Acne.org Products
5 hours ago, shei514 said:Day 14
I don™t know if I mentioned this (my thread is so long lol) but rullan texted me this œLooks really good. Don™t focus on surface irregularities. Those will heal over next couple of days and months. Good color.
Once the redness is gone and the skin is more smooth the results will be so good. I can already tell. All will be needed is to make it to final level would be fillers. So happy for you, the risk paid off for you!
Day 15 - I will most likely stop posting photos after day 21 and post them week by week. Much of the same today. Still very much considering excision for my boxcars but obviously too soon to make that call then filler for my forehead as well.
18 hours ago, shei514 said:Day 15 - I will most likely stop posting photos after day 21 and post them week by week. Much of the same today. Still very much considering excision for my boxcars but obviously too soon to make that call then filler for my forehead as well.
Do you think you could have gone early for phenol peel. Like which year in the treatment time frame did you feel you were ready for the phenol peel. From what I have seen from your pictures. I feel like you were ready in early 2020 my guess. What do you think?
3 hours ago, getsmart121 said:Do you think you could have gone early for phenol peel. Like which year in the treatment time frame did you feel you were ready for the phenol peel. From what I have seen from your pictures. I feel like you were ready in early 2020 my guess. What do you think?
Yeah definitely early 2020 at the earliest. Rullan suggested it in 2019 but I™m not sure if he meant later after doing a few trios. When he saw me a couple of weeks ago, he agreed that my scars had been raised enough where this peel would benefit me.
Day 16 - Went outside today (obviously spf) so thought this would show skin texture a little better and a video as well. The redness can sometimes hide things a little too much.
My right boxcars are just sooo stubborn (I have had these since I was 14 at least).
13 minutes ago, shei514 said:Yeah definitely early 2020 at the earliest. Rullan suggested it in 2019 but I™m not sure if he meant later after doing a few trios. When he saw me a couple of weeks ago, he agreed that my scars had been raised enough where this peel would benefit me.
Day 16 - Went outside today (obviously spf) so thought this would show skin texture a little better and a video as well. The redness can sometimes hide things a little too much.
My right boxcars are just sooo stubborn (I have had these since I was 14 at least).
Would your doctor recommend punch excision for the boxcar ones on your right cheek? I have been researching punch excision like crazy (which by the way is an oxymoron because there is not a lot of relevant research on it) and the scars on your right cheek look like they may fit for that procedure. Of course, I am not a doctor. I read punch excision is controversial on here and on RealSelf.com. I was researching œmohrs surgery and œmole removal surgery where it™s removing a piece of the skin and it shows the before and after pics and maybe I am easy to fool but the after pics look great. It has sparked my interest that perhaps either punch excision or punch graft might help stubborn scars. I™ve been obsessing about this since last night (I do this when I feel like I need answers combined with a risk/reward ratio that is too tempting for me). Anyway, I won™t take time away from you and your peace. I™ll add that you look great since the phenol peel. I assume some of it is swelling but overall I think the changes might be long term for you, which is marvelous.
13 minutes ago, Dontgiveupitsonlyscars said:Would your doctor recommend punch excision for the boxcar ones on your right cheek? I have been researching punch excision like crazy (which by the way is an oxymoron because there is not a lot of relevant research on it) and the scars on your right cheek look like they may fit for that procedure. Of course, I am not a doctor. I read punch excision is controversial on here and on RealSelf.com. I was researching mohrs surgery and mole removal surgery where its removing a piece of the skin and it shows the before and after pics and maybe I am easy to fool but the after pics look great. It has sparked my interest that perhaps either punch excision or punch graft might help stubborn scars. Ive been obsessing about this since last night (I do this when I feel like I need answers combined with arisk/reward ratio that is too tempting for me). Anyway, I wont take time away from you and your peace. Ill add that youlook great since the phenol peel. I assume some of it is swelling but overall I think the changes might be long term for you, which is marvelous.
I've had punch excision done. It's not worth it. Don't do it. Will more than likely make your scars worse if not leave them the same. If you're ethnic, there's higher chance of them hypertrophying and turning out very discolored...
