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Why is final improvement of acne scars usually not more than 70-80%?

 
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(@getsmart121)

Posted : 05/16/2022 4:51 pm

3 hours ago, Fehheh77 said:

Yeah, he shamelessly posts before-and-after pictures of patients with PIH in the afters, caused by lasers.

The thing is he post pictures too soon of patients like within a week. So there is a lot of swelling and stuff.

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(@Fehheh77)

Posted : 05/16/2022 5:37 pm

44 minutes ago, getsmart121 said:

The thing is he post pictures too soon of patients like within a week. So there is a lot of swelling and stuff.

True. Then its pretty easy to get a 90-100% improvement. But its just temporary.

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(@getsmart121)

Posted : 05/16/2022 6:05 pm

Could be the most improvement I have seen from his treatment is excision and full ablation on scar Edges to smooth the edges. But overall texture is still bad. You know like open pores, rolling etc. i am considering dermabrasion for that but dont know since I am Asian skin so have to see my options.

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(@Fehheh77)

Posted : 05/17/2022 4:28 am

9 hours ago, JesusChrist said:

Same, im regularly considering about dermabrasion it is my top treatment but i am fitzpatrick 4... Fuck, if i was white i would do it in a hearbeat.

I read a lot about dermabrasion. How effective is it? How does it compare to fully ablative lasers?

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(@Fehheh77)

Posted : 05/17/2022 7:19 am

Apart from what was discussed in this thread so far, what do you guys think about dermal fillers? Would dermal fillers be able to raise (untethered) rolling/boxcar scars so that the skin is completely at level again -- of course apart from the fact that dermal fillers are temporary and that they will not fix texture problems such as enlarged pores. Has anyone come at the point of approaching their scars in that way, i.e. routinely maintaining levelness with dermal fillers?

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(@wombatstaywoke)

Posted : 05/30/2022 7:08 pm

On 5/16/2022 at 5:09 PM, JesusChrist said:

Same, im regularly considering about dermabrasion it is my top treatment but i am fitzpatrick 4... Fuck, if i was white i would do it in a hearbeat.

Do you know of a dermatologist that does dermabrasion? As in the procedure with sandpaper?

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(@wombatstaywoke)

Posted : 05/30/2022 7:15 pm

1 minute ago, JesusChrist said:

I dont know any, they dont even talk anymore about dermabrasion, all they push lasers.

I remember reading like two papers on it and the results looked good if not better than Rullan's chemabrasion with phenol. I'd really like to get it done.

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(@getsmart121)

Posted : 05/30/2022 8:41 pm

1 hour ago, JesusChrist said:

Do you think rullans chem better than dermabrasion?

The thing is rullan peel is liquid so it can penetrate below the surface which means its relying on your body to respond the damage. In dermabrasion it cant penetrate deep to the point the instrument goes upto. But you can be sure the edges of scars will be shaved with dermabrasion but maybe not too much atrophy

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