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" Prof got his title NOT for scar revision but for general dermatology "
this is quite misleading statement, he is thrown around the scar treatments section like he is the messiah of scarring in the EU
i have seen him, i agree with what others say its seems like he is 1 package fits all approach with not much deviation for personalisation. i also agree his post treatment after care is POOR - he simply says to resume as normal with no consideration for what has been done and you cannot get hold of him/ he doesnt want to know. everything is done through his receptionist
@cookingENGI hope the"messiah" comment was not directed to me. I only offer Chu or Emil as no one else can seem to find me more Dr's who do subcision in Europe. As Obiwan said Chu is great for generalized acne scar treatment including subcision, but note I often tell people to supplement with filler and laser drs or just see Emil. Anyone is free to findme more European Dr's who do subcision and do not just blast you with a laser.Open to suggestions. There is no Messiah in Acne scar work sadly, all the Dr's have made mistakes.They all have things and types of scars they specializein. I have had in the last month many sucess stories from Chu as well, so he does help"some," patients, his fees are not greedy like most Harley St. Derms who do laser.
Re: Sibels issue to me is a combo of pre-mature agingfrom fat loss due to scarring and sensitive healing capabilities. The above pic proves to me that volume would help a lot wheather over dilute sculptra or whatever filler she wishes, the skin is draping towards the naso labial fold, or for a drastic and more cost effective procedure a face lift. They could excise the small scar on the cheek (but cannular subcision would also work). I do think whatever procedure should be cautious to sensitivities as healing at a older age is harder than younger patient, this is normal. If she pulls at her temple I bet the scars will look better simulating volume or a face lift. Several Cannular subcision sessions can be done now without scarring as I and Obiwan have said. I also think 5 courses of Accutane could have left you with permanent damage (then further ablative treatment by drs to your fragile skin), you need a Dr sensitive to your past history.We use these Dr's as a (service)tool to treat our condition, Sibel needs a different specialist.Tasinhoooo's treatment is not your own(so many differences) I have helped him for the past 2 years by PM, he has many issues that are not related to yours and comparing them without context would be hard - he is now going to Emil, but does state Chu did get 70% improvement on ""some"" of his scars.
I am sorry doctor(s) have disfigured you that must be frustrating.I agree Chu was not a good fit, and is"stuck," in his ways. Again all Dr's can have mistakes and issues, we have to find the right one for our condition. Let me know if you finda better specialist I can share with others who are searching in the EU as you state:" Endless way of useless consultations with hundreds of diff Derma and Surgeons for years... wasting time and money..more and more I understand there is Nothing there to fix the scars. The severe damage was done with inflammations once, the dermal structure inside is damaged. It can not be healthy again. It is no way to regrow the healthy skin on the place of dead scar tissue."
1 hour ago, beautifulambition said:@cookingENGI hope the"messiah" comment was not directed to me. I only offer Chu or Emil as no one else can seem to find me more Dr's who do subcision in Europe. As Obiwan said Chu is great for generalized acne scar treatment including subcision, but note I often tell people to supplement with filler and laser drs or just see Emil. Anyone is free to five me more European Dr's who do subcision and do not just blast you with a laser, open to suggestions. There is no Messiah in Acne scar work sadly, all the Dr's have made mistakes.They all have things and types of scars they specializes in. I have had in the last month many sucess stories from Chu as well, so he does help"some," patients, his fees are not greedy like most Harley St. Derms who do laser.
Re: Sibels issue to me is a combo of pre-mature agingfrom fat loss due to scarring and sensitive healing capabilities. The above pic proves to me that volume would help a lot wheather over dilute sculptra or whatever filler she wishes, the skin is draping towards the naso labial fold, or for a drastic and more cost effective procedure a face lift. They could excise the small scar on the cheek. I do think whatever procedure should be cautious to sensitivities as healing at a older age is harder than younger patient, this is normal. If she pulls at her temple I bet the scars will look better simulating volume or a face lift.
not directed at anyone, he is the name that comes up time and time again, i found it strange obi says hes not a acne scar doctor. the advice and time you give to others is a blessing i appreciate a lot
i still think hes a good dr, hes one of the top drs in the EU at what he does for sure. i just think hes not without his drawbacks.
