Well,
I'm sorry to hear all these things,
But katie is now several months after TL and Fully ablative CO2 and her results are amazing.
Then TL if performed with tumescent anesthesia, which inside has triamcinolone which reduce the inflammation, that is the main reason why scars reattach so filler is unneccesary. Also using adrenaline, this reduce the caliber of blood vessels so there should be little blood even if some vessels are cut.
I know dr H can have some pictures where the light is not exactly perfect but still if you zoom the pictures are not photoshopped and you can see the scars lifted.
Then according to fully ablative laser, before talking crap about it: collaneogenesis occurs because there is a damage and an inflammation due to that damage, so the longer the inflammation the longer the collaneogenesis. That's why with microneedling you don't have those great results whether with laser you have better results.
and @Catharsis2018 who is the doctor which uses V-shaped cannula? i'm interested in that 
Thank you
3 hours ago, stevenlleida said:Well,
I'm sorry to hear all these things,
But katie is now several months after TL and Fully ablative CO2 and her results are amazing.
Then TL if performed with tumescent anesthesia, which inside has triamcinolone which reduce the inflammation, that is the main reason why scars reattach so filler is unneccesary. Also using adrenaline, this reduce the caliber of blood vessels so there should be little blood even if some vessels are cut.
I know dr H can have some pictures where the light is not exactly perfect but still if you zoom the pictures are not photoshopped and you can see the scars lifted.
Then according to fully ablative laser, before talking crap about it: collaneogenesis occurs because there is a damage and an inflammation due to that damage, so the longer the inflammation the longer the collaneogenesis. That's why with microneedling you don't have those great results whether with laser you have better results.
and @Catharsis2018 who is the doctor which uses V-shaped cannula? i'm interested in that
Thank you
Any source that can verify your claims In your posts ?
any good phisiology book
Being serious i try to give my best:
well katie's results are a personal opinion but to me it looks a great improvement!
Tumescent anesthesia is well known in the plastic surgeon's world so you can find there loads of info.
Triamcinolone is a steroid and its function is to stop inflammation, you know it's inflammation that causes adhesion, same as when you have acne, you have a prolonged inflammation that leads to formation of fibrotic bands. I'm sorry i do try my best to explain it in the easiest way, if you want it "more medical grade terms" i'll do my best even in that
"Adrenaline also triggers the blood vessels to contract to re-direct blood toward major muscle groups, including the heart and lungs" and that action is due to it's effects on adrenergic receptors.
According to wound healing for example microneedling follow this path: every time you have a damage to your skin what happens is that you have 3/4 phases:
1. inflammatory usually 1st-6th day, you have vasocostriction+coagulation so the wound stops bleeding this around 5-10 minutes after (that's why you apply ice+pressure). Then you have vasodilation and increase in permeability so more elements reach that zone and you have an improvement in the inflammatory mediators like serotonin, histamine, NO etc.
2. Cellular response: where you find neutrophils, lymphocytes and especially macrophages which are important because they produce growth factors stimulating fibroblasts to proliferate.
3. Proliferation: here you have formation of matrix, which is necessary to make the granulation tissue grow so there is an increase in the thickness.
4. Remodelling: here you already had in phase 3 a production of collagen, which must be produced and at the same time destroyed because there has to be an equilibrium.
Then if you look on 101 Davin lim - Instagram there is the graph that explains this in particular: fully ablative co2 is the laser that allows the body to produce the greater amount of collagen followed by fully ablative erbium resurfacing and co2 fractional and then erbium fractional.
I hope i answered some of your points if not, i'll be happy to answer more but i didn't want to write a book about it!!
On 12/17/2020 at 3:21 AM, Miro said:I m not saying there cant be improvement with TL or Full ablative , its risky as hell and there are other methods that can deliver similar or better results with significantly less risks / side effects , thats it. And problem is that improvement of acne scars is limited , no matter what u do cant remove scars so they will be still there, u need to think carefully what u allow your dr to do with your face , nobody wants side effects.
What do you recommend as far as treating acne scars in a way that is less risky but still very effective?
9 minutes ago, Tonitrus09 said:What do you recommend as far as treating acne scars in a way that is less risky but still very effective?
Find goodacne scar specialist , dr that truly cares about hispatients and takes acne scars treatmentas helping people , not just some moneygrabber , have realistic expectations and u will get improvement . Internet is full of people that will givu u contradictory and sometimes dangerous advices . I think we need to realize that acne scars are not cosmetic but medical condition u need a Dr that knows what he s doing , if u have problem with yout teeths u go to dentist , dont u ?And as for my post , subcision can bedone safe with little side effects with cannula , not screwdriver to your face that has many potential side effects . Laser treatment can bedone with fractional CO2 , its very safe treatment , why take unnecesery risk with full ablative ? As i said find gooddr that will examine your skin and recomends treatment . Gl
On 2/28/2021 at 1:41 PM, Miro said:Find goodacne scar specialist , dr that truly cares about hispatients and takes acne scars treatmentas helping people , not just some moneygrabber , have realistic expectations and u will get improvement . Internet is full of people that will givu u contradictory and sometimes dangerous advices . I think we need to realize that acne scars are not cosmetic but medical condition u need a Dr that knows what he s doing , if u have problem with yout teeths u go to dentist , dont u ?And as for my post , subcision can bedone safe with little side effects with cannula , not screwdriver to your face that has many potential side effects . Laser treatment can bedone with fractional CO2 , its very safe treatment , why take unnecesery risk with full ablative ? As i said find gooddr that will examine your skin and recomends treatment . Gl
Got it - thank you for the advice! It's just hard to find a good doctor. Almost every doctor I've seen online / on this forum who is considered a "preferred provider" also has negative reviews / controversy surrounding them so it's honestly hard to determine who is legit. Before/afters faked or doctored. Fake reviews online. How do you even tell what's real anymore?
1 hour ago, Tonitrus09 said:Got it - thank you for the advice! It's just hard to find a good doctor. Almost every doctor I've seen online / on this forum who is considered a "preferred provider" also has negative reviews / controversy surrounding them so it's honestly hard to determine who is legit. Before/afters faked or doctored. Fake reviews online. How do you even tell what's real anymore?
Where are u from ?