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grandor

RF microneedling grid marks

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About a month ago, I did RF microneedling, and have generally had good results. However, I do notice some faint grid or track marks from the microneedles. If you look closely, you can see the grid where the needles went in, and there are pinpoint shallow scars (not hypertrophic raised papule scars). They are not huge, but you can tell they are like small icepick scars or pores in a patterned grid formation

I'm wonder if these resolve over time? And is there any way to improve healing to avoid this, or get this to heal faster after future treatments? Thank you

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Yes they will. You are most likely a slow healer. You can try to get some retin a, tretinorin, or Differin OTC at Target. Apply nightly. The body after Infini takes 6 months to stimulate collagen. Please be aware whatever the DR Told you is bullshit with no down time. Laser has down time as well. Some just take longer than others. Those grids will heal and make new skin with time, if you can heal normally doing other procedures. 

Turn down the settings of the Infini Level 4 is fine. Make sure the needles are insulated by asking. If you have ethnic skin, pre treat with hydroquinone or albutin bleaching creams and retin a 3 weeks before. You can tca peel after your microneedling but I would wait for 3 months after. 

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Thanks for the quick reply BA, your presence is much appreciated here :)

Re: settings, the device was Intracel at Level 5, and my guess is that the .8 mm pass was too shallow for the bonier parts of the face. As such, the energy may have hit the epidermis and created the grid marks. Glad to know they will fade though.

Should I continue to expect improvement over the 6 month timespan? Also by tca peel, do you mean cross? or just regular low % peel on the affected area?

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Collagen can be stimulated up to six months after treatment, so hopefully the scar will looks better. Have you been on Accutane before? That can impact your healing abilities, especially if you have been on it recently. 

You said you had good results with your treatment? How much % improvement did you see? You can use something like dermablend to cover your track marks. 

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Never done accutane, my acne was not severe enough (imo) to warrant the risks of the drug. Although, I was on retin-a for several years, and I think that really damaged / thinned my skin, and feel like it may have ruined my healing at the time. I have been off for over 3 years now though, so it shouldn't be affecting my healing at this point.

Tough to say %... maybe 10% or 15% tops. The reason I think it has given good results, is that it has improved the overall texture of the skin, especially with the shallow rolling scars. The icepicks and boxscars haven't changed much, but now it seems like all scars are returning to the same "plane" so to speak. I think more treatments will help, but I am discouraged by these grid marks - if not for this, I would be overwhelmingly ready to continue.

 

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Mainly due to the purging effects -- I had never had cystic acne prior to going on tretinoin, but it made me breakout like nothing else, scarring my skin more drastically than my normal acne had before. I also felt that I was more predisposed to scarring on it, hence the feeling of "thinned" skin. But you may have a point -- I have ethnic skin and did not use sunscreen regularly unless I knew I was going to be exposed in the sun for an activity or something. 

Anyway, that's all in the past -- now I have to figure out if I should continue RF microneedling procedures, or if it has side effects (eg. track marks) that are not worth it. Would love to hear other folks perspective on any negative effects from RF microneedling, especially for folks who have had it months or years ago, and seen long-term effects

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"Intracel at Level 5, and my guess is that the .8 mm pass was too shallow for the bonier parts of the face. As such, the energy may have hit the epidermis and created the grid marks."

There are not side effects, you have a incompetent operator, this is how you have issues, they must know hot  to use the device. Why would one goto level 5 at that low depth, ....Sure if you turn up the power and go deep you can get fat loss or low depth with high power, this is incompetence. This treatment needs someone skilled at how to use the device, as anything can hurt you if done improperly. Regarding grid marks. I have gotten them before and they really are not a big deal, ... they go away with time. This treatment takes 6 months to heal from just like laser. Your low down time is just that, minimal down time. IF you need the marks gone sooner you can do a peel 3 months after, yes TCA regular peel. You seem to heal poorly though, since I see your above experience with Retin A / Tretinorin. This may be also a reason for slow healing, it's not a standard response.   

This treatment Intracel for you takes 3 total treatments, ... it gets worse before better. You will see no magical results. Again 6 months after each treatment. It stimulates collagen. If you cannot heal properly it may not be as effective, time will tell.




 

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On 2/28/2018 at 1:22 PM, grandor said:

...but I am discouraged by these grid marks - if not for this, I would be overwhelmingly ready to continue.


