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Icepicks the treatment of choice is TCA Cross, read about it in the official posting below. The box cars can be treated with subcision and filler and or infini rf microneedle treatments then the subcision and filler. I don't see laser helping you as icepics are deep and it only widens the scars. Try Dr. Chris Zachary in LA at UC Irvine School of Dermatology, he is the head of the department. Some people like Jason Emerin Hollywood but he can be expensive as he does a ton of aesthetic stuff. I don't see microneedling helping your box cars, subcision would.

You can lookup doctors reviews on realself.com and put the area and treatment eg. infini rf.

On November 17, 2016 at 11:09 PM, beautifulambition said:

Icepicks the treatment of choice is TCA Cross, read about it in the official posting below. The box cars can be treated with subcision and filler and or infini rf microneedle treatments then the subcision and filler. I don't see laser helping you as icepics are deep and it only widens the scars. Try Dr. Chris Zachary in LA at UC Irvine School of Dermatology, he is the head of the department. Some people like Jason Emerin Hollywood but he can be expensive as he does a ton of aesthetic stuff. I don't see microneedling helping your box cars, subcision would.

You can lookup doctors reviews on realself.com and put the area and treatment eg. infini rf.

Thanks. I am in Northern California. Just talked with a doctor in Mountain View. He suggested subcision + filler. But I am very worried that filler is permanent and hard to take out, and I don't want anything unnatural in my face. So I prefer to just to filler. Because of my unhappy palomar experience, I am really hesitated to do subcision on my whole face. Because after palomar and accutane my skin looked worse and the scars are deeper, I am really worried that it was because I just could not generate enough collagen. Even though subcision is a really conservative procedure, I am afraid it would my scar become worse.

The doctor understood my concerns and offered me to do the circular boxcar for $350 to try, if doing the whole face, it would be $1500. Not sure which route should I go. Comparing to the price for doing the whole face, $350 for a scar is really expensive. I want it to be safe, but also $1500 is a lot of money, but comparing to $350 a scar, $1500 for the whole face is a pretty good budget.......

Any suggestions?

Both sound good, filler is expensive, there is care credit and savings accounts to make payments or your credit card.

He could always subcise and see how youd do. But Filler is the more expensive item. Subicison is necessary but will tether without filler a few weeks after subcision.

That is the gold standard. If its HA it is natural, your body has that in it and can be dissolved. Subcision is only using a needle. I'd try one bad area before doing all that, and see his technique. It won't ruin your face but good to see what he can do right? Most doctors will take this off the final procedure cost if you come back (ask).Be aware the scab from subcision will last a few weeks, but be fine, you can put makeup over it.

Also please be aware I have had several subcisions, nothing is once and done. But you can space them out over the years so it financially makes since and gives youtime to heal and see what you like. Fat grating is supper expensive. Bellafill (this is not HA) is fake, lasts foreverand non reversible.

4 hours ago, beautifulambition said:

Both sound good, filler is expensive, there is care credit and savings accounts to make payments or your credit card.

He could always subcise and see how youd do. But Filler is the more expensive item. Subicison is necessary but will tether without filler a few weeks after subcision.

That is the gold standard. If its HA it is natural, your body has that in it and can be dissolved. Subcision is only using a needle. I'd try one bad area before doing all that, and see his technique. It won't ruin your face but good to see what he can do right? Most doctors will take this off the final procedure cost if you come back (ask).Be aware the scab from subcision will last a few weeks, but be fine, you can put makeup over it.

Also please be aware I have had several subcisions, nothing is once and done. But you can space them out over the years so it financially makes since and gives youtime to heal and see what you like. Fat grating is supper expensive. Bellafill (this is not HA) is fake, lasts foreverand non reversible.

Thank you very much. I will definitely ask if he can take off $350 if I decide to do the whole face, or even if I can pay $1500 but just try one scar, if I am not satisfied, then i will just ask him to refund the $1500-$350 to me.

About retethering, when do you think i can see the final result. I was thinking that if everything went well, I would do the whole face during the christmas break. But that was about 4 weeks after the test subcision. Might it be worse after 4 weeks?

By the way what is HA?

Thanks again!

Sounds good on payment.

