Welcome...

Looks like mainly rolling scars, fat deficiency. Your main treatment is subcision and fillers.

1) Subcision with filler 4treatments (because of your fat loss I would get sculptra to stimulate collagen, or fat grafting, later you can get HA filler for touch ups)
2) rf microneedling, many brands out there, do this around your subcisions when the filler runs out.
3) TCA Peels, several medium strength peels or I would highly suggest for you a sedated deep peel with your doctor to get under the scars (tell them this) this is what you want, they will use Phenol. Fully Ablative Erbium resurfacing is also a option but has more side effects.
4) Vascular laser can get rid of the reds of the scars.

Plan to treat over 3 years when you have down time and money. Don't do mega treatments as they don't allow the body to heal. The body takes 3 - 6 months to heal between treatments.

11 minutes ago, beautifulambition said:

Welcome...

Looks like mainly rolling scars, fat deficiency. Your main treatment is subcision and fillers.

1) Subcision with filler 4treatments (because of your fat loss I would get sculptra to stimulate collagen, or fat grafting, later you can get HA filler for touch ups)
2) rf microneedling, many brands out there, do this around your subcisions when the filler runs out.
3) TCA Peels, several medium strength peels or I would highly suggest for you a sedated deep peel with your doctor to get under the scars (tell them this) this is what you want, they will use Phenol. Fully Ablative Erbium resurfacing is also a option but has more side effects.
4) Vascular laser can get rid of the reds of the scars.

Plan to treat over 3 years when you have down time and money. Don't do mega treatments as they don't allow the body to heal. The body takes 3 - 6 months to heal between treatments.

Thanks for the BA response, phenol peeling? 0.0 Fear !!!
I understand you suggested 4 sessions of subcision with filling, after these 4 sessions I do the microneedling rf and then the peels of TCA? Or do you suggest that I do them alternately?

other doubt the Derminator would not help me? I think of buying and doing sessions at intervals when I have not been to the dermatologist.

You have severe scarring and you said money is not a issue 😉 ... Scars are too severe. You need RF Microneedling to break up the scars. Hopefully they are not too fibrotic and the needles can get through them.

Many brands of rf needling vivance, intracel, intensif, infini, secret.

Alternate the first 2 (sub and filled - filler here can last 2 years, then rf needling next, subcision without filler again, and more rf needling, then wait till your filler runs out and do more.)

Sure you can derminator for at home in between, thats fine, do them in combo, just not one or the other.

BA

ok!
Money is a problem, but I am willing if it is the best option.

I am preparing financially to go to the dermatologist and start the indicated procedures, however, what I can do at home to soften would already help a lot. I thought of hydroquinone cream for redness or acid and also peeling of TCA 25% and lastly the derminator. Any suggestions to make at home and relieve the symptoms?

Its the same as the above, just microneedle at home instead, and peel at home. In the FAQ is a TCA Section click on the link, read the whole first page for a How to.

Subcision can be done without filler and you instead chinese cupping (amazon).

Without filler and rf microneedling I don't feel you will get what your wanting as your scars are pretty severe. The filler will help you a lot (sculptra or fat grafting).
Treat only when you have time and money over 3 years, spread it out to heal and save some money. Sure you can microneedle as well at home first if you wish. Items 2-3can be done at home. Hydroquinone will not get rid of your red as it's vascular. You can try peels as it will stimulate healing at the end part for this before vascular laser or IPL.

BA

20 hours ago, beautifulambition said:

E o mesmo que o acima, apenas microneedle em casa em vez disso, e descascar em casa. Na FAQ e uma secao do TCA, clique no link, leia toda a primeira pagina para um.

A subcisao pode ser feita sem enchimento e voce em vez de cancao (amazon).

Sem preenchimento e rf microneedling eu nao sinto que voce vai conseguir o que voce quer, pois suas cicatrizes sao bastante graves. O preenchimento ira ajuda-lo muito (sculptra ou enxerto de gordura).
Trate apenas quando tiver tempo e dinheiro ao longo de 3 anos, espalhe-o para curar e poupar algum dinheiro. Certo de que voce pode microneedle tambem em casa primeiro, se desejar. Os itens 2-3 podem ser feitos em casa. A hidroquinona nao se livrara do seu vermelho, pois e vascular. Voce pode tentar cascas, pois estimulara a cura na parte final para isso antes do laser vascular ou IPL.

BA

BA, I do not think of doing subcision at home. With regard to sculpra or fat grafting, which option will I get a better result?

I was able to find in my city only option of rf microneedling of the brand (ENDYMED 3D , VYDENCE AGNIS ) is it good?