On 1/18/2019 at 9:53 AM, Sibel said:BA thank you. I tried to say about the new studies that it might cause new problems if skin is sensitive.. just stop reading that crap in internet was the answer... I tried to say about the damage I see and the answer was that I had massive improvement... it is extremely hard to start arguing with the doc.
I wanted to highlight this part of your quote. Dr Chu sounds like a very experienced and competent doctor. He is definitely one of the better ones. However, dismissing new and credible research as 'stop reading crap on the Internet' is concerning. Someone like a Davin Lim, for example, is always seeking out new research in ways to improve his practice (always shares on his YouTube channel). I think some patients are just not a good fit for a doctor, even a decent doctor like Chu. If you heal poorly, I would give six months between treatments. Remember, collegen can take 6 months to form.
TCA cross does seem to widen scars, but it can raise scars too. I think Lim uses 100% TCA concentration, so I wouldn't worry if a professional like Chu uses 90%. Remember, you may not see the full benefits of treatment for 6 months.
You are absolutely correct, you can't normally dictate what treatments a doctor can use. A doctor is not going to use a treatment you have requested based on a number of factors. These could include personal preference of device, previous success on a certain device, competence, confidence, etc. However, you can always say NO to a treatment. You have that power. If you ever feel uncomfortable or anxious about a certain type of treatment, you can say NO.
Great thread, please keep updating and I hope you achieve success.
Thank you ScarRight. I havethe impression that Dr.Chu does the samepackage to allscars patients. Without taking in considerationprevious treatments and individual healing skin properties...Anything I tried to mention about aside effects from Dermapen and cross, the answer was it can not be.....as I said extremely frustrating because I hoped for normal dialog and long treatments...now I am reluctant to repeat Sub.. no guarantee that the Nokorneedle wont be stuck at the middle of my cheek again....I had very difficultime with healing, there are flat pigmentedscars on the places of Nokor cuts ..hope for more healing...
Thank you everyone who answered,very much appreciated.
Good evening all, I am going for my second subcision tomorrow with Dr CHus associate, only this time instead of subcision/prp I am having subcision/filler.
Ive been quoted 250 for subcision and just wondered how much others are paying roughly for the same treatment?
Can someone also recommend a Peel they use at home which actually works on them? Id like to also needle and peel inbeteeen treatments. Ive had many lasers and seen no results so hopefully Im going to see results. My scars are on my cheeks and are rolling scars.
Once ive had my treatments I will post my before and afters for people living in the West Midlands who dont want to travel to London to see CHu.
thank you!
@Cal13Anil's/Chu's prices were listed on a website. Under schedule of fees. They are extremely cheap compared to most other aesthetics practitioners. Filler of course will be more on top of that.
Glycolic peels work fine to get your feet wet and then TCA peels when your ready for resurfacing. MUAC makes both items(Google). There is a peel guided pinned to the main scar treatments sub, please read it so you know how to peel.
Goodluck on your treatment,
BA
Howdid the subcision/prp with Dr Anil go for you?can you see any improvement? I've just had a consultation with him and he suggested I do subcision, prp, tca cross and rf mirconeedling but said I only need one session of subcision and no fillers. I'm still not sure if I should travel further to see Dr. Chu as he is more experienced. How was your experience with Dr Anil?
Also I think that 250 is very reasonable for subcision with fillers. If it is for just subcision on its own, its a little more than I wouldve thought but the price may vary depending on how much scarring you have and its still very reasonable.
Hi to everyone. I have a question. Prof Tony Chu who treats acne scars, he works in skinmedico now which is aprivate clinic in London. Can someone be referred to him via GP and get treatment covered by NHS? Is it possible? To get acne scar treatment covered by NHS? If anybody knows anything about this, please let me know.
Hi, yes My second treatment went fine still a bit swollen and it took much less time than the first treatment...
I cant see if there is an improvement yet as it is still swollen but he used a thin filler and fanned it out around my cheek area.
