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Acne Scars - My Journey - Subcision

 
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(@beautifulambition)

Posted : 03/01/2018 6:47 am

@EagleEva

Active ingredients
(each gram contains)
Purpose
Bacitracin zinc 400 unitsFirst aid antibiotic
Neomycin sulfate 3.5 mgFirst aid antibiotic
Polymyxin B sulfate 5,000 unitsFirst aid antibiotic

http://stratacel.com/ I think it is, they also make stratamed

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(@eva_li)

Posted : 03/01/2018 11:18 am

@beautifulambition thanks a lot! Yayy, Strataderm is available here in pharmacies :) However, it says it is for new and old scars - I dont even have scabs yet. Shall I use it on the scabs when they develop? 

Is HA serum acceptable? Thats what I normally use after Dermapen. 
As a moisturizer I am using only jojoba oil or rosehip + vit E oil as of now because I dont wanna risk any further sketchy ingredients in standard moisturizers.
I am using vaseline (Aquaphor) only on the needle entry points.

Hope Im fine.

UPDATE: found out there's an antibioitic ointment available here (bacitracin + neomycin) so Im running to pharmacy to get it :) 

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(@nina22)

Posted : 03/01/2018 12:12 pm

54 minutes ago, eva_li said:
@beautifulambition thanks a lot! Yayy, Strataderm is available here in pharmacies :) However, it says it is for new and old scars - I dont even have scabs yet. Shall I use it on the scabs when they develop? 

Is HA serum acceptable? Thats what I normally use after Dermapen. 
As a moisturizer I am using only jojoba oil or rosehip + vit E oil as of now because I dont wanna risk any further sketchy ingredients in standard moisturizers.
I am using vaseline (Aquaphor) only on the needle entry points.

Hope Im fine.

UPDATE: found out there's an antibioitic ointment available here (bacitracin + neomycin) so Im running to pharmacy to get it :) 

Hey,

the scubs in my case formed on the 2nd or 3rd day I was using creams from the pharmacy cosmetic - Avene (Cicalfate line) or La Roche-Possay - Cicaplast even better, these creams are meant to be used after cosmetic procedures and have some antibacterial and healing properties also contain zinc, etc and are non-comedonic and hypoallergenic.

I looked similar to you btw :)

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(@eva_li)

Posted : 03/08/2018 7:28 am

Guys,

I am having a dilemma - your advice is much needed and appreciated now.

I had the "triple treatment" by Prof Chu on 28 February - that is dermapen PRP + su + TCA cross.
Not many areas of my face were subcised. I barely have bruises now (day 8) - just yellowish/greenish tint.
As for the TCA cross, some scabs/crusts are still on, some seem to be gone. It was my first time so I dont know what is "normal".
My point is -- I think I am an OK healer as far as I can say. (Also it is possible that I just dont have unrealistic expectations and can handle a lot of "mess" on my face as long as I know it is healing period.) I wish there was an objective "test" for healing abilities but my subjective sense is that I heal fine.

Now to the question - I wanna do another subcision with filler in 4 weeks time (29 March). The rationale is that I am running out of vacation days and if I do it on 29 I will have 4 days extra because it is Easter holiday = public holiday.
Is it advisable this soon? Should I be fine? Prof Chu told me to wait 6 weeks before any next treatment but I feel it might be individual.
Also, important to note that given the nature of my scars it is very likely most of it wont be Nokor subcision but just cannula and superficial skinbooster. I feel I should be able to handle that?

Thanks for your honest opinions!

(Also, sadly I came down with a flu 3 days ago but Im already feeling much better now, so Im optimistic I can recover in a week.)

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MemberMember
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(@beautifulambition)

Posted : 03/08/2018 8:40 am

@eva_li Sure it would be ok. You did not have filler the first time so it should be fine.

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(@eva_li)

Posted : 03/08/2018 8:55 am

@beautifulambitionok, thanks.
ButI thought that you always recommended others to space out treatments more. better than rush it. It wont be only filler but possibly more subcision, too.

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MemberMember
1750
(@beautifulambition)

Posted : 03/08/2018 2:42 pm

@eva_liYes I do. But this is when you have to do it. Ithas to fit your schedule. It's not optimal. But nothing is in life. The body takes a minimum of 3 months to heal and 6 months is more on average. This case above with skin booser, cannula sub is like topping up any area that needs it instead of disturbing it.

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(@sirius-lee)

Posted : 03/08/2018 6:09 pm

10 hours ago, eva_li said:

Now to the question - I wanna do another subcision with filler in 4 weeks time (29 March). The rationale is that I am running out of vacation days and if I do it on 29 I will have 4 days extra because it is Easter holiday = public holiday.
Is it advisable this soon? Should I be fine? Prof Chu told me to wait 6 weeks before any next treatment but I feel it might be individual.
Also, important to note that given the nature of my scars it is very likely most of it wont be Nokor subcision but just cannula and superficial skinbooster. I feel I should be able to handle that?