Is there any concealer that works for my type of scar and oily skin?

thank you

Sculptra will help you. Fat grafting is good but expensive, you need 3 of them. Depends what is popular in your country and affordable.
You can start with sculptra and decide about something else latter.

Endymed is fine 😉

Dermablend is good, it's for people who have surgeries

Your Welcome!

If you let your beard grow, even though you have beardless patches, you can hide many scars. The rest you can cover with dermablend on your chin/cheeks etc.. I think it's worth a thought
Look = his beard is also not very thick, but in 10 months it pretty much covered everything.

On 21/02/2018 at 5:14 PM, incepticon said:

Se vocª deixar sua barba crescer, mesmo que vocª tenha manchas sem barba, vocª pode esconder muitas cicatrizes. O resto que vocª pode cobrir com dermablend em seu queixo / bochechas, etc. Eu acho que vale a pena pensar
Look = sua barba tamb©m n£o © muito grosso, mas em 10 meses cobriu tudo.

 

Good idea, I'll try.

On 21/02/2018 at 5:05 PM, beautifulambition said:

Sculptra ir¡ ajud¡-lo. O enxerto de gordura © bom, mas caro, vocª precisa de 3 deles. Depende do que © popular em seu pa­s e acess­vel. 
Vocª pode come§ar com sculptra e decidir sobre algo mais recente. 

Endymed est¡ bem 😉

Dermablend © bom, © para pessoas que tªm cirurgias,

sua bem-vinda!

In my city you have many options with Sculptra. So I'll try.

You can clarify the procedure over the years:

First I do Subcision with Sculptra, after 3 months I do RF Needling? And after 3 months again I make the Subscript without Sculptra and how long after this subcision without filling will I make another RF Needling? After this last session of RF Needling I hope the 2 years of validity of the scultra to repeat the procedure. it is?

Does the peeling of TCA and / or Derminator enter into what moment of this treatment?

Sorry for the confusion, I did not quite understand the chronology and waiting time for each procedure. You can clarify me again.

Thank you
 

@scarfacexSounds good

Yes start with subcision and sculptra at the same time. Then do rf needling some months later, then another subcision with no filler, then more rf needling, (your repeating 3-4 times of each). Yes that's right around 2 years with sculptra. HA is used at the very end if you need any minor touch ups (optional).

Derminator can be done in between treatments 3 months or after you do your sub and rf needling. Peels are done last, this is the final stage. So basically you could wait if you wished till your done with the above part.

3 months for in clinic procedures (** the first sub and sculptra and rf needling can be done closer together), 1 month for derminator and peels at home. It all depends when you have time and money, there is no rush.

BA

BA once again has wrapped it up. I have only one 'Pearl' to add. If you re-create your jawline, this will give counter traction on your scars, namely pull back the atrophic scars. See someone who can place Sculptra in your jawline area to create the angle and give you a better neck to face transition. Not only will you look better aesthetically, your scars will dramatically improve. You can test this by counter traction in the mirror. I saw this in an article regarding jawline recon. and atrophic acne scars.

On 24/02/2018 at 3:42 AM, Obi wan said:

BA mais uma vez completou. Eu tenho apenas um 'Pearl' para adicionar. Se voce recriar seu jawline, isso dara contra-tracao em suas cicatrizes, ou seja, retire as cicatrizes atroficas. Veja alguem que pode colocar o Sculptra na sua area da mandibula para criar o angulo e dar-lhe um melhor pescoco para enfrentar a transicao. Nao so voce vai ficar melhor esteticamente, suas cicatrizes irao melhorar drasticamente. Voce pode testar isso por contra tracao no espelho. Eu vi isso em um artigo sobre jawline recon. e cicatrizes de acne atroficas.

Obi wan, sorry but did not understand very well, would have some source with photos for better understanding.

On 2/21/2018 at 3:14 PM, incepticon said:

If you let your beard grow, even though you have beardless patches, you can hide many scars. 

 

The guy above looks like he gets harassed by security at international airports. It is not a good look in my opinion. The best idea is to treat your scars.

@scarfacexHe simply means injecting the sculptra along the jawline (as well as the cheeks). Building it up -jaws to pull the cheeks more taunt. Pull down on your cheeks skin at the jaws and you will see the result.

Hello, I have researched dermatologists in my city who do the recommended treatments for my type of scar. Today I went to one of them, after evaluating myself, I waited for his diagnosis. recommended 3 or 4 sessions of Sculptra with intervals of 45 to 60 days.
At the end of the treatment do retouching with HA and 4D Photone Leisure sessions for the red of the scars. And over the jaw line and he said that Sculptra would help though that filling with Radiesse would be more interesting and would have better results.

