Your now being treated by Emil. He needs to do several other treatments on you. Have you discussed this with him.

Peels and microneedling. I suppose you can also do this at home if you wish, but you must wait in between treatments. Peels take a long time to heal from. Buy the Derminator for dermastamping and do this once a month. For acid peels you get the material and do your peel. For your skin type you can cause major issues if you go to high. You must start low and you must do the things below to prep first. For your skin type I normally say goto a clinic and have them do the TCA peel as hyperpigmentation is a issue.

Read the acid peel guide, it's pinned to the top of the scar treatments sub before doing any peels.

** Please Note I offer to acne scar suffers a "more" "customized" (private) consultation than the above general advice. Analysis, answering questions, ongoing support by Private Messaging. Feel free to message me there. Be patient as I can get over 100+ of the worst acne scar cases to help, it "may" take me up to 48 hours to respond.

Checkout the main scar treatments sub, find the FAQ pinned on top there, goto the bottom, there are Dr's or call around and ask who does cannula subcision or nokor subcision (needle type) to dermatologists and or plastic surgeons, consult a few before you decide who you like, even if you have to pay as treatment is expensive, better like them. Ask how many subcisions they do a month and if they treat your skin type. If they just do laser run they will just blast you and not solve your issue.

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Disclaimer: Information and support is not meant to diagnosis, treatment, or cure any health or mental condition and is not a substitute for professional face to face medical care (consult with a few Dr's and pick your favorite one). Posts are for informational purposes only, please consult your personal health care practitioner before engaging in anything discussed.

Yes he will do the same treament about subcision , tca cross and co2 , maybe more power 

thanks for the tips

Hi guys !! Its new update after a second procedure by Emil with tca cross , laser Co2 (high power , lower ï»¿density) and mixed of subcsion , cannula and filler .

Im really sad as you can see this times no real improvement ...

dr emil recommend me to do a 6-8 session of subcsion  

im not sure it will improve texture of skin 

I read this  https://www.ncbi.nlm.nih.gov/m/pubmed/24761094/

I think i will do my own treatment now , microdermabrasion+microneedling and tca peels ( 12%) 

what do you think guys? 

Or go to see Dr Cynthia lopez in america or  davin lim in australia or in indian specialist in my skin or stay with dr emil 

@beautifulambition

thanks

@neofox

Firstly your doing too many procedures at once. This will stall your healing. You have to do many sessions of co2 laser, not 1 or 2. A better laser for texture is 1927nm Fraxel ""for your case." He can resurface you with Fully ablative erbium resurfacing but I don't think your ready. I still see icepicks and small boxcars that need tca cross, and Your cheek is fa deficient and needs filler.

You need 4 > sessions of subcision, where is the filler ... this is a long process. If you resurface now you won't get as good of a result. IF you want the best at your skin type and laser, yes see Dr Lim.

I think your rushing, not doing the prep work for resurfacing.

Be prepared in your skin type you will discolor and have hyperpigmentation from resurfacing, this is why they have to turn down the laser, and it takes a experienced Dr with your skin type. You will have to use topicals to combat this two steps forward and one step back.

Why would you see improvement in texture in 2 treatments, you must do ongoing treatments.

I want you to get a second opinion(consult) - even if you have to payfrom Dr H he should be able to treat you skin type as well.

https://www.drhconsult.co.uk/treatments/acne-scarring/subcision/

No amount of at home treatment will fix your texture, ... sure do this at home between sessions dermastamping and peels if you wish, I hope your waiting 3 months to heal before doing these.

Your skin type is Very hard to treat, ... we over treat and you get more scars, or more issues to deal with, hence more sessions are needed with lower setting.

You can always do laser elsewhere after your subcisions with Emil as well.

