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2 hours ago, shei514 said:The three bad reviews in a row kinda got me.
I'm not defending Rullan and I've never visited him and probably never will because I'm from Europe, but you should look into this better, the first name is not visible so I don't know, but the other 2 reviews are from a person with the same name 'kadosh'. The first review even though it doesn't show the name, it complains about the same as the third review, and the english and way of writting is similar in all three reviews, which most likely are 3 accounts from the same person.
Regardless of that, if Rullan did actually damage that person's skin, he must own up to it and fix it, because I as well have been mistreated by a shitty imbicile of a Dr.
Keep your hopes up, I feel the exact same way, one day im okay other days im at my lowest, acne scars should be #1 priority in finding a solution in dermatology, I don't know how it's possible in 2021 to not have something to resolve a huge cause of depression and suicide rates
On 4/9/2018 at 3:27 PM, beautifulambition said:@shei514This is not the worst scarring or the most severe I have seen. Look at some of the guys in Scarless healing their whole body has scars to keep things in perspective. I understand it bugs you.
You are a short and cheap flight NZ-AUS from one of the worlds best acne scar doctors Dr Lim, I would contact him as your derm seems clueless sorry to say.
You have textural rolling scars.
You need subcision.
I would do 3 treatments of rf microneedling between when your filler runs out and needs topping up - 3 months apart.
I would then do a deep (sedated) acid peel for texture or erbium resurfacing just to the cheeks (fully abaltive and deep). PRP is your fried for healing.
I don't see CO2 helping you at this point unless you have some stubborn pits that do not response you can do 5-7% density and full power to those individual areas to breakup the fibrosis.
So Dr Lim is highly reputable it seems here
Not only is your skin red but an intense acid treatment is going to cause inflammation. This is nowhere close to the final results.
I think we underestimate the psychological impact here in this forum because we keep it practical about revision. Treatments are exhausting in itself. They can make you bruised and red, you find yourself searching for the results too early, there's nagging anxiety about what's to come. Be kind to yourself. Let your body heal. You're doing great. You have your loved ones, the support here and you're beautiful. Seriously, every time I come into your thread all I can think is look how pretty that girl is and I know I'm not the only one. You have one of the kindest faces I've ever seen. This is hard, let's keep it real. Don't let your mind go now, it's a time of rest.
Your skin is going to continue to heal.
7 hours ago, shei514 said: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.
When did you start suctioning, is that when you started to see much differences in skin in terms of lifting?
15 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.
Instead of permanent filler, would you consider fat grafts on rolling scars? I say this because with permanent filler if the doctors over fills, you will need surgery to remove it. With fat graft to a scar, it is permanent but it can be dissolved with a solution to remove the fat graft which is in my opinion much more predictable than for example, Bellafill. Also, I personally dont like chemicals in the body for very long because of the risk with how your immune system will react or other possibilities.
2 minutes ago, Dontgiveupitsonlyscars said:Instead of permanent filler, would you consider fat grafts on rolling scars? I say this because with permanent filler if the doctors over fills, you will need surgery to remove it. With fat graft to a scar, it is permanent but it can be dissolved with a solution to remove the fat graft which is in my opinion much more predictable than for example, Bellafill. Also, I personally dont like chemicals in the body for very long because of the risk with how your immune system will react or other possibilities.
fat grafts are very popular in Korea for example on acne scars. I watched a video on fat grafts in Korea but that video is gone now.Let me provide a videos that might replace that to help you in your decision.
9 hours ago, shei514 said: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.
I feel the very same thing as you after my procedure. Your words could not be more true of my feelings. However, you are very beautiful. You truly are. With or without scars, you are beautiful and I mean it. We are very hard on ourselves. We carry all this weight on our shoulders and go through so much just to feel a sense of normalcy and its like a yo-yo, where you feel like youre taking one step forward and then three steps backwards. Its demoralizing and if you let it, it could ruin your mood. Let yourself have a day of sulking but the next day you better wake up with the sun shining because life is too short to be this sad! You are much to young and beautiful and full of life to believe this is the end! There is so much more for you to learn about yourself and so much more to live for, that when you come to think of it, you will chuckle at how magnified you look at your scars. You have to understand that we live in a time where we look at ourselves constantly and if something is remotely inconvenient we want to throw ourselves overboard in an instant thats not natural! This entire camera-centered life is unprecedented, where we post picture of ourselves on social media and rate our beautys and flaws as if its currency. We act as if our flaws far outweigh our other great qualities and we focus on the negative because its easier to do that. Dont let your mind go there for very long. I say, yes, feel sad when you really need to but the next day, you should wake up with a vengeance, a thrill for life, because thats all we have to live for, we are meant to be visitors in this crazy globe floating in the universe and collect memories and experiences, thats all, thats really all.