How much more improvement do you or Dr. Chu "realistically" expect to get from another treatment in just 4 weeks? There's no need for a top-up in 4 weeks, period.

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(@eva_li)

Posted : 03/09/2018 5:50 am

11 hours ago, Sirius Lee said:
How much more improvement do you or Dr. Chu "realistically" expect to get from another treatment in just 4 weeks? There's no need for a top-up in 4 weeks, period.

wait. I'm not following.
I never had filler before. Just sub. So Im not "toping-up".
Now I wanna filler and it just happens that there's public holiday in 4 weeks and I d like to make use of that, instead of taking days off work.

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(@incepticon)

Posted : 03/09/2018 6:33 am

41 minutes ago, eva_li said:
wait. I'm not following.
I never had filler before. Just sub. So Im not "toping-up".
Now I wanna filler and it just happens that there's public holiday in 4 weeks and I d like to make use of that, instead of taking days off work.

I thought Chu is not doing fillers? Are you thinking about someone specific? And have you decided on which kind of filler will be most suitable for your scars, and which areas, cheek+forehead?

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(@beautifulambition)

Posted : 03/09/2018 8:59 am

@eva_liDo what is best for your time, $$$$, and purpose. Yes you should wait longer but in this instance I don't see a problem. In the future space out things more but your OK for your Holiday. It's not like your doing subcision followed by RF needling like the other poster is doing back to back.

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(@motherofms)

Posted : 03/09/2018 9:26 am

On 3/1/2018 at 6:12 PM, Nina22 said:
La Roche-Possay - Cicaplast

I really like this product too.

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MemberMember
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(@sirius-lee)

Posted : 03/09/2018 2:10 pm

8 hours ago, eva_li said:
wait. I'm not following.
I never had filler before. Just sub. So Im not "toping-up".
Now I wanna filler and it just happens that there's public holiday in 4 weeks and I d like to make use of that, instead of taking days off work.

What I meant was that there is no need to get another subcision in such a short amount of time. Sure, skin sheds every 4 weeks but we're talking about collagen here. I think another round of subcision will only disrupt the collagen production.

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(@noa27)

Posted : 03/12/2018 3:50 am

@eva_li may i ask how you've traveled to Odense? For me it is a 7 hour drive so i was thinking to go by plane. But there is only a plane going to Copenhagen from here.

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(@eva_li)

Posted : 03/12/2018 4:52 am

@Noa27
thanks for the question, you reminded me of one important thing I wished to clarify here.

Odense is easy. You take a train directly from CPH Airport, takes around 1.5 hours to Odense. vvv convenient. Once you re in Odense, you can take a 10min bus to the clinic or grab a cab.
I myself stayed in CPH for couple days since I have plenty friends there but it would be 100% doable and convenient to make it in one day. (I doubt that Odense has its own airport, anyway;)

So I traveled both to Odense and to London. Having had this experience I must say there have been some misconceived statements in this thread, more precisely that traveling to London is quicker and easier compared to Odense.

In fact, it took me almost 2 full hours to get to West London to Chu from an airport, I landed at Stansted. One hour train to London Liverpool St, almost one more to Chiswick. But even if you travel to more centrally located airport to the west, like Heathrow (no low-cost flights however! and I think many people here will try to save money on the flight), it will always take you almost an hour to get to West London.

So time-efficiency-wise, both are just about the same. London is more hassle ...cause it's London :D You gotta make more transfers, subways, buses, trains; crowds of people. Depends if you're in mood for that. On the other hand, no one cares about you and your red swollen face :D Denmark is calmer and actually easier in number of transfers and extra moves you have to make. Everyone speak English.

tl;dr: Gettin Chu in London and Emil in Odense takes approximately just about the same time once you land at an airport. Minimal difference.
 

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(@simonandscarfunkel)

Posted : 03/12/2018 6:02 pm

Glad to hear you have had it done Eva, interested to see photos once the swelling has settled.

A couple of questions if you don't mind..!

-You said Chu used dermapen on you, is RF microneedling not an option with him?

-You mentioned a few weeks back you was a little concerned with an incision point, how's that looking now? (Am I right in thinking Chu uses a wider needle to Emil?)

-Overall, if you was to only have treatment with one Doctor based on your experience, Chu or Emil?

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(@runnyeggs)

Posted : 03/27/2018 1:49 am

On 3/8/2018 at 4:28 AM, eva_li said:

Also, important to note that given the nature of my scars it is very likely most of it wont be Nokor subcision but just cannula and superficial skinbooster. I feel I should be able to handle that?

