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Update:
I got sculptra + volbella (1 vial each) 12 days ago. Swelling is gone, here's where I'm at. My goal now is for my skin to look presentable in mid-day sunlight and sunsets. As much as my skin has improved, I've still got a marathon ahead of me. Certainly didn't help my confidence taking these pics right before a date.
Left side needs more filler and resurfacing work.
Above picture is to show how easy it is to mislead on improvements and why it's so hard to gauge improvements. Taken from the same location 1 minute apart, a 15-degree tilt. The cheeks and temples have massively improved from baseline, but like most here, it's just not good enough.
Planning for Infini next.
50 minutes ago, Maxzide said:Look good. I also have 3 subcisions, cross, and microneedling with sculptra with Dr Rullan. Tomorrow will be my 4th treatment.
Did Dr Rullan recommendvolbella? Are you planning to do chemobrasion?
I asked for it. Volbella doesn't last long on me and migrates, but it serves its purpose.
I'm considering the full face phenol but not soon, but beforehe retires. The phenol before/after pictures were good, but they showed me a before/after of someone with tons of jagged scarring which smoothed out after treatment, but it didnt lift the pits.
Right now I want the pits lifted. Left side is almost there, right side is still a train wreck. I think my right side will level out with another round of subcision/sculptra, volbella, and infini after this infini.
Had infini early Feb, no longer see swelling and my skin is no longer tight, so here are my results. I've never seen "instant" results before (maybe due to sculptra 4 weeks prior?); it's near 3 weeks and my skin continues to improve. Scars are unfortunately all still there, but they've shallowed a lot. Lots of skin tone issues still.
I've a self-assessed 50% improvement since injection of the last sculptra (4 weeks prior to the infini). The large gash on my left side has shallowed significantly to the point where I can barely see it.
2 hours ago, HopeNew said:@f93ddid you experience any holes left in your face from the subcision needle? I was left with a few and it's freaking me out.
I have not experienced any complications except for prolonged dark pigmentation at the insertion point which eventually resolved after many months. This was from Nokor.
@f93dThis is a great improvement. Yes this is why we started using Over Dilute Sculptra 5 years ago in a new way. As you have seen it is stimulated and makes new collagen growth. I am very happy for your results. I use your case as a example for those who need Sculptra. Yes it was due to Sculptra 4 weeks prior, this is why I made this protocol after several journal entrieson acne scars. The RF needling stimulates the Sculptra = more collagen. IT's a long lasting solution for widespread scarring, big areas of atrophic scar fat loss, temples, and hollowed areas. Works great, Long lasting, especially if over dilute injected with a cannula deep and throughout the area.Very happy for you, you have come a long way. Pretty soon you will just have slight textual scars and you could do a deep phenol peel if you wish or Sciton Fully Ablative Laser Resurfacing.
@HopeNewI just responded to your long post, ... to update in a thread which is not your own. You found you did have the hollows in the cheeks before you had subcision and need some filler. No scar case is alike and we cannot compare.
@dodgerguy18You have been messaging me for a few weeks. I suggested over dilute sculptra for you, this is the same thing he used and gave him the results above. Doughnut effects are not from filler, they are from not having the areas properly subcised, and can be easily fixed by subcising the areas that were missed or had a doughnut. This will not happen with Sculptra it's injected deeply and not for individual pits like a HA filler but mass widespread filling.
1 hour ago, beautifulambition said:
@dodgerguy18 You have been messaging me for a few weeks. I suggested over dilute sculptra for you, this is the same thing he used and gave him the results above. Doughnut effects are not from filler, they are from not having the areas properly subcised, and can be easily fixed by subcising the areas that were missed or had a doughnut. This will not happen with Sculptra it's injected deeply and not for individual pits like a HA filler but mass widespread filling.
Ok I'll go with this and see what the doc says next week 
~ 2 months post infini:
Happy with the results, however, I'm not satisfied yet and will continue treatments. I'm seeing good improvement in doing nothing but waiting. I hope the scarring on my right side will eventually blend into the surrounding skin.
Current plan:
Early May => subcision w/ maybe 0.5 vials sculptra, mainly on right side
Wait ~ 1 month => infini and fraxel 1927.
Wait ~ 3 months => phenol?
IMO many scars are still too deep for texture work. Parts of my right side still feel volume depleted; I'm not sure how targetted sculptra can be so I'll have to ask the doc. But basically, where all the scars are on my right side, the skin feels and is thinner than my left side due to many years of cystic acne. However the lower cheeks feel plump and I don't want more volume there. Temples feel about the same thickness.
@f93dGood Job on the acne scar work your doing. Just keep subcising. I would not spot treat with Sculptra, Do something like ha filler, over dilute radieese orbellafill.
I would give time between procedures, waiting only one month after Sculptra and sub to do energy devices, then a peel 3 months latter (if we don't heal we can stunt collagen). You not giving proper healing time. Energy devices can take 3-6 months to heal. I would not peel in the summer either. Your close to being able to peel, I would just keep subcising a few more times.
Your very close to the Phenol Peel in the fall.
On 2/25/2019 at 5:59 PM, HopeNew said:@f93d did you experience any holes left in your face from the subcision needle? I was left with a few and it's freaking me out.