From my own experience, grid marks can last up to 3 months on certain areas of the face. But they do fade with time, so no worries. If you can't take the heat, I suggest you buy yourself a BB cream from Amazon. These are tinted moisturizer that helps cover the blemish.

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Thank you guys for the advice. I will hang tight for a couple months and see if the marks fade! As a follow up question, who are the best doctors for RF microneedling on the west coast? 

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Agree with BA and @Sirius Lee regarding treatments and all. Few other points -
1. With insulation timing is everything. If one delivers the pulse in timing at deeper depths all good. But if the Specialist pulses as the needle is coming out or entering skin, collateral epidermal damage occurs.
2. All the aspects covered regarding the 3 months or even longer of grinding, and topical methods to reduce PIH. Time and sun protection is your friend. 
3. Another excellent method is with the 1927 wavelength ( C and B or Fraxel), pre treat with HQ, post treat with HQ but at say 5 mj max with C and B or say 15 mj 1927, the amount of passes (more than 10) can also speed up recovery and add to collagen production, decreasing pore sizing. If in no hurry, just wait it out. 
4. BA is correct, with any microneedling RF there has to be multiple adjustments throughout the entire procedure. Example - forehead area, one only has 1 mm to work with so anyone competent would turn the energy right down (10-20% of max power), slow down the interval rate (so less mistake), decrease PD or pulse duration, hence less total energy and go vvvvvv superficial 0.25- 0.75/ 0.8 maximum in this area. Energy based microneedling is very complex, as combinations are infinite. Spring and solenoid rates and device limitations, loss of insulation, skin type and many many variables need to be taken into consideration, including facial anatomy and even amount of facial fat. Belittled by many specialist, RF microneedling is more complex than 99% of lasers. I stand by that comment as a laser technician. 

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@Obi wan thanks for the detailed advice.  I think I'm happy to wait it out, as I'm not in enough of a hurry to have another procedure to fade the grid marks.

Re point 4 - how does one go about finding a qualified specialist / doctor wrt RF microneedling? Afaik, it's a fairly new treatment (at least in the USA), and only now is it gaining mainstream adoption. Specifically in west coast USA, is there a consensus recommended doctor? (Similar to Dr. Weiner in Florida or Lim in AUS)

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Wanted to report back with my progress 3 months in -

Grid marks have faded a good amount, and noone else would be able to notice them, even 1 foot away from my face. But I can still see there is some textural difference if I really scrutinize my face - safe to say, it doesn't bother me very much anymore.

There is still some irritation on my skin, where it feels like burned skin trying to recover. This includes hyperpigmentation still remaining and some general irritation in the form of red inflamed skin (not acne) under the eyes where the skin is thin. My skin never reacted like this pre RF-microneedling, so I'm guessing this is still the lingerning effects post treatment.

Overall, I notice some improvement 5-10%, and certain scars are softened or a bit more plumped up. Did nothing for the ice picks though. I don't regret doing it, but don't really think it was worth the expense, given the long healing process. Will report back again in 6 months to document the healing.

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Could you please update about your grid marks? How are they now? Thanks so much

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@Ctk This is a old post. Grids are very common as ethnic patients often have longer time to recuperate, sometimes a few weeks to a few months. The biggest issue with this complaint is the following. The Dr lies (sooooo common) and says this is a no down time procedure where you will only have a day of down time. The truth is any treatment has healing time unless it's worthless and does nothing. The types who have perfect skin go on sites like Real Self to complain after doing this procedure. They were told no down time and not they have to heal for several weeks. Rail road tracks are simply the body healing, just like would happen after laser. Now it also can be a very poor operator who choose to raise the needles during the procedure and messed up the skin or put the thing on blast at top energy settings and caused the energy to creep up, creating longer healing times. New settings are much lower actually given to the Dr's who use the machine because of the things they learned during the initial years of treatment. IF you heal poorly or are overly sensitive then you could take longer to heal or have side effects. Please consult with a expert Dr who has done thousands of these procedures and can evaluate your skin before using such device. There are some nurses who have more experince than the Drs on the unit, ask lots of questions.  