What's the difference bet sub with Nocor and cannula+filler sub? I would think the Nocor sub would get more scar tissue released since it's a trangular tip versus the other one being just a needle. The Nocor seems best to cover more surface area. Isnt the whole point to excise the scar tissue and releasing the skin depression?

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(@sirius-lee)

Posted : 03/27/2018 2:03 am

11 minutes ago, runnyeggs said:

What's the difference bet sub with Nocor and cannula+filler sub? I would think the Nocor sub would get more scar tissue released since it's a trangular tip versus the other one being just a needle. The Nocor seems best to cover more surface area. Isnt the whole point to excise the scar tissue and releasing the skin depression?

That depends on where on the face you're subcising and how thick the scar fibers are. You would need to be especially careful when subcising using Nokor where there are major arteries.

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(@eva_li)

Posted : 03/29/2018 4:28 pm

SO I just had fillers done in my cheek today. Not sure how I feel about it.

No subcision this time since the doc deemed it unnecessary. Fair enough. Some parts look nice and fuller and (almost) leveled out with the rest of my face but some shallower scars which have never been subcised...seem to have stayed. It has been around 10 hours, I am dreading I am having a mild donut effect around some scars. The doctor considered these shallow boscars too shallow for a sub but I feel some subcision even if just with a regular needle should have been done. :(

The filler was Juvederm Volbella, he said it is supposed to last 9-12 months. I asked him whether I could needle over it or have a peel in next months and he was convinced that would destroy the filler. Especially RF needling. He also discouraged me from a deep peel sooner than somewhere in November :-O
Now that's kind of in contrary to what most veteran members here think. (the filler+INFINI combo). 
Is there any legit scientific study on this I could look into?

Oh just one more thing. PLEASE please, any advice on what to do about lumps? I developed two teeny-tiny lumps from the filler. Shall I massage them, is it safe? With ice? With an egg?:D

Dunno, I feel weird and confused now, gonna sleep on it now and will take pictures tomorrow.

______

 

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(@nina22)

Posted : 03/29/2018 4:41 pm

@eva_liHey again Eva, thanks for updating us. I just wanted to say that I think the Dr. is correct as I felt like the rest of my filler (I had already had it for several months before my medical needling) was completly gone after the Dermapen. I tried to find some more info about this before and the docs on Realsef pretty much say that Infini is OK with fillers that are injected deeply for volume like Sculptra, but not superficially placed ones like in our case..

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(@eva_li)

Posted : 03/31/2018 7:35 am

UPDATE:

I feel so disheartened and sad and frustrated at the moment.

I had filler to my cheeks feel two days ago. And I am looking into the mirror, I am inspecting my face all the time like a crazy person and I literally cannot see any difference.

What I was hoping for was a little bit more subcision before the filler (not necessarily Nokor). The reason is many of my scars on my cheeks were never subcised (a lot lot of shallow boxscarring/icepick). Only the deeper ones were subcised, twice in the last two and a half months. The doc, however, did not feel more subcision would help me as he saw my scarring is moderate and shallow and sub is only for the deepest scars.

He did not want to subcise on my forehead since he said the scars are not worth the risks of sub in this region. So he did only TCA cross on the forehead (150 EUR for 6 crossed scars :-O wtaf?!)

On the cheeks he went for filler treatment with Juvederm Volbella. I think there must have been a misunderstanding as I thought he would subcise the scars at least w the needle before injecting. But he was just injecting the filler. The scars that have been subcised previoulsy seem somewhat fuller, but not all of them completely leveled out.(But thats just 4-5 scars)

But the scarring there actually remained...JUST THE SAME. Have not lifted up. I am convinced that there should have been some subcision, even if a mild one. Now it seems the filler probably just spread around the scars.

What is happening? Should they have been subcised? Or is filler not a treatment for me? People here def recommended it to me. Obviously I need some treatment for the texture. I know that. But this experience is just so disappointing. And all the money it cost me...
I literally did not expect that a filler, the notorious "instant gratification" tool, will leave me w next to zero change in my looks.

....
Fun fact: The doc recommended me deep peels but CONTRARY TO GENERAL OPINION OF THIS FORUM, he claims that you should do a deep peel first and get rid of the shallow scars and then treat the remaining deep ones with fillers.

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(@beautifulambition)

Posted : 03/31/2018 8:50 am

Ok lets try to make since of all this. It's complicated. I see marked improvement with the deeper / bigger pits that were subbed. In the very last photo you provided can you do the same angle with shadows made, ... scars make shadows... please.

1) I don't know if your Dr is now Chu or Emil or Someone local to where you live. Last I heard it was Chu who would not subcise it. Have you gotten a second opinion by another Dr? 

2) What was Emil's plan again?

