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bryles

Acne scarring after 10 years

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Hello everyone, 

It’s been along time since my last post/comment. I’ve attached two recent pictures. I have finally stopped breaking out.  However I am left with a lot of scars. I should have started accutane as soon as I started breaking out like crazy. I feel depressed again, because of the scarring. I feel like I won’t be happy ever. Right now I’m trying to save for my acne scars treatment. I don’t know which one to have as I don’t want to make my scarring worse. I feel so sad. I feel stuck in this situation which wont change forever.

BF5E9089-2DB5-43C4-92EA-93D6E6BF1D72.jpeg

68AD2AC2-A2F0-45E6-978C-09F8FFB29CE9.jpeg

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Hi there,

Lots of rolling scars, a few box cars, mainly surface texture.

1) 3 treatments of subcision, with filler. You top up when the filler runs out. 
2) RF microneedling, will help a lot, use whatever brand the doctor has that is insulated (needles). You again will need 3 of these spaced between your subcisions and proper time to heal. It takes 3 months between treatments.
3) TCA peels, you will do several of these, because of your skin tone you must use hydroquinone and tretinorin before treatment for 3 weeks to prep the skin, and again when the skin has healed. You could also do a deep peel sedated with a Doctor which will give more dramatic results, but has more down time. Another option is erbium laser resurfacing if your skin does not respond well to peels. This will be the bulk of your work as your skin has heavy textural scars. 
4) If all else fails try low density 5-7% CO2 with high power treatment on the areas of concern. Lasers have side effects so I would not start here. 

Read about subcision, microneedling, and peels in the FAQ below.

 

 

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3 hours ago, bryles said:

I feel depressed again, because of the scarring. I feel like I won’t be happy ever. Right now I’m trying to save for my acne scars treatment. I don’t know which one to have as I don’t want to make my scarring worse. I feel so sad. I feel stuck in this situation which wont change forever.


Seriously?!! Dude, your scar is pretty mild in comparison to many others who congregate this forum.

What BA advised is all good, but considering that your scars are not severe at all, I would suggest you start off with Sculptra injected deeply into your scars (you'll need 3 repeat visits) and then follow up with Infini about 4 weeks afterwards. The underlying premise is that the Sculptra will help with the collagen production while the Infini adds further impetus.

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I have very similar scarring.  TBH 3 subcision + filler + 3 infini treatments should most likely get you to a point where you don't even think about your scars.  I'll be doing that once I get some time.    

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Went to see a dermatologist today, I was advised to have 1-2 subcision/s and Fillers ( HA Teoxane) he said I’ll see 30-70% improvement. He said he could do a CO2 laser but said I would benefit more with subsicion and fillers. I’ll wait till I could ask for time off.

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30 minutes ago, bryles said:

Went to see a dermatologist today, I was advised to have 1-2 subcision/s and Fillers ( HA Teoxane) he said I’ll see 30-70% improvement. He said he could do a CO2 laser but said I would benefit more with subsicion and fillers. I’ll wait till I could ask for time off.


wow, how lucky you are to have this dermatologist around and meet them on your first visit. sounds v good;)

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4 hours ago, eva_li said:

wow, how lucky you are to have this dermatologist around and meet them on your first visit. sounds v good;)
Yes, he was really nice too. Answered all my questions. Told me that he’s going to do subsicion first then after two weeks he’ll inject  the fillers. I really hope that it’s going to work. :)

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22 hours ago, Sirius Lee said:

Seriously?!! Dude, your scar is pretty mild in comparison to many others who congregate this forum.

What BA advised is all good, but considering that your scars are not severe at all, I would suggest you start off with Sculptra injected deeply into your scars (you'll need 3 repeat visits) and then follow up with Infini about 4 weeks afterwards. The underlying premise is that the Sculptra will help with the collagen production while the Infini adds further impetus.
Hello,

Thank you. Saw a derm and recommended subcision and HA fillers. I’m gonna try those procedures when I have the time.  I feel so sad because of my scarring. Here are some more pictures that I took.


cheers!


