looks like shallow boxcars to me,
lasers definitely help
you can also try chemical peels, TCA cross, and microneedling
vitamin C improves healing after above treatments

i do not believe cysts should be treated with corticosteroid injections, they should be cut out (unless it is not a cyst, and is instead a hypotrophic/hypertrophic scar)

i really doubt it costs 1200$ to cut it out

find a different derm, the fact that he/she told you that lasers wont do much is a red flag

@HopefulxWe do not advocate for lasers here at acne.org after hundreds of cases of side effects from the procedure. We start with non energy devices first.Laser does not do much for surface textural box cars.

I can give you a plan PM me

On 4/24/2017 at 6:44 PM, beautifulambition said:

@HopefulxWe do not advocate for lasers here at acne.org after hundreds of cases of side effects from the procedure. We start with non energy devices first.Laser does not do much for surface textural box cars.

Regarding your cyst, they can excise it with small stitches . Yes that seems excessively high for treatment, call around to "board certified" derms, it will be 500 -100 but your cost seems excessive. Check their yelp reviews and real self reviews http://realself.com .

You have surface box cars that are textural. I would get subcision with a Nokor needle and filler. You will need of these.
I would also get (DR or Med Spa) [Redacted] TCA acid peels for the texture. This will help most with the surface issues. If your skin is sensitive you might have to do glycolic peels or pixel peels with the esthetician instead of tca (less results, but more sensitive).

I would alternate monthly microneedling, most of us use here http://derminator.com with the tca peels, one month one procedure, then the next, whenever you heal, as much as you can.

I would use retin a, tretinorin, isotrex, or retinol based cream to treat your face for cell turnover which will help your skins condition.

This will take a year or two of treatments.

To learn more about all of these goto my signature below, and click on the faq, find microneedling, subcision, and tca acid sections.

Thank you for the reply- just some questions

I will need how many subcisions? So either go to a medspa for chemica peels OR glycolic peels with an esthetician?

I don't really feel comfortable doing my own microneedling. Can I get that done somewhere?

Again, thanks for your reply!

Lasers can definitely improve scars, I wouldn't immediately dismiss them because beautiful ambition told you they dont work. I went through two rounds of mixto laser and my scarring is pretty unnoticeable now, started off much worse than yours.

I'm kind of on a budget for the next few years, as I'm still in school. Would chemicalpeels consisting ofLactic Acid 20% & TCA 10% be helpful at all for my situation?

4 hours ago, Hopefulx said:

I'm kind of on a budget for the next few years, as I'm still in school. Would chemicalpeels consisting ofLactic Acid 20% & TCA 10% be helpful at all for my situation?

just dont do it yourself, get a professional, like a nurse or someone with experience doing this,
high concentration chemical peels can make the skin worse if you put too much on or do not use a neutralizing agent

I plan to go to a local spa. Would it be useful for my scarring though?

i am not familiar with lactic acid, but TCA cross is effective in thickening the skin, it can be used on boxcar scars, although it is usually used for icepick scars

@HopefulxI have given advice to thousands and dealt with their issues especially from laser ruining their face with side effects.

To answer your questions:

You will need around 3 subcisions, some need a bit more.

Yes Med spas are great for acid peels or a esthetician.

Drs, Med Spas, or a esthetician can do your microneedling.

You will need several rounds of Acid peels and microneedling over a year or two at the med spa, as much as you can do.

Lactic and TCA is ok, if they test it on you and it has good results, that is the key, seeing how you heal and increasing if you heal well with it.

3 hours ago, beautifulambition said:

@HopefulxI have given advice to thousands and dealt with their issues especially from laser ruining their face with side effects.

To answer your questions:

You will need around 3 subcisions, some need a bit more.

Yes Med spas are great for acid peels or a esthetician.

Drs, Med Spas, or a esthetician can do your microneedling.

You will need several rounds of Acid peels and microneedling over a year or two at the med spa, as much as you can do.

Lactic and TCA is ok, if they test it on you and it has good results, that is the key, seeing how you heal and increasing if you heal well with it.

Sorry last questions! Will I still get results if I start off with chemical peels and work my way up to microneedling after saving some money? Not sure what most people on here do, but like I said still in school. I am just ready to begin this journey! I'm assuming you'd suggest chemical peels and microneedling before subcision, right?

@HopefulxWhatever you can afford and is most convenient for you. My only warning is summer is coming, when you TCA, you need sunscreen at all times, and to wear a big hat, ... it's fresh skin after all. Some avoid their TCA's till the months where they are more indoors (Fall/Winter). But you can start there.
Subcision is also a good place to start as it works on the divots, but it can be expensive too. Start where you can, the more you do the more results you will get, and plan on this happening for a few years until your happy with the outcome. Drs will push expensive laser, just say NO, peels and microneedling will be just as good if done at the right strength.

Thank you so much!

Hopefully updates are fine on here.
I have a chemical peel booked at a local spa and am going to start with this. It hasLactic Acid 12% & TCA 6%. My plan is to start with this and see how it goes before I go away for school (and possibly find a derm there if I feel like I need something stronger) During my consultation they mentioned to do a microdermabrasion after a couple of sessions. Would that benefit me or just do micro-needling when I am able to?

@Hopefulx
You could try Microdermabration if its cheap enough, the 3 things will work well. TCA peels probably doing the most, if you skin can handle a stronger percentage the next time, that will do more too.

Sure keep us updated.

2 hours ago, beautifulambition said:

@Hopefulx
You could try Microdermabration if its cheap enough, the 3 things will work well. TCA peels probably doing the most, if you skin can handle a stronger percentage the next time, that will do more too.

Sure keep us updated.

I'm going to more of a spa to start (will probably switch derms when I'm at school for stronger stuff) but will be statting here and they only offer two types of chemical peels. Not sure if they can change strength- I know only derms can actually use really strong percentages. But hoping this will at least get my face used to this journey.