same time. 

You can goto any aesthetic practitioner for subsion and filler. Show them the below video.

4

9 hours ago, beautifulambition said:

TCA can be effective for scars at very high levels. Did you ask what percentage he uses. If you use a strong enough TCA it is the same as laser resurfacing. You are burning the top layer of skin off. Laser or TCA are only good for superficial texture issues and not for deep scars. For ice picks we use TCA cross just on the spot. For depressed places. The gold standard is Filler and Subcision. He can do this at the same time. 

You can goto any aesthetic practitioner for subsion and filler. Show them the below video.

 

Sorry for the double post but I made a mistake and don't know how to delete posts. Thanks for the feedback. Do you think dermarolling is effective on deep indented scars? Or am I just kidding myself? 

If it helps i had about 4 deep pits on my chin by the corber of my mouth which filled in about 70% using a .5 dermaroller and vitamin c serum once every 2 weeks for 2 months. I have lots of tiny shallow scars though that im going to have treated professionally with a dermapen as i don't want to risk using a dermaroller on my face myself. My skin does not heal well so to get results on those little pits for me was good. Everyone is different though, i am by no means experienced enough to give advice but im just saying i do see a large improvement on a few test areas on myself.

On 10/24/2016 at 7:10 AM, AndrewRyan said:

Sorry for the double post but I made a mistake and don't know how to delete posts. Thanks for the feedback. Do you think dermarollingis effective on deep indented scars? Or am I just kidding myself?

It's worth a shot man, the derminator is cheap check the FAQ below, ... find microneedle and derminator link at the top. For the cost of one treatment with that derm you can own a unit. This unlike a roller stamps like the professional machines. You can then do your TCA Cross. If in several months you don't see 20% improvement, then goto the doctor and get the subcision and filler, this does the most for indented scars. But even doctors do TCA cross on ice pics. Laser is the same as a TCA full face peel. IT's removing the dermal layers (but laser is much more expensive).

If you want a at home program thing, do 1.5mm microneedle on the spots once a month, then do TCA when that heals up and alternate. Will save you money with the filler and subcision with that DR.

4 hours ago, beautifulambition said:

It's worth a shot man, the derminator is cheap check the FAQ below, ... find microneedle and derminator link at the top. For the cost of one treatment with that derm you can own a unit. This unlike a roller stamps like the professional machines. You can then do you TCA Cross. If in several months you don't see 20% improvement, then goto the doctor and get the subcision and filler, this does the most for indented scars. But even doctors do TCA cross on ice pics. Laser is the same as a TCA full face peel. IT's removing the dermal layers (but laser is much more expensive).

If you want a at home program thing, do 1.5mm microneedle on the spots once a month, then do TCA when that heals up and alternate. Will save you money with the filler and subcision with that DR.

Thanks so much for the feedback !! I appreciateyour time. I feel better knowing what to do, thanks again!

On 10/24/2016 at 5:11 PM, beautifulambition said:

It's worth a shot man, the derminator is cheap check the FAQ below, ... find microneedle and derminator link at the top. For the cost of one treatment with that derm you can own a unit. This unlike a roller stamps like the professional machines. You can then do your TCA Cross. If in several months you don't see 20% improvement, then goto the doctor and get the subcision and filler, this does the most for indented scars. But even doctors do TCA cross on ice pics. Laser is the same as a TCA full face peel. IT's removing the dermal layers (but laser is much more expensive).

If you want a at home program thing, do 1.5mm microneedle on the spots once a month, then do TCA when that heals up and alternate. Will save you money with the filler and subcision with that DR.

Sorry for bothering you again. I didn't want to open up another thread just in case it's considered spam. I've taken a photo in poor lighting to show the scarring I face.

Each spot does the indentation you see. I have two large spots on my cheek. Any suggestions to stop them from scarring? I have had 4 indentedspots in the past month, and really don't want another two.

I have tried everything from leaving it alone to all types of creams. I have tried natural gel's like aloe vera. Nothing seems to work. However, popping the spots when theirs a head seems to work. I have only done this twice in all the years I have had acne, and it's left no scarring.

Most of the time the head doesn't come too. Rather it just bleeds and scars during my sleep. I have been hot compressing my spots with green tea bags. Do you have any suggestions?

Please note: this is my good side. The other side is far worse, and the scarring doesn't appear on my temples, but they are too --heavily indented. I will try and get more photos later.

I wanted to show off this side due to the spot.

It's no bother.

