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gbl

which treatment route now?

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Hi i'm reading so much stuff and dont know which route to take with my scar

many many years ago i had an accident which left a large scar on my forehead. Ive been trying to fix it for almost 20 years and these are some of the things ive had done

1)i had scar revision surgery on the nhs and it left a line downwards in the middle of my forehead with quite a dramatic ridge

2) had a second scar revision surgery (private) which helped reduce the ridge somewhat

3) a course of laser treatments in 2003/2004

4) 4 sessions of dermaroller 2010

the scar was gradually getting better and flatter but still from certain angles would be an angry line down my forehead , the colour not too bad but still a slight ridge and the obious line

so- 7 months ago i tried laser again. the first treatment healed very quickly and the surgeon said he'd go deeper the next time. I think he went too deep. The skin didnt heal for several weeks, it was still very red after 6 weeks and i could feel a ridge and dent round the edges of the lasered area

now the lasered area is indented , shiny, and hypopigmented and actually looks more obvious than before. from a slight angle you can see the dented patch clearly. before it had been almost smooth with just the thin line!

what do i do now? the surgeon is trying to sell me on the stem cell treatment (£2500 and whats more the way he describes it doesnt sound like stem cells to me it sounds like he's talking about skin punch grafts) but i think he's panicking because he messed up and i dont trust his advice.

i almost dont care what it costs i want to know what will fill out the indent and improve the colour. ive read about v-tar, ginger, silicon implants, fraxal, more laser...its doing my head in!

please help i dont want to go through my entire life hiding behind a fringe . :-( i feel like ive lost my entire teenage / early adulthood to an extent . i want to FACE THE WORLD one day

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right ive taken some pics on my phone which typically dont make the scar look toooo bad but as you can imagine it catches the light and looks worse in real life :(

7

2cpowtk.jpg

2cpowtk.jpg

cant get it to show. any ideas?

Edited by gbl

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you can cut and paste the link or i'll try it as an attachment

post-153821-1310030628_thumb.jpg

post-153821-1310030628_thumb.jpg

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you can raise it up with fillers

but i believe that the only way to raise it up AND change the color back to normal would be to use skin grafting. couple that with stem cells and i believe that would be the best treatment

good luck!

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would that be the punch grafts ? the doctor who did the laser called it stem cell treatment but described skin grafts from behind the ear. I'm reluctant to spend so much on something if it will only change it to another type of scar. I dont know if anywhere near me does genuine stem cell treatment. (im in scotland uk).

i had the laser 6 months ago, do you think its too early to embark on another course of treatment yet?

I'd been toying with buying a dermaroller to see if i can encourage further healing/improvement , do you think thats a lost cause?

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for your scar, dermarolling is a lost cause, not only will it not correct the hypopigmentation, but since you have already had a couple of laser treatments and seeing that your scar still requires a lot of improvement, dermarolling would do very little

there are different types of skin grafts, punch grafting is a type where they use a punch biopsy tool to extract skin from behind the ear to replace the scar tissue. stem cells are intended to enhance the healing process and not as a treatment by itself. therefore, your doctor probably meant to call it punch grafting with stem cell application

and if that is true, then i have suggested the same thing as your doctor

6 months since lasering is definitely enough time before trying another type of treatment

but in this case, the time since your last laser treatment is irrelevant because your doctor will essentially remove the skin that you have been lasering and replace it with skin from behind your ear

because you are replacing facial skin with skin from behind the ear, you may notice a slight difference in color and texture than from the surrounding facial skin. if the surgeon does it perfectly, there should not be any noticeable scarring. go to a FACIAL plastic surgeon to have this done. you don't want a plastic surgeon who has been fixing feet all his life to be working on your face. request for sample pictures of people who have undergone similar procedures and make sure he has done a lot of these procedures. also make sure to couple the treatment with stem cell application

good luck!