dont let the small stuff beat you down. I say small, because it is small in the grand scheme of things. You are awesome and beautiful, no matter the scars.
17 hours ago, Sirius Lee said:Even with TCA 100%, it usually looks worse in the first 4 weeks. I would wait 3 months before jumping to any conclusion.
Thank you, I will try and keep this in mind when I freak out next.
15 hours ago, Wish we could go back in time said:I'm not defending Rullan and I've never visited him and probably never will because I'm from Europe, but you should look into this better, the first name is not visible so I don't know, but the other 2 reviews are from a person with the same name 'kadosh'. The first review even though it doesn't show the name, it complains about the same as the third review, and the english and way of writting is similar in all three reviews, which most likely are 3 accounts from the same person.
Regardless of that, if Rullan did actually damage that person's skin, he must own up to it and fix it, because I as well have been mistreated by a shitty imbicile of a Dr.
Keep your hopes up, I feel the exact same way, one day im okay other days im at my lowest, acne scars should be #1 priority in finding a solution in dermatology, I don't know how it's possible in 2021 to not have something to resolve a huge cause of depression and suicide rates
Yeah I kinda saw the three reviews looked extremely similar but my mental state yesterday wanted to believe the worst. I also believe it's the same person like you said the writing style is extremely similar. I wonder what made someone do that? What was their experience? I know the phenol peel is Rullan's go-to and obviously side effects can't ever be eliminated - I am lucky in that I have had minimal.
Thank you, I also agree more research and money should be poured into scar revision. Too many of us are suffering and paying too much money.
14 hours ago, Slimball49 said:So Dr Lim is highly reputable it seems here
Yes, I was a patient of his for roughly a year and would recommend him if you're close (but many of us are not).
11 hours ago, Kay24 said:Not only is your skin red but an intense acid treatment is going to cause inflammation. This is nowhere close to the final results.
I think we underestimate the psychological impact here in this forum because we keep it practical about revision. Treatments are exhausting in itself. They can make you bruised and red, you find yourself searching for the results too early, there's nagging anxiety about what's to come. Be kind to yourself. Let your body heal. You're doing great. You have your loved ones, the support here and you're beautiful. Seriously, every time I come into your thread all I can think is look how pretty that girl is and I know I'm not the only one. You have one of the kindest faces I've ever seen. This is hard, let's keep it real. Don't let your mind go now, it's a time of rest.
Your skin is going to continue to heal.
Thank you so much, your words mean a lot!
10 hours ago, getsmart121 said:When did you start suctioning, is that when you started to see much differences in skin in terms of lifting?
I started suctioning in 2019 but heard you shouldn't suction with phenol cross/tca cross and subcision. Only subcision so I stopped.
31 minutes ago, shei514 said:Thank you, I will try and keep this in mind when I freak out next.
Yeah I kinda saw the three reviews looked extremely similar but my mental state yesterday wanted to believe the worst. I also believe it's the same person like you said the writing style is extremely similar. I wonder what made someone do that? What was their experience? I know the phenol peel is Rullan's go-to and obviously side effects can't ever be eliminated - I am lucky in that I have had minimal.
Thank you, I also agree more research and money should be poured into scar revision. Too many of us are suffering and paying too much money.
Yes, I was a patient of his for roughly a year and would recommend him if you're close (but many of us are not).
Thank you so much, your words mean a lot!
I started suctioning in 2019 but heard you shouldn't suction with phenol cross/tca cross and subcision. Only subcision so I stopped.
