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So I have come across this community so many times while looking for ways to treat acne/its scars and now that I started treating the scars , I want to document it here , maybe it'll help someone
Anyways
I have deep ( really deep ) combination of acne scars , mostly box car scars as you can see below ( I'm taking them in the lighting that shows them the worst )
https://imgur.com/a/aI5wa
https://imgur.com/a/k9yPE
I plan to undergo 3 sessions of both subcision and TCA cross
29/10/2017 my first subcision
No fillers , No suction so far since I don't have the device but I plan on getting it by the next subcision
The doctor used nokor needle of both temples and cheeks , he entered the needle from 4 holes ( 2 for each cheek and 2 for each temple side ) , right after the procedure I was very swallown and very red but there was no blood , and I heared the sound of what the doctor described as scars tissue being cut 
Anyways , here is a bad picture of going home after the procedure
https://imgur.com/a/rl30B
https://imgur.com/a/mJwrN
the first day ( 30/10/2017 ) , swallon , but no bruises
https://imgur.com/a/MUT24
https://imgur.com/a/9Vy5A
second day ( 31/10/2017) swallow has pretty much subsided but there is no bruises which is worrying me 
I feel there is something wrong because I feel that my face is getting back to normal so soon without any bruises , breakouts , nothing , is that normal ?!
https://imgur.com/a/e5of1
https://imgur.com/a/4Idk2
On 2017-10-31 at 4:29 PM, beautifulambition said:Yes Thats a nokor, and a scalpel at the end, it cuts like a windshield whipper on a car. That's weird you felt pain they use antiseptic to numb the area.
Certain cultures again don't bruise, they have thick skin and structures. Ask him to be more aggressive next time as you did not bruise.
May I ask how antiseptic would numb someones skin? Don't you meananesthetic?
Today 7-11-2017 , the 9th day after my subsicion and face is back to normal along with the scars , I see no difference and I feel disappointed , I started suction by the end of third day .
I think either the procedure wasn't done properly - or subcision doesn't work for my type of scars - or results will take some time to appear ?!!
Anyways , I'll go for the second session as scheduled and judge after that if it works or not
here's some picture taken today in the worst lightening to show every scar in details ( the redness is due to suction , I went too far yesterday and it bruised 
)
https://imgur.com/a/S7pQU
https://imgur.com/a/yvt5D
https://imgur.com/a/llF9E
https://imgur.com/a/k2AWg
and here are my face in normal day light , It usually looks much better
https://imgur.com/a/tnZ56
[Edited link out]
On 11/2/2017 at 2:35 AM, Sirius Lee said:@MOHAMMEd89 That really depends on how much you oozed (or bled) during subcision. Bruising is just that, bleeding under the skin (contusion).
@Sirius Lee I didn't see any pleading
On 11/2/2017 at 10:29 PM, Petsme said:Hello again! I really appreciate you documenting this process
also, I'm surprised you say your scars are "really deep"!! I don't really think they are! Good luck with your healing
@Petsme thanks well , on the right side are some deep wide scars that my life would have been much better without
On 11/4/2017 at 11:53 PM, toto1993 said:Looking forward to your progress !! pls keep us updated. Btw how much is 1 session of subcision and 1 tca respectively in your native currency?
I am thinking of doing subcision as well!
@toto1993 subcision costed me 750 L.E and TCA cross would cost 500 L.E but I'm sure subcision would have costed less but I spent a lot of time to find a doctor who performs that procedure in my area .
After some bad reviews and advises from some , now I'm hesitant to try tca cross , I fear that some of my scars would be linked together since my scars are so close to each others , specially my pitted ones , so I'm considering trying RF microneedling along with subcision for now !
Looked at all your pics... You need RF Microneedle, Various brands as long as it has insulated needles (several treatments). This is the treatment of choice for surface box cars. This should be the first step.
Have you considered more TCA Cross / TCA peels, they must be strong enough.
I do not see see subcision helping you that much as your scars are very shallow in the pictures. If suction does not work, you must use filler, and this can only be done in pits a pencil eraser or deeper or it will create bumps.
So Find RF microneedle, do several of those . Start with more (stronger) TCA Cross and TCA spot peels over the areas. Remember scar work takes time, it is never one and done. For many it is several things over 3 years.
Regarding linking together TCA cross this is not correct, you only treat a few at a time especially if they are close together, you do not treat all of them at once.
Sure try RF microneedling and subcision, if you have pits like I mentioned above get filler.
@Sirius Lee The depth is going to differ for different parts of the face, right? Like, you wouldn't do 2.5 on the forehead, and cheekbones (or would you?)
I use the machine on patients, and knows the Lutronic (company who makes Infini) treatment guidelines, I am trained in it's operation.
Pushing the needles to the max is not very smart advice.
Infini can cause fat loss, look at the Infini reviews on realself.com for people disgruntled about this.
This is not a home microneedle machine with no energy involved.
Just like laser when your go to deep you can effect the fat, and make it dissolve. We are trying to target the dermis not the sub Q layer. Even with kick back of the springs from overly fibrous skin (rare), we are not going to be maxing out the needle lengths to avoid this. The energy blephs spread as they are triggered. Many people who have acne scars have some fat deficiency, thus making the needles go deeper and potentially into the sub-q fat layers. So we don't push the depths, it depends on the individual and a bunch of factors like skin type / scar type, ethnicity, reaction of the skin, etc.
Yes we go less on the temples and forehead and around the nose so not to go to deep or hit bone, this is the same with normal microneedling, one can use a deeper setting with a fat (ie. cheek) than a thin area. Often doctors will layer different depths on different passes of the skin. To shallow and one can effect the epidermis (railroad tracks), too deep and one effects the fat.
Settings are not universal, ...anyone who tells you to max it out or goes one depth (unless shallow) all over the area are not following Lutronic guidelines and can cause damage.This would be a inexperienced operator who is not trained or doesn't care.
As long as the boxcar are small tca cross will help,with cross smaller is better.yep its got to be strong,usual advice is do a test and see how it gos and if it heals ok then your good with that strength,tca fir cross must be strong enough.
tca will improve boxcar but big atrophic ones not the case,shallow boxcar will/should improve with strong tca peel but at strong strength 25%+ more going on 30-40% i can atest to this.
pell at string strength hits boxcar bottom,its solid healed scar,peel penetrates and makes it stodgey,this is the way peel works,healing process plumps and firms up the scar,in time and i am talking not short time here i am talking 7 months now i can say safely i got 30-40% improvement maybe more in some boxcar i got on my left cheek.
tca peel at 25% does very little to nothing for under the skin scarring but the scarred pores usualy associated with a lot if under skin scarring it help reduce them a lot.
if i continue with peels which i intend to until i got cash for invasive treatment i will be st it for a year and it will still go on.
tca peel is long long process but done monthly and look after healing skin it works for right scar type.