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scar treatments

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So, I am a bit confused. Most of the scar treatments seem to produce results for some people or new scarring/hyper or hypo-pigmentation for some other people. It sounds like a russian rulette or something. I know that needling is pretty much safe, but also how about punch grafting? What could possibly go wrong with that?

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Needling can also have complications, ie. over-production of collagen, which would leave you with lumps instead of indents. Have never had it, but theoretically it's what can happen, as in subcision.

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