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CO2 laser in treating acne scars - ultrapulse & Subcision of Acne Scars W/ Dr Lim Dr Rullan and Other Drs - Success Story in Progress

 
MemberMember
892
(@shei514)

Posted : 07/27/2021 12:45 am

20 minutes ago, gynoscar said:

Shouldn't you stop using vaseline around week 3?

I followed BA's guide (I think he got this from Rullan althought not too sure) 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."

 

I may need to go out tomorrow and get some products and quit using the Vaseline after tonight. It was super dry so I was using it a light heavy. I might get something with vitamin C in it. I do have a hyaluronic acid serum that Dr Rullan gave me. Kinda stuck on what to get for a œlighter cream I have nivea soft cream moisturiser not sure if this will do the trick. 

69489250-C923-4861-9991-EB0E67C42210.png

Thinking of getting something like this. 

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MemberMember
892
(@shei514)

Posted : 07/27/2021 9:35 pm

Day 20 - Skin looking a lot less scarred today. Photos in some different lighting 

385D18D0-1D9D-4D30-B7BB-837D8334AB59.jpeg
left cheek 

344BF173-FBCD-4D4F-A5E2-8E6F8CBF3F5E.jpeg
left cheek 

BB3F9A2F-6626-4DA7-B428-2914318EBF46.jpeg
left cheek 

68C26293-BF8F-41E4-B78A-97F047F426E4.jpeg
right cheek 

8FEB8BE5-9BDE-44D5-AC47-ACE9212278BC.jpeg
right cheek 

0AECF4FA-C956-49F5-923C-06BCC340917A.jpegLeft cheek 

2B0DCAE5-6FA8-42F2-860D-01142191C414.jpeg
right cheek 

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MemberMember
1353
(@getsmart121)

Posted : 07/27/2021 10:21 pm

44 minutes ago, shei514 said:

Day 20 - Skin looking a lot less scarred today. Photos in some different lighting 

385D18D0-1D9D-4D30-B7BB-837D8334AB59.jpeg
left cheek 

344BF173-FBCD-4D4F-A5E2-8E6F8CBF3F5E.jpeg
left cheek 

BB3F9A2F-6626-4DA7-B428-2914318EBF46.jpeg
left cheek 

68C26293-BF8F-41E4-B78A-97F047F426E4.jpeg
right cheek 

8FEB8BE5-9BDE-44D5-AC47-ACE9212278BC.jpeg
right cheek 

0AECF4FA-C956-49F5-923C-06BCC340917A.jpegLeft cheek 

2B0DCAE5-6FA8-42F2-860D-01142191C414.jpeg
right cheek 

Did you had enlarged pores before phenol and what do you think it did to that. Did it remove those enlarged pored. Do you have any regrets doing this procedure ?

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MemberMember
892
(@shei514)

Posted : 07/28/2021 2:24 am

3 hours ago, getsmart121 said:

Did you had enlarged pores before phenol and what do you think it did to that. Did it remove those enlarged pored. Do you have any regrets doing this procedure ?

Not really enlarged pores more ice pick scars. If what Im seeing holds currently then no regrets but Im kinda shifting day to day. Some days the skin looks really beat up and days like today the scarring looked quite minimal. Its going to be interesting seeing the final results.

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MemberMember
892
(@shei514)

Posted : 07/29/2021 12:07 am

Here we are at day 21 - I will stop with the daily updates and post when requested to. I posted today in a range of lighting conditions 

 

5C8FAC7C-1387-49D4-98F0-D0E60A93A979.jpeg.0eecbca1ccbeb72d6a62fabe6ef6726c.jpeg

right cheek extremely harsh lighting angled 85B65C6C-B4CF-47F8-860A-959EACB9FDD4.jpeg.8b9013ccbafbc0f2e413a020e26e1e5d.jpeg

left cheek shown in very harsh lighting - some breakouts post procedure B8ED2EFC-71F9-4F28-BFCE-11FE8DC51B1C.jpeg.0a048b352fe66638b4ec20c7c4594951.jpeg

again right cheek in harsh lighting 14D8B042-C32C-4FCD-B38E-74D41A17CFB2.jpeg.74acb4e70b3845f7166f3ac3cd163ca7.jpeg

left cheek again in harsh lighting 198DE2F5-92F5-45E0-83DD-8DC146A3275D.jpeg.8e69428032cd01f59ff971054fabd9ac.jpeg

left cheek 

E0EFD247-8F37-476B-A572-A034463134EC.jpeg.fb0bb265abcf4756ceb812bf10c65fc9.jpeg

right cheek 6933C6B7-EB8E-4A97-B6A4-20A7761272AF.jpeg.448fe6875f0a92028c299d2ed6b51bf0.jpeg

right cheek EF3AA2E1-58DC-4792-BF60-CFF06102C9A3.jpeg.4395d640bc5972709fb4105d55549847.jpeg

left cheek 

9F80B5CC-6464-40FE-91F3-03943812A5DA.jpeg.624c1fc9a2d9f4b24e73927ed503c506.jpeg

lighting is key for acne scars lol 

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MemberMember
1353
(@getsmart121)

