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What should I do next? Nothing works.

 
MemberMember
390
(@dirigo39)

Posted : 06/13/2022 10:02 am

Well there is another option. Thailand and the Philippines.

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MemberMember
678
(@baylenbb)

Posted : 06/13/2022 8:03 pm

On 6/9/2022 at 1:23 AM, dirigo39 said:

It's only been 5 days post dermabrasion and I've only got a little pinkness left. Don't want to be pessimistic but what a waste. Had I known this, I would have asked him to go deeper. 

Well now, I know what to ask the next dr. 

Seeing as how fast I healed, maybe I only I have to wait 5 months for my next dermabrasion??

@harmlessboy1441 did your Dr do your temples and nose also?

 

PXL_20220609_051602314.jpg.2adad503ff2f826a1692d90d6763892a.jpg

Not five, three months. 

On 6/9/2022 at 4:31 PM, dirigo39 said:

6 day post

The 2 people in Cleveland: try calling the clinic where they train residents. Plastic surgery Department 

 

PXL_20220609_161503366.MP.jpg

What is that sticker on your cheek?

On 6/10/2022 at 4:02 PM, dirigo39 said:

 

Actually the dermatologist that did my sculptra 2 years ago bought up that she did dermabrasion. She said she did the aggressive version that requires putting the patient to sleep. She wanted 10k I think so that's a no. She had skin similar to missmacay. I'll ask her a few more questions when I see her for my sculptra. 

There's got to be a few left somewhere. It's not popular so it's not advertised either. I'm calling around and just asking point blank if they front desk can ask their surgeon is he/she comfortable doing aggressive dermabrasion.

10K is excessive but since she started unreasonable high, you negotiate by starting at your unreasonably low. She will come down. The average for an actual dermabrasion is between $1,200-$4,000, $4,000 being celebrity doctor, lol. You keep bargaining and using "I'm in college, I can't even afford ramen noodles" appeal. Doctors who do not meet you in the middle or satisfy your budget, you can walk away and search elsewhere. Sometimes they say "Ok, I'll do it for X price, but allow me to take/publish pictures for my website" and you agree or not. I know it sucks to have to negotiate to doctors, but they are in business for your cash. It's the simple truth. Just like you're only coming in for their particular equipment and/or skill to further your optimal results. 

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MemberMember
678
(@baylenbb)

Posted : 06/13/2022 8:31 pm

I rarely ever share doctors I'm going to here because I believe you should scout for doctors near your own area. However, I saw you're talking about dermabrasion in Florida, if you're near here, I'll give you the doctor I'm getting dermabrasion at in August of 2022. Note that I do not know his track record well to recommend him but I will tell you that the price I am paying is $2,700 and that his office manager stated the procedure would require TWO WEEKS to heal. She said he would use lidocaine injection, which I'm fine with because I hate sedation (my phobia of needles in arm). I am to see him around mid-July for pre-op where he discusses in person with me what will occur exactly and give me instructions. This is my moment to truly decide if he and I are completely on the same page in terms of results and the procedure expectations (otherwise I get my 25% deposit back and seek another dr). I will mention my extreme concerns such as scarring occurring from the procedure, or hypopigmentation, or doing full face instead of just cheeks to blend it better... it is highly important to be completely clear with doctor so that you do not waste precious time and money. I learned this many times the hard way.

The doctor I'm going to has an instagram, discussing dermabrasion. Here is the link for you.

Dr. Rubenstein: https://www.instagram.com/tv/CVNy5C3JCzx/?utm_source=ig_web_copy_link

He has two instagram pages, the main account is linked in the instagram post.

I was also looking at other doctors I never got the chance to see or call because of either scheduling issues or other.

Dr. Lampert: https://www.instagram.com/tv/CapnY1HqTSo/?utm_source=ig_web_copy_link

Dr. Bustillo: https://www.drbustillo.com/cosmetic-procedures/dermabrasion

Dr. G: https://drgcosmeticsurgery.com/dermabrasion/

Orlando doctor: https://www.wedofaces.com/skin-care/dermabrasion/

Again, you don't need to travel long distances for a procedure like this, it just takes searching like a hound. But maybe this will aid you in some way, at least what to look for.

