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I know most acne scar doctors don™t prefer dermabrasion. Which an be true if the scars are deep and need scar revision first. Like in this case first excision was done for bad scar and then dermabrasion done to remove any visible scarring signs from excision or just the rough texture. If someone doesn™t have deeper dents, shallow dents and hard edges and are safe Fitzpatrick wise can definitely go for dermabrasion.
https://clevelandcosmeticsurgery.com/dermabrasion-skin-texture/
Dermabrasion is the one of the best treatments for smoothing hard edges of scars. On one of the studies they mentioned that 2 sessions of co2 is equivalent to a dermabrasion session with a higher safety. Which makes sense on paper so it seems dermabrasion was ditched because of having lower safety profile but for people who have already tried conventional treatment for them taking risk imminent to see improvement. Because you are physically sanding the edges. But should not be done if the dents are deeper. The deeper dents needs to be close to the surface before dermabrasion. This method will not work for atrophy without any hard Edges for those scars below the surface work is needed.
I'm getting dermabrasion this year. Hopefully I'll have some before/afters to show.
5 hours ago, getsmart121 said:Fair point but you can definitely see the dents are not there
I didn't get that perfect a result so maybe she did more than just dermabrasion honestly speaking. But yeah if it goes your way I can totally affirm you can get a insane result. I'm surprised given her depth though. Maybe she did something first then dermabrasion.
1 hour ago, harmlessboy1441 said:
I didn't get that perfect a result so maybe she did more than just dermabrasion honestly speaking. But yeah if it goes your way I can totally affirm you can get a insane result. I'm surprised given her depth though. Maybe she did something first then dermabrasion.
Absolutely she did I never said only dermabrasion. Its excision for the deep scars first and then dermabrasion.
1 hour ago, getsmart121 said:Absolutely she did I never said only dermabrasion. Its excision for the deep scars first and then dermabrasion.
Yeah I should've clicked the link first. Yup she got a few things, so yeah it makes sense. That's pretty much a flawless outcome but the dermabrasion part literally blends it flawlessly if you're lucky and things are mostly level. For me I did not have level that's why I still have these issues. I just jumped into dermabrasion with some were not as level, some textural loss some rolling and it got in my opinion a 85% improvement because I was all icepicks, mostly level just not all, and good healing.
Still happy beyond belief from 2000s but I really wish I could get the rest cleaned up. I wonder if I should try an erbium resurfacing before I do a subscision/filler on one part,for the residual scars that are slightly not level (pores etc) and basically a few shallow things. I wonder if it will screw up the previous work though.
Acnescarring treatment is doubl edged sword. U shouldundertake when the benefits outweigh the risk. It wont undo the previous treatment. Its not like the scars will come back. Its just that we dont want things to sen. full ablation is not that deep with a laser compared to dermabrasion so I guess you cant go wrong just let the doctor know of your previous treatment.
20 minutes ago, getsmart121 said:Acnescarring treatment is doubl edged sword. U shouldundertake when the benefits outweigh the risk. It wont undo the previous treatment. Its not like the scars will come back. Its just that we dont want things to sen. full ablation is not that deep with a laser compared to dermabrasion so I guess you cant go wrong just let the doctor know of your previous treatment.
Yep, I actually sought out another dermabrasion but I called 2 doctors with pictures they didn't want to touch it, no real comments from one, the other felt I had unrealistic expectations or that dermabrasion would work only for deeper he said. So I guess my scars are way too shallow that the risks wouldn't outweigh? But still, I don't like how it's still very murky texturally and lots of scars that are just well blended but still very evident if you prod them. Sometimes I wonder if it's just the fat loss but idk.
I was considering an erbium but i really don't know. If I shave and take a photo I'll send and maybe you can give me an honest opinion. I personally have no clue if they are too shallow or what not to pursue, because the dermabrasion wasn't perfect. I'm kind of in that gray area. Might just have to live with it superficially but am not happy with this either.
I'm going to have this done.
Should I go to missmacay's plastic surgeon in Beverly hills?
Or should I go to this doc in Tulsa ?
https://www.dermatologylaserok.com/scars-dermabrasion.html#accordion
2 hours ago, dirigo39 said:I'm going to have this done.
Should I go to missmacay's plastic surgeon in Beverly hills?
Or should I go to this doc in Tulsa ?
https://www.dermatologylaserok.com/scars-dermabrasion.html#accordion
I believe in your case more work is needed on the base before you go and trim the edges. Maybe you can try Taylor Subcision to see how much scars lift first and then go for dermabrasion. You dont want to go that deep with dermabrasion so anything you could do lift the area is recommended.it might take you 6 months more to do it but is a safer approach. You have done cannula till now ?
6 hours ago, dirigo39 said:I'm going to have this done.
Should I go to missmacay's plastic surgeon in Beverly hills?
