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1 hour ago, Dilyana said:Yes, Iread reviews on Realself, a few studies. PS and dermatologists say that it's a powerfull tool because it delivers high intensity enough energy directly into the deeper skin layers so that it can actually bring about change in thescars.But I'm realistic. I'm not expecting miracles, 30% improvement after a couple of Genius would be just fine for me.
Yes, no ablation. Full ablation is so daunting for me.
Its not about full ablation, its about resurfacing at the end of the journey, fractional CO2 or medium peelings will probably do the job. Some scars need resurfacing its simple as that.
Its exactly as u wrote 30-40% improvement and lifting the scars with other methods, then laser or peels to reusrface the skin, this can probably give u 10-20 % improvement and you have that legendary 50% .
1 hour ago, Miro said:Its not about full ablation, its about resurfacing at the end of the journey, fractional CO2 or medium peelings will probably do the job. Some scars need resurfacing its simple as that.
Its exactly as u wrote 30-40% improvement and lifting the scars with other methods, then laser or peels to reusrface the skin, this can probably give u 10-20 % improvement and you have that legendary 50% .
50% Hopefully!!!
Laser doctors promise 60% improvement from full ablation, and I'm inclined to think it's possible, but that comes with big risks of permanently messing up your skin. Besides, you've got to find a skilled and reliablelaser specialist who does in on a regular basis, and that's not so easy.
But you're right. Fractional ablation is an option, peels too. I'm interested in the Sciton HALO laser after the treatment with Dr Emil, to smooth things out:) but there's only 1 such laser in Germany.
4 hours ago, Dilyana said:50% Hopefully!!!
Laser doctors promise 60% improvement from full ablation, and I'm inclined to think it's possible, but that comes with big risks of permanently messing up your skin. Besides, you've got to find a skilled and reliablelaser specialist who does in on a regular basis, and that's not so easy.
But you're right. Fractional ablation is an option, peels too. I'm interested in the Sciton HALO laser after the treatment with Dr Emil, to smooth things out:) but there's only 1 such laser in Germany.
Which doctor in Germany has the HALO Laser ? I'm also interested.
@Sisi90I wouldn't even characterize them as pimplesbecause they are not inflamed. The doctor described it as milialike @Kristineellensaidhe prescribed us Clindamycin andit literally went away in 2-3days. @tortoiseshell9is on the money.
@DilyanaLasers aren't for everybody for people like me that have darker skin, Genius is currently the best option. See @shei514's post its incredibly detailed and shes gotten amazing results.
On 8/24/2020 at 10:05 PM, SaraTheGerman said:Which doctor in Germany has the HALO Laser ? I'm also interested.
It's a plastic surgeon in Munchen, but I can't tell you his name. I found him through Google and his description of the laser was very interesting.
@outkast93yes, unfortunately, I am aware of that. I've been talking to people with darker skin tones who have done full or fractional ablation and they say that their scars improved to some extent but they developed hyperpigmentation, for which they need to have another laser. So it's kind of a trade-off - scars for hyper. Some are fine with it, others not so much.
Thankfully, there's Genius RF, which is not a bad option at all from what I read. I'm curious about what it can do for scars. So far results have been promising.I read above in this thread that you had it done too at some point. Are you liking the results so far? Do you see improvement?
Thank you. I saw @shei514's results. They are indeed incredible.
1 hour ago, Dilyana said:Thankfully, there's Genius RF, which is not a bad option at all from what I read. I'm curious about what it can do for scars. So far results have been promising.I read above in this thread that you had it done too at some point. Are you liking the results so far? Do you see improvement?
Hi Diyana,
So overall its been 1 month and 1 week since my treatment. I've noticed a 15-20% improvement on both my right and left face. I had very shallow rolling scars on my left side that disappeared. Im gonna postbefore and after pics in a couple of weeks before my treatment with Dr. Weiner. Stay Tuned!
59 minutes ago, outkast93 said:Hi Diyana,
So overall its been 1 month and 1 week since my treatment. I've noticed a 15-20% improvement on both my right and left face. I had very shallow rolling scars on my left side that disappeared. Im gonna postbefore and after pics in a couple of weeks before my treatment with Dr. Weiner. Stay Tuned!
