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Hello everyone,
I need advice how to treat my scars on both cheeks. I have suffered from acne for 17 years and tried everything. Accutane was the main culprit of my scars because i broke out with cyst and nodules afterwards. I actually tried it twice and second time was way worse than first. My skin used to look terrible however with time and one erbium and one microneedling without prp session years ago got better. I want to continue improving my appearance and I need some advice.
Currently I have one cyst due to neglecting my diet and I honestly wanted to see if I am still breaking out after drinking coffee and unfortunately broke out after that. Aside from that I can keep my skin acne free if I avoid certain foods this is why I want to focus on scars and redness which lasts for years.
My current routine looks like this:
AM
Cerave foam cleanser
Azaleic acid 20%
Cerave PM moisturizer
PM
Same as AM but I started using TO niacinamide 10% + 1% zinc from few days
What I am looking for is getting rid of most of this stubborn redness and improving scars a little bit. I was going to set some microneedling with prp as I had great response from regular microneedling, but want to hear advice from more expierienced people.
From the research I've done (which is book research, not real life) fractional laser + PRP and/or microneedling + PRP (professionally done only) are the ones that seem to work well for your type of scarring, but they take many sessions. As many as like 8 even. A lot. Very small improvement, but over time you see more as it builds up.
I do sorta wonder though, and this is just my gut read, whether a deep peel might be something that would help with scars like you have. Something to at least research and weigh the risks and benefits.
More on scar treatments here. Most importantly is to get under the care of someone who has tons and tons of real life experience with scars like yours and can show you a lot of before and afters from similar patients.
Thanks for information Dan I really appreciate it. I have got in touch with a doctor who does subcision with fat filler, but first I have to wait until my cyst heals fully so probably a month. Then we would follow with needling and prp few sessions and maybe one more subcision. I live in Poland so my possibilities are quite limited. What do you mean by very little improvement? Did you mean long term in years and it is not worth it to try the treatment?
