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irishharry7

microdermabrasion or chemical peels

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Hi! My 17 year old son finished a course of Accutane in October 2006. He was on 80mg/day for 7 months and then 40mg/day for 1 month. He had severe cystic acne of his upper back and shoulders and moderate to severe on his face. His face cleared up pretty good, and even though his upper back has cleared, he has some indented scars left over, plus the overall skin tone is not really smooth. Once the end of April is here (he will be off of accutane for 6 months then), I would like to get something done to help with the scars.

Do you think that microdermabrasion or chemical peels would help him the best? Has anyone had any similar experiences?

Thanks for your help,

Irish :D

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Hi TenZin! Thanks for the quick reply. Yes, I am talking about his back, but why forget it? Did you try these without good results?

Thanks,

Irish :unsure:

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I've read that back & chest scars have the least success. Forget chem peels entirely. Maybe a top notch laser Dr.

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Hi again TenZin! I was thinking about the laser, but I am not so sure. I think I will take him to a plastic surgeon, possibly, to get an opinion. Do you know anything about fillers? I know that they don't last very long, but that may be something to find out about. Right now the only think we are doing is putting retin-a micro .04% on his back.

Thanks,

Irish :D

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Fillers on a back seem like what for? How many are gonna see his back, and I don't think anyone cares. Is it really very severe scarring? If not, go to a laser specialist, NOT a PS. Where do you live?

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Hi TenZin! We live in the Reading, PA area. I am not sure about the plastic surgeon, but we would be seeing a women in their spa that specializes in skin care. She would be advising us and doing any of the skin care. I still am not sure about that. Also, my son had very severe acne that left him with @ 6 - 8 depressed scars and very uneven, rough skin. If I had let him start the accutane sooner, the scars, if any, probably wouldn't be so bad. The acne made him feel really embarrassed and kept him from doing alot of things, and now the scars seem to be causing some of the same feelings. I guess everyone handles this differently - some don't seem that bothered by it. Maybe in time, he will feel different.

Thanks again for all of your help and advice - it is very appreciated!

Irish :D

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Microderms are really good for the back. Why, because you can tolerate it at a stronger level than on the face and who cares if it is a little red and lightly scrated up for couple of days. You just wear your shirt over it so there is no downtime. So with the back, microderms are ideal. I had raised and indented scars on my back, both responded well to the microderms. It takes time. He may need 12. I would do a series of 6 and then wait a couple of months and do another series of 6. You can also do chemical peels on top of microderms. You can do medium peels, such as a jessner type peel just after the microderm. This allows the peel to get a little deeper with top layer of skin already removed. I did this for a series of 6, at rate of once every two weeks. It made a huge difference for me. It is not perfect by any means but significantly better. Another thing I am doing right is trying build up muscle mass in my back to stretch the skin out a little more and flatten the scars out. That seems to be helping too. I have gone from being embarrassed to go outside with my shirt off (swimming etc) to being totally ok with it. Tell him to eat a healthy diet with lots of vitamin c and to stay away from cigarettes. Cigarettes will totally kill your body's ability to generate extra collagen.

So my recommendation is: microderms at the highest level he can stand without being in real pain, then a medium peel afterward for two series of 6 as discussed above. Cost: I paid 100 dollars for each combined session for total of 1200 dollars for all 12.

-Robert

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Hi Robertlapwing! Thanks for all the info! I will definently check these out. He doesn't smoke, so I don't have to worry about that, but I will try to get him extra vitamin c. He felt the same way about swimming, etc., with the acne and also with the scars, so I hope that I can get something done that will help the scars.

Thanks again,

Irish :D

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