 

87ECF756-6A04-4DDE-A451-89C7F607A5F0.jpeg

1C987073-877D-4298-B5D0-3CAA24A4485A.jpeg

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19 hours ago, bryles said:

Went to see a dermatologist today, I was advised to have 1-2 subcision/s and Fillers ( HA Teoxane) he said I’ll see 30-70% improvement. He said he could do a CO2 laser but said I would benefit more with subsicion and fillers. I’ll wait till I could ask for time off.

It sounds like you have found an honest scar revision specialist. Keep us updated on your progress.

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Hello Everyone, so this might seem petty but I went out with some friends today. ( btw I work overseas) And shun my friend introduced me to his wife his wife made a comment. She told her husband that I was ugly. I was so shocked although I don't speak the language I am able to understand it. Her husband( my friend) told her to stop. But it seriously ruined my day. Now I can't stop thinking about how my life would be without these scars. And I noticed that the scars are getting worse maybe because I'm getting older? 


Sorry about the rant.

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Im sorry this happened man. I really am. TBH your scars are not that bad.
Where are you in your treatment plan have you done anything yet?? 
Maybe she said something else but you misheard??
btw how old are you?

Edited by Amp2695

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2 hours ago, bryles said:

Hello Everyone, so this might seem petty but I went out with some friends today. ( btw I work overseas) And shun my friend introduced me to his wife his wife made a comment. She told her husband that I was ugly. I was so shocked although I don't speak the language I am able to understand it. Her husband( my friend) told her to stop. But it seriously ruined my day. Now I can't stop thinking about how my life would be without these scars. And I noticed that the scars are getting worse maybe because I'm getting older? 


Sorry about the rant.


This is exactly why treatments are a must, and therapy or any other advice is a waste of time. Have you had the treatments that were recommended, namely subcision + HA filler? Edited by ChildhoodDreams

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Actually Therapy is made to deal with the feeling and emotions one has to struggle with. Therapy helps with self esteem and the pain others cause us. If we dwell on these issues it can depress us and effect our lives. 

This is called projection - Anger, pain, depression, hurt, abuse, insecurity, melancholy, discontent, fear, patterns of harm, narcissism, spite, vindictiveness, making yourself feel better on the pain of others, pettiness, distraction.... projection on others.
 

“You can’t control what others think. The only thing you can control is yourself. Some people will look down on you for your choices in life, no matter what they are. You can’t do anything about that. They mask their personal insecurities and issues through judging others. The only thing you can do is decide how to live your own life. And to hell with everybody else.”

― Marie Sexton
 

Therapy: Projection

 

woman-pointing-blame.jpgProjection is a psychological defense mechanism in which individuals attribute characteristics they find unacceptable in themselves to another person. For example, a husband who has a hostile nature might attribute this hostility to his wife and say she has an anger management problem.

In some cases projection can result in false accusations. For example, someone with adulterous feelings might accuse their partner of infidelity.

Types of Projection

Like other defense mechanisms, projection is typically unconscious and can distort, transform, or somehow affect reality. A classic example of the defense mechanism is when an individual says “She hates me” instead of expressing what is actually felt, which is “I hate her.”

There are three generally accepted types of projection:

  1. Neurotic projection is the most common variety of projection and most clearly meets the definition of defense mechanism. In this type of projection, people may attribute feelings, motives, or attitudes they find unacceptable in themselves to someone else.
  2. Complementary projection occurs when individuals assume others feel the same way they do. For example, a person with a particular political persuasion might take it for granted that friends and family members share those beliefs.
  3. Complimentary projection is the assumption other people can do the same things as well as oneself. For example, an accomplished pianist might take it for granted that other piano students can play the piano equally well.

What Is the Purpose of Projection?

Sigmund Freud believed projection to be a defense mechanism often used as a way to avoid uncomfortable repressed feelings. Feelings that are projected may be controlling, jealous, angry, or sexual in nature. These are not the only types of feelings and emotions projected, but projection most often occurs when individuals cannot accept their own impulses or feelings.

In modern psychology, the feelings do not necessarily have to be repressed to constitute projection. Projection can be said to provide a level of protection against feelings a person does not wish to deal with. Engaging in either complimentary and complementary projection can allow people to feel more like others or relate to them easily.