Can you help me by circling exactly what you want improved. You just want voluma in the apple of your cheek and a deep peel for texture, because that is possible. I am not seeing your skin like you are and have trouble knowing exactly what you want, which is most of scar treatment (fixing what bugs you!). I see improvement with the last 2 pics between the deepest pits in earlier pictures you provided. If your biggest concern is texture then yes resurfacing would help you most. Have you done your rf microneedling yet? 

I do not agree with the peel and then treat some more, it just seems backwards to me. We don't paint a house and then fix the places that need wood putty. A road is not  freshly paved and then the potholes fixed. Peel works on upper most texture.

Work I see that still needs to be done. More TCA CRoss can be done, as I see some smaller boxcars and icepicks but you did not seem favorable with the outcome of doing cross, ... I Cannot tell why though. RF needling could help with some of those boxcars - prp might give you some healing you desire, You could use more filler in a aesthetic since to volumize the apple of the cheek. Then do your Deep peel, or fully ablative pro-fractional.  If all else fails CO2 high power (highest) and low density 5-7% just on the scarred areas of concern (optional).  I see where the doctors are at they think it's mainly a textural issue and as such want to do a peel. 

3) I am having a hard time evaluating the pics provided. In some it looks like you have pits. In other's like the recent ones I see absolutely no pitting and a peel would be fine. Scars make shadows.

DSC_0288crop.jpg
DSC_0264.jpg
IMG_0392 copy.jpg
[Edited image out]

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(@mjjmands)

Posted : 04/01/2018 8:42 am

Could you please provide a new photo from profile? Thanks

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(@neofox)

Posted : 04/02/2018 7:13 am

I think she told about Chu

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(@eva_li)

Posted : 04/04/2018 1:47 pm

On 4/1/2018 at 3:42 PM, Mjjmands said:

Could you please provide a new photo from profile? Thanks 

Fair enough.

I took pictures under the very same lamp that the first pics in this thread that BA just reposted.
 
Original pics are dated Dec 2016. Since then I had 5 dermapen sessions in the course of 2017.
Mid- January 2018 - first subcision. End of February 2018 second sub  + Dermapen w PRP + TCA cross. End of March 2018 - TCA cross forehead + filler for cheeks.
 
Here go the pics.
DSC_0390 copy.jpg
5ac51cf48ec56_DSC_0393copy.thumb.jpg.76ff0283377190655bf5a63259788a64.jpg5ac51ce320ee2_DSC_0358copy.thumb.jpg.b88e285aa0183d1688f009ff49554bd5.jpg5ac51d047d2bb_DSC_0423copy.thumb.jpg.0161bad2a9cf1119f81fbff1e0cdb2ba.jpg5ac51cff72d0e_DSC_0413copy.thumb.jpg.abd6c7e6eba25e5e40349f565e555583.jpg
 
In the first rant I complaint that the filler did nothing to my shallow scarring. (boxcar type)
Sadly, after few days it became evident that even the deeper pits that had been subcised with a Nokor before (and hence should have responded well to filler?), did not fill in too much.
 
LEFT side is worse. You can see the pseudo-dimple scar is still very obvious (god. how much I hate it). It lifted quite a bit on its own after the subs. I estimate that the added value of filler might be 10-15% maybe?
Similar thing can be said about the deeper scar on right side, near cheekbone. Subcised twice, filled, still indented. Filler helped maybe 30%? I kind of expected more?
 
 I know that treatments are like lottery, depend on many factors, your healing abilities etc. But what really wanted to achieve now was more an aesthetic relief, to feel good in my own skin for a few months. I have seen so many threads on here where peoples scars literally  leveled out with the rest completely after filler. This was what I wanted to have for couple months.(
Can you help me analyze what went wrong here?
a) were the scars underfilled, too little material?
b. should they have been subcised onceagain before injecting filler? 
c) are my scars just not suitable for filler?
d) have I just had unrealistic expectations? I shouldnt have expected that they will fill to the surface?
e) ???

@beautifulambition: It was a "local" doc, few hours drive, but not a flight this time. Didnt find anyone in my actual city. Chu doesnt do (even approve of) fllers. Emil...well, he is more expensive and even further away. His plan with me was first and foremost Erbium laser which kind of put me off tbh 🙁 But now I feel I probably should have paid him a visit again for fillers. I feel he is most meticulous w the scars and his patients...
TCA cross: I have never said I dont like it! this was just my second time (this time only forehead) and I am planning to try many many  more times before evaluating what it does.
Filler for the apple of a cheek: Exactly what I ve been thinking about! But I brought it up w this doc and even one derm in my city and they both were very hesitant about it, said I still seem ti have enough fat, am still "young" etc. But I too feel it would help me to stretch the fold and smooth out the whole cheek...

 
 

 

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