I have these as well. Sucks it looks like another scar now 
not sure what to think about it..
@f93d holy shit!!! I just looked at the beginning of the post of your first pics! Your skin looks soooooo much better! WOW! All your scars have smoothed out and not sharp anymore. Your going to have smooth beautiful skin soon! Such an inspiration!!
20 hours ago, Goddess420 said:I have these as well. Sucks it looks like another scar now
@f93d holy shit!!! I just looked at the beginning of the post of your first pics! Your skin looks soooooo much better! WOW! All your scars have smoothed out and not sharp anymore. Your going to have smooth beautiful skin soon! Such an inspiration!!
Thanks 🙂
20 hours ago, joeysk said:Amazing Results!
How were you able to Suction the areas where they put Phenol? wouldn't that mess with the scabbing/healing of those spots!!???
I only suctioned once after phenol and that was a nokor subcision, so the bruising lasted for over a month - more than enough time for the scabs to peel. It won't be possible with cannula to follow the same procedure as that scientific journal article if you use acid also. Either wait for it to peel and then suction, or don't suction. I swapped over to filler b/c I didn't feel comfortable suctioning.
If I had a redo, I'd do subcision alone + suction followed by filler and worry about texture last. For me, infini/sculptra did a lot more overall than phenol paint.
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Thanks BA, revised plan will just be subcision + suction.
As soon as the scarring on the right side levels, I'll do a phenol peel (so I need like another 50% improvement). I'm more-or-less done with HA filler (volbella) - don't like how it looks, too lumpy.
General Note As this has become a goto for a sucess story and as a example:
One can do Chinese Cupping(amazon) as a filler alternative at any time after subcision. This is also called venom kit for bees, and vacuum for blackheads (battery operated). We use filler's as a spacer - preventing skin reattachment after sub, to stimulate collagen, and in some cases as ongoing volume. Sculptra (wide spread scarring, or fat deficient scars) it is stimulated by the rf needling which helps with natural collagen production.HA filler can be used on individual pits on top of Sculptra at a latter subcision.
The typical time is for a month after - daily application (cupping). The way to do this is in the faq, top of the scar treatment sub, find subcision section.
I only suggest filler first with sub as many don't want the bruising or upkeep you get with cupping (Also variable results). If a dr is going to blast you with a laser or use rf needling, you do need a spacer in your skin, or they might hit fat. Some ethnicity'sare prone to hypertrophic scars or granulomas(you would know this after you subcision), if so DO NOT do Chinese cupping.
If the patient has only afew pits and only want a ha filler you can do this at any time after your subcision. One or the other filler or Chinese cupping. I don't expect someone to get filler every time they subcise for financial reasons. Some do - there is still a deficiency to fill, or they want to and like the added volume, have the money to spend, or they want to avoid the hassle of cupping.Some are anti- filler.
You cannot cup if you had tca cross done under the area, until the"scab" has fully healed. Also if you have laser you must wait until that has fully healed before doing cupping, unlike filler. Best to spread out your treatments or rotate areas if your doing cupping.
You do not need to do excessive vacuum pressure (try medium suction varying the amount used).many bruise for the month they do theChinese Cupping(invest in dermablend or a thick concealer).
To recap: Chinese cupping is a alternative to filler after subcision(especially since we do many subcisions and don't want to get filler), see the FAQ for more on how to do it in the scar treatments main sub, subcision section.
Wow... I haven't kept up with your progress but after being away for a long time and now coming back, your improvement is super impressive. Major props to you for keeping the lighting honest and consistent. The improvement in the deep pits is incredible, and to my eyes, I only see some remaining minor pits and texture issues.
Which procedures do you attribute most of the success to?
On 4/30/2019 at 8:20 AM, dazzed said:Which procedures do you attribute most of the success to?
Sculptra probably did most of the heavy lifting. But subcision, infini, filler, sculptra, paint/cross, needling are all good when done in the proper order.
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3 month post infini:
I think at the 2.5 month mark improvement slowed down.
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Got subcision 4 days ago. A day after the procedure, I saw about 70% of my scarring even with the swelling. There was significantly less carving during this subcision compared to the last session. Talked with the doctor and I'm going ahead with the deep peel next.
@f93d I just wanted to say "THANK YOU" I needed your post today. Your story is a sucess to anyone who cares to treat their acne scars. Next is a deep peel soon with Rullan, ... you have come a long way. 
On 5/15/2019 at 6:41 AM, beautifulambition said:@f93d I just wanted to say "THANK YOU" I needed your post today. Your story is a sucess to anyone who cares to treat their acne scars. Next is a deep peel soon with Rullan, ... you have come a long way.
Appreciate your help. It has impacted me positively.
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I've got a deep peel scheduled for the end of next month. It's sooner than I'd like but it's hard to get this much downtime (2 weeks). I also have to take time off as my eyes will be swollen shut for the first few days so I cannot work.
For those who are following this thread, since we've limited data on this forum, I plan to document the first 5 days, the 2-week mark, 1-month mark, and 3-month mark for the chemabrasion treatment. I hope this is where my journey ends.
