Jump to content
Acne.org
Search In
Find results that contain...
Find results in...
FrenchySteph

Punch elevations + mechanic dermbrasion

Hi everyone,

I come here to have opinions on the technic I mentioned in the title. I try to repair my acne scars since many years. I'm 36. I had lazer ultra-pulsed (CO2) then fractioned lazer. I don t believe anymore in the lazer and I can say that it disorganize dermis.

Life is difficult and all the peaple that have this problem know that. I gave up to look for an other traiment for my scars and one day it comes back, I feel so bad that I must go again in the surgery.

I decided at this moment to try the mechanic dermabrasion to take off a layer damaged by lazer. I discovered elevation scars technic in the same time.

I will have both elevation technic (punchs and excision) then mechanic dermabrasion in one month. And I would like to have testimonys of peaple that still had these traitments.

A member said me to show photos so I attach different pictures of my scars with different lights.

DSC_0339.jpg

DSC_0340.jpg

IMG_20150607_034446.jpg

Share this post


Link to post
Share on other sites

The texture (surface) of your skin looks really good to me but there are major depressions. I think multiple subcisions followed by suctioning at home with possible fillers at the end depending on the final results could give you major improvement without creating new scars. When things are eventually levelled out then you could undergo mechanic dermabrasion to further resurface followed by maintenance home treatments with 1.5-2mm dermastamp, TCA peels (15-25%) and retinoids to stimulate collagen similar to this study: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3996784/ 

It doesn't look to me like you have any deep icepick scars that will require TCA Cross (high strength 50-100% TCA placed carefully into scars with a toothpick to raise up). 

Maybe you could print off this study and ask your doctor if this is an option for you? Doesn't hurt to find out what they think. It is definitely an option for at least some of your scars instead of punch elevating all of them. I'm sure they could easily learn the technique if they read the article. http://www.owndoc.com/pdf/therapy-in-treatment-of-atrophic-acne-scars.pdf

You can purchase a dermastamp or derminator and suction device from owndoc. Whichever methods you choose I hope you see significant improvements and let us know how it goes! :) I agree that lasers are not appropriate for your scars and think you can achieve great results with the proper treatments. Good luck!

Post your photos and question on RealSelf to get even more opinions from professionals. https://www.realself.com/acne-scars-treatment/answers

Edited by Ommmmmm

Share this post


Link to post
Share on other sites

Thank you for your opinions.

Ommmmm, thank you for your indications. Subcisions seem to be effiscient but I can t stop the punchs/excision+dermabrasion now because I had to negotiate with my employer, many months ago to be absent 2 months. So I will do this and see later if problems persist.

That s why I d like to see testimonys from peaple that experienced the same interventions. My hope is to obtain disappearance of some scars and an homogeneity of the skin surface.

Share this post


Link to post
Share on other sites

FrenchySteph, your problem is similar to mine. I have this kind of scars too, and I'm already 38. Dermabrasions and lasers does nothing with these scars. I had 5 dermabrasions and I don't see any improvement. Opposite, my skin was felt very bad after them. We need subcision and fat grafting is good at the same time. I'm in the process now, had my first procedure Cora therapy in Seoul, which is not subcision but it's very similar and as doctor said, more effective than subcision. Anyway, I will see the result after 5 procedures. Wish you good luck!

Share this post


Link to post
Share on other sites

Thank you Lalena, I hope my scar elevations before dermabrasion will give me good results. I wish you good luck with your new traitment too. The date approach for me and I feel more and more downcast.

Share this post


Link to post
Share on other sites

Keep us posted @FrenchySteph. I think I'll need a punch graft or punch excision (because the texture is bad otherwise I'd do subcision) followed by mechanic dermabrasion to blend in the future also. Wishing you strength during the long healing process and that you see improvement you're happy with!

Share this post


Link to post
Share on other sites

Hi Ommmmm, thank you. I will keep you posted. You will have the same interventions so, that s what I understood in your last post. Say me if I mistaked. Happy to speak with you all, there is no specialised forum as it in France.

Share this post


Link to post
Share on other sites

Very similar @FrenchySteph but because the texture of a couple of my worst scars is bad and can't be improved enough with resurfacing instead of being punched out and then elevated (the intervention you're having) they will be punched out and either stitched into a hopefully less obvious linear scar or replaced with a punched out skin graft of good skin from behind the ear, etc. (similar to your intervention but not using the same skin). Then like you mechanic dermabrasion later to hopefully blend the tone and texture of the new scars with the surrounding normal skin. I've done subcision on some depressed scars with good surface texture and it worked very well to lift them up.

Share this post


Link to post
Share on other sites

Ok Ommmmmm it s a big procedure as me. I have aprehension for scars cutting however I had in the past lazer CO2 with local anesthesia. I m waiting for your news with your traitment.

Share this post


Link to post
Share on other sites

Yes, I'm also very nervous about the excision and how the new scars will blend. Laser didn't work for me either. My procedures aren't booked yet but I'll let you know!

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.


  • Personalized Advice Quiz - All of Acne.org in just a few minutes


×