Hey bud  

Nice airpods btw, just got myself them today aswell. Dont worry, you look good just as you are but here's what you need to do if you want your scars to improve:
your scars are tehtered (anchored) to the deeper layers of the skin, they need to be released by subcision. Dermapen delivers needles vertically, hence it does not break the fibrotic bands. It is a good treatment for collagen stimulation though, but the bands need to be broken first. 
When you subcise your scars, you essentially create a pocket between the skin layers. You need a filler there to prevent the scars from retethering. This depends on your budget (cheap: saline, PRP; expensive: HA fillers, juvederm etc). They also stimulate collagen.
A lot of information on this forum, I suggest you read a lot about subcision, fillers. @beautifulambitionhas spent countless hours creating a FAQ section, you will find a lot of information there, including the doctors that we recommend in the USA

Hope this helps mate, all the best
 

@longle_2511 Hi there thanks for including the pictures, helpful.

Dermapen will not help your scars alone, .... this is a at home treatment, buy a derminator or dermastamp and do this monthly to your scars at home between Dr sessions.

Your skin looks great because of temporary swelling.

There are many choices for Dr's in NYC, goto theFAQ, pinned in the main scar treatments sub, bottom of that find NYC. Find a Dr that treats your skin type as they are better equipped to deal with ethnic skin, look for"ethnic skin by the info."

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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.

@Atrophica lol...i love those airpods...and i hope you do too. And thanks so much for those tips...really appreciate it

@beautifulambitionthanks a lot for those tips. So you mention I should buy a dermastamp after each doctor's treatment , since i already have a dermaPEN , can i use it instead or u think dermaSTAMP work better?

8 hours ago, beautifulambition said:

@longle_2511 Hi there thanks for including the pictures, helpful.

Dermapen will not help your scars alone, .... this is a at home treatment, buy a derminator or dermastamp and do this monthly to your scars at home between Dr sessions.

Your skin looks great because of temporary swelling.

There are many choices for Dr's in NYC, goto theFAQ, pinned in the main scar treatments sub, bottom of that find NYC. Find a Dr that treats your skin type as they are better equipped to deal with ethnic skin, look for"ethnic skin by the info."

Reasonable prices are relative in the acne scar world, everything is optional, treat when you have time and money, subcision is cheap. At home alternate again monthly between your Dr's treatments done every 3 months or more, with glycolic acid peels and derminator to your scars.

Yes you have rolling scars, box cars, icepicks, and some hyperpigmentation.

Never start with laser treat the deeeeepest problem and move to surface resurfacing.

* I would do 3-8 sessions of cannula subsision to your scars, this will help you most, ... they can do a bit of HA filler after as you have atrophy under some of your scarsor you can do Chinese Cupping (Amazon) for a whole month (with cupping yes you bruise, so be prepared if you take this route, you can vary the suction strength, wear a concealer over the area like dermablend). A buffer keeps things from re-tethering. TCA Cross can be done at the same time for your icepicks

* I would do rf needling to your scars, ... this helps rolling / boxcars (4 sessions or more)

* CO2 laser if you need a boost in low density and high power setting.

* For texture we lastly do Sciton fully ablative laser resurfacing, notice I said ablative, non-ablative with do nothing for your scars, or a Deep Chemical Peel is good. OR several TCA peels, or a deep peel on the scar areas only. You have sensitive skin discuss this aspect with the Dr you goto, talk about steriod shot to the hip, doing a test area, and aftercare. This works once you raise your pits, but there is down time.

* buy a dermastamp or derminator (google it) and stamp them monthly. You will be treating with the Dr every 3 months - the above things, regardless of what they tell you, the body is incredibly slow to heal and they want $$$$ quickly, observe your progress of what works). Once a month your dermastamping and you can alternate with do glycolic peels at home. Treatment for many takes 3 years, everything is optional. Treat as you have time and money (for some that's only 2 things a year), it's a slow process again with most of it related to how you heal and what works best for you, do more of that.

* For redness we do pulse dye laser, or something like picosure, picoway. Laser resurfacing (Above) and Q switch is used if the pigmentation is not responding after several treatments. Alternatively you can try first peels for discoloration or hyperpigmetnation.

* Nightly before and after treatments until the issue is taken care of:

Use nightly: Retin-a or tretinorin(prescription), or Differin (Target/Walmart), The Ordinary Granactive Retinoid (if you can't get the above) or Avene or Osmosis (I am not a big fan of their other products) "Retinaldehyde" product (for sensitive skin). Cureology(USA) & Yoderm(USA) provide monthly - online prescriptions with customized skin care creams for your concerns, those in UK Dermatica provides the same thing. Apply a moisturizer when your face is dripping wet. Wait 5 minutes for it to dry, and then apply the tretinoin. This cuts down on irritation, you can also skip days of application (or do one or two days a week) if it's irritating and you need to build up %. This provides skin turnover - new collagen. To prevent (reds & browns from all Dr-treatments to ethnic skin or to work on current skin discoloration), try PCA hydroquione free gel for Hyperpigmentaion (Amazon) or Cureology/Yoderm/Dermatica includes this in their products if ordered. Using this prevents hyperpigmentation from treatments. Hydroquinone has side effects for some people, natural options are better with ingredients like: kojic acid/Konjac, Alpha Arbutin, Niacinamide by The Ordinary is great for large pores, discoloration, and inflammation. The Ordinary, Cerave, Eucerin (QV Skincare in AUS), Dr Sam Bunting Flawless Cleanser, Avene, La Roche-Posay (sensitive), and Acne.org's products are all great options for moisturizers and cleaners without fragrance / dyes / allergens. The Three most important things one can use are: Vitamin A skin turnover (retinol, retinaldehyde, retinoid), Vitamin C Serum which makes collagen, and a sunscreen (zinc oxide physical for sensitive skin - DRMTLGY Active Sunscreen, Elta MD Physical, La Roche).

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. Please Note I do ongoing support by PM for complex cases / questions, daily - you can message me there. Please be patient as I can get over 100+ of the worst acne scar cases to help.

Why do you suggest 3-8 subcision treatments? wouldn't it be better to do subcision with filler once a year?

@longle_2511Ok you can use the dermapen, not a big fan but if that's why you have. I think the derminator is better. But you already own something so might as well use it.

@DazmikBecause that is what his case calls for. Many do not treat enough with subcision. Acne scar treatment is not a quick process or one and done. Many repeated times of treatment are needed to have the body heal and soften scars. Once a year is if that is all you can afford, it will take you a very long time to treat. We are not treating for you to fill your face once a year, we are treating for you to remodel scars - that is the priority. You can subcise with filler in your scars. 3 months is the average it takes many to heal from Dr treatments. You do not have to get filler every time as well, ... watch the progress of your scars.