Hi Outcast93,
Wow, that's great. So good to read another story of improvement from Genius. And so fast!I'll be following your thread.
I also notice tightening of my facealready, especially on the lower parts, where GenRF was used alonewithout a filler injection afterwards.
4 hours ago, Dilyana said:
Thank you. I saw @shei514's results. They are indeed incredible.
I think Drs performed also CO2 lasers on her scars .
On 8/23/2020 at 7:38 PM, Sibel said:BlueMaloney the filler lasts about a month in my case... but the purpose of the filler to keep the cut tissue after Sub for a while. Small quantity. To fill up the face you need more filler.
Healing ok but very slow. All the marks after the laser are pink now. It took about 2 month for that one cheek scar to heal and another 2 to flatten so no worries..and Belgium is closed for Denmark from the 15th of Aug so I was lucky to get it done..
Who did fr Genius could you please describe your first day, second, third... when it is poss to put make up and to go out?
You didn't have the filler for scar correction but as a spacer you mean? Hmmm. I wonder if I got the same thing because the filler dissolved in my case very quickly. 5 weeks to 2.5 months completely.
15 hours ago, Dilyana said:Hi Outcast93,
Wow, that's great. So good to read another story of improvement from Genius. And so fast!I'll be following your thread.
I also notice tightening of my facealready, especially on the lower parts, where GenRF was used alonewithout a filler injection afterwards.
Which Dr treated you with the Genius? I assume somebody in Europe, possibly Dr Henningsen?
On 8/24/2020 at 6:03 PM, Dilyana said:
Laser doctors promise 60% improvement from full ablation, and I'm inclined to think it's possible, but that comes with big risks of permanently messing up your skin. Besides, you've got to find a skilled and reliablelaser specialist who does in on a regular basis, and that's not so easy.
Once upon a time I red answer from doctor on realself, there was a man who said he underwent 3 treatments with fractional CO2 and the results are mininal .
That Dr answered him something like : no laser is gonna do much for your acne scars, full ablative lasers when they came promised miracles and only thing they did was that they delivered very questionable results and huge amount of risks and sheer torture with downtime for the patients, fractional lasers just reduced the risk, but outcome for acne scarring is again very questionable.
He also said there are different modalities that work for acne scars, but no one should expect more then 50% improvement.
He also wrote that lasers work pretty good for wrinkles and superficial things .
That was from some older Dr. who looked like is in dermatology bussines for many many years.
No other Dr on realselfeven attacked or challenged his answer.
Howevere I cannot find this answeranymore , i red it about 3-4 years ago when i did my research .
23 hours ago, Miro said:Once upon a time I red answer from doctor on realself, there was a man who said he underwent 3 treatments with fractional CO2 and the results are mininal .
That Dr answered him something like : no laser is gonna do much for your acne scars, full ablative lasers when they came promised miracles and only thing they did was that they delivered very questionable results and huge amount of risks and sheer torture with downtime for the patients, fractional lasers just reduced the risk, but outcome for acne scarring is again very questionable.
He also said there are different modalities that work for acne scars, but no one should expect more then 50% improvement.
He also wrote that lasers work pretty good for wrinkles and superficial things .
That was from some older Dr. who looked like is in dermatology bussines for many many years.
No other Dr on realselfeven attacked or challenged his answer.
Howevere I cannot find this answeranymore , i red it about 3-4 years ago when i did my research .
I agree with everything you've written. Thanks for sharing thisinformation. It only confirms my opinion on lasers.
Full ablation is a brutal procedure with huge risks and minimal to average (in mild cases of scarring) results. However, lasers are supposed to work well for rolling and boxcar scars.I've talked to people with such mild superficialscars and they do report 60% improvement from full ablation(while they also suffered side effects, though!)Unfortunately, this doesn't apply to most patients with moderate to severe scarring.
Personally, I would never consider full ablation as a treatment option for me because I have extensive atrophic scarting on my cheeks and chin, and due to this atrophy I am afraid that the laser could easily burn the deeper layers of my skin. At least that's what I think as a non-specialist.I will have to ask Dr Emil. Idon't want to trade off scars for burns, at least for scars there's still some hope forimprovement:)
I would consider some fractional ablation, though, way way down the road on my scar correction journey to smooth things out in the end. I expect 10% improvement at the most. Knowing myself I'll probably ask thousand questions beforehand because I'm quite apprehensive of more aggressive procedures.