I'm following to see your regular updates, best of luck while healing.

 

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MemberMember
390
(@dirigo39)

Posted : 06/13/2022 9:26 pm

@Dontgiveupitsonlyscars

The patch is DuoDerm hydrocolloid extra thin. It keeps any wound moist and I like that brand because it moves with your face.

Thanks for the info. So you're going to Dr. Rubenstein? It's weird they asked for a deposit before you even got a consult.

I called the Orlando office and the front desk said only the nurse did dermabrasion. She just couldn't understand that I wanted to see the doc only. Weird.

Some names I would add too is

Nicolas Gahhos Venice FL.

I want what harmlessboy had. It sounds like his doctor went down to his collagen. The 2 weeks they told you can mean different things. The 2 users here said they werent comfortable going back to work for a month.

Dr. Sparano charged $1400 fyi.

I asked the derm if she was comfortable doing it with just a local anesthesia and she said no.

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MemberMember
678
(@baylenbb)

Posted : 06/13/2022 11:16 pm

1 hour ago, dirigo39 said:

@Dontgiveupitsonlyscars

The patch is DuoDerm hydrocolloid extra thin. It keeps any wound moist and I like that brand because it moves with your face.

Thanks for the info. So you're going to Dr. Rubenstein? It's weird they asked for a deposit before you even got a consult.

I called the Orlando office and the front desk said only the nurse did dermabrasion. She just couldn't understand that I wanted to see the doc only. Weird.

Some names I would add too is

Nicolas Gahhos Venice FL.

I want what harmlessboy had. It sounds like his doctor went down to his collagen. The 2 weeks they told you can mean different things. The 2 users here said they werent comfortable going back to work for a month.

Dr. Sparano charged $1400 fyi.

I asked the derm if she was comfortable doing it with just a local anesthesia and she said no.

I had a consult with him before, although the consult was for excision around October. He refused to do any excisions and only recommended dermabrasion.

Interesting, maybe this too would be a light surface sanding which is NOT what I want. Ill see how it goes at the pre-op.

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MemberMember
390
(@dirigo39)

Posted : 06/14/2022 10:15 am

10 hours ago, Dontgiveupitsonlyscars said:

I had a consult with him before, although the consult was for excision around October. He refused to do any excisions and only recommended dermabrasion.

Interesting, maybe this too would be a light surface sanding which is NOT what I want. Ill see how it goes at the pre-op.

 

Keep us updated on what Rubenstein says. I'll see what Gahhos says.

 

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MemberMember
790
(@harmlessboy1441)

Posted : 06/14/2022 6:03 pm

7 hours ago, dirigo39 said:

 

Keep us updated on what Rubenstein says. I'll see what Gahhos says.

 

I know you got a "light sanding" so-to-speak but let us know if you noticed any improvement at all and/or in what way, to be honest I'm curious how any dermabrasion even light affected your scars if at all. How are you healing, well I hope.

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MemberMember
390
(@dirigo39)

Posted : 06/15/2022 6:47 pm

Dermabrasion is so antiquated that 90% of the front desk people ive spoken are adamant their doctors don't do it, including the office whose doctor said it herself.

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MemberMember
1353
(@getsmart121)

Posted : 06/17/2022 12:30 am

On 6/14/2022 at 10:15 AM, dirigo39 said:

 

Keep us updated on what Rubenstein says. I'll see what Gahhos says.

 

Are you seeing any difference as of now?

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MemberMember
1353
(@getsmart121)

Posted : 06/17/2022 2:13 pm

Looks like David rahimi also does this

 

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MemberMember
790
(@harmlessboy1441)

Posted : 06/17/2022 2:33 pm

On 6/15/2022 at 7:47 PM, dirigo39 said:

Dermabrasion is so antiquated that 90% of the front desk people ive spoken are adamant their doctors don't do it, including the office whose doctor said it herself.

It's not that it's "antiquated" it's just been replaced because they said that lasers were better and safer starting around 2009-2020. I got mine in 2004 I'd say. But yes they say it's antiquated, flawed, too risky, and/or the one's that do say they do it really mean microdermabrasion or there's this ambiguity about what pre-2009 dermabrasion was.