Don't be fooled by the mohs surgery photos either. It's usually shown on old people and old people just make good scars due to less collagen meaning less likelihood of keloids/hypertrophy, and blocked sdf-1 in older people - https://www.pennmedicine.org/news/news-releases/2018/september/being-older-helps-skin-heal-with-less-scarring-and-now-researchers-know-why
It'shard to screw up a mohs surgery on an old person, they just heal well. So it's not a huge testament to the surgeon's skill. Now if they can make it seamless on a younger person, that is saying something, but good luck finding an abundance of those photos.
I'm just letting you know all this because I was thinking the same things and fooled into thinking nothing could go wrong with excision. Wouldn't want anyone else to make the same mistakes
6 minutes ago, LivingWithFaith said:I've had punch excision done. It's not worth it. Don't do it. Will more than likely make your scars worse if not leave them the same. If you're ethnic, there's higher chance of them hypertrophying and turning out very discolored...
Don't be fooled by the mohs surgery photos either. It's usually shown on old people and old people just make good scars due to less collagen meaning less likelihood of keloids/hypertrophy, and blocked sdf-1 in older people - https://www.pennmedicine.org/news/news-releases/2018/september/being-older-helps-skin-heal-with-less-scarring-and-now-researchers-know-why
It's not hard to screw up a mohs surgery on an old person, they just heal well. So it's not a huge testament to the surgeon's skill. Now if they can make it seamless on a younger person, that is saying something, but good luck finding an abundance of those photos.
I'm just letting you know all this because I was thinking the same things and fooled into thinking nothing could go wrong with excision. Wouldn't want anyone else to make the same mistakes
This is interesting. Thank you for providing that information attached with the Penn Medicine journal.
yes, I even watched videos of Dr. Jason Emer in California showing punch excision procedures and I read a review on RealSelf on his profile of a girl who had punch excision on the nose area which is anecdotal because there were not pictures. Either way, I wouldnt travel to see Jason Emer anyways because I hate planes. Its just too much of a hassle for me, is my point. So I turned to local mohrs surgery or mole removal doctors and looked on their websites and RealSelf and yeah most are older, while some are young.
I saw a doctor on RealSelf who did a mole removal revision with Co2 and fat transfer. It was only two dots on the eyebrow area but it the results looked great. I provided the link of the doctor so you can see the photos. I always feel cheesy when I talk about doctors I see as if Im their marketing agent or something, idk.
This Doctoris inWashington which Im also not flyingto (the part about planes).But I wanted to share the photo I saw.
11 minutes ago, Dontgiveupitsonlyscars said:This is interesting. Thank you for providing that information attached with the Penn Medicine journal.
yes, I even watched videos of Dr. Jason Emer in California showing punch excision procedures and I read a review on RealSelf on his profile of a girl who had punch excision on the nose area which is anecdotal because there were not pictures. Either way, I wouldnt travel to see Jason Emer anyways because I hate planes. Its just too much of a hassle for me, is my point. So I turned to local mohrs surgery or mole removal doctors and looked on their websites and RealSelf and yeah most are older, while some are young.
I saw a doctor on RealSelf who did a mole removal revision with Co2 and fat transfer. It was only two dots on the eyebrow area but it the results looked great. I provided the link of the doctor so you can see the photos. I always feel cheesy when I talk about doctors I see as if Im their marketing agent or something, idk.
This Doctoris inWashington which Im also not flyingto (the part about planes).But I wanted to share the photo I saw.
Yes, I remember coming across this. He did a good job. If you're going to do punch excision, it must be by someone who has evidence that they've performed it well in the past. Also, keep in mind that different scars and lesions will respond differently to excision. Moles are more on the surface, scars reach the dermis, so even if you go deep with a punch, you may not get the whole scar out, or worse, punch out some fat and cause more atrophy.
Also, laser resurfacing as soon as the punch sutures are removed is very important. If a doctor isn't willing to do lasers on you due to skin tone or whatever,then just don't do the punch excision. You need some sort of immediate resurfacing if you're going to conceal anylines leftover or prevent hypertrophy.
There's a lot about punch excision that the dermatology field doesn't tell you and you have to learn the hard way. It's so irresponsible for so many doctors to recommend punch excision right alongside tca as a deep scar removal method when the failure rate is so high due to multiple factors on top of most doctors not knowing how to properly punch or post-procedure care/protocol. My stupid doctor for instance didn't add botox to my punches and did some of them too close together which added tension and caused hypertrophywhich is its own difficult problem to fix. If you must do it, don't go to just anyone.