The study of suction and subcision specifically state as the golden period is the first week of subcision as to when you should do suction but yes you cant do suctionwhen you get other treatments in the same time frame such as phenol, laser or microneedling.
https://piel-l.org/blog/wp-content/uploads/2011/07/therapy-in-treatment-of-atrophic-acne-scars.pdf
9 hours ago, Dontgiveupitsonlyscars said:Instead of permanent filler, would you consider fat grafts on rolling scars? I say this because with permanent filler if the doctors over fills, you will need surgery to remove it. With fat graft to a scar, it is permanent but it can be dissolved with a solution to remove the fat graft which is in my opinion much more predictable than for example, Bellafill. Also, I personally dont like chemicals in the body for very long because of the risk with how your immune system will react or other possibilities.
fat grafts are very popular in Korea for example on acne scars. I watched a video on fat grafts in Korea but that video is gone now.Let me provide a videos that might replace that to help you in your decision.
Just watched all three. I'm more sold on Bellafil at this stage, the results look fantastic and it's not nearly as expensive as fat transfer. I will look into fat transfer for severe acne scarring myself before I decide. Dr Rullan is also an expert on Bellafil which makes me lean to that more as well. From his website "He is one of only 20 physicians in the U.S. that were part of a 5-year prospective study on the safety of Artefill/Bellafill injections for the correction of facial wrinkles."
8 hours ago, Dontgiveupitsonlyscars said:I feel the very same thing as you after my procedure. Your words could not be more true of my feelings. However, you are very beautiful. You truly are. With or without scars, you are beautiful and I mean it. We are very hard on ourselves. We carry all this weight on our shoulders and go through so much just to feel a sense of normalcy and its like a yo-yo, where you feel like youre taking one step forward and then three steps backwards. Its demoralizing and if you let it, it could ruin your mood. Let yourself have a day of sulking but the next day you better wake up with the sun shining because life is too short to be this sad! You are much to young and beautiful and full of life to believe this is the end! There is so much more for you to learn about yourself and so much more to live for, that when you come to think of it, you will chuckle at how magnified you look at your scars. You have to understand that we live in a time where we look at ourselves constantly and if something is remotely inconvenient we want to throw ourselves overboard in an instant thats not natural! This entire camera-centered life is unprecedented, where we post picture of ourselves on social media and rate our beautys and flaws as if its currency. We act as if our flaws far outweigh our other great qualities and we focus on the negative because its easier to do that. Dont let your mind go there for very long. I say, yes, feel sad when you really need to but the next day, you should wake up with a vengeance, a thrill for life, because thats all we have to live for, we are meant to be visitors in this crazy globe floating in the universe and collect memories and experiences, thats all, thats really all.
dont let the small stuff beat you down. I say small, because it is small in the grand scheme of things. You are awesome and beautiful, no matter the scars.
Your words are truly inspiring.. thank you. There are basically no people in my life who understand how acne scarring can affect you mentally. Everyone thinks its not a big deal or its something I should just get over. But its harder to hear that from people who simply do not understand because their skin has never been bad.
I hope I can look back on my life and not think I wasted it thinking and obsessing over my scarring because that would be sad and a waste. The depression can really suck you in and make you wish you could just hide forever.
1 hour ago, getsmart121 said:The study of suction and subcision specifically state as the golden period is the first week of subcision as to when you should do suction but yes you cant do suctionwhen you get other treatments in the same time frame such as phenol, laser or microneedling.
https://piel-l.org/blog/wp-content/uploads/2011/07/therapy-in-treatment-of-atrophic-acne-scars.pdf
Yeah thats my issue - Ive never had subcision alone in a long time its always been combined with other treatments. I had sub at the time of the phenol peel.
Day 18 - skin still incredibly red. Redness hasn™t decreased much. Scars still prominent. Skin gets really dry quickly. Random little red spots and pimples appearing
Also have this above my eye now too. Definitely not a linear healing process at all.
44 minutes ago, shei514 said:Day 18 - skin still incredibly red. Redness hasn™t decreased much. Scars still prominent. Skin gets really dry quickly. Random little red spots and pimples appearing
Also have this above my eye now too. Definitely not a linear healing process at all.
I see only very shallow scars, are you talking about slight wavy texture? I mean from the pictures your scars are looking better than before
1 hour ago, getsmart121 said:I see only very shallow scars, are you talking about slight wavy texture? I mean from the pictures your scars are looking better than before
It could possibly be the amount of redness making me feel like my scars are this prominent and the amount of dryness. Im not sure but when I look in the mirror I get a bit upset.
