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I have a hard time trusting any dramatic before/afters. Too many variables, and a dramatic improvement realistically takes many months or years.

That said you should consider subcision with HA filler.

Near all of the patients wear the same clothes before and after. So I assume the photos are taken right after the injection.

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Some of them look really incredible, but I would be a bit skeptical because some of these patients had ice pick and boxcar scars in their befores and those cannot be filled. The afters look damn near perfect in some of them. It is almost certainly partly due to swelling that is hiding the smaller ice pick and boxcar scars because the afters are clearly taken immediately after injection.

I would consider myself a veteran of fillers andthey have been a GAMECHANGERfor me personally. They're the only things that have visibly changed the depth and severity of my scars. Nothing else has come close and so I am a strong advocate of fillers for rolling scars and volume loss.

If you have the right scars, fillers can give you dramatic improvement even in one sitting if the doctor knows what they're doing.

Lasers did more harm than good. They didnothing except leaveme with hyperpigmentation and weird texture.

Excision is exceptionally risky and 90% of the time they just leave an even worse indented scar with track marks from the sutures. You always hear that it'll leave a fine line scar, but he reality is that most of them stretch and become even more obvious that something was done to your face.

Thanks for the replies everyone!

@JohnRottenSkin: yes, I'm skeptical too. I don't see any evidence of it being photoshopped though..swelling seems more likely.

@QuanHenry: yep, definitelylooking into it.

@CoconutRough: gosh, I didn't even notice it. You're right! It explains a lot...

Well that was a bit of throwaway comment on my part. It's not 90%, but excisions are exceptionally risky. There is a lady who posted a thread on here seeking advice on her excision scar. To me, the only time an excision is justified if the scar is so disfiguring that it can only be removed by cutting. Anything less, and I think it's a huge gamble. Remember, when you cut out a scar the incision has to be even longer than the scar because it must be cut in an ellipse so that it can be closed. Otherwise you'll get a dog ear deformity.

Do you truly have a disfiguring scar that can only be treated with excision? How did you heal from the fully ablative co2? That is pretty aggressive and scary.

50% improvement is great. Why don't you continue with microneedling if it gives you improvement?

1 hour ago, dazzed said:

Well that was a bit of throwaway comment on my part. It's not 90%, but excisions are exceptionally risky. There is a lady who posted a thread on here seeking advice on her excision scar. To me, the only time an excision is justified if the scar is so disfiguring that it can only be removed by cutting. Anything less, and I think it's a huge gamble. Remember, when you cut out a scar the incision has to be even longer than the scar because it must be cut in an ellipse so that it can be closed. Otherwise you'll get a dog ear deformity.

Do you truly have a disfiguring scar that can only be treated with excision? How did you heal from the fully ablative co2? That is pretty aggressive and scary.

I think I know the thread you are referring to. Luckily, the scars I want to get excised are smaller and in areas where it would be easier to hide a surgical scar. I'll ask my doctor at the next visit. He's very conservative so I trust his opinion.
I'm not sure what would qualify as "disfiguring", but they have a massive influence on my confidence, no doubt about that.
I healed just fine after the fully ablative co2. It was definitelyaggressive but I'm a pretty good/fast healer.

1 hour ago, Noa27 said:

50% improvement is great. Why don't you continue with microneedling if it gives you improvement?

50% improvement wasn't just from micro needling. Most of it came from the ablative co2 resurfacing. The problem is that I have all possible scar types you can imagine, and it's still pretty obvious. Needling works for some, but not all. I will continue micro needling on the scars it seems to have an effect on, but I need other modalities as well.

How severe would you characterize your scars before any procedure? How about now?

3 hours ago, dazzed said:

How severe would you characterize your scars before any procedure? How about now?

I'd say it's gone from severe at the start to more on the moderate side now. The improvement is over a time period of about 1.5 -2 years. It's mostly located on the cheeks and jawline, and even extending into my neck on the left side of my face.

In most medical studies they have maybe 20-50 patients. They then have results usually using " no improvement, moderate, marked, and excellent. " They then list the results with for instance;50 patients, no improvement 10% (5) moderate 25 (50%), marked 20 (40%) and so on.....

So Id look up for medical trials and look for the percentages and then base your odds of those. For example I've just done laser and I got the idea that after 3 resurfacing procedures I could expect a decent chance of marked (60%) or excellent improvement (20%) and i was practically guaranteed a moderate improvement as the chance of no improvement from most of the studies was less than 5%.

I think using numbers rather than pictures is going to give you realistic expectations.