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Need advice/help with Acne scarring!

MemberMember
6
(@skinbloops)

Posted : 09/27/2024 1:21 pm

Hi guys! I am a 30 year old male who have suffered from acne since 15 years oldhad on and off breakouts since then but mostly stable except for my chin area.

Anyway, the constant breakouts of my face previously..caused some bad scarring on my face..at the same time it looks like discolouration of my skin.

I have tried the following treatments:

- 4x Co2 laser (very minimal results)

- 2x Subcision with Rejuran Filler (so-so results)

- 2x Fotona Laser (created even more hyper pigmentation and breakouts on my face)

- 3x Microneedling with Vitamin C spa (I saw results but my skin was so prone to breakouts after every session)

- 2x Profhilo sessions (so far so good! Love the brightening effect)

Any advice on what kind of scar treatments I should consider doing?

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Member Admin
1787
(@dan)

Posted : 09/30/2024 10:41 am

This is so interesting to me that you have tried that many so-called effective treatments with minimal results.

Do you have any "before" pictures though? Are your results maybe better than you think if you compare against your before pics?

Also, if profhilo is working and you're happy with it, maybe that's your next thing to do?

Probably one of the things left that you could consider would be a deep chemical peel. That's different from the things you've tried thus far. But it comes with potential for pretty severe side effects. Have you thought of that though?

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MemberMember
6
(@skinbloops)

Posted : 10/02/2024 11:06 am

Posted by: @Dan

This is so interesting to me that you have tried that many so-called effective treatments with minimal results.

Do you have any "before" pictures though? Are your results maybe better than you think if you compare against your before pics?

Also, if profhilo is working and you're happy with it, maybe that's your next thing to do?

Probably one of the things left that you could consider would be a deep chemical peel. That's different from the things you've tried thus far. But it comes with potential for pretty severe side effects. Have you thought of that though?

Hi Dan! Thanks for your reply!

Yes indeedmy face is actually very sensitive to such harsh treatments. I always either breakout or grow even more hyperpigmentation from some of these treatments. Saw the most results with microneedling but again..too aggressive.

Yes I had before pics and I definitely do see better results but its still not satisfactory.

As for Profhilo, it can only be done once or twice a year so the results might be slower and I was thinking of doing some treatments such as Subcision with Radiese filler instead.

have thought about deep chemical peel as well. Havent done it before but if possible, I wouldnt want to head down this road just yetas my skin is sensitive and I am really afraid of the side effects.

 

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Member Admin
1787
(@dan)

Posted : 10/02/2024 11:32 am

Ok cool. Well, whatever you try I'd be interested in hearing how it works.

Also, remember that it's not possible to "get rid of" scarring. It can improve but you need to stay realistic. I'm sure you know what, but it's good to hear it once in a while. Your skin really doensn't look too bad. You could consider just stopping and practicing acceptance. I think you look fine.

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MemberMember
790
(@harmlessboy1441)

Posted : 10/05/2024 8:18 pm

Posted by: @Skinbloops
Posted by: @Dan

This is so interesting to me that you have tried that many so-called effective treatments with minimal results.

Do you have any "before" pictures though? Are your results maybe better than you think if you compare against your before pics?

Also, if profhilo is working and you're happy with it, maybe that's your next thing to do?

Probably one of the things left that you could consider would be a deep chemical peel. That's different from the things you've tried thus far. But it comes with potential for pretty severe side effects. Have you thought of that though?

Hi Dan! Thanks for your reply!

Yes indeedmy face is actually very sensitive to such harsh treatments. I always either breakout or grow even more hyperpigmentation from some of these treatments. Saw the most results with microneedling but again..too aggressive.

Yes I had before pics and I definitely do see better results but its still not satisfactory.

As for Profhilo, it can only be done once or twice a year so the results might be slower and I was thinking of doing some treatments such as Subcision with Radiese filler instead.

have thought about deep chemical peel as well. Havent done it before but if possible, I wouldnt want to head down this road just yetas my skin is sensitive and I am really afraid of the side effects.

 

First let me say, your scars (what's left) looks mostly textural from that distance and nearer to your chin some leftover depression stuff but pretty shallowish. So whatever you did appears to have worked pretty well. I feel you "still not satisfactory" lol. I'm there all the the time but my issues are different.

Don't do a deep peel imo. The risks of coloration changes are significant imo. You could end up changing color and bringing more attention to scars. If you do any peel I would maybe try a weaker one or mid grade one with an experienced doctor but personally I'm not a fan of peels. I don't see enough upside evidence overall.

May I ask how the microneedling improved, over how long, did an estethician do it, did you use dermapen, did you use prp with it or just vit c, and how deep the needles? Did you see improvement immediately or did it take many months? Which scars and what areas improved from it? I only ask because I'm considering but also because being your only improvement I find that interesting to advise others.

