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PaulyD

Plastic surgeon consultation - scar excision

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You know my story and if you don't just look up my threads. It was the second plastic surgeon Ive seen and as you know, the first surgeon told me he was hesitant to excise my boxcar scars and icepick and suggested fillers/subcision. Had the subcision and the nurse let me know that fillers wouldnt do anything dramatic for my type of scars.

Any way, this new PS wanted to do subcision again. But, he asked me whether my scars would still bother me if they werent as deep but the same width etc. I explained to him how that was the problem, even if my scars were more filled in, theyd still be there and still be moderate acne scars. So he suggested I excise only the worst scars and subcise the other ones. I was frank and said I really wanted to get a few areas excised as a whole. I have pockets of terrible scarring and I want the area removed and am willing to deal with quite a long scar. He said that he could do that but suggested I still just excise the little scars and try subcision but I explained how sick I was of treatments and how Im not a superficial person. I have other scars that dont kill me inside but these indented scars that are in pockets i want the area to be excised plus, excising little scars in quite large numbers could leave me with a dozen small surgical scars and if the scars around don't respond to subcision, then i'd feel like i want the whole area excised any way.

So all in all, after firing 100 questions away, he said that he'd be willing to do larger exicisions if I was comfortable with having a once inch line scar in a couple places. I said, if it's just a line scar I have no problems but of course, I understand there's a risk the scar could turn out bad but I kept asking him what the chances were and he said not a great chance because cheeks usually respond well to surgical scars. I let him know that I'm at a plastic surgeon because I have greater faith to pay more but have a better outcome and he said of course I have more skills then a derm or cosmetic surgeon but I cant guarantee anything.

So I have to make a huge decision here. Excise or not? Do I try needling for a year and then make a decision or what. I can't deal with a bunch of my scars they are ruining my life. The severe scars I'm talking about.

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im same boat on u..

im very depressed but my derms wont do excision for my scar..

it horrible..

lack of faith on my self esteem and of course u must choose best PS for ur excision surgery..

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yeah the plastic surgeon i went to seems pretty good but it's jsut the fact that they are plastic surgeons that make you choose them. I dont have the luxury to go around the country and have consults with every one of them lol.

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thanks for the tip gimme

i hope after had dermaroller and 2 time subcision i will get excision..

i think dermaroller not work on ice pick scar..

shallow or deep is ice pick scar cant treated by treatment from derms..

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So all in all, after firing 100 questions away, he said that he'd be willing to do larger exicisions if I was comfortable with having a once inch line scar in a couple places.

1 inch is quite long. You should really concentrate on the worst ones first to see how it's working for you. Don't do them all at one time.

In my opinion it's better to have multiple small excision than a few big ones. Small scars heal better than large ones.

i hope after had dermaroller and 2 time subcision i will get excision..

??? Why don't you just go to someone else if he's not willing to do that now ?

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So all in all, after firing 100 questions away, he said that he'd be willing to do larger exicisions if I was comfortable with having a once inch line scar in a couple places.

1 inch is quite long. You should really concentrate on the worst ones first to see how it's working for you. Don't do them all at one time.

In my opinion it's better to have multiple small excision than a few big ones. Small scars heal better than large ones.

i hope after had dermaroller and 2 time subcision i will get excision..

??? Why don't you just go to someone else if he's not willing to do that now ?

full of doubt..

yea i know im stupid..

maybe if no improvement from dermaroller,i will find surgeon..

i think derm have a reason she doesnt excise my scar..

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Good luck! After everything I've done to treat scars over the years, I really believe excision, punch float, or similar treatments are the best way to rid ourselves of boxcar scars. There's a greater risk of complications, but abrasive methods like lasers or peels tend to make the scars look wider even as they look more shallow. Personally, I'd rather do whatever I can to rid myself of my deepest scars, then do laser as a finishing touch, which could help with surgical scars left post-excision.

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Well, I was just thinking you may want to try TCA cross. I didn't see much improvement with cross, but I know other people on this forum have seen a lot of improvement! Just a thought.