38 minutes ago, Dontgiveupitsonlyscars said:Would your doctor recommend punch excision for the boxcar ones on your right cheek? I have been researching punch excision like crazy (which by the way is an oxymoron because there is not a lot of relevant research on it) and the scars on your right cheek look like they may fit for that procedure. Of course, I am not a doctor. I read punch excision is controversial on here and on RealSelf.com. I was researching mohrs surgery and mole removal surgery where its removing a piece of the skin and it shows the before and after pics and maybe I am easy to fool but the after pics look great. It has sparked my interest that perhaps either punch excision or punch graft might help stubborn scars. Ive been obsessing about this since last night (I do this when I feel like I need answers combined with arisk/reward ratio that is too tempting for me). Anyway, I wont take time away from you and your peace. Ill add that youlook great since the phenol peel. I assume some of it is swelling but overall I think the changes might be long term for you, which is marvelous.
I have never asked Dr Rullan personally about punch excision. But I did inquire about the pricing prior to the phenol. If I didnt do the phenol I would have considered punch excision. I was told 250 USD per scar. When I met with Dr Lim in 2017 he said my boxcars were borderline excision but he treated them with sub and laser instead. I never asked why he said this and didnt opt for punch excision, however I think dermatologists dont like this method as its swapping a scar for a scar and if they can fix the scar without doing this thats obviously a better outcome. But thats just my thinking. I would obviously rather a smaller scar but maybe the outcome is unpredictable. I wish more conversation could be had around this procedure.
I have done some research on it too and have followed a couple of threads here that mention it. Ive been interested in the procedure for years as it seems to be very promising for stubborn boxcars but havent done a lot of research outside of this forum.I also wonder if making the scar smaller through punch excision would make the scar easily treatable via laser procedures. This issomething I cant back up, just a thought.
17 minutes ago, shei514 said:I have never asked Dr Rullan personally about punch excision. But I did inquire about the pricing prior to the phenol. If I didnt do the phenol I would have considered punch excision. I was told 250 USD per scar. When I met with Dr Lim in 2017 he said my boxcars were borderline excision but he treated them with sub and laser instead. I never asked why he said this and didnt opt for punch excision, however I think dermatologists dont like this method as its swapping a scar for a scar and if they can fix the scar without doing this thats obviously a better outcome. But thats just my thinking. I would obviously rather a smaller scar but maybe the outcome is unpredictable. I wish more conversation could be had around this procedure.
I have done some research on it too and have followed a couple of threads here that mention it. Ive been interested in the procedure for years as it seems to be very promising for stubborn boxcars but havent done a lot of research outside of this forum.I also wonder if making the scar smaller through punch excision would make the scar easily treatable via laser procedures. This issomething I cant back up, just a thought.
Yes, the part about laser treating the new scar is what draws me in too. Borderline excision sounds like he believed for a moment that if the lasers dont help then the excision might have been next. With the above comment, the punch excision might be thrown out the window now, at least for me. Youre more fair skinnedthan me so you can do those aggressive Co2 if you ever considered the punch excision.
25 minutes ago, LivingWithFaith said:Yes, I remember coming across this. He did a good job. If you're going to do punch excision, it must be by someone who has evidence that they've performed it well in the past. Also, keep in mind that different scars and lesions will respond differently to excision. Moles are more on the surface, scars reach the dermis, so even if you go deep with a punch, you may not get the whole scar out, or worse, punch out some fat and cause more atrophy.
Also, laser resurfacing as soon as the punch sutures are removed is very important. If a doctor isn't willing to do lasers on you due to skin tone or whatever,then just don't do the punch excision. You need some sort of immediate resurfacing if you're going to conceal anylines leftover or prevent hypertrophy.
There's a lot about punch excision that the dermatology field doesn't tell you and you have to learn the hard way. It's so irresponsible for so many doctors to recommend punch excision right alongside tca as a deep scar removal method when the failure rate is so high due to multiple factors on top of most doctors not knowing how to properly punch or post-procedure care/protocol. My stupid doctor for instance didn't add botox to my punches and did some of them too close together which added tension and caused hypertrophywhich is its own difficult problem to fix. If you must do it, don't go to just anyone.