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Hi...what about if my red pinpoint dots from neddles Secret RF since 16 Juny 2017?i still have them.The plastic surgeon was told me"isn't a big deal,just do some make up"...I went to my dermatologist and i did 2 fraxel and 2 times with vvein laser but nothing.Still i healling 20 months now?sorry if i have errors in my message

Hi...what about if my red pinpoint dots from neddles Secret RF since 16 Juny 2017?i still have them.The plastic surgeon was told me"isn't a big deal,just do some make up"...I went to my dermatologist and i did 2 fraxel and 2 times with vvein laser but nothing.Still i healling 20 months now?sorry if i have errors in my message

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@sofaki90greece This is a common condition for those with sensitive, thin skin, or poor operator of the rf needling making the energy engage before it's in the skin. By two years it could be hyperpigmentation. But I have seen some patients with just wounding this long. The doctor does not sound experienced in treating you. 

Some suggestions:

1) Find a better aesthetics Dr, I hear that is hard in Greece

2) Press on them if they go away even for a microsecond and turn white they are wounding or PIE, if they still stay there they are PIH or hyperpigmentation

3) Buy a cream with silicone in it this is shown to work on wounds and new scars

4) You can try sublative rf or ematrix on them to treat the upper layers of the skin, sounds like the Fraxel did not work, so they are either deeper than the laser can go or more superficial, For the greek skin type picosure or picoway is a better laser, and all of these take "many" treatments.

5) You can try at home glycolic peels on them

6) Do this regimine at night especially the tretinorin and the pigmentation gel, buy niacinamide from the ordinary and vitamin c serum as well.

Use nightly: Retin-a or tretinorin(prescription), or Differin (Target/Walmart), The Ordinary Granactive Retinoid (if you can't get the above). Cureology(USA) & Yoderm(USA) provides online prescriptions with customized skin care creams for your concerns, those in UK Dermatica provides the same thing. Apply a moisturizer when your face is dripping wet. Wait 5 minutes for it to dry, and then apply the tretinoin. This cuts down on irritation, you can also skip days of application if it's irritating and you need to build up %. This provides skin turnover - new collagen. To prevent (reds & browns from all Dr-treatments to ethnic skin or to work on current skin discoloration), try PCA hydroquione free gel for Hyperpigmentaion (Amazon) or Cureology/Dermatica includes this in their products if ordered. Using this prevents hyperpigmentation from treatments. Hydroquinone has side effects for some people, natural option as listed above is better or ingredients kojic acid/Konjac and skin lightener ingredients, like Niacinamide by The Ordinary is great for pores and discoloration as well. The Ordinary, Cerave, Eucerin, Dr Sam Bunting Flawless Cleanser, and Acne.org's products are all great options for moisturizers and cleaners without fragrance / dyes / allergens. Sunscreen is a must (for the sensitive use zinc only physical ones)! 

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Posted (edited)

@beautifulambition i will try again to ask you because i so comfused and i see that you helped so many people.i will post photos too to see what exacly i mean but my phone camera isn't toongood to catch them.As i wrote some days before my problem is the tiny red holes needdles marks from secret rf(1 session) the 16 Juny 2017.When i made it it was summer but the doctor told me its ok with suncreen so i did.After 2 months i went in a shop with white light and i saw in the mirror the damage.After 5 months(December of 2017) i went to my old dermatologist to fix them.We tried fraxel 2 times but nothing.So i went again this December 2018 and i made 2 times nd lang vein laser and one very aggresive fraxel.Nothing at all again.The doctor told me its pointless to counting to treat them moreover the red holes are like big pores.I mean there are not only color but they have depth like biggg pores.Now i bought retin a for noghts,and vitamin c serum for mornings and metacell for a new brand in office of my dermatologist.

My questions are:

1.how can fix the color of them?

2.how can i "close"these holes?

3.can i made tca peel only above of them?without put if you zoom ypu will see

4.who can fix them if in Greece is hard to find spesialist Dr ?

On 3/16/2019 at 4:27 PM, beautifulambition said:

@sofaki90greece This is a common condition for those with sensitive, thin skin, or poor operator of the rf needling making the energy engage before it's in the skin. By two years it could be hyperpigmentation. But I have seen some patients with just wounding this long. The doctor does not sound experienced in treating you. 