Posted : 07/29/2021 12:55 am

45 minutes ago, shei514 said:

Here we are at day 21 - I will stop with the daily updates and post when requested to. I posted today in a range of lighting conditions 

 

5C8FAC7C-1387-49D4-98F0-D0E60A93A979.jpeg.0eecbca1ccbeb72d6a62fabe6ef6726c.jpeg

right cheek extremely harsh lighting angled 85B65C6C-B4CF-47F8-860A-959EACB9FDD4.jpeg.8b9013ccbafbc0f2e413a020e26e1e5d.jpeg

left cheek shown in very harsh lighting - some breakouts post procedure B8ED2EFC-71F9-4F28-BFCE-11FE8DC51B1C.jpeg.0a048b352fe66638b4ec20c7c4594951.jpeg

again right cheek in harsh lighting 14D8B042-C32C-4FCD-B38E-74D41A17CFB2.jpeg.74acb4e70b3845f7166f3ac3cd163ca7.jpeg

left cheek again in harsh lighting 198DE2F5-92F5-45E0-83DD-8DC146A3275D.jpeg.8e69428032cd01f59ff971054fabd9ac.jpeg

left cheek 

E0EFD247-8F37-476B-A572-A034463134EC.jpeg.fb0bb265abcf4756ceb812bf10c65fc9.jpeg

right cheek 6933C6B7-EB8E-4A97-B6A4-20A7761272AF.jpeg.448fe6875f0a92028c299d2ed6b51bf0.jpeg

right cheek EF3AA2E1-58DC-4792-BF60-CFF06102C9A3.jpeg.4395d640bc5972709fb4105d55549847.jpeg

left cheek 

9F80B5CC-6464-40FE-91F3-03943812A5DA.jpeg.624c1fc9a2d9f4b24e73927ed503c506.jpeg

lighting is key for acne scars lol 

Thanks again for empowering community with knowledge. Your contribution to this community is invaluable. By the way what do you think about your texture post 21 days after treatment compared to baseline pre peel?

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0
(@Anonymous)

Posted : 07/29/2021 1:21 am

Thanks for being so thorough with sharing photos daily and letting us see for ourselves what the deep peel can do for scars and texture. I know that many are intersted in the procedure as well asin the doctor. While there might still be some degree of swelling going on, your scars look greatly improved to me at the moment. Really hope (for you and for me) that the effect holds!

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MemberMember
657
(@miro)

Posted : 07/29/2021 2:24 am

Im really looking FW for your results within 3-6 months , all the best !

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(@Anonymous)

Posted : 07/29/2021 2:50 am

Within the next 3-6months the rough texture and rednessissues should have resolved, and collagen builds too.Really looking forward to it.

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MemberMember
892
(@shei514)

Posted : 07/29/2021 3:44 pm

14 hours ago, getsmart121 said:

Thanks again for empowering community with knowledge. Your contribution to this community is invaluable. By the way what do you think about your texture post 21 days aftertreatment compared to baseline pre peel?

Thank you! The texture is looking really good now here at day 21/22. When I step into overhead lighting I dont look nearly as bad and same when I angle the lighting I cant see nearly as much texture on the left and right cheeks. Theleft side has had the most improvement thus far which is good because its my worst cheek by far. Im really impressed with the results and hope I can expect more but we shall see. I can even pass for normal in certain lighting as well which is exciting.

13 hours ago, Miro said:

Im really looking FW for your results within 3-6 months , all the best !

Thank you! I will be posting every few weeks and monthly as well

12 hours ago, JaysonC said:

Within the next 3-6months the rough texture and rednessissues should have resolved, and collagen builds too.Really looking forward to it.

Me too! Its an exciting process

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MemberMember
1353
(@getsmart121)

Posted : 07/29/2021 4:18 pm

32 minutes ago, shei514 said:

Thank you! The texture is looking really good now here at day 21/22. When I step into overhead lighting I dont look nearly as bad and same when I angle the lighting I cant see nearly as much texture on the left and right cheeks. Theleft side has had the most improvement thus far which is good because its my worst cheek by far. Im really impressed with the results and hope I can expect more but we shall see. I can even pass for normal in certain lighting as well which is exciting.