This is not mine , this is the doc Emil , he did all procedure in one day ( tca cross, subcision, then filler and finish by co2 laser)

( at begining i did 3 fraxel by french doctor , bad idea because they dont treat all type of scars and when i did a big procedure with Emil he did a erbium session)

can you recommend some product to my skin for help to prep  ( i can have the ordinary product)

I always wait 3 month between procedure 

why i said cythia lopez, she see my skin and i can treat you scars

Dr H do the taylor subcision , i never do this before. Maybe this is good for my skin

i only did cannula, nokor and filler subcsion

@neofoxyes I told you to see him because he knows ethnic skin for acne scar treatment and is ethnic himself. Go do a consultation with him. For your textural skin type he can help. The Dr' above did not do much for the patients, unimpressive results. They just had acne, and red PIE from acne, ... she used vascular laser for redness and they healed. This isn't textural or pit treatments for scars. Many people see they lack the redness and think she did something, they just healed with help of a laser for pigmentation and vascular issues.

Ok ,i have some question :

1) do you know people, who see this doctor ? ( Ihave see some video and photo in instagram and website )

because the price of procedure its expensive , also he use the taylor for subcsion , its is dangerous ? Can he damage under the skin ?

@neofoxYes he is very aggressive! Europe's version of Dr Taylor. More aggressive than Chu, etc. He has pictures but that means nothing, all the Dr's use photoshop, marketing, and tricky light tricks. Why would they show anything but the best cases. Go for a consult and see how you like him, that is best. He is a laser dermatologist. He likes laser.

Sure any procedure can do damage, Taylor is the most aggressive for non responding patients, there are risks. You need to way out if that is what you want or not. You can always treat with Emil / Chu and go there for laser.

Hi @beautifulambition and obiwan

i need advice please  to my forehead guy i dont know what is it really also doctor dont know i think its coming after my accutane or  first treatment of laser,

when i move the forehead you can see papule? Or scars?

have you see something like that

thank you

@neofox You need to goto a good dermatologist even if they are not in aesthetics. This could be fungal infection, sebaceous hyperplasia, or just closed condones (in order top to bottom). They need to treat the underlying cause. Cosmetically they can resurface the skin with a laser, or electrosurgery, if they are hypertrophic scars, they must be felt by a Dr then they would be injected first with a steriod and resurfaced. What did Emil say about this, he was treating you. This is a general Dermatology concern as well not just cosmetic treatments. 

Use a salicylic acne wash soap on them or a foaming Benzoyl Peroxide cleanser as see if this helps, but you need to see a derm.

Thanks for the respond , nobody know i see more than 7 dermatologist its like insidethe skin , you can see all when i move my forehead , i have sendthe picture to Dr H

Dr emil try co2 but they not help

i wait a respond by Dr h

thanks you

Hi @beautifulambition

im absolutely sure that my concern in forehead are causing by isotretinoin , this is not bumps only when i put light you can see the tiny papules , its nothing inside, , i show this picture and the picture of acne scars he said: 

im not sure its good idea to see him lol

@neofoxRemember what I said above. I said they could be sebaceous hyperplasia but I could not be sure without feeling them in person. I do not agree with long term accutane for this. I would inject with steriod and do electro surgery(hyfecator) or laser them off. They are afraid with your skin type of going to strong, this is why Emil was not successful. He has to use lower settings on you. Email back Asif and ask what cosmetic procedure will you do for them. OR just go back to Emil and have him inject them with steirod to flatten them, then laser resurface them with the Sciton Fully Ablative laser resurfacing(just on the scars). He may need to a co2 fractional with steriod drip first. Consult with a few other Dr's. Post this on realself.com it's free and ask what the Dr's would do for it, maybe Lim will respond to you. I guarantee he will say the same thing as me, it's finding a practitioner who will do it. Email the Dr in Fresno(you pasted her before's and afters) with the Med Spa and ask what she would do.

This is dr davin lim respond in real self and emil 

i dont know what is the best,

what is A5 icls?

@neofox

He is stating you have hypertophic scarring and need steriod injections in your""raised scars,"" then CO2 laser. Easy to understand steriod injections, and co2 laser or they can do co2 steriod drip. IT will take more than one session.