Some suggestions:

1) Find a better aesthetics Dr, I hear that is hard in Greece

2) Press on them if they go away even for a microsecond and turn white they are wounding or PIE, if they still stay there they are PIH or hyperpigmentation

3) Buy a cream with silicone in it this is shown to work on wounds and new scars

4) You can try sublative rf or ematrix on them to treat the upper layers of the skin, sounds like the Fraxel did not work, so they are either deeper than the laser can go or more superficial, For the greek skin type picosure or picoway is a better laser, and all of these take "many" treatments.

5) You can try at home glycolic peels on them

6) Do this regimine at night especially the tretinorin and the pigmentation gel, buy niacinamide from the ordinary and vitamin c serum as well.

Use nightly: Retin-a or tretinorin(prescription), or Differin (Target/Walmart), The Ordinary Granactive Retinoid (if you can't get the above). Cureology(USA) & Yoderm(USA) provides online prescriptions with customized skin care creams for your concerns, those in UK Dermatica provides the same thing. Apply a moisturizer when your face is dripping wet. Wait 5 minutes for it to dry, and then apply the tretinoin. This cuts down on irritation, you can also skip days of application if it's irritating and you need to build up %. This provides skin turnover - new collagen. To prevent (reds & browns from all Dr-treatments to ethnic skin or to work on current skin discoloration), try PCA hydroquione free gel for Hyperpigmentaion (Amazon) or Cureology/Dermatica includes this in their products if ordered. Using this prevents hyperpigmentation from treatments. Hydroquinone has side effects for some people, natural option as listed above is better or ingredients kojic acid/Konjac and skin lightener ingredients, like Niacinamide by The Ordinary is great for pores and discoloration as well. The Ordinary, Cerave, Eucerin, Dr Sam Bunting Flawless Cleanser, and Acne.org's products are all great options for moisturizers and cleaners without fragrance / dyes / allergens. Sunscreen is a must (for the sensitive use zinc only physical ones)! 

This is from December 2018

20190315_092107.jpg

20181207_155212.jpg

20181130_175730.jpg

20190122_111817.jpg

Edited by sofaki90greece

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@sofaki90greece Wow this is a complicated one. So many variables I don't know. The Dr could be unskilled and have blasted you with the rf needling with the wrong settings. You could have thin sensitive skin and he never checked, thus using a pre-set setting which was not appropriate. IS there a process for a medical review in Greece to find misconduct? Ask for your case notes and the settings which were used. Secret has insulated and uninsulated needles, did he use uninsulated needles on you causing upper skin damage (burns),... or perhaps he turned it up so high it traveled up the skin and damaged upper layers. That would be helpful length mm of needle treatment, power setting and pulse duration. Then there is the issue of the redness, almost like a injection. This is not normal. See how there is almost pustular areas. I wonder how he took care of the wound, and his aftercare, were the needles even clean. I have seen it all, nothing surprises me. Even the experienced do these machines. RF needling is serious, it's like giving someone a very strong laser but with this it goes deeper than a laser, ... they need to be experienced and know that they are doing. 

He has caused you damage. The Forehead has dermal thinning and hypopigmented (loss of melanin) scars. 

The cheeks have atrohphy and rolling scars.

There are a few directions we can go here. 

1) Fly to Dr Lim who is a expert in scars, the wait time is very long right now. I do not feel the extra lasers you did will help your condition, it's must deeper and permanent damage he did (old Dr).

2) Goto a Dr nearby who can do this or Fly to Emil in Denmark have him do Cannula Subcision and some Sculptra in those cheeks. The forhead he can use a 31G normal needle to subcise those scars with saline. I would not have him do laser in the same session (hold off on that) You will need up to 8 sessions of subcision, I think I posted a new Dr who is in Greece recently in the FAQ, pinned to the scar treatments main sub, bottom of that or try her first for the subcisions. You can goto anyone (expert injector) for Sculptra if she will not inject it for you under your scars-all throughout that area (cheeks), we use that as a foundation like a house to prevent re-tethering. HA filler can be done on individual pits latter in your subcisions. Or if you wish you can just do HA filler  for the atrophy (probably more expensive). 

3) You could TCA Cross some of those spots, or we call it pain on method, 3x lower concentration of tca than cross in the pit let it dry and reapply. 

4) If that is not successful you will need to do punch excision of the scars. I never recommend this first as it's surgical and your skin is so thin to begin with, this would be done by a plastic surgeon also called scar revision. 

