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Darkfador113

my derm suggested co2 laser !!! what do you think ?? help me

Hi guys how are you . i ve been suffring from acne scars for 5 years . i went to dermatologue and she suggested to me a 60% co2 laser .

as you see in the pics i have a many types of scars . from 2 grade to 4 grade .

so what do you think ??? will co2 give me a good results ??? is 60% laser strong enough ????






 

27721448_1046848368787829_2114249195_n.jpg

27783340_1046848318787834_1817268597_n.jpg

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CO2 will not get you to where you want to be. Your major issue is rolling scars with fat atrophy or loss. I would not have done CO2 at all. Sadly CO2 can make your fat loss worse, and not properly deal with volume issues. 

I would do the following based on the pictures posted:
* Subcsion with filler. Subcision using a nokor needle. For this type of fat loss one can do well with voluma throughout the cheek. Fat grafting is another option if you like the look of filler I would go this direction for longer results., but I have seen alot of ugly results recently from fat. 
* I would space around your subcisions when the filler goes away RF microneedling, there are many brands. They must feel your skin for thickness in the area of treatment so they do not go to deeply. 
* I would then do a deep TCA Peel for surface texture that goes to the reticular dermis, this is sedated. OR several medium strength tca peels, ... less side effects than using laser (plastic surgeon can do these or a derm). Another option is erbium resurfacing. Unlike your co2 this is only for surface texture and is ablative. For the redness of your scars you may need vascular laser to even out the tone.

Your major treatments to keep up are filler and subcision.

See the below FAQ subcision, filler, and peel section. 

 

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2 hours ago, beautifulambition said:
CO2 will not get you to where you want to be. Your major issue is rolling scars with fat atrophy or loss. I would not have done CO2 at all. Sadly CO2 can make your fat loss worse, and not properly deal with volume issues. 

I would do the following based on the pictures posted:
* Subcsion with filler. Subcision using a nokor needle. For this type of fat loss one can do well with voluma throughout the cheek. Fat grafting is another option if you like the look of filler I would go this direction for longer results., but I have seen alot of ugly results recently from fat. 
* I would space around your subcisions when the filler goes away RF microneedling, there are many brands. They must feel your skin for thickness in the area of treatment so they do not go to deeply. 
* I would then do a deep TCA Peel for surface texture that goes to the reticular dermis, this is sedated. OR several medium strength tca peels, ... less side effects than using laser (plastic surgeon can do these or a derm). Another option is erbium resurfacing. Unlike your co2 this is only for surface texture and is ablative. For the redness of your scars you may need vascular laser to even out the tone.

Your major treatments to keep up are filler and subcision.

See the below FAQ subcision, filler, and peel section. 

thanks @beautifulambition for your advice .


what do you think about a series of subcision+suction . will it give good result ?? another 2 pics are attached .
 

27836357_1046900492115950_1505709426_o.jpg

27849187_1046900655449267_1719280999_n.jpg

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Research your scar revision professional. Travel if you need to. My opinion? I would not return to that dermatologist. The fact she recommend CO2 laser for your scar type shows she doesn't specialise in scar revision, more like she is trying to pay off the 110k machine. Run away! 

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2 hours ago, ScarRight said:

Research your scar revision professional. Travel if you need to. My opinion? I would not return to that dermatologist. The fact she recommend CO2 laser for your scar type shows she doesn't specialise in scar revision, more like she is trying to pay off the 110k machine. Run away! 

thanks @ScarRight and all what you said is true , what would you suggest to me if you are experienced with scar revision

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2 hours ago, Darkfador113 said:
thanks @ScarRight and all what you said is true , what would you suggest to me if you are experienced with scar revision

I'm not experienced with scar revision. However, I recommend you read the FAQ on this sub forum. It was created by BeautifulAmbition and not only has it got lots of great information, but there is a list of highly recommend scar revision specialist. I'm willing to bet my money your current dermatologist is not on that list. Do you live in the US? Travel if necessary. Don't just go to the clinic that is close to you. 

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On 07/02/2018 at 5:33 PM, beautifulambition said:
CO2 will not get you to where you want to be. Your major issue is rolling scars with fat atrophy or loss. I would not have done CO2 at all. Sadly CO2 can make your fat loss worse, and not properly deal with volume issues. 

I would do the following based on the pictures posted:
* Subcsion with filler. Subcision using a nokor needle. For this type of fat loss one can do well with voluma throughout the cheek. Fat grafting is another option if you like the look of filler I would go this direction for longer results., but I have seen alot of ugly results recently from fat. 
* I would space around your subcisions when the filler goes away RF microneedling, there are many brands. They must feel your skin for thickness in the area of treatment so they do not go to deeply. 
* I would then do a deep TCA Peel for surface texture that goes to the reticular dermis, this is sedated. OR several medium strength tca peels, ... less side effects than using laser (plastic surgeon can do these or a derm). Another option is erbium resurfacing. Unlike your co2 this is only for surface texture and is ablative. For the redness of your scars you may need vascular laser to even out the tone.