It's very weird but I do think it's sort of a discarded thing except for a few maybe Idk.

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MemberMember
390
(@dirigo39)

Posted : 06/17/2022 3:37 pm

I'll post an update monday. My guess is maybe 5% improvement. I started retin-a and hydroquinone every night to help with any possible pigmentation. 

Rahimi was doing a light touch it seems because blood hadn't come out yet. The video stopped before I could see when he stopped. When  Sparano did mine, I felt a mist of blood spraying on my neck. 

I'm not giving anyone ideas but...it seems anyone can buy the dermabrasion machine and do this. The only thing to learn is when to stop. And get the diamond fraise not wire brush. :# 

The dermatologist in Houston had acne scars herself too actually and had dermabrasion. Shehad mostly smooth skin but with 3-4 shallow but still obvious  scars. Wonder if she had it done by the late and great Dr Yarborough of New Orleans. He's was doing several dermabrasions a week at the height of his popularity. You'd think shed give a more affordable quote.  If I could get her to go down on pricing. At least I know she's not afraid to go deep. 

I actually don't think you need general anesthesia. IV sedation is OK, actually local is probably ok too. 

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MemberMember
129
(@kay24)

Posted : 06/18/2022 12:29 pm

Did you share the price on this dermabrasion? I have no idea the cost range on this.

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MemberMember
790
(@harmlessboy1441)

Posted : 06/18/2022 2:55 pm

23 hours ago, dirigo39 said:

I'll post an update monday. My guess is maybe 5% improvement. I started retin-a and hydroquinone every night to help with any possible pigmentation. 

Rahimi was doing a light touch it seems because blood hadn't come out yet. The video stopped before I could see when he stopped. When  Sparano did mine, I felt a mist of blood spraying on my neck. 

I'm not giving anyone ideas but...it seems anyone can buy the dermabrasion machine and do this. The only thing to learn is when to stop. And get the diamond fraise not wire brush. :# 

The dermatologist in Houston had acne scars herself too actually and had dermabrasion. Shehad mostly smooth skin but with 3-4 shallow but still obvious  scars. Wonder if she had it done by the late and great Dr Yarborough of New Orleans. He's was doing several dermabrasions a week at the height of his popularity. You'd think shed give a more affordable quote.  If I could get her to go down on pricing. At least I know she's not afraid to go deep. 

I actually don't think you need general anesthesia. IV sedation is OK, actually local is probably ok too. 

5% is definitely not good. But my guess is it was something similar to a medium level peel perhaps. I got quoted for a very shallow peel but I turned it down as peels don't seem either long lasting or very good for even superficial scars. 

I randomly use retin-a (tretinoin) but it's not had as much improvement as I would've liked with texture and discoloration. It might be because mine is more ingrained belowe. I might keep using it.

If you're comfortable post a pic when you recover to show what your still dealing with ie how deep or how sharp the edges are still.

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MemberMember
390
(@dirigo39)

Posted : 06/18/2022 5:24 pm

4 hours ago, Kay24 said:

Did you share the price on this dermabrasion? I have no idea the cost range on this.

I paid 1400

Don'tgiveup got quoted 2700

Missmacay paid around 4500 for a deep one

In older posts Dr. Yarborough charged around 5k

A dermatologist quoted me 10k for a deep one. Going to try to negotiate when I see her again.

If you're going to get it done, may as well be a deep one.On realself a girl went to Dr. Winslow in Carmel Indiana. You're kinda around that area, try her first.

 

Retin-a soften my scars quite a bit actually. But I'm forgetful and not consistent.

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Kay24, harmlessboy1441, Kay24 and 3 people reacted
MemberMember
790
(@harmlessboy1441)

Posted : 06/18/2022 5:35 pm

7 minutes ago, dirigo39 said:

I paid 1400

Don'tgiveup got quoted 2700

Missmacay paid around 4500 for a deep one

In older posts Dr. Yarborough charged around 5k

A dermatologist quoted me 10k for a deep one. Going to try to negotiate when I see her again.

