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On 8/9/2021 at 2:34 PM, getsmart121 said:Did dr rullan prescribe accutane for you. Post 2 weeks of of healing?
No, it was never discussed and I havent been on accutane since 2015.
On 8/9/2021 at 9:36 PM, getsmart121 said:In one of the replies on realself he mentioned something related to hyperpigmentation. or something for fitpatrick 4 patients post phenol peel.
https://www.realself.com/question/california-ca-doctors-experienced-phenol-peel-hispanic-skin
I can see why he would recommend a low dose of accutane. Although he didnt with me, I had some breakouts post peel. They are going away and things are settling down so I doubt I needed it but its something to keep in mind.
17 hours ago, getsmart121 said:Hi @shei514,
how are you results holding up, more improvement or about the same results as previous pic. How do you view your chemobrasion procedure did it stand your expectations so far?
More or less the same these days. Skin still feels like sandpaper. Very dry. I wake up after 8 hours or not moisturising and the skin is just rough! As far as expectations, I did hype it up a lot. It has done nothing for my boxcars. When I view it from a more rationalperspective I am happy so far. A lot of recovery, the skin wont be normal for a while.Its very easy for me to hype up a procedure because I fantasise what it would be like to have no scars or texture and get swept away in that fantasy lol. But the left cheek is looking good, the right is looking good (just nothing done for the boxcars but overall its smoother). The forehead seems to be looking good too. so Im five weeks post-op and things are good just sandpaper like skin atm. I will post pics 6 weeks post op.
however keep in mind if you get filler before this procedure it will be a waste of your money. I had filler in my forehead and this is now nonexistent. Im not sure if I mentioned this before
On 8/8/2021 at 10:11 PM, Dontgiveupitsonlyscars said:Your scar looks barely noticeable. I assume if I were talking to you face on, I wouldnt think you had severe scarring at all.You have come a long way. I hope you feel good.
Thank you. Your skin is looking great too, love seeing the progress.
4 hours ago, shei514 said:No, it was never discussed and I havent been on accutane since 2015.
I can see why he would recommend a low dose of accutane. Although he didnt with me, I had some breakouts post peel. They are going away and things are settling down so I doubt I needed it but its something to keep in mind.
More or less the same these days. Skin still feels like sandpaper. Very dry. I wake up after 8 hours or not moisturising and the skin is just rough! As far as expectations, I did hype it up a lot. It has done nothing for my boxcars. When I view it from a more rationalperspective I am happy so far. A lot of recovery, the skin wont be normal for a while.Its very easy for me to hype up a procedure because I fantasise what it would be like to have no scars or texture and get swept away in that fantasy lol. But the left cheek is looking good, the right is looking good (just nothing done for the boxcars but overall its smoother). The forehead seems to be looking good too. so Im five weeks post-op and things are good just sandpaper like skin atm. I will post pics 6 weeks post op.
however keep in mind if you get filler before this procedure it will be a waste of your money. I had filler in my forehead and this is now nonexistent. Im not sure if I mentioned this before
Thank you. Your skin is looking great too, love seeing the progress.
Did it helped enlarged pores and shallow scarring because sometimes those shallow scarring, because the thing is when we look for scars overall its open pores + few bad boxcars + few bad icepick scars + rolling scars and that is what constitute the scarring pattern.
so you would say it every scars exist there but smoother correct?
14 hours ago, getsmart121 said:Did it helped enlarged pores and shallow scarring because sometimes those shallow scarring, because the thing is when we look for scars overall its open pores + few bad boxcars + few bad icepick scars + rolling scars and that is what constitute the scarring pattern.
so you would say it every scars exist there but smoother correct?
Yes that is correct - scarring is a lot smoother looking but still there. I cant say the peel does not work for boxcars because the boxcars on my right are extremely stubborn. It will smooth things out thats for sure.
54 minutes ago, shei514 said:Yes that is correct - scarring is a lot smoother looking but still there. I cant say the peel does not work for boxcars because the boxcars on my right are extremely stubborn. It will smooth things out thats for sure.
Fully ablative laser has also the same effect if I am not mistaken I.e smoothing which you also had. But maybephenol can smooth everything out even the enlarged pores icepick scars, boxcars etc. so you would say smoothing effect is better for overall scars compared to fully ablative laser?
