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plateaukid

Scar Treatment Advice/Recommendations Please

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Hi,

I am thinking about spending some money and doing something for my face again but I wanted to get some honest opinions about my face and what are some good options. I am tired of just going to a dermatologist/plastic surgeon and just taking their opinion on what kind of scars I have and the best options. I've found that all they will do is recommend procedures they offer which may or may not be effective only because they want your business. One derm even recommended CO2 Laser to me....even though my skin type obviously is not ideal for such a procedure.

I'm thinking I should for the moment consider V-Beam as it will reduce the post-inflammatory pigmentation and the redness around the acne scars; I've also read that it is also suppose to have an affect on acne scars but after trying Smoothbeam I'm kinda pessimstic. Everything I've tried so far has been for the scars themselves and not so much the pigmentation.

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So far this is what I have tried:

Altus Medical's Coolglide Laser (Spring and Summer of 2003) : Did absolutely nothing

Candela's Smoothbeam (Summer and Fall of 2004) : I want to say absolutely nothing again. But I also realize that my settings were probably not as high as they should have been for optimum results; but they were afraid I would get blisters/hyperpigmentation.

Saline Injections (Spring of 2006) : Noticeable improvement in temple areas. Less noticeable improvement in cheeks. Overall skin looks very much the same as I have alot of scars and pigementation problems.

Various stuff you can buy online (Lactic acid peels, microdermabrasion, bio-oil, mandelic acid, etc.)

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I see active acne in your pictures. I don't think it makes sense to deal with the scars until you have beaten the acne. There are 3 reasons (1) it is difficult to tell how good or bad your acne scarring is until you have you gotten rid of the active acne (2) some procedures can make active acne worse - I was advised against microdermabrasion whilst I still had acne (3) some 'scarring' - i.e. red marks may fade on their own over time without significant intervention.

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I see active acne in your pictures. I don't think it makes sense to deal with the scars until you have beaten the acne. There are 3 reasons (1) it is difficult to tell how good or bad your acne scarring is until you have you gotten rid of the active acne (2) some procedures can make active acne worse - I was advised against microdermabrasion whilst I still had acne (3) some 'scarring' - i.e. red marks may fade on their own over time without significant intervention.

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While your acne doesn't appear severe, have you considered accutane? I think many people have reported that while it helps dry up their skin and active acne, it also may improve skin texture. I saw this firsthand with a close neighbor/ friend who had a case of roseacea and acne with a good portion of her face was covered in red bumps. The doctors gave her accutane and she was virtually left with no scarring. She said some initially left small holes, they closed up. Just a thought. Your scarring doesn't really seem bad at all but you don't want to get any new ones to add on to it and accutane might help.

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While your acne doesn't appear severe, have you considered accutane? I think many people have reported that while it helps dry up their skin and active acne, it also may improve skin texture. I saw this firsthand with a close neighbor/ friend who had a case of roseacea and acne with a good portion of her face was covered in red bumps. The doctors gave her accutane and she was virtually left with no scarring. She said some initially left small holes, they closed up. Just a thought. Your scarring doesn't really seem bad at all but you don't want to get any new ones to add on to it and accutane might help.

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You might consider doing three or four PDTs in a row (i.e. bluelight with levulan, once a month for 3 or 4 months). That should clear up your skin for about a year.

I didn't know Vbeam treated acne. I'm planning to get Vbeam for cherry angiomas, which are coalesced capillaries.

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You might consider doing three or four PDTs in a row (i.e. bluelight with levulan, once a month for 3 or 4 months). That should clear up your skin for about a year.

I didn't know Vbeam treated acne. I'm planning to get Vbeam for cherry angiomas, which are coalesced capillaries.

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Regarding your scars, maybe you should consider Fraxel instead of Vbeam? I also was thinking of doing IPL for redness of the nose and such.

However, a facialist at a medi spa I was going to last year had gotten Fraxel herself and she told me that she thought Fraxel alone would be a better use of money than IPL + Fraxel.

I had a few active acne spots when I had my first Fraxel2 last week. My derm office thought it was OK though, bc my acne is not too bad..

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