5) I want you to buy a derminator (Europe) and needle your scars monthly between Dr sessions which are every 3 months (Even if they tell you sooner, you have sensitive thin skin). Needle the edges of the scars especially, they have a single needle attachment do that on the scar walls to soften them. 

6) You will need one of the following by a VERY experienced practitioner, not some Dr who can try it on you. A deep peel, often done by a plastic surgeon, Fully ablative laser resurfacing for texture once you raise your scars from the above, dermabrasion (major down time) - only do this to the scar walls not that overly thing skin of the scarbed. 

The scars between your eyebrows almost look like keloids, are you prone to keloid scars? This might be it, did the rf needling cause surface keloid scarring? IF so they would use a dilute steriod, inject them and resurface them. 

 

Use nightly: Retin-a or tretinorin(prescription), or Differin (Target/Walmart), The Ordinary Granactive Retinoid (if you can't get the above). Cureology(USA) & Yoderm(USA) provides online prescriptions with customized skin care creams for your concerns, those in UK Dermatica provides the same thing. Apply a moisturizer when your face is dripping wet. Wait 5 minutes for it to dry, and then apply the tretinoin. This cuts down on irritation, you can also skip days of application (one or two days a week) if it's irritating and you need to build up %. This provides skin turnover - new collagen. To prevent (reds & browns from all Dr-treatments to ethnic skin or to work on current skin discoloration), try PCA hydroquione free gel for Hyperpigmentaion (Amazon) or Cureology/Dermatica includes this in their products if ordered. Using this prevents hyperpigmentation from treatments. Hydroquinone has side effects for some people, natural options  are better with ingredients like: kojic acid/Konjac, Alpha Arbutin, Niacinamide by The Ordinary is great for large pores, discoloration, and inflammation. The Ordinary, Cerave, Eucerin (QV Skincare in AUS), Dr Sam Bunting Flawless Cleanser, La Roche-Posay (sensitive), and Acne.org's products are all great options for moisturizers and cleaners without fragrance / dyes / allergens. The Three most important things one can use are: Vitamin A skin turnover (retinol, retinaldehyde, retinoid), Vitamin C Serum which makes collagen, and a sunscreen (zinc oxide physical for sensitive skin - DRMTLGY Active Sunscreen, Elta MD Physical).

 

Lots of Subcision is the treatment you truly need not a bunch of lasers.

  

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Hi, I’m not sure about lasers in Greece but I did have filler for my acne scars there with a plastic surgeon who seemed to do the job. I’m not sure if he now does subcision as this was a few years ago but I can send you his details when I’m home...

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Posted (edited)
21 hours ago, beautifulambition said:

@sofaki90greece Wow this is a complicated one. So many variables I don't know. The Dr could be unskilled and have blasted you with the rf needling with the wrong settings. You could have thin sensitive skin and he never checked, thus using a pre-set setting which was not appropriate. IS there a process for a medical review in Greece to find misconduct? Ask for your case notes and the settings which were used. Secret has insulated and uninsulated needles, did he use uninsulated needles on you causing upper skin damage (burns),... or perhaps he turned it up so high it traveled up the skin and damaged upper layers. That would be helpful length mm of needle treatment, power setting and pulse duration. Then there is the issue of the redness, almost like a injection. This is not normal. See how there is almost pustular areas. I wonder how he took care of the wound, and his aftercare, were the needles even clean. I have seen it all, nothing surprises me. Even the experienced do these machines. RF needling is serious, it's like giving someone a very strong laser but with this it goes deeper than a laser, ... they need to be experienced and know that they are doing. 

He has caused you damage. The Forehead has dermal thinning and hypopigmented (loss of melanin) scars. 

The cheeks have atrohphy and rolling scars.

There are a few directions we can go here. 

1) Fly to Dr Lim who is a expert in scars, the wait time is very long right now. I do not feel the extra lasers you did will help your condition, it's must deeper and permanent damage he did (old Dr).

2) Goto a Dr nearby who can do this or Fly to Emil in Denmark have him do Cannula Subcision and some Sculptra in those cheeks. The forhead he can use a 31G normal needle to subcise those scars with saline. I would not have him do laser in the same session (hold off on that) You will need up to 8 sessions of subcision, I think I posted a new Dr who is in Greece recently in the FAQ, pinned to the scar treatments main sub, bottom of that or try her first for the subcisions. You can goto anyone (expert injector) for Sculptra if she will not inject it for you under your scars-all throughout that area (cheeks), we use that as a foundation like a house to prevent re-tethering. HA filler can be done on individual pits latter in your subcisions. Or if you wish you can just do HA filler  for the atrophy (probably more expensive). 