6 hours ago, getsmart121 said:Fully ablative laser has also the same effect if I am not mistaken I.e smoothing which you also had. But maybephenol can smooth everything out even the enlarged pores icepick scars, boxcars etc. so you would say smoothing effect is better for overall scars compared to fully ablative laser?
Yes the phenol I believe is far more powerful.However maybe I will never really know as I had fully ablative erbium basically at the start of my journey in early 2017. I had subcision with my phenol procedure which I believe is always necessary given how much tethering the left cheek has. I never had subcision before or after my fully ablative laser resurfacing procedure in 2017. Perhaps the timeline of treatments is important like manual treatments to start with and then laser resurfacing and acid peels toward the end.
I am interested in treatments that can deliver powerful results in one session. Things like filler, for example, can deliver instant results with little downtime. This is interesting to me going forward.
25 minutes ago, shei514 said:Yes the phenol I believe is far more powerful.However maybe I will never really know as I had fully ablative erbium basically at the start of my journey in early 2017. I had subcision with my phenol procedure which I believe is always necessary given how much tethering the left cheek has. I never had subcision before or after my fully ablative laser resurfacing procedure in 2017. Perhaps the timeline of treatments is important like manual treatments to start with and then laser resurfacing and acid peels toward the end.
I am interested in treatments that can deliver powerful results in one session. Things like filler, for example, can deliver instant results with little downtime. This is interesting to me going forward.
Did you remember any popping sounds this time around when getting the subcisionsince you have been had already had many subcisions, I am guessing there wouldnt be any tethering left but he went through with it any way since it is part of the treatment ?
2 hours ago, getsmart121 said:Did you remember any popping sounds this time around when getting the subcisionsince you have been had already had many subcisions, I am guessing there wouldnt be any tethering left but he went through with it any way since it is part of the treatment ?
Scars always retether if theres no spacer, cause itsimpossible to removedeeper dents , i had 4 subc and always heard popping sound and felt that there was tethering , i d say with every subc it was less and less but still , even now i can clearly see there are scars that are tethered once filler is gonna
3 hours ago, Miro said:Scars always retether if theres no spacer, cause itsimpossible to removedeeper dents , i had 4 subc and always heard popping sound and felt that there was tethering , i d say with every subc it was less and less but still , even now i can clearly see there are scars that are tethered once filler is gonna
Interesting thanks for sharing your insight. Did you happen to use suction ever?
9 hours ago, Miro said:Scars always retether if theres no spacer, cause itsimpossible to removedeeper dents , i had 4 subc and always heard popping sound and felt that there was tethering , i d say with every subc it was less and less but still , even now i can clearly see there are scars that are tethered once filler is gonna
Scars don't retether without filler as spacer. In fact, dr Rullan showed that even without filler the retethering is limited, that's why he recommend 2-3 subcisions to resolve all retethering in any case. Also Dr Weiner showed on ultrasound images that the filler cannot be injected exactly into the scar,it disperses in the skin in small molecules and cannot prevent any rethetering whatsoever. There's a video from Weiner about this.
48 minutes ago, JaysonC said:Scars don't retether without filler as spacer. In fact, dr Rullan showed that even without filler the retethering is limited, that's why he recommend 2-3 subcisions to resolve all retethering in any case. Also Dr Weiner showed on ultrasound images that the filler cannot be injected exactly into the scar,it disperses in the skin in small molecules and cannot prevent any rethetering whatsoever. There's a video from Weiner about this.
I am talking bout my personal exp , i also talked to few people that had 3-4 subc , scars usually retether , if theres dent and it cant be removed as we all know then scars always retether to some extent , i dont care what Weiner says
3 hours ago, Miro said:I am talking bout my personal exp , i also talked to few people that had 3-4 subc , scars usually retether , if theres dent and it cant be removed as we all know then scars always retether to some extent , i dont care what Weiner says
Yeah mate different doctors different opinions. Rullan says you usually don't need more than 2-3 subcisions unless the scars are extremely fibrotic. The idea of getting 8-10subcisions is nonsense according to him. I asked.He uses filler for volume.
41 minutes ago, JaysonC said:Yeah mate different doctors different opinions. Rullan says you usually don't need more than 2-3 subcisions unless the scars are extremely fibrotic. The idea of getting 8-10subcisions is nonsense according to him. I asked.He uses filler for volume.
My scars must be extremely fibrotic then. I have had 10+ subcisions (not all by Dr Rullan).
