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smileamyway

What type of scars are these?

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Just so frustrated. I've tried fraxel and a couple peels and nothing has worked. I need a regiment, do in considering rolling I just don't want to make it worse.

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Hi Smileamyway, 

I am not sure I see scars as much as I see enlarged pores.  Pores are extremely difficult to treat and resistant to a lot of treatments.  Out of curiosity, what types of peels have you tried?  What skincare are you using?  

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I have tried TCA, dermabrassion, glycolic and went for 2 sessions of fraxel. I have been using tazarotene for 60 days and there is where I'm at. Cetaphill for a cleanser, moisturize at night. I've heard olive oil works but I'm afraid it will make it worse. 

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Out of curiosity,what strength tca and did you just do a single layer peel or do more.i kinda got same and can see your older person (no offense) as i am 50 and will do tca peels for next 3 month all going well.

just doing light weak peels wont work,its just removing skin thats gonna shed anyway,seems going stronger and deeper would even,tone your skin up better.
:)

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Out of curiosity,what strength tca and did you just do a single layer peel or do more.i kinda got same and can see your older person (no offense) as i am 50 and will do tca peels for next 3 month all going well.

just doing light weak peels wont work,its just removing skin thats gonna shed anyway,seems going stronger and deeper would even,tone your skin up better.
:)

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Some observations... The orange peel and large pores could be from too many procedures. Some people have this when they do retin a. 

I have some options. Pores can be treated with TCA Cross. Of course you have lots of them so this is red dots everywhere as it heals.

Infini RF has helped some people. It's RF microneedle.

Topical botox can be given if you can find a place to do it.

TCA peels are good but I don't know if your doing a strong enough peel. The aftercare is important too to re protect the epidermis. Vitamin C serum, HA pure serum, vitamins, collegen, , fats, proteins, moisturizers, sunscreen. Rolling would be fine, we use http://derminator.com ... make sure to use your actives HA, vitamin c serum, and retin a / tretinorin

Some have had success with large pores and PDL which is Photo dynamic therapy  using a photo sensitive cream and leds

Finally I would ask you post two places: one is realself.com and have doctors give adviceand goto reddit.com and search for skincareaddiction

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On 6/1/2017 at 8:54 PM, beautifulambition said:

Some observations... The orange peel and large pores could be from too many procedures. Some people have this when they do retin a. 

I have some options. Pores can be treated with TCA Cross. Of course you have lots of them so this is red dots everywhere as it heals.

Infini RF has helped some people. It's RF microneedle.

Topical botox can be given if you can find a place to do it.

TCA peels are good but I don't know if your doing a strong enough peel. The aftercare is important too to re protect the epidermis. Vitamin C serum, HA pure serum, vitamins, collegen, , fats, proteins, moisturizers, sunscreen. Rolling would be fine, we use http://derminator.com ... make sure to use your actives HA, vitamin c serum, and retin a / tretinorin

Some have had success with large pores and PDL which is Photo dynamic therapy  using a photo sensitive cream and leds

Finally I would ask you post two places: one is realself.com and have doctors give adviceand goto reddit.com and search for skincareaddiction
Thank you! 
Thank you for the feedback. I am back on the retanoid because I went in for Accutane and they refused me. At one point I had cystic acne but that is gone.  They insisted on this. It doesn't help but thought I would give it one more go. 
What is topical botox? I think I read about it maybe 5-6 years ago where the botox is injected closer to the surface? Is this the same thing?

Finally I would ask you post two places: one is realself.com and have doctors give adviceand goto reddit.com and search for [removed]
Thank you! 
Thank you for the feedback. I am back on the retanoid because I went in for Accutane and they refused me. At one point I had cystic acne but that is gone.  They insisted on this. It doesn't help but thought I would give it one more go. 
What is topical botox? I think I read about it maybe 5-6 years ago where the botox is injected closer to the surface? Is this the same thing?

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Topical botox is dilute injections just below the epidermis (for your pores - to shrink them) or you can microneedle and do it. Finding a practitioner who does it might be hard try med spas and expert injectors at PS offices. 

