Hi everyone,
Im struggling a lot mentally with my acne scarring lately. The depressions are quite noticeable in certain lighting, and Im constantly fixated on them.
From what I understand, my scars might be rolling scars, but Im honestly not sure because they look a bit unusual compared to most rolling scar photos Ive seen online.
I have a few questions:
Based on my description/photos, do you think this is the kind of scarring that can realistically improve with subcision?
If subcision is appropriate, do you think combining it with a collagen stimulator / collagen booster (e.g., biostimulator injections) makes sense for better results?
Do these depressions actually look like rolling scars, or could it be something else (e.g., volume loss, tethering in a different plane, or another scar type)?
If its not typical rolling scars, what treatments would you consider most effective (subcision variants, fillers/biostimulators, RF microneedling, laser, etc.)?
Id really appreciate any inputespecially from people who had a similar pattern and tried subcision.
(Photos attached taken under different lighting/angles.)
Thank you.
Looks more or less rolling to me.
A few spots seem like maybe subcision could help, but overall, I'm wondering if just the "usual" would be a good option for you, meaning Fraxel laser + PRP and a bunch of sessions to achieve some improvement. Or professional microneedling + PRP.
Perhaps a bit of subcision first on those couple spots and then just a general treatment like mentioned above.
You're right to want to see and hear from people with similar scarring. That's why I always say the best route to go is to get under the care of a super good scar specialist who you trust and who has a bunch of before and afters of similar skin to yours. Only move forward when you are comfortable you've found the right person.
Thanks for the detailed feedback, I really appreciate it.
BUT, Ive already had multiple sessions of fractional CO2 laser (Fraxel-type) and also professional microneedling treatments over the past few years. Unfortunately, I didnt notice any major or lasting improvement from them, especially regarding the overall volume loss / broad depression.
Thats why Im now considering whether subcision (possibly combined with a collagen stimulator like PLLA/PDLLA or filler) might be more appropriate for my case.
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