He said I would benefit from RF microneedling too. My scars are not so deep and they are rolling scars. I mean, I guess I probably would benefit but its 375 for sub is ion microneedling and radio frequency and he said an extra 225 for fillers per ml ?!?
what was your opinion of him? I thought he was a lovely man, well spoken but couldnt help but feel he didnt have the professionalism I hoped for. Perhaps Ive been watching Davin Lim too much on YouTube and hoped for someone like him. I didnt like his clinic either it was a nice room but in a very old rough building which put me off as soon as I arrived (although that doesnt speak for his work I know)
He couldnt remember what he did last time or what we were doing this time I had to remind him. I didnt get a plan of what we will do it was kind of just try a bit of everything.
But I mean, if you want subcission and dont want to go to London then do it because he can do it.
@Cal13I felt pretty much the same about him as you described so im not if i should go to someone with more experience. With the improvement,what i meant was if you saw any after the first treatment? He told me that there wouldn't really be a noticeable improvement after the first treatment. Do you have any idea how often he performs subcisions? Also 375 is the same price he quoted me for sub/tca/prp/ rf mirconeedling which i think is actually quite reasonable and yeah fillers are quite expensive.How was his aftercare after the first treatment?
@beautifulambitionsorry to be a pain and ask 1 million questions but do you know a brand of TCA peel at home that is not from the USA? Id rather not order from there as I always have problems with delivery etc.
Ive looked online and typed in uk but it seems only eBay have it and Im worried its not legit before I start putting it on my face..... thanks!
I decided to write my honest review about Dr Chu in London, Isaw him last year twice.
I got subcision+microneedling+TCA Cross.
He's a nice and polite man but honestly I wouldn't recommend him, I do believe he's overrated or at least not worth taking a plane to go seeing him.
Here are my reasons:
1) He offers the same package to everyone who go seeing him. No matter what kind of scars you have, he always propose subcision+microneedling+TCA Cross. He doesn't offer a customized treatment that target the kind of scars you have and he doesn't perform many methods like Fillers, RF microneedling, lasers (all kind), punch excision ecc.
2) He seems very rushed. He performed subcision to only two scars I had in my face, when in reality at least 20 had to be subcised. What's the point in paying a "low price" if he doesn't touch the vast majority of your scars?
3) He offers a microneedling with a dermapen. Honestly that's something most of us could do ourselves with a derminator or buying the dermapen. At least he could offer a RF microneedling but no, just the dermapen and it's actually his most expensive procedure. Since he sells "packages deal" you have to do it despite the fact it's useless for us who have tethered scars.
And another thing I didn't like is the fact he performs microneedling before subcision. What's the point? If the scars are tethered microneedling with the dermapen doesn't work (as most of us who have a microneedling device already know). I think he should subcise the scars and then (maybe) microneedle them, not the opposite. Of course the texture of the skin will look better after the microneedling but who cares? We could do it ourselves....we go to him for the scars, not the texture.
4) He does subcision (rushed and to only a couple of scars)without putting something in between that act as a buffer. The result is that the scar reattaches itself and after a while will look exactly the same as before. My scars now look exactly the same as before. You can ask him to put filler (or something else) in between but he won't do it because he doesn't believe in fillers. So what's the point in even doing the subcision with him if the scars will reattach? A total waste of money
5) The TCA cross was done in a rushed and very sloppy way. I thought he was careless and didn't care much. And again, he didn't cross all my scars.....not even half. The whole TCA cross on my face probably lasted 60 to 90 seconds and I'm not exaggerating in the slightest. Of course I got ZERO result from the TCA cross with him, not even a 1% improvement.
6) He doesn't perform any laser. Now, I'm not a huge believer in lasers but I do think a good dermatologist or plastic surgeon should have them. Lasers shouldn't be used as a first treatment but they can be useful as a final touch or for textural scars. And what about hyperpigmentation? Some lasers are excellent to treat it but he doesn't have any (that I know of at least). I do think a fully ablative laser can yield some results for our acne scars, wouldn't want it as a first treatment but I'd be interested to at least have the option to use it as a final touch.
7) He doesn't provide any aftercare.