12 minutes ago, shei514 said:My scars must be extremely fibrotic then. I have had 10+ subcisions (not all by Dr Rullan).
I honestly think you would benefit from more tca paint. You have in my opinion quite a few classic box scars that would probably do well with tca carefully painted on them. I know you've seen Benham for cross, but I don't think he's the best in that. It may help to find a different specialist with proven results.
3 minutes ago, LivingWithFaith said:I honestly think you would benefit from more tca paint. You have in my opinion quite a few classic box scars that would probably do well with tca carefully painted on them. I know you've seen Benham for cross, but I don't think he's the best in that. It may help to find a different specialist with proven results.
Yes I also have 70% TCA on hand as well but kind of scared to use it and definitely wouldn't use it right now
4 minutes ago, shei514 said:Yes I also have 70% TCA on hand as well but kind of scared to use it and definitely wouldn't use it right now
Yeah, definitely don't do it yourself if you're not comfortable, but I think 3-5 sessions of at least 90 (since you have fair skin that can handle it) could do wonders for you. The results are out there, you just might have to travel to find a specialist who is really good at it. I've seen some good ones on instagram. Only then after your scars are lifted would a good co2 resurface make sense for you because then it wouldn't have to travel so deep to smooth any remaining edges out.
1 hour ago, shei514 said:My scars must be extremely fibrotic then. I have had 10+ subcisions (not all by Dr Rullan).
It depends on a lot of things. I was very interested in this because I have had subcisions and asked him if it makes sense to get more you know for better results.I have heardof BA's recommendation, the more subs the better.And I would have done more subcisions. But he said noif you dont hear a popping sound it doesnt make sense to get more.
3 hours ago, JaysonC said:It depends on a lot of things. I was very interested in this because I have had subcisions and asked him if it makes sense to get more you know for better results.I have heardof BA's recommendation, the more subs the better.And I would have done more subcisions. But he said noif you dont hear a popping sound it doesnt make sense to get more.
Interesting. I have not talked to Dr Rullan in depth about this usually I am drugged up or something when hes in the room lol. I wonder if getting over 10 subcision procedures, 5+ TCA/phenol cross is that ridiculous? Surely the law of diminishing returns comes into play. Thats why I want to turn to more unconventional methods like excision for the boxcars and permanent fillerto help everything look smoother.
However with the phenol peel all the filler zapped out of my forehead. Im wondering if I get permanent filler will this mean I cant do further cross treatments? Or laser treatments potentially?
@shei514Did you feel the subcision break scars that had retethered once again? I didn't know that his procedure comes with subcision. Also when will you post a progress update?
I've been trying to get a hold of Patricia so she can schedule me with an appointment but she's been impossible to get a hold of via phone or email 
2 hours ago, shei514 said:Interesting. I have not talked to Dr Rullan in depth about this usually I am drugged up or something when hes in the room lol. I wonder if getting over 10 subcision procedures, 5+ TCA/phenol cross is that ridiculous? Surely the law of diminishing returns comes into play. Thats why I want to turn to more unconventional methods like excision for the boxcars and permanent fillerto help everything look smoother.
However with the phenol peel all the filler zapped out of my forehead. Im wondering if I get permanent filler will this mean I cant do further cross treatments? Or laser treatments potentially?
Certainly not ridiculous. Maybe they helped because with subcision you also stimulate collagen to some degree by causing an injury to the dermis. I guess the dermatologists will be disagreeing about this as with many other things. Rullan would proceed to do the deep phenol peel when he's done 3-4 subcisions, not do 5 more. I tend to believe Rullan, He has always been known for his integrity and hes prolly the derm who treats the most scar patients as he is experienced and sought after. I think with subcision you want to get these fibros tethers which hold the scar down and once youve done that subcision has done its job. If you cant get 100%out of the subcision its is usually cause there is atrophy. For such cases Rullan uses filler.
Also bear in mind that everybody is different. This is what Rullan said to me but 2 doctors before him said I dont have tethering just atrophy too. For somebody else he would recommend something different.
I am not a specialist but I would say yes you cant have more laser or tca once you get a permanent filler. I know for sure this is the case for HA fillers - peel or laser melts them away.But why do you want Bellafill? Isnt it risky? There are many ha fillers which last for up to 2 years.
Excision is interesting. I might try it out myself.