3) You could TCA Cross some of those spots, or we call it pain on method, 3x lower concentration of tca than cross in the pit let it dry and reapply. 

4) If that is not successful you will need to do punch excision of the scars. I never recommend this first as it's surgical and your skin is so thin to begin with, this would be done by a plastic surgeon also called scar revision

5) I want you to buy a derminator (Europe) and needle your scars monthly between Dr sessions which are every 3 months (Even if they tell you sooner, you have sensitive thin skin). Needle the edges of the scars especially, they have a single needle attachment do that on the scar walls to soften them. 

6) You will need one of the following by a VERY experienced practitioner, not some Dr who can try it on you. A deep peel, often done by a plastic surgeon, Fully ablative laser resurfacing for texture once you raise your scars from the above, dermabrasion (major down time) - only do this to the scar walls not that overly thing skin of the scarbed

The scars between your eyebrows almost look like keloids, are you prone to keloid scars? This might be it, did the rf needling cause surface keloid scarring? IF so they would use a dilute steriod, inject them and resurface them. 

 

Use nightly: Retin-a or tretinorin(prescription), or Differin (Target/Walmart), The Ordinary Granactive Retinoid (if you can't get the above). Cureology(USA) & Yoderm(USA) provides online prescriptions with customized skin care creams for your concerns, those in UK Dermatica provides the same thing. Apply a moisturizer when your face is dripping wet. Wait 5 minutes for it to dry, and then apply the tretinoin. This cuts down on irritation, you can also skip days of application (one or two days a week) if it's irritating and you need to build up %. This provides skin turnover - new collagen. To prevent (reds & browns from all Dr-treatments to ethnic skin or to work on current skin discoloration), try PCA hydroquione free gel for Hyperpigmentaion (Amazon) or Cureology/Dermatica includes this in their products if ordered. Using this prevents hyperpigmentation from treatments. Hydroquinone has side effects for some people, natural options  are better with ingredients like: kojic acid/Konjac, Alpha Arbutin, Niacinamide by The Ordinary is great for large pores, discoloration, and inflammation. The Ordinary, Cerave, Eucerin (QV Skincare in AUS), Dr Sam Bunting Flawless Cleanser, La Roche-Posay (sensitive), and Acne.org's products are all great options for moisturizers and cleaners without fragrance / dyes / allergens. The Three most important things one can use are: Vitamin A skin turnover (retinol, retinaldehyde, retinoid), Vitamin C Serum which makes collagen, and a sunscreen (zinc oxide physical for sensitive skin - DRMTLGY Active Sunscreen, Elta MD Physical).

 

Lots of Subcision is the treatment you truly need not a bunch of lasers.

  

Between my eyerbrows are blisters.My dermatologist tryied only here an diode laser to fix the color but nothing,because the vein laser dodn't help either..But if you look too close these blisters gave me scars too.

I will go in two days to plastic surgeon who dod the secret rf the summer of  2017 and i will ask for the details that you wrote me.But i don't think that he hold my settings.I wish to be wrong.

Never changed doctor...i have olny my detmatologist since 21 while i was in  cystic acne for 1 year.Never trust someone else to touch my face and yep i did it once.i went to plastic surgeon and now more scars.

 

The doctors from Greece are too in FAQ's.You mean to be contact with the woman?

And you wrote that i need 8  sessions of subcision.You mean in my atrophy scars in cheeks?or in the forehead?i thought i had only rolling scars.

And who are you?Do you have an office?so manny thanks that you answer me 

 

Edited by sofaki90greece

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@sofaki90greece

I am not denying that you have scars, ... if anything I am trying to help you now with the aftereffects. I can only go by the partial picture of the data points I am given, and there is always more I don't know or perhaps can't get the full view in one picture (eg. eyebrows).

Ok they are blisters? How long have you had these "blisters" it sounded like you have had them for a very long time. Hence hypertrophic scarring. I don't know when he tried the diode laser. 