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Are you saying microneedle myself and then add botox? 
I read about botox before and thought it would help. When I was on accutane my pores were amazing. Not quite invisible, but I could live with it. I feel like a freak at their current state. :(

1 hour ago, Quadboy said:

Out of curiosity,what strength tca and did you just do a single layer peel or do more.i kinda got same and can see your older person (no offense) as i am 50 and will do tca peels for next 3 month all going well.

just doing light weak peels wont work,its just removing skin thats gonna shed anyway,seems going stronger and deeper would even,tone your skin up better.
:)

I used 15% TCA to start. I was afraid to go deeper, since it's a pore, I'm afraid it will make them bigger. 
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Guest

I can tell you i tca crossed some ice pick,large pore type just like yours,i cant say my skin is as bad as yours or not but the tca cross does kinda make them bigger bit it lifts the scar/pore for sure so it kinda softens their appearance.

why i asked your strength as i see from my tca crossing that a stronger tca peel,say 25% should statt to reduce the appearance of the texture and pore size.

i cant speak from a personal experience as i have yet to do my first tca peel but i have done tca cross.

Can only report back my experience and results in say a couple weeks if this threads still around.

but tca cross changes their sppearance,i cant say its a minus or a plus as my skin is different from yours but similar.

:)
 

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I would say 15% is too light of a peel.  15% is still considered very superficial and provides more exfoliation or maintenance of the skin rather than correction. These superficial peels certainly have their place in dermatology but I think that the positive impacts they can have are a bit over-stated. If you have had true dermabrasion, the kind that takes months to heal from, it is stated in medical journals that dermabrasion can cause pores to enlarge.  

Edited by UpliftingCat
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3 hours ago, Quadboy said:

I can tell you i tca crossed some ice pick,large pore type just like yours,i cant say my skin is as bad as yours or not but the tca cross does kinda make them bigger bit it lifts the scar/pore for sure so it kinda softens their appearance.

why i asked your strength as i see from my tca crossing that a stronger tca peel,say 25% should statt to reduce the appearance of the texture and pore size.

i cant speak from a personal experience as i have yet to do my first tca peel but i have done tca cross.

Can only report back my experience and results in say a couple weeks if this threads still around.

but tca cross changes their sppearance,i cant say its a minus or a plus as my skin is different from yours but similar.

:)
 

Thank you for sharing! Do you have any before and after pics? I'm afraid of them getting bigger. My understanding of pores is that they are like an upside down ice cream cone. I'm afraid that if I go deeper, the pore will be wider, but maybe they will smooth out and not cast as much of a shadow?
3 hours ago, UpliftingCat said:

I would say 15% is too light of a peel.  15% is still considered very superficial and provides more exfoliation or maintenance of the skin rather than correction. These superficial peels certainly have their place in dermatology but I think that the positive impacts they can have are a bit over-stated. If you have had true dermabrasion, the kind that takes months to heal from, it is stated in medical journals that dermabrasion can cause pores to enlarge.  

I had an esthetician perform the dermabrasion. I peeled from it but, it definately not months of healing. It was light in comparison to that. it look maybe a week. 
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I know that what I'm about to do is a no-no, because you've come here for answers not for things a mom might say, but at the risk of sounding mom-like - you're beautiful! And this is coming from someone OBSESSED with skin. I swear I thought the pics were an "after." I personally think you have great skin - and certainly no scarring that I can see at all.

So it goes without saying that if procedures and treatments will make you feel better - do them, 100%, but I think you look amazing as you are. Just my 2 cents!

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1 hour ago, smileamyway said:
 I had an esthetician perform the dermabrasion. I peeled from it but, it definately not months of healing. It was light in comparison to that. it look maybe a week. 

This sounds like microdermabrasion as opposed to true dermabrasion.  True dermabrasion is a pretty intense procedure and I don't think an esthetician could legally perform this.  Usually an anesthetic is needed.  Microdermabrasion doesn't do much more than a Clarisonic or buff puff does for the skin which can be easily used at home.   I would look into cosmetic and medical microneedling or higher concentration tca peels. 
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They're enlarged pores, my skin is similar due to topicals. From what I have read, the most promising treatment is TCA cross, there are several people here who have done this. You can do a search here or go to Google images and type in "TCA cross forum" and see how others have responded. There is a chance they can widen, and they will initially look worse before filling in. Aftercare is important here. Most of the time it will take multiple treatments spread among a period of months. From what I've read results have varied, some people have significant improvement while others say it made their skin worse so it's difficult to find a definitive answer. Here are a couple examples:

EDIT: Well the links aren't working, do a search though and you will see them. There are several well documented cases.