2 hours ago, shei514 said:It could possibly be the amount of redness making me feel like my scars are this prominent and the amount of dryness. Im not sure but when I look in the mirror I get a bit upset.
Like user F39d said the redness just amplifies it 10 times worse everything so its better not to look or apply foundation and then see.
@shei514the reviews on google are all made by the same user ... I would not really trust reviews like that. A lot of acne scar suffers tend to get really upset fast, have delusional expectations or can't handle the recovery phase.
The amount of people that write on forums and leave reviews like that tend to have minor scarring or no real issues but a little bit of hyperpigmentation will make them freak out ... they see things that are not there. Since I have seen so many cases of people with minor to no scarring having reactions like that I don't trust a lot of these bad reviews anymore ... Not to say we should trust all good reviews but I just wanted to point out that people with our dream skin are out here loosing their minds.
Now, I know its hard but never forget irritation, redness and dryness do make scarring look worse. Always. Even without treatment sometimes when I oil cleanse too hard my skin gets a bit irritated and my scars look 10x worse but the day after everything is fine.
You just had a crazy treatment done that is irritating in nature. This will pass.
In moments like these just avoid the mirror or if you must look at the mirror, e.g. when you are washing your face, try to stand as far away from your mirror as possible. I found in the last year that has helped me a ton with keeping my mind off my scars.
Keep yourself distracted with Netflix lol you are beautiful <3
Edit: I just looked at the pics again you just posted and I have to say the skin texture looks pretty smooth apart from the irritation and scars in that type of light usually look harsher but in your picturesthey look shallow so I think things are looking pretty good right now.
On 7/26/2021 at 12:19 PM, shei514 said:It could possibly be the amount of redness making me feel like my scars are this prominent and the amount of dryness. Im not sure but when I look in the mirror I get a bit upset.
Try this for the redness. https://www.amazon.com/Dr-Jart-Cicapair-Tiger-exclusive-Product/dp/B07D99KHNW/
It works like a moisturizer and spf and it REALLY reduces the appearance of the redness. There is also a cream version that is slightly less expensive but the camo drops are better for hygienic reasons. Whats your skincare routine right now? Also, topical vitamin Cand topical vitamin Emight help turn over cells and reduce the dryness (vitamin e oil is very moisturizing). Let me know if you try any of this, I think it well help with redness and dryness.
EDIT: adding this link to a video of a woman commenting on the camo drops product
Not sure if my skin is ready for foundation yet but hopefully soon. Skin is getting weirder by the day. Will post a pic soon to show what I mean.
15 hours ago, getsmart121 said:Like user F39d said the redness just amplifies it 10 times worse everything so its better not to look or apply foundation and then see.
Was supposed to quote u but didn't reply is above ^
10 hours ago, SaraTheGerman said:@shei514the reviews on google are all made by the same user ... I would not really trust reviews like that. A lot of acne scar suffers tend to get really upset fast, have delusional expectations or can't handle the recovery phase.
The amount of people that write on forums and leave reviews like that tend to have minor scarring or no real issues but a little bit of hyperpigmentation will make them freak out ... they see things that are not there. Since I have seen so many cases of people with minor to no scarring having reactions like that I don't trust a lot of these bad reviews anymore ... Not to say we should trust all good reviews but I just wanted to point out that people with our dream skin are out here loosing their minds.
Now, I know its hard but never forget irritation, redness and dryness do make scarring look worse. Always. Even without treatment sometimes when I oil cleanse too hard my skin gets a bit irritated and my scars look 10x worse but the day after everything is fine.
You just had a crazy treatment done that is irritating in nature. This will pass.
In moments like these just avoid the mirror or if you must look at the mirror, e.g. when you are washing your face, try to stand as far away from your mirror as possible. I found in the last year that has helped me a ton with keeping my mind off my scars.
Keep yourself distracted with Netflix lol you are beautiful <3
Edit: I just looked at the pics again you just posted and I have to say the skin texture looks pretty smooth apart from the irritation and scars in that type of light usually look harsher but in your picturesthey look shallow so I think things are looking pretty good right now.