Do youconsider lasers for yourself as an option?Peels?
1 hour ago, Dilyana said:I agree with everything you've written. Thanks for sharing thisinformation. It only confirms my opinion on lasers.
Full ablation is a brutal procedure with huge risks and minimal to average (in mild cases of scarring) results. However, lasers are supposed to work well for rolling and boxcar scars.I've talked to people with such mild superficialscars and they do report 60% improvement from full ablation(while they also suffered side effects, though!)Unfortunately, this doesn't apply to most patients with moderate to severe scarring.
Personally, I would never consider full ablation as a treatment option for me because I have extensive atrophic scarting on my cheeks and chin, and due to this atrophy I am afraid that the laser could easily burn the deeper layers of my skin. At least that's what I think as a non-specialist.I don't want to trade off scars for burns, at least for scars there's still some hope forimprovement:)
I would consider some fractional ablation, though, way way down the road on my scar correction journey to smooth things out in the end. I expect 10% improvement at the most. Knowing myself I'll probably ask thousand questions beforehand because I'm quite apprehensive of more aggressive procedures.
Do youconsider lasers for yourself as an option?Peels?
Probably fractional laser next year In winter , after i ve done everything to lift my scars as much as possible with Dr Emil , just to do some resurfacing for superficial things , but i am not decided yet , i ll ask Dr Emil , what is His opinion , i am kinda afraid of lasera
Good article about rf. Also helpful list of the references in the end.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4270307/#!po=84.3750
On 8/25/2020 at 2:32 AM, outkast93 said:@Sisi90 I wouldn't even characterize them as pimples because they are not inflamed. The doctor described it as milia like @Kristineellen said he prescribed us Clindamycin and it literally went away in 2-3 days. @tortoiseshell9 is on the money.
@DilyanaLasers aren't for everybody for people like me that have darker skin, Genius is currently the best option. See @shei514's post its incredibly detailed and shes gotten amazing results.
Good to know. 
10 hours ago, Dilyana said:I've talked to people with such mild superficial scars and they do report 60% improvement from full ablation(while they also suffered side effects, though!)
Hey i have superficial scars . Who are those that got 60% from lasers? Are they on acne.org and what side effects?
@Sisi90The most are on Instagram. There's a growing community of #acnepositivity #acnescarpositivity there, documenting the struggles with acne, with scars with photos and videos. You can follow the hashtag #acnescars and #ablative lasers, ask questions on story or directly.From what I've heard and seen side effects are mostly hyperpigmentation and texture issues, patchy skin, but I've also seen burns.
Anyway Instagram has been a great place for honest reviews.
Page 10: From studies thus far with RF it appears that bipolar fractional microneedle and fractional bipolar RF have shown the best results for resolution of acne scars. A realistic improvement in cosmetic appearance in between 25% and 75% of affected skin can be expected with these treatments. It takes an average of three to four treatment sessions with one to two passes and 3 months posttreatment for these results to be fully appreciated.
2 hours ago, Sibel said:Page 10: From studies thus far with RF it appears that bipolar fractional microneedle and fractional bipolar RF have shown the best results for resolution of acne scars. A realistic improvement in cosmetic appearance in between 25% and 75% of affected skin can be expected with these treatments. It takes an average of three to four treatment sessions with one to two passes and 3 months posttreatment for these results to be fully appreciated.
From 25 to 75 , Thats prettywide range
For those who've done subcision plus GenRF, how long did it take for the microswelling to subside? i read somewherethat Dr Emil saidtwo weeks after subcision what you see iswhat you getbut I'm not sure that's the same with GenRF.
@Dilyana at least a month I would say
9 minutes ago, SaraTheGerman said:@Dilyana at least a month I would say
Thanks. Is the longer microswelling due tothe RF? Cause I've had the Dermapen before and the microswelling had resolved in 2 weeks. So the GenRF is more like a laser in terms of microswelling?