1 hour ago, Tonitrus09 said:Question...I've had Fraxel 1550 many times with little to no result...I have depressions in my skin that are rolling and boxcar scars. I am thinking that fully ablative laser would help lift them. Will try TCA cross first. Would CO2 laser be a good choice for fully ablative laser to try to fill in / raise the depressions in my skin?
As it's name implies, fully ablative laser will remove the surface layer in its entirety. However, this is not the best approach for "lifting" the depressed rolling/boxcars. Fractional CO2 or RF micro will be better suited for this purpose.
However, note that all the treatments you mentioned above pretty much serve the same purpose, namely heat-induced collagen remodeling. But "collagen remodeling" in this context should be understood as collagen tightening, not collagen production. Unless you have very shallow scars or finewrinkles, these treatmentswon't stimulate enough collagen to fill up your scar pits. For that, it's much easier (and cheaper) to get dermal filler.
1 hour ago, Sirius Lee said:As it's name implies, fully ablative laser will remove the surface layer in its entirety. However, this is not the best approach for "lifting" the depressed rolling/boxcars. Fractional CO2 or RF micro will be better suited for this purpose.
However, note that all the treatments you mentioned above pretty much serve the same purpose, namely heat-induced collagen remodeling. But "collagen remodeling" in this context should be understood as collagen tightening, not collagen production. Unless you have very shallow scars or finewrinkles, these treatmentswon't stimulate enough collagen to fill up your scar pits. For that, it's much easier (and cheaper) to get dermal filler.
Thank you! I do plan on getting fillers eventually. But I think I should do TCA first to make sure any harsh scar edges are softened. Hey, what would be the name of a Fractional CO2 laser? I will look into this. I am currently trying RF microneedling but not sure how much that will help as my rolling / boxcar scars are quite deep, some of them...
32 minutes ago, Tonitrus09 said:Thank you! I do plan on getting fillers eventually. But I think I should do TCA first to make sure any harsh scar edges are softened. Hey, what would be the name of a Fractional CO2 laser? I will look into this. I am currently trying RF microneedling but not sure how much that will help as my rolling / boxcar scars are quite deep, some of them...
Any pictures? Have you researched subcision for rolling scars? Ifknow a good doctor who has extensive experience with lasers, CO2 treatment for boxcars may be beneficial. Fully ablative CO2 lasers are a high reward/high risk type of procedure suitable for very light skinned individuals. Fractional CO2 is better for darker skinned people and those who want a shorter recovery time with fewer risks.
7 hours ago, Amanda Hall said:Any pictures? Have you researched subcision for rolling scars? Ifknow a good doctor who has extensive experience with lasers, CO2 treatment for boxcars may be beneficial. Fully ablative CO2 lasers are a high reward/high risk type of procedure suitable for very light skinned individuals. Fractional CO2 is better for darker skinned people and those who want a shorter recovery time with fewer risks.
I've already mentioned it in the poster's own thread but it is worth mentioning again. Red head skin types, very light with freckles are in the same higher risk category as darker skin tones for developing keloids from laser.
1 hour ago, TheOraclesDream said:I've already mentioned it in the poster's own thread but it is worth mentioning again. Red head skin types, very light with freckles are in the same higher risk category as darker skin tones for developing keloids from laser.
Oh, the response was for Tonitrus09! 
On 2/25/2021 at 6:17 AM, Amanda Hall said:More power to ya then. I wish everybody could see that much improvement!
Keep us updated on your treatments and let us know how much they improve.
23 hours ago, Amanda Hall said:Any pictures? Have you researched subcision for rolling scars? Ifknow a good doctor who has extensive experience with lasers, CO2 treatment for boxcars may be beneficial. Fully ablative CO2 lasers are a high reward/high risk type of procedure suitable for very light skinned individuals. Fractional CO2 is better for darker skinned people and those who want a shorter recovery time with fewer risks.
Hi! I posted pictures in another thread yesterday that I started - not sure if you're able to view my other forum posts.
Which doctor do you know? I'm in the Boston area. I did have subcision but it was not the traditional field subcision and it was done only on certain individual scars
What's an example of a fractional CO2 laser? Certain brand/name that is typically used for this treatment?
Thanks!
On 2/26/2021 at 1:44 PM, Tonitrus09 said:Hi! I posted pictures in another thread yesterday that I started - not sure if you're able to view my other forum posts.
Which doctor do you know? I'm in the Boston area. I did have subcision but it was not the traditional field subcision and it was done only on certain individual scars
What's an example of a fractional CO2 laser? Certain brand/name that is typically used for this treatment?
Thanks!
I don't know any doctors in that area. I had TotalFX - not super new but it's powerful. Halo is a newer one but I don't have experience with it.