Thank you! I will be posting every few weeks and monthly as well

Me too! Its an exciting process

Also do you happen to remember if he used tongue depressor or curette for scraping acne scars on day 2?

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MemberMember
892
(@shei514)

Posted : 07/29/2021 4:19 pm

1 minute ago, getsmart121 said:

Also do you happen to remember if he used tongue depressor or curette for scraping acne scars on day 2?

Tongue depressor

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MemberMember
1353
(@getsmart121)

Posted : 07/29/2021 4:59 pm

36 minutes ago, shei514 said:

Tongue depressor

Any specific reasons he chose this method instead of curette? Wouldntusing curette be more specific for abrasions on the scar edges. But you cant abrade with the other one, I am guessing his goal was just removing the freshly damaged skin and apply peel on top?

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MemberMember
678
(@baylenbb)

Posted : 07/29/2021 5:19 pm

16 hours ago, shei514 said:

Here we are at day 21 - I will stop with the daily updates and post when requested to. I posted today in a range of lighting conditions 

 

5C8FAC7C-1387-49D4-98F0-D0E60A93A979.jpeg.0eecbca1ccbeb72d6a62fabe6ef6726c.jpeg

right cheek extremely harsh lighting angled 85B65C6C-B4CF-47F8-860A-959EACB9FDD4.jpeg.8b9013ccbafbc0f2e413a020e26e1e5d.jpeg

left cheek shown in very harsh lighting - some breakouts post procedure B8ED2EFC-71F9-4F28-BFCE-11FE8DC51B1C.jpeg.0a048b352fe66638b4ec20c7c4594951.jpeg

again right cheek in harsh lighting 14D8B042-C32C-4FCD-B38E-74D41A17CFB2.jpeg.74acb4e70b3845f7166f3ac3cd163ca7.jpeg

left cheek again in harsh lighting 198DE2F5-92F5-45E0-83DD-8DC146A3275D.jpeg.8e69428032cd01f59ff971054fabd9ac.jpeg

left cheek 

E0EFD247-8F37-476B-A572-A034463134EC.jpeg.fb0bb265abcf4756ceb812bf10c65fc9.jpeg

right cheek 6933C6B7-EB8E-4A97-B6A4-20A7761272AF.jpeg.448fe6875f0a92028c299d2ed6b51bf0.jpeg

right cheek EF3AA2E1-58DC-4792-BF60-CFF06102C9A3.jpeg.4395d640bc5972709fb4105d55549847.jpeg

left cheek 

9F80B5CC-6464-40FE-91F3-03943812A5DA.jpeg.624c1fc9a2d9f4b24e73927ed503c506.jpeg

lighting is key for acne scars lol 

You look great! You have a little acne probably from the petroleum product but with the right cleanser and care they will disappear. Shei, don't forget to live. We are now approaching August, only 5 months left of this year, make it all count! Make memories, laugh, cry, grow. Whatever happens, you will always be beautiful. 

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(@candy-says)

Posted : 07/29/2021 6:39 pm

@shei514you will heal well, you deserve it.

Did you ever consider Sculptra? What docs were saying about it?

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MemberMember
892
(@shei514)

Posted : 07/29/2021 11:21 pm

6 hours ago, getsmart121 said:

Any specific reasons he chose this method instead of curette? Wouldntusing curette be more specific for abrasions on the scar edges. But you cant abrade with the other one, I am guessing his goal was just removing the freshly damaged skin and apply peel on top?

Im not 100% sure but when I asked the nurse he said that phenol is doing most of the work and then something about scraping with the tongue depressor. He did that first and then applied phenol on my cheeks afterwards.

6 hours ago, Dontgiveupitsonlyscars said:

You look great! You have a little acne probably from the petroleum product but with the right cleanser and care they willdisappear. Shei, don't forget to live. We are now approaching August, only 5 months left of this year, make it all count! Make memories, laugh, cry, grow. Whatever happens, you will always be beautiful.

Yeah Vaseline probably is the main source of my breakouts lol but Im not too worried about them for now. Thank you! I was reading your thread earlier youre looking fantastic! Great results.

4 hours ago, Candy Says said:

@shei514you will heal well, you deserve it.

Did you ever consider Sculptra? What docs were saying about it?

Thank you, and yes I have considered it but it has never been recommended by a dermatologist yet and I wonder why because it stimulates collagen, right? It doesnt seem to be dermatologists filler of choice for some reason.