This is key information which I really appreciate. I will have to read this again to let it sink in. Do you have photos to see how its gone for you?
8 minutes ago, Dontgiveupitsonlyscars said:Yes, the part about laser treating the new scar is what draws me in too. Borderline excision sounds like he believed for a moment that if the lasers dont help then the excision might have been next. With the above comment, the punch excision might be thrown out the window now, at least for me. Youre more fair skinnedthan me so you can do those aggressive Co2 if you ever considered the punch excision.
This is key information which I really appreciate. I will have to read this again to let it sink in. Do you have photos to see how its gone for you?
I do, but it may be hard to tell the difference in photos. A lot of the scars look the same. A few have an annoying discolored hypertrophy to them. One of my deep box scarswas nearly punched all the way out creating a smooth surface, but it's kind of sunken in a bit now. In hindsight, punch excision just wasn't the right procedure for most of my scarring. It should be reserved for that very deep, borderline hopeless scarring.
I see you bumped a punch excision thread. We should probably carry on the conversation there as to not derail shei's thread
42 minutes ago, LivingWithFaith said:Yes, I remember coming across this. He did a good job. If you're going to do punch excision, it must be by someone who has evidence that they've performed it well in the past. Also, keep in mind that different scars and lesions will respond differently to excision. Moles are more on the surface, scars reach the dermis, so even if you go deep with a punch, you may not get the whole scar out, or worse, punch out some fat and cause more atrophy.
Also, laser resurfacing as soon as the punch sutures are removed is very important. If a doctor isn't willing to do lasers on you due to skin tone or whatever, then just don't do the punch excision. You need some sort of immediate resurfacing if you're going to conceal any lines leftover or prevent hypertrophy.
There's a lot about punch excision that the dermatology field doesn't tell you and you have to learn the hard way. It's so irresponsible for so many doctors to recommend punch excision right alongside tca as a deep scar removal method when the failure rate is so high due to multiple factors on top of most doctors not knowing how to properly punch or post-procedure care/protocol. My stupid doctor for instance didn't add botox to my punches and did some of them too close together which added tension and caused hypertrophy which is its own difficult problem to fix. If you must do it, don't go to just anyone.
Part of me is wondering if these boxcars are too deep to respond to punch excision and if punch excision will worsen them. I have done four years of treatment and nothing has closed them up or gotten rid of them. They™re white in the centre and the damage must be in the lower layers of the dermis. They are resistant to all kinds of treatment.
there™s a lot to consider, for sure and I agree with you that we can™t count on doctors always to guide as.
here™s a photo of my boxcars scars when I first met dr Lim. I™m wondering what is that white centre?
32 minutes ago, shei514 said:Part of me is wondering if these boxcars are too deep to respond to punch excision and if punch excision will worsen them. I have done four years of treatment and nothing has closed them up or gotten rid of them. They™re white in the centre and the damage must be in the lower layers of the dermis. They are resistant to all kinds of treatment.
there™s a lot to consider, for sure and I agree with you that we can™t count on doctors always to guide as.
here™s a photo of my boxcars scars when I first met dr Lim. I™m wondering what is that white centre?
That white center looks like hypopigmentation. I have that on some of my scars too from deep breakouts. It's a part of the scar healing process. The good news is that hypopigmentation is becoming more and more treatable each day
You definitely shouldn't do a "punch" excision. You need to go to a derm or plastic who can use a scalpel and carefully excise the scar and sew it up with internal stitches as well. Those scars are too big for most standard punches. A scalpel allows for a more custom excison and better stitching
10 hours ago, shei514 said:Part of me is wondering if these boxcars are too deep to respond to punch excision and if punch excision will worsen them. I have done four years of treatment and nothing has closed them up or gotten rid of them. They™re white in the centre and the damage must be in the lower layers of the dermis. They are resistant to all kinds of treatment.
there™s a lot to consider, for sure and I agree with you that we can™t count on doctors always to guide as.
here™s a photo of my boxcars scars when I first met dr Lim. I™m wondering what is that white centre?