Edited by Brawn

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hmm. There are only 6 places in the UK that offer this new stem cell treatment. The only one in scotland is the doctor who (in my opinion) messed up my scar by going too deep on the laser! I dont think anyone in the UK is experienced in this treatment at all!! Can I trust my scar again to someone who appears to have made it worse . Was that bad technique or plain bad luck? Like i said the skin was smoother before with just a downward line

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it was difficult for your doctor to know how your scar, which has undergone many treatments before, would react to your last laser treatment

that said, if your doctor has successfully performed this procedure many times before, then there should be no problem as laser and skin grafting is very different

ask for pictures and trust in your own judgement

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i had a consultation with a cosmetic surgeon last week who said that nothing would really help the indent :( and he thought this 'stem cell' was all about buzz words and really all a bit of hype.

he said start with micropigmentation to see how an improved colour looks. He didnt even thik a filler would help the indent

however i saw somebody who does fillers the same day, and she said it would be worth a try.....

now im even more confused. Do i try micropigmentation and (possibly) filler, then if its not satifactory , start over with the 'stem cell' spray which may be a white elephant????

meantime ive bought the Skin Biology scar treatment kit (supercop, etc)

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I recommand fillers + dermabrasion.

Grafts ??? are you crazy ? That scar is way too large. If you get a graft for it, there is a high chance that it will be more visible than before.

Also with simple excision there is the same risk.

Maybe you should try to get in contact with this woman. She had a similar scar excised:

http://www.makemeheal.com/pictures/liposuc...big-belly-a1601

Edited by Mr.Don

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I recommand fillers + dermabrasion.

Grafts ??? are you crazy ? That scar is way too large. If you get a graft for it, there is a high chance that it will be more visible than before.

Also with simple excision there is the same risk.

Maybe you should try to get in contact with this woman. She had a similar scar excised:

http://www.makemeheal.com/pictures/liposuc...big-belly-a1601

That womens scar looks like what i started out with (i had it excised twice but there was uneven-ness as well as the line) excision isnt an option im looking at now and nor is a straight skin graft. Do you think i risk worse scarring from the 'stem cell' graft? (cells taken from behind ear, cultivated and then laid over the scar)

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Do you think i risk worse scarring from the 'stem cell' graft? (cells taken from behind ear, cultivated and then laid over the scar)

You're talking about the recell procedure right ? http://www.avitamedical.com/?id=5&ob=1

In my opinion the best way to go is probably:

Fillers (for the unevenness/indentation) + Dermabrasion & Recell (for skin color)

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Do you think i risk worse scarring from the 'stem cell' graft? (cells taken from behind ear, cultivated and then laid over the scar)

You're talking about the recell procedure right ? http://www.avitamedical.com/?id=5&ob=1

In my opinion the best way to go is probably:

Fillers (for the unevenness/indentation) + Dermabrasion & Recell (for skin color)

this is the clinic/ dr/ procedure sci fi brought to life

is that the same as Recell? Would the filler not be 'melted' by the laser? Im so confused with contradictory infomation. Mr Ahmed was bigging it up like mad, but Dr Shoiab passed it off like it was all a gimmick suggesting the much simpler micropigmentation would be better and the depressing news that NOTHING would help the indent!!

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I know nothing that really works for hypopigmentation but i think dermabrasion for that scar would probably help with the texture. You could try using a good concelar.

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How would dermabrasion be of benefit? as laser has gone so deep already and caused problems I dont understand how sloughing down the skin even more could help....

would the stem cell thing not help the pigmentation return?

to be honest the indent bothers me more than the colour, as when i use concealer i can cover the colour but the indent is even more apparant without the colour difference taking the attention

if i thought the stem cell treatment would work i would spend the £££££ but its so new in the UK i havent even seen any before / afters....(not that you can trust them anyway!!!!!!)

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Well I think waiting would be a wise choice since everyone seems to be in a race to find the answer to cure scarring. No one wants improvement only, but rather 100% recovery i believe. And thats what the article basically states. Full recovery with no previous traces on that sci-fi link.. But on there main website it says improvement.. Thats odd right?

