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My results are not good, in fact may be worse than before. I waited two months after my procedure with Dr. Peter Rullan to post these. Please excuse the white acne cream in the afters. I did the trio, phenol cross, subcision, and Erbium with Dr. Rullan. In the beginning I was against filler. He convinced me as he was doing the procedure to do some filler. I ultimately told him "doc, if you think it will help, please put filler wherever you think I need it" and he said "ok". I thought he put it everywhere I needed it but it is still unclear as to where he put it and how much he used. The receptionist read my notes to me and it said he used a sample size... a sample size of filler? That's not what he told me he was going to do... he did not communicate effectively with me.
I have to say in my personal opinion, after healing, I think it is worse, especially the right side. The left also side feels like there is fat loss (I can feel it when I rub my tongue on the inside of my mouth (there's a dent there that I don't feel on the other side) and there's a shadow in the spot that I can see in the mirror and in photos. I even explicitly asked him if fat loss could happen and I was assured no. I'm extremely sad and angry. I wanted to give it enough time before I jumped to conclusions. Dr. Rullan's office staff and the entire experience gave me a bad feeling but after months of researching who was the best doctor, I figured that feeling was just me being nervous. Overall, Dr. Rullan had a good reputation (especially on this board, that's where I found out about him) and good after results but I'm brginning to think those were fake. Did anyone on here truly get a good result? It is seriously difficult for me to believe good results are real whether it is with Dr. Rullan or another doctor. I know 100 percent that there was zero improvement. I just want to crawl into a hole right now. Will this get better? It actually looks worse now than it did a month ago. I am just so depressed.
Relax it takes time and second it doesnt even look bad. Looks pretty much the same as before pictures maybe in person bad because of redness. It takes time and sessions. You just have to have faith. The only way scar revision works is by damaging the scar. It will start changing given enough sessions and time.
this is scar revision not surgery. The way natural healing works is by changing the scar but takes some time 3 to 6 months.
@getsmart121 thank you for replying. I would never go back unless I saw some kind of improvement... even just a 10 percent improvement would have me doing happy backflips... to me it looks worse... not drastically worse, but a little worse. I didn't pay $2,600 for a doctor to make them worse. Are you saying that after 3 to 6 months, these scars will look more filled in even after just doing one session? They tell people to come back after 2 months. Why do they say 2 months when it takes 3-6 months to see improvement? I just don't see anyone returning for a second round unless they see some level of improvement. Proceeding blindly hoping that #2 will improve them without seeing any improvement from the first seems like something a crazy person would do.
Relax relax please. Kelly, I think you are pretty new to acne scar revisions. It's a tough process and if you give up in the early stage you will never get what you want. Patience is the key, same for me, even though I've dealt with treatments for a few years. From my experience, at the end procedures normally will never make your scar worse as the inflammation is very limited. It's all just temporary and takes time to recover. You do need 6 months to see noticeable result even if you do aggressive treatments. Dr. Rullan's Trio is not aggressive, but I think it's effective (I've never done Trio but I want to). It's just very very slow. People going back for next rounds because they trust the procedure and have the knowledge for how things work, so they just overlap to accelerate. If you don't, you can wait for 6 months and then judge. Before that, please don't panic. This is already one of the most effective way. If you have the idea that this made your scar worse, I'd not recommend you go for Dr. Mark Taylor's as that will make you feel more about worsening.
@froyosh hello, thanks for replying. I want to believe this so badly, but I swear what used to be little icepick scars on my face are larger boxcars or even rolling now. How can you get treatment again only two months after if the Dr. can't even see where the appropriate areas to put the phenol cross or tca cross? Wouldn't the areas need to fill in so that they can put the acid only in the appropriate place? On the right side, there is a big scar that wasn't even there in the before picture... now it is... other people have also told me it looks worse. the Dr. used a paintbrush to apply the acid and I swear he applied outside of the scars too. Aren't you supposed to only apply them in the hole? All I know is that there are new potholes that weren't there before and I want to crawl in a hole. If all I had to do is truly wait 6 months and it would improve, I would keep my mouth shut. This is truly scary. I feel like an idiot. I feel like I paid a doctor to screw my skin up more. 🙁
@froyosh hello, thanks for replying. I want to believe this so badly, but I swear what used to be little icepick scars on my face are larger boxcars or even rolling now. How can you get treatment again only two months after if the Dr. can't even see where the appropriate areas to put the phenol cross or tca cross? Wouldn't the areas need to fill in so that they can put the acid only in the appropriate place? On the right side, there is a big scar that wasn't even there in the before picture... now it is... other people have also told me it looks worse. the Dr. used a paintbrush to apply the acid and I swear he applied outside of the scars too. Aren't you supposed to only apply them in the hole? All I know is that there are new potholes that weren't there before and I want to crawl in a hole. If all I had to do is truly wait 6 months and it would improve, I would keep my mouth shut. This is truly scary. I feel like an idiot. I feel like I paid a doctor to screw my skin up more. 🙁
Hi Kelly I saw Dr. Rullan twice and got no results from him twice. I also think he is a little careless in how how he goes about doing things. I have no idea why people praise him so much on here. He is nice but he seems dishevelled (my mom's words who came with me to see him) and he charges way too much than he should be (and I have spent a lot of money on skin treatments throughout North America with various dermatologists and plastic surgeons and visited a few of the so called specialists that this board has recommended and have disliked many of them). Also, if you look back at very old posts on Dr. Rullan on this board you will find those who have said he wrecked their skin further with his phenol peel and also that he is terrible at filler.