Do the test subcision filler now, ASAP time wise. Then schedule for Christmas your whole facefiller and subsicion if that seems ok.

HA is hyaluronic acid (aka "natural" like filler), you must do this with subcision or it's pointless - aka retethering.

I still think your icepics would best be handled with TCA - Cross, filler does nothing for icepics just the bigger boxcars ;-P But you can do that after christmas or at home.

17 hours ago, beautifulambition said:

Sounds good on payment.

Do the test subcision filler now, ASAP time wise. Then schedule for Christmas your whole facefiller and subsicion if that seems ok.

HA is hyaluronic acid (aka "natural" like filler), you must do this with subcision or it's pointless - aka retethering.

I still think your icepics would best be handled with TCA - Cross, filler does nothing for icepics just the bigger boxcars ;-P But you can do that after christmas or at home.

Thanks. I found online that HA is a kind of larger molecules and cannot be fully absorbed by the skin.

If I just do subcision and suction method, I guess it would act the same as fillers?

The doctor is not very patient, and did not answer all my questions. The lady said that subcision would also help with pitted scars, as long as it is not icepicks. I had a few icepicks, but most of them are pitted scars not icepicks. I think probably it would work? Not sure though.

Will subcision cause breakout? I had several clogged pores on my chin, and had three acnes last week, but it was only once a month, and would calm down quickly.

Not sure having acne under control means. Does it mean absolutely no acne on face, or as long as it is not flaring then it is okay?

This is correct and incorrect about HA, ...HA is naturally in the skin, in the lab they make it cross linked to not be absorbed right away thus giving it some longevity. Sounds like your anti - filler, that's ok too. Yes as I put in the FAQ subcision is the treatment of choice for tethered scars. You can do a test spot, and do the rest at Christmas.

Sure do subcision and suction, read this post. http://www.acne.org/messageboard/topic/361755-my-subcision-saline-suction-treatment/
It works for some people, and tethers down for others. This is why filler is used, one does not have to be bothered about constant suctioning.

Subcision could cause temporary break outs, but for many it does not. It heals over a few weeks, and is just a needle hole, the same way when you get a shot the hole heals.

You have no acne in the pics, they mean pimples all over.

5 hours ago, byescar said:

Thanks. I found online that HA is a kind of larger molecules and cannot be fully absorbed by the skin.

If I just do subcision and suction method, I guess it would act the same as fillers?

The doctor is not very patient, and did not answer all my questions. The lady said that subcision would also help with pitted scars, as long as it is not icepicks. I had a few icepicks, but most of them are pitted scars not icepicks. I think probably it would work? Not sure though.

Will subcision cause breakout? I had several clogged pores on my chin, and had three acnes last week, but it was only once a month, and would calm down quickly.

Not sure having acne under control means. Does it mean absolutely no acne on face, or as long as it is not flaring then it is okay?

HA is fully absorbed by the skin. No breakout. (I have had 2 subs plus HA and I m plannin others, I think at least 3 or more...)

On November 20, 2016 at 5:14 PM, Rdnhey said:

On November 20, 2016 at 0:07 PM, byescar said:

Thanks. I found online that HA is a kind of larger molecules and cannot be fully absorbed by the skin.

If I just do subcision and suction method, I guess it would act the same as fillers?

The doctor is not very patient, and did not answer all my questions. The lady said that subcision would also help with pitted scars, as long as it is not icepicks. I had a few icepicks, but most of them are pitted scars not icepicks. I think probably it would work? Not sure though.

Will subcision cause breakout? I had several clogged pores on my chin, and had three acnes last week, but it was only once a month, and would calm down quickly.

Not sure having acne under control means. Does it mean absolutely no acne on face, or as long as it is not flaring then it is okay?

HA is fully absorbed by the skin. No breakout. (I have had 2 subs plus HA and I m plannin others, I think at least 3 or more...)

Hi,
Do you suction if after subcision and 3rd day the scars are above surface level?
Thank you in advance!

3 hours ago, byescar said:

Hi,
Do you suction if after subcision and 3rd day the scars are above surface level?
Thank you in advance!

If u re going to do subcision plus filler (HA) u can't suctioning at least for the first 2-3 months.