If your desparate than you will be at risk no doubt since its fairly new and experimental atm, not saying your life would be in danger but rather the scars appearance and money.. not to mention your time as well.

I'd ask that doctor Ahmed in glascow about the difference in texture and skin color complications if any because he takes skin from behind your ear and uses it on your face. See what he says about it and if all is well.. Go for it . I know for a fact that this type of treatment is not in Canada or the USA mainly because its not FDA approved..yet.

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the issue i have with dr ahmed is he's one of only 6 places its his 'baby'....its their unique product and its hard to take his advice as impartial .i dont want to be buying into it if its hype. (Especially when other surgeons think its a waste of money)

Ive had this scar since i was 21. I'm 36 now. Ive had the same haircut for 15 years because i have to hide the scar!!! So while there's not a 'rush' exactly, I would like to have a few years of showing my whole face before I get so over-the-hill there's no point.

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Is dr ahmed a plastic surgeon or a derm?

If money isn't a problem I don't think it would hurt to try it.

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Is dr ahmed a plastic surgeon or a derm?

If money isn't a problem I don't think it would hurt to try it.

From the website:

Dr Ahmad works in Accident and Emergency when he is not working at the clinic. He currently is an associate member of the British Association of Cosmetic Doctors and performs the anti-wrinkle treatments and some of the more advanced Laser work at the clinic. Dr Ahmad has interests in managing wrinkles, acne and pigmentation, he has also had extensive experience with weight management. Specialising in cosmetic medicine, Dr Ahmad offers Stem Cell therapy for skin disorders including pigmentation and vitiligo.

Dr Ahmad introduced Carboxytherapy to Scotland where it has been very well received. Dr Ahmad has established a centre of excellence at Sculpta for the use of Carboxytherapy and is also a trainer for Carboxytherapy.

However...

Dr Ahmed is the one who lasered my scar and left it indented and hypopigmented.... :doubt:

Not sure I trust him.......not sure if he's selling his product 1) because its new and 2)because he knows my laser messed up and he wants to cover it up. (or was that just bad luck and not any fault)

I DO have an unused credit card I could put it on but its still A LOT of money .

When I asked, Dr Ahmed also said i could use the stem cell treatment under my eyes (where i have very dark circles) to replace with healthier skin tone, at the same time. Seems a bit good to be true?

I dont know. Im a cynic who wants to believe!!!

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Is dr ahmed a plastic surgeon or a derm?

If money isn't a problem I don't think it would hurt to try it.

From the website:

Dr Ahmad works in Accident and Emergency when he is not working at the clinic. He currently is an associate member of the British Association of Cosmetic Doctors and performs the anti-wrinkle treatments and some of the more advanced Laser work at the clinic. Dr Ahmad has interests in managing wrinkles, acne and pigmentation, he has also had extensive experience with weight management. Specialising in cosmetic medicine, Dr Ahmad offers Stem Cell therapy for skin disorders including pigmentation and vitiligo.

Dr Ahmad introduced Carboxytherapy to Scotland where it has been very well received. Dr Ahmad has established a centre of excellence at Sculpta for the use of Carboxytherapy and is also a trainer for Carboxytherapy.

However...

Dr Ahmed is the one who lasered my scar and left it indented and hypopigmented.... :doubt:

Not sure I trust him.......not sure if he's selling his product 1) because its new and 2)because he knows my laser messed up and he wants to cover it up. (or was that just bad luck and not any fault)

I DO have an unused credit card I could put it on but its still A LOT of money .

When I asked, Dr Ahmed also said i could use the stem cell treatment under my eyes (where i have very dark circles) to replace with healthier skin tone, at the same time. Seems a bit good to be true?

I dont know. Im a cynic who wants to believe!!!

imo dark circles under the eyes are from an internal issue. I don't understand how laser can help, but what do I know. I'd think diet and health would play a bigger role.

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