 

Edited by Мyth
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10 hours ago, UpliftingCat said:

This sounds like microdermabrasion as opposed to true dermabrasion.  True dermabrasion is a pretty intense procedure and I don't think an esthetician could legally perform this.  Usually an anesthetic is needed.  Microdermabrasion doesn't do much more than a Clarisonic or buff puff does for the skin which can be easily used at home.   I would look into cosmetic and medical microneedling or higher concentration tca peels. 
It absolutely was micro! Duhhh can't believe I was typing dermabrassion the whole time.  I'm on a comp today not my phone, so there won't be an auto correct issue.
 I was doubtful about the microdermabrassion, but she threw it in after a facial as a "bonus". I didn't notice a difference. 
I'm looking into the peels and I'm leaning towards a Jessner and/or TCA .  I plan to get them done professionally at least once so I can get a feel for them and then perhaps continue on my own at home if they are helpful. 
Any thoughts on these?
5 hours ago, Мyth said:

They're enlarged pores, my skin is similar due to topicals. From what I have read, the most promising treatment is TCA cross, there are several people here who have done this. You can do a search here or go to Google images and type in "TCA cross forum" and see how others have responded. There is a chance they can widen, and they will initially look worse before filling in. Aftercare is important here. Most of the time it will take multiple treatments spread among a period of months. From what I've read results have varied, some people have significant improvement while others say it made their skin worse so it's difficult to find a definitive answer. Here are a couple examples:

EDIT: Well the links aren't working, do a search though and you will see them. There are several well documented cases.

 

I've done some google searches and it seems like  Dr Davin Lim  has the most information out there.  Thoughts on him?

I've been afraid to bite the bullet and get a deeper peel, but I think I'm going to give that a try and go from there. I'm really afraid of trying the TCA Cross method because I feel like the margin of error is super high considering how porous my skin is and how many there are to cover. 
11 hours ago, MareBearWrites said:

I know that what I'm about to do is a no-no, because you've come here for answers not for things a mom might say, but at the risk of sounding mom-like - you're beautiful! And this is coming from someone OBSESSED with skin. I swear I thought the pics were an "after." I personally think you have great skin - and certainly no scarring that I can see at all.

So it goes without saying that if procedures and treatments will make you feel better - do them, 100%, but I think you look amazing as you are. Just my 2 cents!

thanks!
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Try microneedling 
always finish washing face with cold water
try skin products with camphor and vitamin A

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Davin Lim is excellent, he uses a syringe method as opposed to the toothpick method to apply the TCA to the bed of the pore. He is in Australia though, depending on your location/financial situation it may not be feasible. If you aren't in a rural location you should be able to find a good doctor, Beautiful Ambition has a good list. A peel could be helpful, if you do decide to do this start with a low percentage and gradually work your way up. 

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Has anyone had success with microneedling with enlarged pores? I have a consultation scheduled on Monday for a TCA Peel @25%.  Will report back and def share post consult. 

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14 hours ago, smileamyway said:
It absolutely was micro! Duhhh can't believe I was typing dermabrassion the whole time.  I'm on a comp today not my phone, so there won't be an auto correct issue.
 I was doubtful about the microdermabrassion, but she threw it in after a facial as a "bonus". I didn't notice a difference. 
I'm looking into the peels and I'm leaning towards a Jessner and/or TCA .  I plan to get them done professionally at least once so I can get a feel for them and then perhaps continue on my own at home if they are helpful. 
Any thoughts on these? I've done some google searches and it seems like  Dr Davin Lim  has the most information out there.  Thoughts on him?

I've been afraid to bite the bullet and get a deeper peel, but I think I'm going to give that a try and go from there. I'm really afraid of trying the TCA Cross method because I feel like the margin of error is super high considering how porous my skin is and how many there are to cover.  thanks!