If you're going to get it done, may as well be a deep one.On realself a girl went to Dr. Winslow in Carmel Indiana. You're kinda around that area, try her first.

 

Retin-a soften my scars quite a bit actually. But I'm forgetful and not consistent.

"Missmacay paid around 4500 for a deep one"

I paid $2850 back in 2004 that included general anesthesia. My guess would be the fair market rate for a deep dermabrasion would be $7500 now.

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MemberMember
390
(@dirigo39)

Posted : 06/18/2022 6:19 pm

43 minutes ago, harmlessboy1441 said:

"Missmacay paid around 4500 for a deep one"

I paid $2850 back in 2004 that included general anesthesia. My guess would be the fair market rate for a deep dermabrasion would be $7500 now.

 

General anesthesia seems really unnecessary. Past the top layer of the skin, you dontb feel anything.

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MemberMember
390
(@dirigo39)

Posted : 06/19/2022 2:40 pm

@Dontgiveupitsonlyscars

Props to Dr. Rubenstein for replying. But he doesn't know how to do a deep dermabrasion. 

 

 

Screenshot_20220619-153825.png

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MemberMember
790
(@harmlessboy1441)

Posted : 06/19/2022 3:40 pm

1 hour ago, dirigo39 said:

@Dontgiveupitsonlyscars

Props to Dr. Rubenstein for replying. But he doesn't know how to do a deep dermabrasion. 

 

 

Screenshot_20220619-153825.png

It might be the way you phrased it. For me the scabs form in 2 weeks and last like 2 more. I remember because my old doc said "let the new scabs push the bandages off naturally". Basically they were super sticky like glue almost, totally stuck to whatever was left of my skin. Then pieces became unstuck as new scabs/skin grew in and only half the bandage was left.

Then another 1-2 months red skin, 7-8 months pink skin. Something like that. He might not understand the above process basically.

For example if you never got huge scabs in your dermabrasion then it was distinctly different than mine. After all the only reason my bandages fell off was due to the scabs. It looked like the scabs where if you bump your knee or leg super hard and it bleeds and a scab forms, that kind. I remember walking around the house with like 1/3rd of the bandage still hanging on where there was no scab yet the other 2/3rds the scab pushed that part off.

I think these doctors nowadays feel dermabrasion is only "micro" because when I phoned 3 doctors they all referenced that. Two of my dermatologists thought I was talking rocket science and said "that's not dermabrasion I ever heard of" when I told them what I had. It's really bizarre to be honest why this black hole exists of pre-2008 dermabrasions. I tend to think after 2010 the agressiveness just ceased to lasers or something idk. My old doctor is retired now but he should've probably given lessons in dermabrasion to others before he left even if he was just a local doc.

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MemberMember
390
(@dirigo39)

Posted : 06/19/2022 4:49 pm

1 hour ago, harmlessboy1441 said:

It might be the way you phrased it. For me the scabs form in 2 weeks and last like 2 more. I remember because my old doc said "let the new scabs push the bandages off naturally". Basically they were super sticky like glue almost, totally stuck to whatever was left of my skin. Then pieces became unstuck as new scabs/skin grew in and only half the bandage was left.

Then another 1-2 months red skin, 7-8 months pink skin. Something like that. He might not understand the above process basically.

For example if you never got huge scabs in your dermabrasion then it was distinctly different than mine. After all the only reason my bandages fell off was due to the scabs. It looked like the scabs where if you bump your knee or leg super hard and it bleeds and a scab forms, that kind. I remember walking around the house with like 1/3rd of the bandage still hanging on where there was no scab yet the other 2/3rds the scab pushed that part off.

I think these doctors nowadays feel dermabrasion is only "micro" because when I phoned 3 doctors they all referenced that. Two of my dermatologists thought I was talking rocket science and said "that's not dermabrasion I ever heard of" when I told them what I had. It's really bizarre to be honest why this black hole exists of pre-2008 dermabrasions. I tend to think after 2010 the agressiveness just ceased to lasers or something idk. My old doctor is retired now but he should've probably given lessons in dermabrasion to others before he left even if he was just a local doc.