Thank you - it's easy for me to listen to the negative voices in my head but harder to tell myself the positives. So many times I have seen people with skin that's perfect to me saying their skin is horrible and how they wish their lives were over because of a couple of pimples and minimal scarring. That's why it can be hard for me to browse some of the posts here. We are too hard on ourselves and too hard on dermatologists expecting things that might not be possible. Some scars are for life, unfortunately. Things like swelling can also make us think the results are better initially.
For a few months a couple of years ago I decided to stop taking photos of my skin because I knew I would be happier if I didn't focus on it all the time and I was. I don't think I will ever be able to look at my skin and not pick it apart. This is just the reality for me.
22 hours ago, Dontgiveupitsonlyscars said:Try this for the redness. https://www.amazon.com/Dr-Jart-Cicapair-Tiger-exclusive-Product/dp/B07D99KHNW/
It works like a moisturizer and spf and it REALLY reduces the appearance of the redness. There is also a cream version that is slightly less expensive but the camo drops are better for hygienic reasons. Whats your skincare routine right
My skincare routine right now is:
Moisturiser (nivea soft cream)
Vaseline (lots of it applied multiple times throughout the day)
SPF (if I go outside) and that's it!
Wow those Dr.Jart+ drops look super hydrating which is what I need right now. I tried using a tinted moisturiser and you can see it starting to seperate on my face so I don't even bother (never happened pre-peel). Make-up is super hit or miss because it can easily magnify my scarring and put all the focus on it.
I™m breaking out in very small pimples all over my forehead and left cheek. This has started to happen in the last two days. Hard to capture it in the right lighting.
1 hour ago, shei514 said:My skincare routine right now is:
Moisturiser (nivea soft cream)
Vaseline (lots of it applied multiple times throughout the day)
SPF (if I go outside) and that's it!
Wow those Dr.Jart+ drops look super hydrating which is what I need right now. I tried using a tinted moisturiser and you can see it starting to seperate on my face so I don't even bother (never happened pre-peel). Make-up is super hit or miss because it can easily magnify my scarring and put all the focus on it.
I™m breaking out in very small pimples all over my forehead and left cheek. This has started to happen in the last two days. Hard to capture it in the right lighting.
Since it is red you are still healing so you can™t hold your skin accountable at being final result.
Day 19 - skin looking beat up but hanging in there. Still planning on posting till day 21 and then doing updates per request
2 hours ago, shei514 said:My skincare routine right now is:
Moisturiser (nivea soft cream)
Vaseline (lots of it applied multiple times throughout the day)
SPF (if I go outside) and that's it!
Wow those Dr.Jart+ drops look super hydrating which is what I need right now. I tried using a tinted moisturiser and you can see it starting to seperate on my face so I don't even bother (never happened pre-peel). Make-up is super hit or miss because it can easily magnify my scarring and put all the focus on it.
I™m breaking out in very small pimples all over my forehead and left cheek. This has started to happen in the last two days. Hard to capture it in the right lighting.
Woohoo! Hope you like it. Yes, the Vaseline is probably breaking you out, it tends to clog pores as it acts as a sealant on your skin. How long do you have to use Vaseline for? By the way, your skin looks less red! You look great.
36 minutes ago, Dontgiveupitsonlyscars said:Woohoo! Hope you like it. Yes, the Vaseline is probably breaking you out, it tends to clogpores as it acts as a sealant on your skin.How long do you have to use Vaseline for? By the way, your skin looks less red! You look great.
Im going to use it as long as my skin feels this dry and then use just a moisturiser. Honestly I feel like my skin is more red and beat up every day lol
4 hours ago, shei514 said:My skincare routine right now is:
Moisturiser (nivea soft cream)
Vaseline (lots of it applied multiple times throughout the day)
Shouldn'tyou stop using vaseline around week 3?
I followed BA's guide (I think he got this from Rullan althought not toosure) since I wasn't given given any specific post-care instructions after going through the peel:
"You will gradually transition from heavier to lighter lotions as your skin heals and these are our recommendations. Switch from Vaseline or Aquaphor to EPIONCE's MEDICAL BARRIER CREAM as soon as possible to minimize acne and milia. The Barrier Cream will become 'too heavy" around week 3, and actually can make your face more red, so change to a lighter cream like Hyalotopic to Hyaluronic Acid Serum. You can even try serums with Vitamin C which may actually feel lighter and reduce your redness faster than lotions."