They are not side effects?

@neofoxThere are side effects with anything, there can be atrophy if it's not dilute enough. IF you have concerns have them do a test on a few instead of all of them. If you want no side effects do nothing, that is the safest. No energy device will burn off your pebblestone scarring alone. Your only other option is to have them excised or electrosurgery which does the same thing. Surgery has"more" side effects.

Hi @beautifulambition

I have try to treat my hypertrophic scars with Dr Emil , in may but not result we did two test :

one injection of something like corticoide

and

one co2 laser on one scars

we dont see improvement , he said that he dont have solution for this problem ,

so i think i will plan a travel to see Dr lim ... but im afraid when i see all negative review , its expensive plan so i dont know i reflecte,

i have talk with Dr Hussein but he just say that the treatment cost 3000 pounds and you skin have risk of pigmentation ... i have try to have some picture of his patient who have try laser but he have not respond

@neofoxYes I think he is not the best for hypertrophic scarring. Great for other types. This does take a advanced approach. Did Dr H feel he could addressyour hypertrophic scarring with steriod?

Treating ethnic skin like yours is very complicated when it comes to certain things... ie hypertriophic scars. Lim could treat this as he specializes with ethnic patients.

All whatnegative reviews from Lim. In what context; There are lots of trolls-mentally unwell going after him as he has lots of visibility and a clear voice educating on scars. He is very selective with who he treats.

One last option for you, do a consult with Dr Igor Safonov. I am not sure if he treats your skin type as his b&a are mainly white patients, but he can do a assessmentonline. He also treats hypertrophic scars but more of a surgical method then most other Drs.

There is risk of pigmentation with any procedure laser wise with your skin type, it's part of the pay off of treatment, you agree to some hyperpigmentation for some results. This happens with Lim or anyone else. Ethnic skin to get results hyperpigments.

Thank you so much Man , 

i have contact the doctor Igor he tell me about some skills , i need to do some research about this , cryoablation 

and like you he talk about the risk of pigmentation ,

the hyperpigmentation can be treat easy than hypopigmentation?

is it correct 

or both can be treat with cream and peel?

@neofoxWelcome! While I don't agree 100% with Igor,he brings up a interesting subject. Someone prone to keloids can make more scarring by doing any sort of treatment, they have to be very sensitiveto these patients. He is saying he freezes them almost like a wart. This is a older technique, but cheap and could work well, he specializesin hypertrophic scars and sometimes a surgical approach. Laser can be done on your skin type and for your condition but it takes a very expert acne scar practitionerlike Lim. They use steroidsat the same time to suppressmore scars. The more conservative and cheaper is Igor's way. 50:50 chance or it workingbut worth a try right. Anything you do that is beneficial you will pigment, ... this is part of the process of treating your skin type. Yes hyperpigmentation while slow to treat is easier to treat your right and just part of the process in your skin type. This is why I have you prep with the topicals nightly.

Thank you so much , i will an update in september about this other trip for scars! Another round of this fight!

just sometimes i do myself microneedling , the probleme :i dont use numbing cream so little painfull , i cant buy in amazon they cant sent in my country so i search but they are lot of chinesse product and i dont want to use bad quality in my face , they can be dangerous so if you can recommend a numbing cream , i will appreciate

thank my friend

Hi guys

today its my fist treatment with Dr Safanov in Stockholm, i will tell you my experience with him, he can be good because Idont see many review with the Doctor ( maybe 2) and youtube video about big scars !

stay tuned!

Hi guys i have see Dr Igor safonov, it was very strange moment , im sure he is good but in my case he did only test , test of cryoablation in my hypetrophic scaes , we will see what is result and for atrophic scars only temp he did a test of microdermabrasion , we spend many times so i have 5000sek for two test in my face lol

no cheeks , only four scars for a test cryo and scars in temp...

he confirmes what i says i need to go in country like india who always treat my skin color

so i think i will go to india to see Dr stuti khare

@beautifulambition