 

What's your retired doc's name btw?

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MemberMember
390
(@dirigo39)

Posted : 06/19/2022 8:51 pm

This whole thing might be next to impossible because a lot of them don't even advertise it, so Google is almost useless. 

And the  front office is no help because they don't know what that is and don't see it performed often. 

The only way is to ask the doctor directly, but whos going to pay the consultation fee each time. 

I just realized that Dr Rubenstein still looks through his Instagram on a Sunday and it's father's Day. lmao

 

what do you guys think? He's giving me vague answers. If he knew what I'm talking about, he'd answer in the affirmative right?

Screenshot_20220619-215623.png

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MemberMember
678
(@baylenbb)

Posted : 06/20/2022 11:02 pm

On 6/19/2022 at 9:51 PM, dirigo39 said:

This whole thing might be next to impossible because a lot of them don't even advertise it, so Google is almost useless. 

And the  front office is no help because they don't know what that is and don't see it performed often. 

The only way is to ask the doctor directly, but whos going to pay the consultation fee each time. 

I just realized that Dr Rubenstein still looks through his Instagram on a Sunday and it's father's Day. lmao

 

what do you guys think? He's giving me vague answers. If he knew what I'm talking about, he'd answer in the affirmative right?

Screenshot_20220619-215623.png

Haha, I didn™t even know you could message him and he™d respond! Thanks for sharing. 

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MemberMember
390
(@dirigo39)

Posted : 06/21/2022 7:45 am

On 1/29/2022 at 11:45 AM, dirigo39 said:

I've done 3 subs, 3 rf micro, 1 erbium pixel, 2 sculptra, tca. . That big one the middle has lunch excised but the doc didn't make the hole big enough. I will definitely get a few more punch excisions. Asian but don't really have a problem with pigmentation. 

PXL_20220118_145956674._exported_0_1643474498071~2.jpg

 

Top is my original photo from 6 months ago 

 

Below is 2 weeks post dermabrasion. It's redder in person and will probably take 1.5 months to fade. 

I think I found someone who goes deeper, he says he stops right before the fat layer 

 

PXL_20220620_162557256.jpg

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MemberMember
1353
(@getsmart121)

Posted : 06/21/2022 3:49 pm

On 6/17/2022 at 3:37 PM, dirigo39 said:

I'll post an update monday. My guess is maybe 5% improvement. I started retin-a and hydroquinone every night to help with any possible pigmentation. 

Rahimi was doing a light touch it seems because blood hadn't come out yet. The video stopped before I could see when he stopped. When  Sparano did mine, I felt a mist of blood spraying on my neck. 

I'm not giving anyone ideas but...it seems anyone can buy the dermabrasion machine and do this. The only thing to learn is when to stop. And get the diamond fraise not wire brush. :# 

The dermatologist in Houston had acne scars herself too actually and had dermabrasion. Shehad mostly smooth skin but with 3-4 shallow but still obvious  scars. Wonder if she had it done by the late and great Dr Yarborough of New Orleans. He's was doing several dermabrasions a week at the height of his popularity. You'd think shed give a more affordable quote.  If I could get her to go down on pricing. At least I know she's not afraid to go deep. 

I actually don't think you need general anesthesia. IV sedation is OK, actually local is probably ok too. 

are you sure you want to do dermabrasion for this? You don™t have hard edges per pic. You already have softer edges. You need to build collagen. Dermabrasion that deep could cause issues. Or they could be tethered. Seems to me a below surface problem than top. I thought you were going to try Taylor liberator? 

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MemberMember
390
(@dirigo39)

Posted : 06/21/2022 3:57 pm

8 minutes ago, getsmart121 said:

are you sure you want to do dermabrasion for this? You dont have hard edges per pic. You already have softer edges. You need to build collagen. Dermabrasion that deep could cause issues. Or they could be tethered. Seems to me a below surface problem than top. I thought you were going to try Taylor liberator?

 

Your advice is kind of all over the place. A page back you said i needed aggressive resurfacing and that taylor liberator wouldn't help because there's not much tethered anymore.

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