Or should I go to this doc in Tulsa ?
https://www.dermatologylaserok.com/scars-dermabrasion.html#accordion
I haven™t seen your pics, but if I had to do it all over again I™ll do liberator subcision first to release or raise what needs to be raised up and then do dermabrasion to refine/buff the remaining scars/edges (easier to buff off superficial scarring). Go for consultation/talk to the doctor and see which one you think aligns or understands your vision/goals. And don™t worry about dermabrasion going too deep if you go to the right doctor they know not to do so. I remember asking my Doctor to be aggressive and go deeper due to my desperation but he refused saying I would be scarred and he said his rule no. 1 is do no harm. I™m glad I listened (did it 2x). But keep in mind that recovery is hellish and depressing and multiply the stated recovery time 2x or 3x. Don™t do it if you have tan or darkish skin or if you have suicidal tendencies; you™ll need to be OCD with sunscreen after. You™ll look like a burn victim for a week or two then a tomato for months and then a geisha for several months and back to almost normal around 1year post dermabrasion. Goodluck!
Again it™s hard to trust reviews, posts, opinions, advices of people online so I am attaching my old dermabrasion receipts here for some sort of transparency and credibility hehehe. That™s my doctor™s old office and the 20% discount/professional courtesy is because I am a RN.
17 hours ago, getsmart121 said:I believe in your case more work is needed on the base before you go and trim the edges. Maybe you can try Taylor Subcision to see how much scars lift first and then go for dermabrasion. You dont want to go that deep with dermabrasion so anything you could do lift the area is recommended.it might take you 6 months more to do it but is a safer approach. You have done cannula till now ?
Yes, 2 cannula and 2 nokor. Last one was a nokor and the edges looks worse. Isn't a Taylor lib suppose to be worse than a nokor?
Hmm can you post pictures a little in normal lights. Likebright room level lights. I think the Taylor liberator and nokor is same type of cutting . It cuts everything. Usually it takes for the body to get in the motion of starting to produce collagen. I would say after 2 treatments I wasnt seeing any results. After third treatments I started to see results. My third treatment was with dr Taylor. My texture worsened but my scars improved.
15 hours ago, getsmart121 said:Hmm can you post pictures a little in normal lights. Like bright room level lights. I think the Taylor liberator and nokor is same type of cutting . It cuts everything. Usually it takes for the body to get in the motion of starting to produce collagen. I would say after 2 treatments I wasn™t seeing any results. After third treatments I started to see results. My third treatment was with dr Taylor. My texture worsened but my scars improved.
Your texture worsen? I think part of the reason my scars look deep is because I have thin skin.
You mean this lighting? Same cheek.
8 hours ago, dirigo39 said:
Your texture worsen? I think part of the reason my scars look deep is because I have thin skin.
You mean this lighting? Same cheek.
Just my opinion¦I think your scarring aren™t that bad and the type that I think will respond well to treatment. In my opinion you are a good liberator subcision candidate. I have similar kinda saucer rolling scars and subcision kinda erased it. The texture can be improved by laser or dermabrasion but subcision I think will give u the most perceptible improvement in your case. Goodluck!
I think Subcision and fillers is the route to go. Especially that big depression. Once the tether are cut and filled in with ha filler that scar should improve by 70 percent. Yes in normal lighting your scars are not bad. It doesnt look like you need edge shaving. More like lifting the area is needed. Unless you see texture in person.
pits hard to explain but the laser kind of game me new scars I mean scarred pores as you now it is fractional laser. You are damaging skin fractionally and hoping it would heal.
On 3/26/2022 at 6:42 PM, MissCamay2005 said:Just my opinionI think your scarring arent that bad and the type that I think will respond well to treatment. In my opinion you area good liberator subcision candidate. I have similar kinda saucer rolling scars and subcision kinda erased it. The texture can be improved by laser or dermabrasion but subcision I think will give u the most perceptible improvement in your case. Goodluck!
Thank you, but that lighting was direct and doesnt show the depression. And I've already had 4 subs. The first photos are more what my scars look like.
On 3/27/2022 at 4:44 PM, getsmart121 said:I think Subcision and fillers is the route to go. Especially that big depression. Once the tether are cut and filled in with ha filler that scar should improve by 70 percent. Yes in normal lighting your scars are not bad. It doesnt look like you need edge shaving. More like lifting the area is needed. Unless you see texture in person.
pits hard to explain but the laser kind of game me new scars I mean scarred pores as you now it is fractional laser. You are damaging skin fractionally and hoping it would heal.
I've ready had 4 subs, and that big one was worse by punch excision. Missmacay wrote that ha filler didn't help her. And I can't find many post even on this website saying ha fillers helped them.
Nope, its Bellafill that dint do anything for me Bellafill is not a HA filler, I believe it is made of Bovine Collagen and PMMA. maybe because I didnt do it in conjunction with subcision before.I did see some improvements though with sculptra (in conjunction with subcision).Ive also tried voluma for facial volume and loved it. But for acne scars, again per Dr. Hazany and Dr. Lim - fillers alone cannot raise/elevate acne scars due to tethering/ attachments to the tissues below plus liquid trek to areas of less/least resistance. In my opinion, subcision like dermabrasion is highly dependent on the skills of the doctor..