From those pics, it's not 100% clear, but it does look like rolling box car and maybe some ice picks. I think your strategy is good, , I understand being against laser, but it does have the most clinical data backing it compared with RF. It may be good to smooth out after your treatments. A chemical peel is an alternative.

If you are still getting acne then yes controlling that with accutane is top priority. Personally I had severe acne but 3 months after my first pill I stopped getting new cysts, and this was only on a low dosage (20mg a day first month, 10mg a day thereafter). A low dosage of accutane will allow you to continue to get treatment for scars during accutane safely.

So yeah, few months then get your treatments. bare in mind, accutane for many including myself caused purge period, and it was in this period I got the worst of my scarring unfortunately, but the alternative is to allow it to continue to build and scar over yeras so better to do it now.

The scars I imagine are fairly old now?

6 minutes ago, JudgmentPuzzleheaded said:

From those pics, it's not 100% clear, but it does look like rolling box car and maybe some ice picks. I think your strategy is good, , I understand being against laser, but it does have the most clinical data backing it compared with RF. It may be good to smooth out after your treatments. A chemical peel is an alternative.

If you are still getting acne then yes controlling that with accutane is top priority. Personally I had severe acne but 3 months after my first pill I stopped getting new cysts, and this was only on a low dosage (20mg a day first month, 10mg a day thereafter). A low dosage of accutane will allow you to continue to get treatment for scars during accutane safely.

So yeah, few months then get your treatments. bare in mind, accutane for many including myself caused purge period, and it was in this period I got the worst of my scarring unfortunately, but the alternative is to allow it to continue to build and scar over yeras so better to do it now.

The scars I imagine are fairly old now?

I'm 28. Scars are probably 5-6 years old now, some are newer (such as on my forehead, they came in the last 6months - thankslockdown stress).

Appreciate your insight, I think you're right and will jump into accutane and ideally on low dose so I can get some treatments concomitantly. Tbh I have not had a big breakout for years until earlier this year, which is why I was more focused on scar revision via dermapen. Which yeah helped a bit in terms of texture/PIH but also seemed to increase oil production by about 2000%, not sure if anyone else had this. Before that I was combo skin, oiler than my friends with good/normal skin but nothing out of the ordinary. Now it's outrageously so, to the tune of blotting whole face every 30 minutes. It's debilitating!!!!

I'm not totally against laser but I have sensitive skin and seen too many people shell out thousands for poor results and huge downtime/months of redness. Not sure I could handle that

I think sub+filler would help you and from an outside perspective your scars are not severe. mild/moderate honestlynot bad at all!Be careful with energy devices as they can make your skin worse.

1 hour ago, Acnescars6665 said:

I think sub+filler would help you and from an outside perspective your scars are not severe. mild/moderate honestlynot bad at all!Be careful with energy devices as they can make your skin worse.

I mean in the first photo they look severe to me, but i guess everyones scars look severe in this lighting. in other pictures yeah it doesn't seem particularly bad but photo quality could be better.

1 hour ago, Tja393399 said:

I'm 28. Scars are probably 5-6 years old now, some are newer (such as on my forehead, they came in the last 6months - thankslockdown stress).

Appreciate your insight, I think you're right and will jump into accutane and ideally on low dose so I can get some treatments concomitantly. Tbh I have not had a big breakout for years until earlier this year, which is why I was more focused on scar revision via dermapen. Which yeah helped a bit in terms of texture/PIH but also seemed to increase oil production by about 2000%, not sure if anyone else had this. Before that I was combo skin, oiler than my friends with good/normal skin but nothing out of the ordinary. Now it's outrageously so, to the tune of blotting whole face every 30 minutes. It's debilitating!!!!

I'm not totally against laser but I have sensitive skin and seen too many people shell out thousands for poor results and huge downtime/months of redness. Not sure I could handle that

imo if your acne hasn't faded with age by now it isn't going to for a long time. i was the same. i plan to be on low dose accutane for a very long time (2-5 years) since i have 0 negative side effects from it, and i want to nuke my acne into remission forever.

Angle lighting is a bitch, but your scars are not severe, not even close. As I cant see any ice-picks or rough box-scars your choice of treatment is pretty much straight forward and this is good. So yeah, your treatment plan is perfect imo.

7 hours ago, JudgmentPuzzleheaded said:

i was the same. i plan to be on low dose accutane for a very long time (2-5 years) since i have 0 negative side effects from it, and i want to nuke my acne into remission forever.

idk but you think thats better than taking a high dose over a 6 to 12 month period?

10 hours ago, Tja393399 said:

Lurker for a while, desperately need some advice...

I've recently been recommended to take accutane for my adult acne and excessively oily skin. I've never taken it (how I wish I had done when I first started getting acne, but it was apparently not 'bad' enough for accurane. I was always relatively clear other than the odd pimple - which I had a bad habit of picking. 

Anyway throughout university I started to scar. Coupled with poor habits (smoking, bad diet etc) my skin was getting worse and worse, but still 'manageable'. After I graduated I then was given poor advice to try dermapen- I did 7 sessions of this over 2 years because the temporary swelling fooled me into thinking it was improvement (from my research I now know this was never what I needed doing as my scars are rolling and quite severe). 

Anyway, I've now been left with excessively thin skin and widespread scarring. I'm olive skin toned but now burn under the slightest of sun, even if reapplying SPF 50 regularly.

How should I go about improving this? I was thinking Subcision w/ cannula + sculptra, wait 3 months then infini RF x2, subcision + sculptra etc etc. I'm really against lasers if possible

 Attaching pics below, tried to get the harshest light possible.

Lol every treatment has side effects some more than others. Rf can also fat loss if they go deep. Watch Steven weiner videos where he is using rf to melt jaw line fat. If it can melt jaw fat so can it also melt face fat. Ibeleive subcision is the least side effect one. Either you get results or none but more so like temporary side effects

2 hours ago, getsmart121 said:

Lol every treatment has side effects some more than others. Rf can also fat loss if they go deep. Watch Steven weiner videos where he is using rf to melt jaw line fat. If it can melt jaw fat so can it also melt face fat. Ibeleive subcision is the least side effect one. Either you get results or none but more so like temporary side effects

 

So you wouldn't recommend RF in my case where there's already been fat loss? I was just thinking of going a safe depth like 1.5-2mm to reduce the risk. What would you recommend instead of RF to resurface?

12 hours ago, Acnescars6665 said:

I think sub+filler would help you and from an outside perspective your scars are not severe. mild/moderate honestlynot bad at all!Be careful with energy devices as they can make your skin worse.

Thank you both, we are our own worst enemies when it comes to scarring/flaws, I really needed to hear this:))

10 hours ago, Candy Says said:

Angle lighting is a bitch, but your scars are not severe, not even close. As I cant see any ice-picks or rough box-scars your choice of treatment is pretty much straight forward and this is good. So yeah, your treatment plan is perfect imo.

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