Filler and subcision would help a lot the depressions. I see why he said microneedle. Infini RF or Intrael are rf microneedle.... they would be a good treatment for this, it uses energy to regrow collagen. I can see TCA peels working for you as well because of texture. The scars look like a combo of boxcars and rolling. Maybe icepics but cannot see clearly enough.

Did you do accutane for your acne?Sounds cystic. For suggestions on acne itself I would post in that section of the fourm. My specially and this sub is acne scars. Retin A cream would be good for cell turnover. Acid peels as well (TCA or salicylic).

I suggested alternating microneedle at home and tca peels (spot treat areas or full face). Then you could get your derm for the indentations to do the filler and subcision or have him do it all. At least he is not recommending laser first.

Your acne does not look to bad. It's superficial at least from the pic. Realize correction can take a long time and multiple treatments.

Maybe your doc was rightCheckout this post, his acne was similar to you and all he did was microneedle.
http://www.acne.org/messageboard/topic/363715-brian-turners-new-microneedling-review-video/

22 hours ago, beautifulambition said:

It's no bother.

Filler and subcision would help a lot the depressions. I see why he said microneedle. Infini RF or Intrael are rf microneedle.... they would be a good treatment for this, it uses energy to regrow collagen. I can see TCA peels working for you as well because of texture. The scars look like a combo of boxcars and rolling. Maybe icepics but cannot see clearly enough.

Did you do accutane for your acne?Sounds cystic. For suggestions on acne itself I would post in that section of the fourm. My specially and this sub is acne scars. Retin A cream would be good for cell turnover. Acid peels as well (TCA or salicylic).

I suggested alternating microneedle at home and tca peels (spot treat areas or full face). Then you could get your derm for the indentations to do the filler and subcision or have him do it all. At least he is not recommending laser first.

Your acne does not look to bad. It's superficial at least from the pic. Realize correction can take a long time and multiple treatments.

Maybe your doc was rightCheckout this post, his acne was similar to you and all he did was microneedle.
http://www.acne.org/messageboard/topic/363715-brian-turners-new-microneedling-review-video/

11

You are too kind. I thank you for the reply and the effort : ) I hope it's fixable. At home I own the 10 and 30% TCA. For dermarolling I own the 2mm needle supplied from owndoc.com. For retina, I own the gel version. Is it possible for these indents to be fixed at home?

I don't have accutane, and haven't been supplied it from the doctors. My derm appointment usually takes serval months to setup here in the UK. Will this drug help stop the scarring? If so, I could book a meeting with my doctors to ask for this.

Again, thank you.

Here are my pictures. The scarring is pretty bad. It keeps getting worse with each spot. I used to be upset because it was mostly my forehead but that's cleared up a lot now.

Make a appt for the acutane, or see what your derm says to do, if it takes 3 months worth a try. Accutane only stops acne, it does not get rid of scars.

I think you can get some improvement with the TCA and microneedle but it could take years, all these treatments take years.

Subcision and filler would give quite a big improvement for you. Search for the "UK" here on the fourm, there have been a few posters who have done things there. I would not do laser first, they will push this for $$$. Any ascetics injector who has experience with acne should be able to raise those indents. Your doctor you originally mentioned sounds smart who would do the filler and subcision. I know he is far away so do the microneedling and retain a bit with tca peels at home. You would only need to go in once or twice to him for filler per year.

* Note, filler and subcisions is safe during accutane, you cannot use any other acid or laser.

30 minutes ago, beautifulambition said:

Make a appt for the acutane, or see what your derm says to do, if it takes 3 months worth a try. Accutane only stops acne, it does not get rid of scars.

I think you can get some improvement with the TCA and microneedle but it could take years, all these treatments take years.

Subcision and filler would give quite a big improvement for you. Search for the "UK" here on the fourm, there have been a few posters who have done things there. I would not do laser first, they will push this for $$$. Any ascetics injector who has experience with acne should be able to raise those indents. Your doctor you originally mentioned sounds smart who would do the filler and subcision. I know he is far away so do the microneedling and retain a bit with tca peels at home. You would only need to go in once or twice to him for filler per year.

* Note, filler and subcisions is safe during accutane, you cannot use any other acid or laser.

Thank you very much !!! One last question and I will leave you be. For my routine would you suggest this to be a good idea?
Dermaroll 2mm.
Retin a once or twice a week after dermaroll
*allow 3 -4 weeks to pass*
TCA 10% whole face.
*allow 3 - 4 weeks to past*
rinse and repeat.

I have started doing more exercise in the meantime.