Your sensitivity mimics mine to some degree, meaning, I can't even put a lotion or cream without it breaking out, itching or going haywire to some degree. That probably isn't a great sign to keep messing with the skin in general.

As for what to advise, I really don't know. It's too shallow for aggressive stuff. It pains me to say to people but the downside might be greater than the upside. Investigate for sure, but heed Dan's advise that you just can't get rid of scars. So whatever you do, test or try cautiously. Given that you responded the best to "physical abrasion" like needling maybe that tells you lasers etc aren't going to help as much.

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MemberMember
6
(@skinbloops)

Posted : 10/14/2024 10:39 am

@dan thanks for the feedback and advice!
I hear you. I am still undergoing breakouts periodically so I think this is what is affecting me as well. As for the scarring, I just want to see how far can my progress go.

Will definitely keep you posted of my future treatments

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MemberMember
28
(@rakimaki99)

Posted : 10/17/2024 11:01 pm

Bro ive done a phenol peel this is my face in overhead lighting.. it sucks ass

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MemberMember
6
(@skinbloops)

Posted : 12/28/2024 10:26 am

@harmlessboy1441

Hey mate, somehow i overlooked your reply. Thanks for sharing, appreciate your reply!

Yeah man, doesn't help that I am someone who is very self-conscious about how I look (my confidence level depends on my skin lol). What kind of issues are you facing? If you don't mind sharing.

Yes, I agree with you on the risks of deep peel. I have asian skin as well so my skin reddens very quickly and is pretty sensitive. Too afraid of all the risks.

I actually just did 3 sessions of RF microneedling sessions spaced out over 3 months consecutively earlier this year and after every session (around two weeks later), I will have to go for a vitamin c spa session. Even though I see my scars improving, I was experiencing crazy breakouts...I can't remember how deep were the needles though. I feel that my rolling/boxcar scars were made less shadowish across my entire face.

As for sensitivity, yes which is why I always patch test on my neck first and only try new products on my breakout areas. But it's really a never ending battle to try and introduce new products as I am somehow suspecting that my skincare products might be the cause of new acne lol. At this stage, it's a psychological problem...

Currently, I am looking at microneedling (sylfirm) along with Exosomes injection. I think this is the only way to go for now. You might want to look at Exosomes injection as well! Happy to offer any advice if you require mine!

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MemberMember
6
(@skinbloops)

Posted : 01/02/2025 11:34 am

@rakimaki99 was this your first session bro? Your scars look like mine under such lighting though.

Have you tried other treatments?

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MemberMember
790
(@harmlessboy1441)

Posted : 01/14/2025 3:51 pm

Posted by: @Skinbloops

@harmlessboy1441

Hey mate, somehow i overlooked your reply. Thanks for sharing, appreciate your reply!

Yeah man, doesn't help that I am someone who is very self-conscious about how I look (my confidence level depends on my skin lol). What kind of issues are you facing? If you don't mind sharing.

Yes, I agree with you on the risks of deep peel. I have asian skin as well so my skin reddens very quickly and is pretty sensitive. Too afraid of all the risks.

I actually just did 3 sessions of RF microneedling sessions spaced out over 3 months consecutively earlier this year and after every session (around two weeks later), I will have to go for a vitamin c spa session. Even though I see my scars improving, I was experiencing crazy breakouts...I can't remember how deep were the needles though. I feel that my rolling/boxcar scars were made less shadowish across my entire face.

As for sensitivity, yes which is why I always patch test on my neck first and only try new products on my breakout areas. But it's really a never ending battle to try and introduce new products as I am somehow suspecting that my skincare products might be the cause of new acne lol. At this stage, it's a psychological problem...

Currently, I am looking at microneedling (sylfirm) along with Exosomes injection. I think this is the only way to go for now. You might want to look at Exosomes injection as well! Happy to offer any advice if you require mine!

Yeah, asian skin is hard mode. You don't look terrible for what it's worth. Mostly textural and shallow but I hear you with the same situation I'm self conscious too. I'm dealing with big textural issues and a linear scar(s) in the cheek area that's partially pigment messed up. The icepicks are there but pretty blended with beard. So it's mostly texture and a larger linear scars like 2.

I was looking at microneedling but to have a cosmetic aid stick me with needles when I'm so sensitive scares me. Then again everything I try has made things worse albeit not super worse. The fractional sort of made the linear scar worse.

I was mainly wondering if the microneedling worked well for you or gave you the most benefit. Some people respond very well but it's case specific and requires mostly shallow I think. For more spread out and pronounced contour the go to would be laser. You know some people swear on Erbium to resurface shallow or poor texture, idk. Basically if you get improvement and have shallow, anything could make it worse that's the conundrum. That's why I ignore my shallow but nasty texture and just trying to figure out linear scar treatment.

This post was modified 3 months ago by harmlessboy1441
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