8) He doesn't care about updating his treatments.
For all the reason above I can't recommend him. For us in Europe it's very hard to find a good dermatologist. I think our only option as of now (in Europe) is Emil Henningsen but since I haven't visited him yet i can't say much.
The things you mention, were for me exactly the reasons why I chose Dr. Henningsen over Prof. Chu.
I went to Dr Henningsen twice and I don't regret it. Chu is cheaper than Henningsen, but money is nothing if it comes down to your face.
The last time he performed subcision and filler on my scars and I was in his office for about an hour. He even showed me a pic of his little daughter when I mentioned I have one. So yeah, friendly and not in a rush.
12 minutes ago, Noa27 said:The things you mention, were for me exactly the reasons why I chose Dr. Henningsen over Prof. Chu.
I went to Dr Henningsen twice and I don't regret it. Chu is cheaper than Henningsen, but money is nothing if it comes down to your face.
The last time he performed subcision and filler on my scars and I was in his office for about an hour. He even showed me a pic of his little daughter when I mentioned I have one. So yeah, friendly and not in a rush.
I will visit dr Henningsen in the future! At least what he does make sense.
Subcision+filler is the best treatment for tethered scars and TCA CROSS for the ice picks. If he isn't rushed I think he can provide us with good results.
His prices aren't cheap, I agree....but if the results are great it's worth the sacrifice.
The only problem i have is his location.....getting to Odense isn't super easy. If he was in Copenaghen it'd be much better
42 minutes ago, SimpleMutton said:I will visit dr Henningsen in the future! At least what he does make sense.
Subcision+filler is the best treatment for tethered scars and TCA CROSS for the ice picks. If he isn't rushed I think he can provide us with good results.
His prices aren't cheap, I agree....but if the results are great it's worth the sacrifice.
The only problem i have is his location.....getting to Odense isn't super easy. If he was in Copenaghen it'd be much better
Where do you live? I live in Holland. The first time i visited him by car and the second time I took the train. I'm gonna lie, traveling time was long. I prefer the train though, it was 9 hours from Rotterdam and cheap. Train ticket Rotterdam to Odense was 49,95 and back was 59,95. His office is easy to find from Odense Central station. Maybe 30 mins of a walk.
I'd like to add the prices I have paid for the treatments. First treatment was nokor with 1ml filler, 5000 dkr. Second one was canula also with 1 ml filler, 4000 dkr. I have quite some scarring going on.
It is a lot of money, but it is acceptable for what he does imo. Also, Denmark is quite an expensive country to live.
I live in Italy, I have to take a plane to Copenaghen, then the train to Odense and then from there hope there is a bus to his clinic. The a/r flight will cost me 100-150.....all included to get to his clinicI think it will be 200-250. Not cheap but hope it's worth the effort
@Noa27: that's interesting, how many scars did he subcized? I think the first one was more expensive because of the consultation fee
4000dkr is 530, not that bad for subcision+filler (if he subcized all of them)....do you know the laser prices?
@SimpleMutton@Noa27I want to jump in here and say continue your discussion ;-). Just adding context for the uniformed reader.
I used to suggest Chu for the reasons mentioned, cheap, easier location to get to, manual methods, seemed to not care about money as much, no-nonsense.
Like anything in life things change and we get a greater picture as the service to the customer(that is what these Dr's are), degrades over time. I feel like Dr Chu is a professor, perhaps overwhelmed, provides a no-nonsense-package without the extras patients want. What does one expect for around 500 Euro for everything, this is unbelievably cheap(worldwide). He is goood for a certain patient type, who has basic needs, mild to moderate scarring.
But when my life becomes more difficult I have to step back and stop referring the person as they are not helping other's achieve their goals with scars. I have to offer aftercare to his patients and over analyze what he did wrong or did not treat. OF course I always have said you must see other Dr's if you see him(optional) as he is limited as discussed above, and verrrrrrrrry stuck in his ways of doing things. He does not keep up to date with the latest scar treatments.I don't want to pinpoint specifically him with this as many many international Dr's will only do things their way, do not listen, and are over quick at doing 5 treatments at once for this benefit -$$$$ or mass of patients.