It really sounds like a mess, ... like your dermatologist does not know how to treat scars and is just trying things on you or compounding side effects and issues. Yes sometimes Vascular laser can not be effective, they may switch to a q-switch of another laser. Or they may need to do good old sclerotherapy for the veins. It depends on the source of the redness they must determine if they are good. Sadly I don't know if your derm or plastic are  with these side effects. Did the derm specifically say they were blisters, what was his treatment recommendation for them? - Lots of terrible Dr's out there. I am told in Greece this is common by several patients and the standard are not as strict to do these procedures or just be a general clinic who does these things. The Greek patients I know end up traveling to other Drs in Northern Europe for treatment sometimes. 

Your going to need several treatments. There is a lot of scarring and damage that has been done. I believe I have two female Dr's in Greece. One is trained by Dr Chu actually to do manual methods of scar revision and she works in the UK/Greece. https://www.xo.gr/profile/profile-911203240/en/ (For some reason my update did not take on her contact). I would consult her and the other female Dr and see what you think. 

Yes for your atrophy in your cheeks, ... the forhead may need some subcision but not that much. The forhead needs resurfacing as it has textural issues and the blisters must be dealt with. You do have rolling scars, and you need subcision, not more laser. This is what you need most especially with filler as I said above.

I am not your Dr or responsible for your care, please see a Board certified practitioner closer to you. You can find out who I am by my track record helping thousands with acne scars as a subject matter expert. Everything else is private as we do not advertise, or allow Dr's here. 

 

 

 

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Posted (edited)
15 hours ago, beautifulambition said:

@sofaki90greece

I am not denying that you have scars, ... if anything I am trying to help you now with the aftereffects. I can only go by the partial picture of the data points I am given, and there is always more I don't know or perhaps can't get the full view in one picture (eg. eyebrows).

Ok they are blisters? How long have you had these "blisters" it sounded like you have had them for a very long time. Hence hypertrophic scarring. I don't know when he tried the diode laser. 

It really sounds like a mess, ... like your dermatologist does not know how to treat scars and is just trying things on you or compounding side effects and issues. Yes sometimes Vascular laser can not be effective, they may switch to a q-switch of another laser. Or they may need to do good old sclerotherapy for the veins. It depends on the source of the redness they must determine if they are good. Sadly I don't know if your derm or plastic are  with these side effects. Did the derm specifically say they were blisters, what was his treatment recommendation for them? - Lots of terrible Dr's out there. I am told in Greece this is common by several patients and the standard are not as strict to do these procedures or just be a general clinic who does these things. The Greek patients I know end up traveling to other Drs in Northern Europe for treatment sometimes. 

Your going to need several treatments. There is a lot of scarring and damage that has been done. I believe I have two female Dr's in Greece. One is trained by Dr Chu actually to do manual methods of scar revision and she works in the UK/Greece. https://www.xo.gr/profile/profile-911203240/en/ (For some reason my update did not take on her contact). I would consult her and the other female Dr and see what you think. 

Yes for your atrophy in your cheeks, ... the forhead may need some subcision but not that much. The forhead needs resurfacing as it has textural issues and the blisters must be dealt with. You do have rolling scars, and you need subcision, not more laser. This is what you need most especially with filler as I said above.

I am not your Dr or responsible for your care, please see a Board certified practitioner closer to you. You can find out who I am by my track record helping thousands with acne scars as a subject matter expert. Everything else is private as we do not advertise, or allow Dr's here. 

 

 

 

First of all i want to ask sorry because i can't write right as good as i can read and uderstand english.

Yes there were blisters.These blisters gave me scars too.The dermatolist gave me the blisters.The aftercare about blisters was the fusicort cream and then cicaplast from la roche poshay. I had the blisters one week.They caused by the diode laser for the red nedlles holes.In the same day that i had the nd lang laser for the red holes.(date:6 December of 2018)My dermatologist wanted to see if can improve the color  of those holes  that secret rf(the secret was from plastic) gave me.

The plastic doesn't touch my face since secret rf.I went only two times to him.For procedure of secret rf and then after 5 months because he said to me i will be fine,i did not need him for something else.And i went after 5 months becuase i saw the red holes in a mirror with white light and i said:whatttt are these?

Now i feel hope that i found this site.Before i was lost and i said i'm quit.Becausei did not where to look for help. Special thanks to you @beautifulambition really.

It a mess i aggree with you.

Hope to understand my english.

Edited by sofaki90greece

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