It is fairly common for people to engage in projection from time to time, and many people who project their feelings on occasion do not do so as a result of any underlying issue. In some cases projection can contribute to relationshipchallenges. Projection may also be a symptom of other mental health concerns.

Projection and Mental Health Concerns

Projection, one main mechanism of paranoia, is also frequently a symptom of narcissistic and borderline personalities. A person with narcissistic traits who does not respect their partner may say to the partner, “You don’t respect me or see my true worth.” Some individuals with borderline personality may be afraid of losing the people they love and project this fear by frequently accusing friends or partners of planning to leave. However, individuals who project their feelings in this way do not necessarily have either of these conditions.

A person in therapy or who has been effected by these types of people may be able to address these projections with the help of a qualified mental health professional. When a person can explore the reasons behind any projected feelings, it may be possible to prevent or reduce occurrences of this behavior in the future.

References:

  1. American Psychological Association. APA Concise Dictionary of Psychology. Washington, DC: American Psychological Association, 2009. Print.
  2. Corsini, R. J., & Wedding, D. (Eds.). (2007). Current Psychotherapies (Eighth ed.). Brooks Cole.
  3. Perry, J. C., Presniak, M. D., & Olson, T. R. (2013). Defense Mechanisms in Schizotypal, Borderline, Antisocial, and Narcissistic Personality Disorders. Psychiatry, 76(1), 32-52.
  4. Projection. (n.d.). Changing Minds. Retrieved from http://changingminds.org/explanations/behaviors/coping/projection.htm


 

 


 

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@bryles  She sounds like the ugly one IMO.  I'll give you a quick rundown since i've been in that situation. It's ALL about confidence and who you are as a person I promise you this.  SOOOO many girls don't care about looks as much as you would think it's all about how you reflect yourself.  

Get in shape, be confident, clear skin, be trustworthy, witty, etc and this will take you WAY further than your looks.  (your scars are actually fairly mild).

I just got out of a long distance relationship like a month or two back so I'll give you some advice.  While I was with this girl I had a few breakouts and ended up with a LOT of scars.  Once we broke up I was scared shitless that I wouldn't find another girl.  Went through like a month of depression then finally realized i had absolutely nothing to lose by at least trying to find someone new. 

Out of the blue a girl I have been friends with for a few months casually asked me out for drinks one night.  I hadn't been out in ages and was getting pretty lonely so I figured I have absolutely nothing to lose.  No lie this girl is stunning and from my perspective my face is all fucked up.

We went out and I made it clear I just wanted a fun, casual night out because deep down inside I was scared I'd get rejected.  We shot the shit and just had a great time hanging out as two human beings.  I asked her if she was having fun and she told me OVER AND OVER that she was attracted to me because I was a good guy with good vibes that she trusted.  I treat her with respect and she appreciates that.   Looks were one of the smallest aspects of what she was interested in (I'd say 20%).  Just because someone looks like brad pit doesn't mean they can whip up chemistry or make another person feel good about themselves.  If a girl is only interested in your looks you say fuck them and make it clear that you wouldn't deal with someone like that anyways.  We've hung out probably 5 times over the last week and we both fit each other pretty well.  She 100% see's my scars but she likes me because I have confidence and treat her well.  I've gotten to know HER and not her looks.  I'm not sure where we are going yet but i just wanted to let you know that a lot of people aren't as shallow as you think.   

I would say my scars are at least = to yours.  What you need to do is start talking to people and if someone judges you only by your looks you say fuck them.  There are SOO many people out there with different insecurities and someone who judges that quickly probably has FAR MORE ISSUES than you could imagine.  There are so many girls out there that wouldn't give a shit if your skin wasn't perfect.  Sorry I'm a bit hungover so this isn't written perfectly, I just thought I'd give you my perspective.

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On 5/8/2018 at 1:09 AM, Amp2695 said:

Im sorry this happened man. I really am. TBH your scars are not that bad.
Where are you in your treatment plan have you done anything yet?? 
Maybe she said something else but you misheard??
btw how old are you?