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MemberMember
892
(@shei514)

Posted : 07/30/2021 2:57 pm

Just got a quote from dr rullans office for permanent filler - $750-850 per syringe

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MemberMember
1
(@itachi3891)

Posted : 07/30/2021 10:28 pm

Amazing healing! You justneed a good moisturizer and sunblock

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MemberMember
892
(@shei514)

Posted : 07/31/2021 12:24 am

1 hour ago, Let me die said:

Amazing healing! You justneed a good moisturizer and sunblock

Thank you & definitely lol. This new skin I have is red and sensitive.

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MemberMember
456
(@sirius-lee)

Posted : 07/31/2021 12:46 am

9 hours ago, shei514 said:

Just got a quote from dr rullans office for permanent filler - $750-850 per syringe

Looking good so far. The scar progression usually goes from ice pick boxcar rolling scar and this is how it seems to be going for you as well. Before getting fillers, especially permanent ones, consider flattening the edges as much as possible. Otherwise, it will only make it more visible.

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MemberMember
1353
(@getsmart121)

Posted : 07/31/2021 4:58 pm

16 hours ago, shei514 said:

Thank you & definitely lol. This new skin I have is red and sensitive.

Heydid you ever had fully ablative erbium or co2 laser. I dont mean the fractional one?

if yes, what was your experience in terms of improvement, downtime?

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MemberMember
892
(@shei514)

Posted : 07/31/2021 9:23 pm

20 hours ago, Sirius Lee said:

Looking good so far. The scar progression usually goes from ice pick †’ boxcar †’ rolling scar and this is how it seems to be going for you as well. Before getting fillers, especially permanent ones, consider flattening the edges as much as possible. Otherwise, it will only make it more visible.

Yes I have been having that thought myself. I have attached a photo from a couple of years ago where I have filler - 2019. Although I like the effect it can make the scarring look a little strange which is my concern¦

However this has been a 4+ journey for me - are some scars forever? 

6892777A-788D-4903-BD3A-BBA599765CF4.png

4 hours ago, getsmart121 said:

Hey did you ever had fully ablative erbium or co2 laser. I don™t mean the fractional one?

if yes, what was your experience in terms of improvement, downtime?

Yes fully ablative erbium twice (six weeks apart). The dermatologist at the time told me I would get 50% improvement and I didn™t (obviously).The downtime was about a week and the improvement was minimal. I was super desperate and got my hopes up. 

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MemberMember
1353
(@getsmart121)

Posted : 07/31/2021 11:38 pm

2 hours ago, shei514 said:

Yes I have been having that thought myself. I have attached a photo from a couple of years ago where I have filler - 2019. Although I like the effect it can make the scarring look a little strange which is my concern¦

However this has been a 4+ journey for me - are some scars forever? 

6892777A-788D-4903-BD3A-BBA599765CF4.png

Yes fully ablative erbium twice (six weeks apart). The dermatologist at the time told me I would get 50% improvement and I didn™t (obviously).The downtime was about a week and the improvement was minimal. I was super desperate and got my hopes up. 

Do you think your outcome would have been different if you had done it today since you had lifted a lot of your scars.

I am trying to understand if it phenol chemobrasion results can be replicated by fully ablative erbium laser?

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(@jack817)

Posted : 08/01/2021 3:46 am

6 hours ago, shei514 said:

Yes I have been having that thought myself. I have attached a photo from a couple of years ago where I have filler - 2019. Although I like the effect it can make the scarring look a little strange which is my concern¦

However this has been a 4+ journey for me - are some scars forever? 

6892777A-788D-4903-BD3A-BBA599765CF4.png

Yes fully ablative erbium twice (six weeks apart). The dermatologist at the time told me I would get 50% improvement and I didn™t (obviously).The downtime was about a week and the improvement was minimal. I was super desperate and got my hopes up. 

6 weeks are pretty quick for a fully ablative laser treatment. Also Erbium has less ablative depth comparing to co2. It is good for texture scarring. If you have something more than that, then co2 might be a better choice. 

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MemberMember
410
(@catharsis2018)

Posted : 08/01/2021 7:37 am

7 hours ago, getsmart121 said:

Do you think your outcome would have been different if you had done it today since you had lifted a lot of your scars.

I am trying to understand if it phenol chemobrasion results can be replicated by fully ablative erbium laser?

I dont think so. Phenol peel is considered to be a step above fully ablative lasers (CO2 or Erbium).

yes, someone can do a series of fully ablative laser.. but even then, replication cannot be assumed since one Phenol can get you the results of a series of fully ablative lasers plus potentially some..

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