I would research other doctors you should visit and procedures you can potentially do. I am currently researching dermabrasion and phenol peel doctors. Biggest results for my skin have been from subcision and repeated subcisions for the past few years that I have gotten done locally and I did get some results from a few micro needling treatments (I had deep atrophic scars once that are very shallow now). I have done Fraxel repair many times which did improve my scars and make them shallow and improve the texture but also gave me side effects of fat loss and even more textural issues. I don't recommend laser because of the side effects you can get.
I am also researching which dermatologists or plastic surgeons engage in nanofat and microfat transfer, as some studies from Egypt I saw showed promising results.
To be frank, your skin is really good compared to how me and others have damage to our skin (I have a few boxscars with sharp borders I need to get rid of). I think with your skin you need to stick to microneedling, tazorac (retinoid), vitamin c serum, and possibly a mild phenol peel or tca peel. I would never recommend laser to you. I can't see any signs you need subcision from these pictures.
@froyosh hello, thanks for replying. I want to believe this so badly, but I swear what used to be little icepick scars on my face are larger boxcars or even rolling now. How can you get treatment again only two months after if the Dr. can't even see where the appropriate areas to put the phenol cross or tca cross? Wouldn't the areas need to fill in so that they can put the acid only in the appropriate place? On the right side, there is a big scar that wasn't even there in the before picture... now it is... other people have also told me it looks worse. the Dr. used a paintbrush to apply the acid and I swear he applied outside of the scars too. Aren't you supposed to only apply them in the hole? All I know is that there are new potholes that weren't there before and I want to crawl in a hole. If all I had to do is truly wait 6 months and it would improve, I would keep my mouth shut. This is truly scary. I feel like an idiot. I feel like I paid a doctor to screw my skin up more. 🙁
Hi Kelly I saw Dr. Rullan twice and got no results from him twice. I also think he is a little careless in how how he goes about doing things. I have no idea why people praise him so much on here. He is nice but he seems dishevelled (my mom's words who came with me to see him) and he charges way too much than he should be (and I have spent a lot of money on skin treatments throughout North America with various dermatologists and plastic surgeons and visited a few of the so called specialists that this board has recommended and have disliked many of them). Also, if you look back at very old posts on Dr. Rullan on this board you will find those who have said he wrecked their skin further with his phenol peel and also that he is terrible at filler.
I would research other doctors you should visit and procedures you can potentially do. I am currently researching dermabrasion and phenol peel doctors. Biggest results for my skin have been from subcision and repeated subcisions for the past few years that I have gotten done locally and I did get some results from a few micro needling treatments (I had deep atrophic scars once that are very shallow now). I have done Fraxel repair many times which did improve my scars and make them shallow and improve the texture but also gave me side effects of fat loss and even more textural issues. I don't recommend laser because of the side effects you can get.
I am also researching which dermatologists or plastic surgeons engage in nanofat and microfat transfer, as some studies from Egypt I saw showed promising results.
To be frank, your skin is really good compared to how me and others have damage to our skin (I have a few boxscars with sharp borders I need to get rid of). I think with your skin you need to stick to microneedling, tazorac (retinoid), vitamin c serum, and possibly a mild phenol peel or tca peel. I would never recommend laser to you. I can't see any signs you need subcision from these pictures.
Hi, is there a way I can send you pics of my scarring, to see what treatments you think would be effective? I have an appt set next month with Rullan, but I am debating if I should go or not. Thanks
How long ago has it been. Mine always looked worse 3 months post sub. Didn't matter the doctor. I'm not completely sure subs even help boxcars and rolling overs
I actually don't believe the old advice on here which is you should wait 6-12 months between procedures. I think the longer you wait the more chance the scar tissue gets to go back to it's old shape.
His office is horrendous.