See punch excision is not end all be all if it worsens you will be back to square 1 and then treat the way you are treating now. But if it ends up working you could put confidence in your self. You are not doing excisions everywhere, you are just doing it for the bad ones. So one scar is a reasonable risk imo. If you go for punch excision use dissolvable sutures that ways the doctor can keep the sutures longer and which have lower risk of the suture opening up for instance you can keep it for 12 days. If the scar is already worse what is the worse that can happen now. What people mean when they say indented it means closed suture but instead of flat line it is an indented line. This is can be easily fixed with laser I believe ablative or fractional.
also another way if you want to be correct is to do is excise the middle portion of the scar and convert the scar in to two the reason you are seeing it is because it one large scar and that is grabbing your attention. As smaller excisions have a high rate on healing correctly compared to large ones.
14 hours ago, LivingWithFaith said:That white center looks like hypopigmentation. I have that on some of my scars too from deep breakouts. It's a part of the scar healing process.The good news is that hypopigmentation is becoming more and more treatable each day
You definitely shouldn't do a "punch" excision. You need to go to a derm or plastic who can use a scalpel and carefully excise the scar and sew it up with internal stitches as well. Those scars are too big for most standard punches. A scalpel allows for a more custom excison and better stitching
Interesting, thank you this gives me a lot to consider. I wonder why the hypopigmentation persists four years later.
12 hours ago, getsmart121 said:See punch excision is not end all be all if it worsens you will be back to square 1 and then treat the way you are treating now. But if it ends up working you could put confidence inyour self. You are not doing excisions everywhere, you are just doing it for the bad ones. So one scar is a reasonable risk imo. If you go for punch excision use dissolvable sutures that ways the doctor can keep the sutures longer and which have lower risk of the suture opening up for instance you can keep it for 12 days. If the scar is already worse what is the worse that can happen now. What people meanwhen they say indented it meansclosed suture but instead of flat line it is an indented line. This is can be easily fixed with laser I believe ablative or fractional.
also another way if you want to be correct is todo is excisethe middle portion of the scar and convert the scar in to two the reason you are seeing it is because it one large scar and that is grabbing your attention. As smaller excisionshave a high rate on healing correctly compared to large ones.
Interesting. Yes at most I would only want to do three excisions (two on the right, maybe one on the left). Ive heard initially the scar will look worse but the healing process will ultimately make the scar look better.
The before and after photos are not convincing for me, however and this is because I cant see any one like me with pretty big boxcars who has had successful results.
3 hours ago, shei514 said:Interesting, thank you this gives me a lot to consider. I wonder why the hypopigmentation persists four years later.
Interesting. Yes at most I would only want to do three excisions (two on the right, maybe one on the left). Ive heard initially the scar will look worse but the healing process will ultimately make the scar look better.
The before and after photos are not convincing for me, however and this is because I cant see any one like me with pretty big boxcars who has had successful results.
If it is small it will instantly look and heal even without line but if it is big excision it will look worse in the start due to swelling on the excision site, you must have a laser one month post excision to really smoothen and flatten the excsision area. The other issue with excision is it can open back up. This could happen but hey it will be the same deep scar you were seeing before so thats fine or you can go for excision again. If post excision ifit just looks worse as in it didnt open up then do post 1 month laser and judge the skin at 3 month mark.
it is a bit difficult to capture on the camera during early stages. One of the doctors said that excision heals better while you are on accutaneas oil interferes with healing process this is for people with oily skin. So if you are not oily skin I think you can go for excision or if oily be on accutanefor 2 weeks before doing excision.
1 hour ago, shei514 said:Interesting, thank you this gives me a lot to consider. I wonder why the hypopigmentation persists four years later.
Interesting. Yes at most I would only want to do three excisions (two on the right, maybe one on the left). Ive heard initially the scar will look worse but the healing process will ultimately make the scar look better.
The before and after photos are not convincing for me, however and this is because I cant see any one like me with pretty big boxcars who has had successful results.
He did it on dark skin. I wonder how it healed. I saw a video of him doing another punch excision with a male who was Asian or ethnic. I read that Jason Emer likes to use laser after. I think he sews up the scars nicely. Jason Emer must believe that the patient will see better results with removing the scar then to do subcision or laser alone. Im very curious. Does Dr. rullen have any punch excision or punch skin grafts for acne scars that have before and after pictures? Might as well see how his patients have healed because you are comfortable with Rullen.