As such as of almost a year now I have been offering Dr Anil his colleague, they have worked in the same clinics. Anil is not the best by any means, but he does do added treatments like filler, rf needling, laser, cannula, etc.
I also have some patients I deal with which are extremely happy with Chu, they don't have a lot of money and they shop for other treatments and Dr's as are needed at their nearby country(ie, a normal dr to do filler under the scars, laser treatments at med spa''s. etc)
As such if you don't have a lot of money, have a few scars or want to start with manual methods, and heal well(you get a cut and heal well - in the past), also do not have sensitives. Chu is still a"OK" choice. I would of course point you to Anil, but be prepared he is not going to use directional lighting, or do advanced techniques as he is Chu 2.0 who wants to get it done with added newer treatments.
If you want better treatment I would say there is a toss up between Anil and Dr Emil(Denmark). There are so many cheap flight to Denmark as Noah said or the train. But yes I know the UK is more of a major hub. I would say just see Emil if you can two times a year or more(Specifically for subcision), filler can be done locally to your location(living - by any expert injector who does standard filling), Laser there is a abundance of Dr's who can do this. Plastic Surgeon's in Europe, ... sooooo many who can do deep Phenol peels to end your journey for texture issues(we always do this last after improving the scars as much as possible).
Thank you for growing with me as we evolve to better treatment, buyer beware, always research, use the Dr as a service, not as a one stop resource. You can see 2 or 3+ Dr's and that's ok. Consult a few Dr's before you start treatment, ... pick the one who you think will work best with you, ... it's almost like dating. You will pay more for aftercare and hand holding as it takes resources.
Finally if you do not heal well, and have sensitives, your best seeing Dr Lim or a expert if no Dr' is agreeable to you(Emil, Anil, etc). Why because these Dr's are not prepared to handle you case, nor can they change nature. IF someone has underlying - health concerns, ... we get many of those, they simply will not heal well and the treatment will not be effective. How do you know this. Think of when you had cuts and how long it took to heal, your other health concerns, ... how much care you need and pampering, do you have the money to do full service or need something cheap. Do you heal poorly from basic chemical peels at home and microneedling. Do you have new scars all the time and acne spots often(then they will be chasing new issues that will not be treated). Scar treatment is a field that is solely relianton your ability to heal. We do not get rid of scars, we soften them and try to improve them through stimulating healing processes. No case is the same and no patient is the same. You cannot compare your conditions as they are all unique and need customized care. Sadly it's not like a oil change at a mechanic.
Lasty the thing that displeases me about Chu and many many other Dr's is they over promise and under perform(not always their fault), or they are not brutallyhonest with outcomes and how things are going (fearing liability). There is a component in scar treatment that is the hidden elephant in the room. Physiological issues. These must be also addressed as they are internal scars which are created. If you don't fix these there will constantly be displeasure and dysmophia(unrealistic expectations of perfection). Acceptance is part of the healing. Talkspace provides a app where counseling can be obtained on the smart phone 24-7 in many forums, this provides the support needed. In Europe / UK I am sure you have other apps and resources to do this as well.
There was a informal audit done of this sub and it found the members who hang around here longest have poor healing, complain about issues or complications, or have had poor treatment and are mentally anguished. Those who are happy move on quickly being content. My goal is to get you improvement (no not 100% - never promise this, that is scarless healing mega thread I don't agree with) so you can move on with your life.
In Chu's defense perhaps he is burnt out after a lifetime of being a professor (he teaches many other derms) as this field wears on you(dealing with other's issues). Or perhaps his business model is his treatments are cheap / no -nonsense so there are more treatments obtained over time (this can be good and bad). Dr's will constantly change as new blood comes into the field and wants to make a name for themselves with innovative treatments, watch for this in their standard of care / ethics.
- BA
Thank you for your reply @beautifulambition
how many subcision do you think I need (the scar on my cheek on the left and the on to the right of my chin)?
And of course I'd like to get TCA CROSS for the scars on my forehead
The other scars are very superficial and textural and I guess they have to be lasered
What do you think?