Both Jessners and TCA 10%-25% are considered superficial peels with a high safety record with little risk of complication.   The number of coats as well as the pressure applied will determine the reaction and depth of penetration.  For both Jessners and TCA it will take about 3 monthly applications to appreciate a difference.  However, pores are different than fine wrinkling and are challenging to improve.  You are right about the margin of error being high for TCA cross.  Even if the doctor applies the acid perfectly to the pit, there is always the possibility it could enlarge and widen.  I personally think it would be pretty gutsy to let a doctor apply TCA cross to an enlarged pore, but it certainly could work.  Just keep in mind, with TCA cross you are basically trading a pit for another scar that hopefully looks better.   It doesn't sound like TCA cross is something you are considering though.  I'd start with TCA 25%.  Downtime should be 5-7 days. 
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Tca peel seems the best sution unless theres something a skin specialist can perform with a machine.needling wont do anything for this bar maybe make your face tighter.

a diy 25% tca peel,1 layer to start with maybe 2 if your skin didnt frost from first layer,done 4 weekly intervals.tca quite literaly melts and smooths your skin to put it in an easy to understand way.i have no before pics so the pics i would take now are irrelevant.

i know i would tca cross any more and i see my skin is changing from 1 scar type to another.

you have soo many soo close together that tca cross is not suitable in my opinion.aldo you have some scars which are like a couple i got and it took 3 tca cross to see any reaction and thats if it was worth it.

idea is to change an ice pick to a very small rolling scar so you can deal with the scar as a rolling would be.

tca cross on your skin will make areas of smooth pits,definately not recommended.

tca peel just gonna melt and smooth the top layer of skin with a certain amount of penetration to the actual underlying surface which will/should make resulting skin growth less pronounced pores.

remember that changes brought on by acid are permenant and therefore you want to tackle your skin cirrectly.
:)

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Everyone above has given excellent and heart felt advice. But it's getting a bit out of hand. I think it's best you consult with a professional at this point,. Microdermabrasion does nothing for scars. Light TCA will not excuse my simplification sand down the pores (get under them). You need a medium depth peel or a high powered CO2 laser treatment. OF course with these there are complications occasionally. This is why choosing the doctor with good reviews is so important (realself.com)

Other energy treatments and I gave you many above are ematrix which is RF on the skin (some say it helps - see review real self, and others say it made it worse. CO2 resurfacing, Infini RF Microneedling. Keep in mind just like Amazon, realself is all the complainers, not the people who are happy and never post. I think you should post on realself your pics and ask the doctors for free their treatment opinion. You can also search for large pores there.

When you were on Accutane your skin was so thinned down there was no pores. After you were left with skin minus the sebrum which can cause acne. 

 

I see your face is overly dry, and you need to improve the skin barrier, your epidermis. Are you using enough creams / lotion moisturizers and night creams. You could be doing to many treatments causing irritation and orangepeel. Start eating more proteins, fats, vitamins, take a collegen supplement, get HE serum and Vitamin C serum. Microneedling and use them. If you peel you will need a strong one from age and the after effects of large pores. 15% as said above is light. Drs can do Phenol peels that are very strong and laser. Have you looked into PDL or Photodynamic therapy using a cream discuss this with a aesthetic Derm. Davin is good if your in AUS. 

Besides realself.com have you tried [removed] they know alot about skin care and I would ask and search there. While we enjoy you here, we do not specialize in general derm, we mainly discuss acne scars, many which are debilitating and hard to even leave the house, so we have disfigurement to try and figure out.

 If you find something that works, post here and let us know so we can tell others, I don't think they have tried strong enough things on you frankly. 

Yess TCA cross does wideen the scars, but it also lifts the scar to skin surface and eventually through repeated treatments it fades, Icepicks goto the bone, pores are deep but not as deep as icepicks.  

Post on Davins Youtube Channel and ask for a segment on large pores, I believe he did one on Youtube already if you want to search, he said Strong TCA peels and CO2, Picosure, Ematrix, you even have skin boosters if you are in AUS that are superficial HA injections for plumping and moisturizing.

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Whist my pores are not as noticeable as yours I do have a problem with mine. so far I have done 3 sessions with the derminator ( microneedling) and have used tca 24% twice ( only once on one side of my face) and I will say I honestly see a slight improvement. Don't get me wrong its not a wow factor but some parts of my skin are looking smoother and the texture is improving on a small scale.

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I got for the first peel on Tuesday. Will update with photos then, maybe in a different thread. 

I do also have acne scars, but unfortunately/fortunately the way my pores are setup...they aren't as noticeable. They are clearly overshadowed by the pores. 

Pic of other scar - in low lighting tho 

IMG_4816.JPG

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