Hey I used accutane a year ago and now I use Epiduo and am pretty clear, other than having red, dry skin. Now I'm starting to be concerned with my scarring. It's more noticable in different lighting conditions. I was wondering how bad it is, what type it is, and any recommondations? Is this something that could potentially go away? Or am I going to look like this forever? I've always told myself that it wasnt scarring and was just PIH and would go away over time, but now reality is setting in. Do you think this is something noticable and really hurts my appearance or just something that I'm overly self conscious about?
You appear to have a few rolling scars that are shallow to moderate in depth. Unfortunately, your scars will not fade on their own. I would certainly understand if you wanted to do something about them. If so, I think subcision is your best bet. I've never done subcision and don't have rolling scars, but know most people with your type of scarring do see good improvement with subcision.
Your scars although not extensive will bother you forever. I suggest ablative fractionalized CO2 such as Fraxel Re:pair or DeepFX. The cheeks are the most difficult area to treat so you will need high intensity such as 70mj for Re:pair, and you will need multiple treatments to reach optimum results. Scars will not improve as you get older so it is best to go on the attack.
Dudley - Just curious, why do you think the cheeks are the most difficult? I was under the impression that areas where the skin is thinner; forhead and around the chin are more difficult.
Your scars although not extensive will bother you forever. I suggest ablative fractionalized CO2 such as Fraxel Re:pair or DeepFX. The cheeks are the most difficult area to treat so you will need high intensity such as 70mj for Re:pair, and you will need multiple treatments to reach optimum results. Scars will not improve as you get older so it is best to go on the attack.
I'm curious to know why Dudley thinks that too. Based on his photos, I would say his scars fall in the fattier part of his cheek. I would think that area would respond really well to treatment. At least, my scars that are closer to my nose & mouth, where there's more fat on my face, improved the most from Deep FX. They shallowed so much that they don't bother me, at all, now. The scars on my cheek bones shallowed as well, but the improvement was less. I've always thought scars on the nose and temples were the most difficult to treat.
Indeed cheek scars are easier to treat than areas where the skin is thinner and there is less tissue to work with. Dr Lam world renowned Plastic Surgeon is testament to that fact : http://www.drsamlamfaceforum.com/acne-scarring-temple-t1765.html