Your major treatments to keep up are filler and subcision.

See the below FAQ subcision, filler, and peel section. 

can you plz tell me how many fat loss scars i have ?? and will subcision  ( without filler ) improve it ??? 

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Yes you need nokor subcision, toward your nose. Left and right of your mouth, and under the eye area. I am not going to count your scars haha... Look at the pic they are pink and tethered scars. 

Filler would help a lot, but if you cannot afford it then Chinese Cupping Amazon is your other choice. 

27783340_1046848318787834_1817268597_n.jpg
27721448_1046848368787829_2114249195_n.jpg

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28 minutes ago, beautifulambition said:

Yes you need nokor subcision, toward your nose. Left and right of your mouth, and under the eye area. I am not going to count your scars haha... Look at the pic they are pink and tethered scars. 

Filler would help a lot, but if you cannot afford it then Chinese Cupping Amazon is your other choice. 


 

Thank you very much @beautifulambition , may i ask another question ?? why chineese cupping ??? to perform suctioning with subcision ??? 

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Agree with BA. acne scar revision in this context should be manual before laser. Namely subcsion with added saline, PRP or spacer filler. This is a certain. Co2 first off is not a good start to your journey. Subcise the tethered scars, and buffer with filler - this acts as a spacer. Why? 1. It works, 2. No downtime 3. Predicable 4. Instant results 5. Less side effects.   Downside? Has your Specialist got the skill sets to do the procedure, or is he or she relying on a machine, press some pedals or buttons as per instructions , and hope for the best? Challenge your Specialist with the knowledge of BA and others to give you the correct advice. Scar revision is about results, not revenue for Doctors. 

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@Darkfador113 Don't do co2. I had a series of  6  co2 lasers resurfacing treatments spaced 8 to 12 weeks apart with Dr Davin Lim. It did nothing for my scars at all. I ended up with more scarring, fat loss/collagen loss and texture of my skin is completely destroyed. 
 

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** This is a friendly reminder, the OP is competently responsible for his own health. You have veins and arteries all over your face and can severely hurt yourself. This isn't child's play or a microneedling treatment. 

 There is a reason why Drs do this procedure and we don't do it on yourself. You can really hurt yourself badly, including infection, cutting arteries, blood issues, sterilization, shock, loss of eye sight, etc... Doctors goto school for years, residency, work on cadavers, and have to study what to do when things go wrong. IF you want to self subcise all of the responsibility to do it is on you and you alone. WE will not teach you how to hurt yourself here.

BA

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4 hours ago, Syd15 said:
@Darkfador113 Don't do co2. I had a series of  6  co2 lasers resurfacing treatments spaced 8 to 12 weeks apart with Dr Davin Lim. It did nothing for my scars at all. I ended up with more scarring, fat loss/collagen loss and texture of my skin is completely destroyed. 
 

Then why do it six times? I really do not understand. Why did you come back after, lets say, the third treatment?

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On 2/12/2018 at 8:39 PM, beautifulambition said:

 


Well, I clearly wrote in BOLD LETTERS warning him of possible consequences but the dude just wouldn't listen. ^_^
 

On 2/12/2018 at 1:36 PM, Sirius Lee said:

 

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@Sirius Lee
I know there is only so much you can do for people in life. Sometimes they have to learn the hard way....

I will have to paste Frenchscars post here. 
I empathize with people on costs of things but they can pay for their hair to be done, coffee, eating out, the club, but not have subcision, ... that just seems silly to me. 



 

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Your still not going to get the quality of a good doctor if you DIY. Who has time (besides if "we" have to ;-) to learn all the facial anatomy, harm reduction, sterile methods of treatment, proper technique which takes experience. What does one do if somethinggoes wrong.  Number one thing I have seen in practice is people get crappy treatments by medspas, unskilled practitioners, or do the DIY and come with emergencies wanting others to fix them. They often just jab themselves and think oh it's easy. Little do they know all the horrors we do not discuss and must evaluate. I do think it's ironic this post is at the same time as someone posting they had bad subcision and potential fat loss, and another stating it was worthless and did nothing... Makes one wonder. Why bother.

 

Just don't let me know about it ;-) I have enough problems to fix. I can't hand spoon feed these people info either, they need to do the work and it's really not safe to share in public. Quality takes experience, education, knowledge, and mistakes (on your own face), plus skilled hands. I can do many things on myself, ... I just know a skilled hand is often better than doing it on myself.

 

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