Btw I meant photos that he can send you or show you in his office that are actually his patients and his doing. Some doctors post pictures provided by laser companies or from acne scar studies and they may have never even touched or seen the patient so thats why I say that. Also, some photos they dont have consent to post online because maybe the patient didnt sign off on it (like myself) and the doctor can still show pictures of patients who have had punch excision if you are in his office and looking at his computer while discussing if punch excision is for you.
3 hours ago, getsmart121 said:If it is small it will instantly look and heal even without line but if it is big excision it will look worse in the start due to swelling on the excision site, you must have a laser one month post excision to really smoothen and flatten the excsision area. The other issue with excision is it can open back up. This could happen but hey it will be the same deep scar you were seeing before so thats fine or you can go for excision again. If post excision ifit just looks worse as in it didnt open up then do post 1 month laser and judge the skin at 3 month mark.
it is a bit difficult to capture on the camera during early stages. One of the doctors said that excision heals better while you are on accutaneas oil interferes with healing process this is for people with oily skin. So if you are not oily skin I think you can go for excision or if oily be on accutanefor 2 weeks before doing excision.
So excision and laser? Yeah Im completely fine with swapping a scar for a scar as long as the scar Im left with isnt worse than the one I had originally. I just wonder why doctors are hesitant to do these procedures? Is it for the risks you mentioned?
thats interesting what you mention about accutane and excision. Im on the super dry end. I feel like my skin used to be oily but these constant procedures have made my skin quite dry.
2 hours ago, Dontgiveupitsonlyscars said:He did it on dark skin. I wonder how it healed. I saw a video of him doing another punch excision with a male who was Asian or ethnic. I read that Jason Emer likes to use laser after. I think he sews up the scars nicely. Jason Emer must believe that the patient will see better results with removing the scar then to do subcision or laser alone. Im very curious. Does Dr. rullen have any punch excision or punch skin grafts for acne scars that have before and after pictures? Might as well see how his patients have healed because you are comfortable with Rullen.
Btw I meant photos that he can send you or show you in his office that are actually his patients and his doing. Some doctors post pictures provided by laser companies or from acne scar studies and they may have never even touched or seen the patient so thats why I say that. Also, some photos they dont have consent to post online because maybe the patient didnt sign off on it (like myself) and the doctor can still show pictures of patients who have had punch excision if you are in his office and looking at his computer while discussing if punch excision is for you.
I have not seen photos of excision performed by Dr Rullan but Im sure I can request before and after photos, their cosmetic consults are very helpful. I know when I did the phenol they offered before and after photos to help aid in my decision making. Dr rullan charges $250 per scar and I cant believe what Dr Emer would charge I have heard he is out of this world expensive and not worth it. But he seems to have the most content on the internet surrounding this procedure
I will definitely discuss this with him because thats where Im at moving forward. Excision for my boxcarsand permanent filler for my rolling scars. But these procedures are very controversial I feel so still not 100% yet.
2 hours ago, shei514 said:So excision and laser? Yeah Im completely fine with swapping a scar for a scar as long as the scar Im left with isnt worse than the one I had originally. I just wonder why doctors are hesitant to do these procedures? Is it for the risks you mentioned?
thats interesting what you mention about accutane and excision. Im on the super dry end. I feel like my skin used to be oily but these constant procedures have made my skin quite dry.
I have not seen photos of excision performed by Dr Rullan but Im sure I can request before and after photos, their cosmetic consults are very helpful. I know when I did the phenol they offered before and after photos to help aid in my decision making. Dr rullan charges $250 per scar and I cant believe what Dr Emer would charge I have heard he is out of this world expensive and not worth it. But he seems to have the most content on the internet surrounding this procedure
I will definitely discuss this with him because thats where Im at moving forward. Excision for my boxcarsand permanent filler for my rolling scars. But these procedures are very controversial I feel so still not 100% yet.
If filler can reach you a confidence state then do filler dont do excision. The biggest risk is opening up or staying intact with slight slopingindent . You are trading a wide scar for a possible indented or thin flat line slight sloping scar. Make sure to get multiple sutures the doctors would know about it. And it takes time atleast 3 months for the excision to heal well. Laser definitely expedites the process l, you can do spot.
if you seefrom the early days post excision, your original scarlooks better as it does not have any swelling but when you get excision there is swelling plus the color of the area is a bit weird and will heal well after some time as long as it didnt get open up after excision.But again if it is slight sloping scar since you had a lot of treatments then go for filler, no need for excision.