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Well, I was just thinking you may want to try TCA cross. I didn't see much improvement with cross, but I know other people on this forum have seen a lot of improvement! Just a thought.

yeah,sure..

im was thinkin bout it..

if not deep,ice pick scar can help by tca cross

if ice pick scar deep so punch float or excision is the only way to remove it..

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Update: Have been stamping for 7 months now with very slight improvement to some rolling scars however i doubt anything at all in my boxer. Excision seems to be the only hope. Will most likely get it done in December.

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Pauly, I assume you are young, so perhaps the best advice is to take a step back and explore all you options. Also seek further opinions. I am contemplating plastic surgery, and I will get multiple opinions before going with one PS. I am having my 5th Fraxel:Repair on the 4th and a hair transplant on the 9th, so I am a believer in plastic surgery. I haven't met any doctor that will commit himself to the success rate of any procedure. Check out these pictures for typical results. http://www.realself.com/Facelift/before-and-after-photos?tags=8085 I don't know anything about excission or subcission.

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So are you telling me to do what exactly? Get a face lift? I think repair is about the most dangerous and invasive scar treatment out there. I had a shocking experience with frame restore. Anyway, I've done restores, subcisions, needling for seven months, creams lotions serums the lot. I just think excision is my last realistic hope and there's no way id flirt with the idea of any lasers or acids again. Maybe a v beam after excision to assist with the redness of the excision scar.

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I just had a scar revision done last week. Basic the plastic surgeon removed my pock mark with extraction and stitched it up. It looks really good except it's a little red and the tiniest bump on the top of it from heeling. The thing I am worried about it, is it's by my eye and very noticable. What can my expectations be of this incision line getting better? He told me it would refine and fade out almost completely, but any experience with this?

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I've had a scar excision before. I had two holes in my cheek that were right beside one another and the surgeon cut them out and stitched it up. These 'holes' were replaced with a linear scar. The scar looked red and aggravated right up until my dermabrasion some 3 months later. I found that dermabrasion after my excision gave good results. I had the middle areas of my cheeks dermabraded and it definitely helped. It might be worthwhile doing a 'spot dermabrasion' on the excised scar, as this should help and shouldn't be expensive as you're only having that scar dermabraded.

Edited by Dazarooni

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The linear scar doesnt look too bad. I am thinking about doing a laser on it... laser's just scare me. I am going in a couple weeks. you found it helped fade that scar away?

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I had dermabrasion, not laser. it definitely helped yes.

Lasers are too expensive, expecially the co2 laser if that's the one you're talking about.

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I had dermabrasion, not laser. it definitely helped yes.

Lasers are too expensive, expecially the co2 laser if that's the one you're talking about.

Would dermabrasion help with a couple of scars from surgeries which are a bit indented too?

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I had dermabrasion, not laser. it definitely helped yes.

Lasers are too expensive, expecially the co2 laser if that's the one you're talking about.

Would dermabrasion help with a couple of scars from surgeries which are a bit indented too?

Dermabrasion would help yes, it would help the scar blend with the surrounding skin and should make it less noticeable. Dermabrasion can give good results on shallow scars but for deep scars it's not much use. It's an aggressive treatment that involves a lot of downtime if you're having large areas done.

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Ok. so two weeks after my excision I am noticing the line really isnt very a flat white line. it almost looks like a little gash still.. is this normal? it is very noticable this way. I am wondering how long it takes for this type of incision to heal an dlook less noticable? the PS told me it would be barely visable.. but i am nervous. I know Dermabrasion would help, but for now is this incision going to heal up?

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Ok. so two weeks after my excision I am noticing the line really isnt very a flat white line. it almost looks like a little gash still.. is this normal? it is very noticable this way. I am wondering how long it takes for this type of incision to heal an dlook less noticable? the PS told me it would be barely visable.. but i am nervous. I know Dermabrasion would help, but for now is this incision going to heal up?

You're going to have to be patient because it can take many months, perhaps up to a year or more for the scar to heal and become less noticeable.

You've had a 'wedge' of skin cut out and the surrounding skin stitched together, do you really expect to see the final results after 2 weeks?

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I went for a follow up iwth my PS yesterday. says the line will fade but I do have a tiny hole in the middle of the incision. Assuming this is from the suture.. It is preventing the line from really closing in the middle. Did anyone have this before, do those fill in?

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