So I asked about Subcision, RF micrushing and over peeling. See your answers:
Subcision with Sculptra: very aggressive and the result is very close to just filling with Sculptra. because by stretching my skin with my fingers many scars disappear.
RF Microsurgery: He said it was very good (although he did not have it in his office). Peelings: will not bring me the expected results.

Anyway, he does all the procedures in his office, however for cases like mine he got better results only with Sculptra. He also said that when filling, he makes a slight subcision with the application needle, nothing compared to the aggressiveness of Nokor.

What do you think? I will go to 2 dermatologists and I will post here, I do not want to be tricked by them who only want $$$$

Good idea to get a second opinion. But I think the doctor's plan is pretty reasonable.

@scarfacex
Looking above at the pics again, I don't see how "just" scuptra injections will help with your "severe" scars. But if your happy with just that, then I guess that's ok.

Your saying all your scars disappear when you pull on the skin? This doctor does not sound experienced with scars, let alone treating them. Please seeks consultation with other doctors. To clarify some things, peels are at the end, not at the beginning of treatment, and they are for texture, so this is incorrect. RF needling is for collagen stimulation and works with sculptra, ... his office does not have this. You could always get the sculptra injected there and go elsewhere for other treatments if needed.

10 hours ago, beautifulambition said:

@scarfacex
Olhando acima das fotos de novo, nao vejo como as injecoes "just" de scuptra ajudarao com suas cicatrizes "graves". Mas se voce esta feliz com isso, entao acho que esta tudo bem.

Voce esta dizendo que todas as suas cicatrizes desaparecem quando voce puxa a pele? Este medico nao soa experiente com cicatrizes, e muito menos tratando-os. Por favor, procure consultar outros medicos. Para esclarecer algumas coisas, as cascas estao no final, nao no inicio do tratamento, e sao para textura, entao isso e incorreto. RF needling e para estimulacao de colageno e trabalha com sculptra, ... seu escritorio nao tem isso. Voce sempre pode obter o sculptra injetado la e ir a outro lugar para outros tratamentos, se necessario.

@scarfacexit's up to you what you decide to do ultimately. Sure maybe the sculptra is enough. But there is always more you can do.

Radiesse I don't see doing much, do it if you want. For scars this will do little for you, maybe he wants to pull your cheeks back with it.

Fontona 4D is laser, .... your telling me you won't do peels but you'll do laser. Laser has more side effects than peels, and is costly, dosen't improve things that much. But sure try if you want.

RF microneedling you need more than anything after your sculptra

On 03/03/2018 at 5:23 AM, beautifulambition said:

@scarfacexit's up to you what you decide to do ultimately. Sure maybe the sculptra is enough. But there is always more you can do.

Radiesse I don't see doing much, do it if you want. For scars this will do little for you, maybe he wants to pull your cheeks back with it.

Fontona 4D is laser, .... your telling me you won't do peels but you'll do laser. Laser has more side effects than peels, and is costly, dosen't improve things that much. But sure try if you want.

RF microneedling you need more than anything after your sculptra

The Radiasse he recommended to the jaw line. Fotona 4D recommended for skin red like VBean.

Today I went to another dermatologist, this recommended me Subcision with another needle other than Nokor and RF microneedling the same day. After 10 days I go back to Sculptra fill. He recommended 3 or 4 sessions with at least 3 months of interval.

I asked why not fill with Sculptra on the same day of Subcision he said that the Sculptra needed many massages not to create nodules and that he prefers to inject 10 days after the subcision.

About RF microneedling said that it can reach 3mm in areas with many fibrotic scars (see attached the settings he suggested)

What do you think ? I'm going to the 3rd Doctor tomorrow.

I will wait for the 3rd Dr to decide. Sounds like this last one is not familiar with Subcision. A normal needle and not cannula, when your scars are so extensive. Possibly it's not something he does often.

Yes that is Intensif and is fine.

Of course you can get sculptra after the subcision, seems he is doing all the treatments in different order. I would not Do RF - Intensif till you had your sub and filler, however long the wait is.

The 3rd Doctor has had many acne scars, my expectation is high with it.

The 2nd Doctor said he does not use nokor but another one that does not remember the name but that according to him has blade on the tip is works well. I'll try to get him to use Nokor and fill Sculptra on the same day. If he does not accept and the 3rd doctor is not a good option, I think of doing the procedures with this 2nd Doctor but in the order you said:
Day 1 - Subcision
Day 10 - Sculptra
Between 30 and 60 days - RF - Intensif

Do you think it would be a good alternative, if I can not find a better option at the moment?

Sounds like a good plan, your all set 😉 Lots of options.