Here is a study link that was combined with co2 and punch excision in the same session. Looks like it was done mostly for ice pick scars.
If I™m completely honest (day 17) I have been feeling less than thrilled seeing my face in the mirror. For the past day or two I have felt on the verge of a breakdown. Like I said I™m not particularly thrilled and it might be too soon to judge here I™m not sure. I just feel hopeless and like I need more work done to my skin. I do not feel. happy with what I™m seeing right now. I just feel so damn ugly and like my scarring will forever haunt and fuck me up.
I saw these reviews on Dr Rullans google review page. I wonder what™s behind this?
32 minutes ago, shei514 said:If I™m completely honest (day 17) I have been feeling less than thrilled seeing my face in the mirror. For the past day or two I have felt on the verge of a breakdown. Like I said I™m not particularly thrilled and it might be too soon to judge here I™m not sure. I just feel hopeless and like I need more work done to my skin. I do not feel. happy with what I™m seeing right now. I just feel so damn ugly and like my scarring will forever haunt and fuck me up.
I saw these reviews on Dr Rullans google review page. I wonder what™s behind this?
Why do you say that, do you see all your old scar returning? But again it™s too early usually we associate higher cost meaning instant results but that is not how biology clock works. The biology follows its repair cycle. One piece of advice don™t try looking in mirror now.even user F39d wasn™t happy with 2 weeks into it. But saw some great changes going into week 4. I just wished we were like wolverine where we heal instantly. We could have saved so much time.
I think you would could act in a movie and I wouldn™t notice your scars.. by the way you look like Rebecca Ferguson in mission impossible. I think your very shallow rolling scars are pretty which adds attraction to your face. I guess we always want to look like the way we were as pre acne days. We didn™t know the harm it could do to us. But I believe you have made your acne scars very shallow.
Regarding reviews ..maybe some people had bad experience, the peel is not controllable so we don™t know the side effects.
by the way did you ever do subcision and suction?
2 hours ago, getsmart121 said:Why do you say that, do you see all your old scar returning? But again its too early usually we associate higher cost meaning instant results but that is not how biology clock works. The biology follows its repair cycle. One piece of advice dont try looking in mirror now.even user F39d wasnt happy with 2 weeks into it. But saw some great changes going into week 4. I just wished we were like wolverine where we heal instantly. We could have saved so much time.
I think you would could act in a movie and I wouldnt notice your scars.. by the way you look like Rebecca Ferguson in mission impossible. I think your very shallow rolling scars are pretty which adds attraction to your face. I guess we always want to look like the way we were as pre acne days. We didnt know the harm it could do to us. But I believe you have made your acne scars very shallow.
Regarding reviews..maybe some people had bad experience, the peel is not controllable so we dont know the side effects.
by the way did youever do subcision and suction?
Yeah for the past few days my scars seem a lot more prominent in certain places and its hard to look in the mirror and not feel really crappy. Part of me thinks its impossible my skin will look drastically better than it looks now but I guess Im just being impatient. I read F39ds thread and I know he wasnt thrilled with what he was seeing right away, so Im trying to not feel depressed. I also know rullan said textural irregularities should shade too. I wish we could heallike that too. I wish we could know the outcome of these procedures ahead of time.
Thank you for your kind words, acne scars can take us to a pretty dark place mentally and its hard to believe we could ever be attractive (at least from my view point). I see people with facial deformities living their lives and wonder why I cant do the same.
yeah the peel isnt magic I guess. The three bad reviews in a row kinda got me.
and yes, I am not actively using a suctioning device but do have one and have used it after subcision. Im wondering when I should use it again.
3 hours ago, shei514 said:If Im completely honest (day 17) I have been feeling less than thrilled seeing my face in the mirror. For the past day or two I have felt on the verge of a breakdown. Like I said Im not particularly thrilled and it might be too soon to judge here Im not sure. I just feel hopeless and like I need more work done to my skin. I do not feel. happy with what Im seeing right now. I just feel so damn ugly and like my scarring will forever haunt and fuck me up.
Even with TCA 100%, it usually looks worse in the first 4 weeks. I would wait 3 months before jumping to any conclusion.