Hi Amp2695, 
Thank you for your response,I’m 29. I’m sure pretty sure about what my friend’s wife told him. Sometimes I think it’s not a good thing that I could understand their language but sometimes I feel like it is a good think cause I’ll know if they Te talking about me. I’m still thinking about what to do with my scars, but I’m convinced that I need to have 2-3 subcisions and fillers. I still can’t do it now cause I don’t have the time yet. I’ll probably do it later this year, when I can ask for 2 weeks off. 
On 5/8/2018 at 3:31 AM, ChildhoodDreams said:

This is exactly why treatments are a must, and therapy or any other advice is a waste of time. Have you had the treatments that were recommended, namely subcision + HA filler?
Hello Childhood dreams,
Thanks. I agree, I haven’t had those procedures done yet as I don’t have the time now. I’ll do it later this year.  Do you have acne scars too? Right now I still have some pigmentations and I’m using AHA facial wash. I think it helps a little bit. 

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On 5/9/2018 at 12:00 AM, thepwhisp said:
@bryles  She sounds like the ugly one IMO.  I'll give you a quick rundown since i've been in that situation. It's ALL about confidence and who you are as a person I promise you this.  SOOOO many girls don't care about looks as much as you would think it's all about how you reflect yourself.  

Get in shape, be confident, clear skin, be trustworthy, witty, etc and this will take you WAY further than your looks.  (your scars are actually fairly mild).

I just got out of a long distance relationship like a month or two back so I'll give you some advice.  While I was with this girl I had a few breakouts and ended up with a LOT of scars.  Once we broke up I was scared shitless that I wouldn't find another girl.  Went through like a month of depression then finally realized i had absolutely nothing to lose by at least trying to find someone new. 

Out of the blue a girl I have been friends with for a few months casually asked me out for drinks one night.  I hadn't been out in ages and was getting pretty lonely so I figured I have absolutely nothing to lose.  No lie this girl is stunning and from my perspective my face is all fucked up.

We went out and I made it clear I just wanted a fun, casual night out because deep down inside I was scared I'd get rejected.  We shot the shit and just had a great time hanging out as two human beings.  I asked her if she was having fun and she told me OVER AND OVER that she was attracted to me because I was a good guy with good vibes that she trusted.  I treat her with respect and she appreciates that.   Looks were one of the smallest aspects of what she was interested in (I'd say 20%).  Just because someone looks like brad pit doesn't mean they can whip up chemistry or make another person feel good about themselves.  If a girl is only interested in your looks you say fuck them and make it clear that you wouldn't deal with someone like that anyways.  We've hung out probably 5 times over the last week and we both fit each other pretty well.  She 100% see's my scars but she likes me because I have confidence and treat her well.  I've gotten to know HER and not her looks.  I'm not sure where we are going yet but i just wanted to let you know that a lot of people aren't as shallow as you think.   

I would say my scars are at least = to yours.  What you need to do is start talking to people and if someone judges you only by your looks you say fuck them.  There are SOO many people out there with different insecurities and someone who judges that quickly probably has FAR MORE ISSUES than you could imagine.  There are so many girls out there that wouldn't give a shit if your skin wasn't perfect.  Sorry I'm a bit hungover so this isn't written perfectly, I just thought I'd give you my perspective.
 

Hey Man, thank you so much for taking time to respond. Yes, same here just broke up 2-3 months ago. And the break up made me feel insecure about everything. Mede me feel ugly and I felt so bad few days after the break up. What you said about people and insecurities is true. Maybe my friend’s wife has issues about how she looks and she’s just trying to make herself feel better. To be honest in the past when I didn’t have scarring yet. I couldn’t careless about other people’s skin. But when my acne became really bad I started to notice everything. Right now I’m trying my best to focus my attention to other things such as work and exercise but there are days when I would just think about possibilities if I didn’t have such a crappy skin. But I’m trying. 

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On 5/13/2018 at 10:46 PM, Hotler said:

The girl is not wrong. It's not your scars. You're ugly in general. With or without them.

Thank you. Being called ugly by someone who hasn't posted picture of him herself. I have no words. Lol :) Edited by bryles

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On 5/16/2018 at 12:36 AM, bryles said:

Thank you. Being called ugly by someone who hasn't posted picture of him herself. I have no words. Lol :)

I am really sorry you have to go through that. 

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