3 hours ago, AndrewRyan said:

Thank you very much !!! One last question and I will leave you be. For my routine would you suggest this to be a good idea?
Dermaroll 2mm.
Retin a once or twice a week after dermaroll
*allow 3 -4 weeks to pass*
TCA 10% whole face.
*allow 3 - 4 weeks to past*
rinse and repeat.

I have started doing more exercise in the meantime.

Since you live in the UK can you please ask this doctor about the methods he is working on to repair scarred skin. Thanks
http://www.drcolinlyons.com/about

I had deep acne scars so many in my face. I applied dermalmd scar serum for 2 months. 90 % scars heald. ITs great result than i expected.

Consider Ultra low dose accutanefor mild but persistent acne:

Ultra-Low dose Accutane efficacy:[Edited link out]

Dermabrasion whilst on accutane:

[Edited link out]

Other abstract articles: ABSTRACT: Background: The current standard recommendation is to avoid surgical interventions in patients taking oral isotretinoin. However, this recommendation has been questioned in several recent publications. Aim: To document the safety of cosmetic and surgical interventions, among patients receiving or recently received oral isotretinoin. Materials and methods: Association of Cutaneous Surgeons, India, in May 2012, initiated this study, at 11 centers in different parts of India. The data of 183 cases were collected monthly, from June 2012 to May 2013. Of these 61 patients had stopped oral isotretinoin before surgery and 122 were concomitantly taking oral isotretinoin during the study period. In these 183 patients, a total of 504 interventions were performed. These included[1] 246 sessions of chemical peels such as glycolic acid, salicylic acid, trichloroacetic acid, and combination peels;[2] 158 sessions of lasers such as ablative fractional laser resurfacing with erbium-doped yttrium aluminum garnet and CO2, conventional full face CO2 laser resurfacing, laser-assisted hair reduction with long-pulsed neodymium-doped yttrium aluminum garnet, diode laser, and LASIK surgery;[3] 27 sessions of cold steel surgeries such as microneedling, skin biopsy, subcision, punch elevation of scars, excision of skin lesion, and wisdom tooth extraction;[4] 1 session of electrosurgery. Results: No significant side effects were noted in most patients. 2 cases of keloid were documented which amounted to 0.4% of side effects in 504 interventions, with a significant P value of 0.000. Reversible transient side effects were erythema in 10 interventions and hyperpigmentation in 15. Conclusion: The study showed that performing dermatosurgical and laser procedures in patients receiving or recently received isotretinoin is safe, and the current guidelines of avoiding dermatosurgical and laser interventions in such patients taking isotretinoin need to be revised.

I agree withRobertitoo hes a great guy.

If you do low doses you can do other treatments. You just must be very careful as your skin can become thin and dry, like retain a cream as well. Dr Davin Lim says take them occasionally if you feel a flair up coming, this is pretty sound and stop them a few weeks before a major treatment.

Responses to your questions
Q: Dermaroll 2mm. A: Thats fine
Retin a once or twice a week after dermaroll. Depends on how sensitive your skin is, I use it nightly.
*allow 3 -4 weeks to pass*
Q: TCA 10% whole face. A: You can start with 10% but then I would move up towards 30% as you can handle each additional 5%. How does one do this. They dilute the 30% with water In equal parts.
Q: *allow 3 - 4 weeks to past*
rinse and repeat. A: Sure sounds great. Get the filler and subcision at any time for the divots.

Always be sure to sanitize your skin and the dermaroller before microneedling, using rubbing alchol and or Hibiclens or Iodine.

On 10/30/2016 at 10:59 AM, beautifulambition said:

I agree withRobertitoo hes a great guy.

If you do low doses you can do other treatments. You just must be very careful as your skin can become thin and dry, like retain a cream as well. Dr Davin Lim says take them occasionally if you feel a flair up coming, this is pretty sound and stop them a few weeks before a major treatment.

Responses to your questions
Q: Dermaroll 2mm. A: Thats fine
Retin a once or twice a week after dermaroll. Depends on how sensitive your skin is, I use it nightly.
*allow 3 -4 weeks to pass*
Q: TCA 10% whole face. A: You can start with 10% but then I would move up towards 30% as you can handle each additional 5%. How does one do this. They dilute the 30% with water In equal parts.
Q: *allow 3 - 4 weeks to past*
rinse and repeat. A: Sure sounds great. Get the filler and subcision at any time for the divots.

Always be sure to sanitize your skin and the dermaroller before microneedling, using rubbing alchol and or Hibiclens or Iodine.

Thank you very much!! I have written this all down. I will speak to my doctor today about Accutane. Those two spots have indented, there must be a way to stop it. Thank you for all the help.