Get the bigger deeper tethered stuff subcised,with filler preferably but wait at least 6 weeks before doing anything else to your skin,preferably a couple of months.get the deep bugger stuff lifted then maybe tca cross if you have any ice picks or small boxcar or switch to rf microneedling to see if you can plump any deficiency up.then switch to tca peels ir other resurfacing technique.

@Srananman Good on you for continuing your journey. Lets be cautious and wait as you are only a week out of subcision, could be swelling right now ... you heal for 6 months.

I can give you a plan PM me.

Give it time, do not do your treatments a month apart, the body does not heal like this, 3 months apart minimum. Or you won't see the results you want. I know Dr's push for mega treatments and once a month but this is not smart!

@Srananman In addition, I think you're correct to do a series of subcision before moving on to Infini. We know Infini doesn't do as well for deeper scars, so it would make more sense subcise the deeper scars until they're about even with the moderate ones, then get Infini.

In my opinion, it's best to treat the scars INCREMENTALLY. Subcision should be the first course of treatment for severe scars. This should be repeated until the scars are "moderate" in appearance. Then it should be proceeded with Infini. With Infini, the goal is to fill the pit to the level of a deep wrinkle. At this point, dermal fillers can be used, which is known to work very well camouflaging wrinkles. After that, you can smooth out any surface irregularities with either laser or peel.

Just my 2-cents.

Thanks all very much for the advice!

After I went to the gym yesterday the scars reappeared, so I guess the procedure was indeed not agressive enough. Next appointment will be with Dr Emil

Another question; can I do fillers before I do infini without destroying them?

I've done 4 subs with Luc Louis and they didn't help much I must say. So you're choice to go to Emil is a good choice imo

4 hours ago, Noa27 said:

I've done 4 subs with Luc Louis and they didn't help much I must say. So you're choice to go to Emil is a good choice imo

Thanks for sharing I just made an appointment with Emil on the 7th of May. It's a 7 hour drive from where I live so I will probably drive there with a mobile home. There's a 6 week timespan between the subcisions so it's not an ideal situation, but it costs me less vacation days. Besides, in the previous subcision only my cheeks got treated, not my temples and forehead.

Keep us updated

Guess it's time for an update. At first I didn't bother to update as the results from my last subcision were minimal, being optimistic I can speak of 5-10% improvement at best. To document the results, find pictures below:

So last week I went to my derm for another treatment, this time to treat my forehead and temples. I have a very long ice-pick kinda scar in my forehead which doesn't really look acne-induced. I never even hoped for it to be improved but then derm went hardcore on it with:

• subcision (Non-Nokor)
• PRP
• Fractional CO2(not sure which device)
• Dermapen
• Botox.
• Cost: about 500,- euros

My temples don't seem to have improved much but my forehead is absolutely a world of difference and I'm very, very happy although there probably still is some swelling.

 

4 hours ago, Srananman said:

Guess it's time for an update. At first I didn't bother to update as the results from my last subcision were minimal, being optimistic I can speak of 5-10% improvement at best. Especially in the fifth week after the subcision I noticed less depth in the scars. I still notice it every day and it feels good, but it's nothing life changing and in the worst lighting it doesn't look like anything has changed. To document the results, find pictures below:

So last week I went to my derm for another treatment, this time to treat my forehead and temples. I have a very long ice-pick kinda scar in my forehead which doesn't really look acne-induced. I never even hoped for it to be improved but then derm went hardcore on it with:

• subcision (Non-Nokor)
• PRP
• Fractional CO2(not sure which device)
• Dermapen
• Botox.
• Cost: about 500,- euros

My temples don't seem to have improved much but my forehead is absolutely a world of difference and I'm very, very happy although there probably still is some swelling.

Seeing results like these gave me some new hope that my scars can get treated. Although I have lived with these scars for over 15 years and thought I managed coping with this condition pretty well, I find that scar revision is a very emotional process to go through. I am so happy that after so many years I finally have the means to heal myself but damn, it's so stressful! 

So what are my next steps? Basically what I really want is to have the deepers scars filled up. I don't really care for those smaller scars, but I just really want to get rid of the deep stuff. The subcisions I'm doing now do not seem to help much so I will go for Nokor Subcision+filler next time and hopefully some TCA Cross for the smaller boxscars. I will do this at at Emil Henningsen on the 14th of august. Next to that I have an appointment (12th July) with a Dutch doctor who seems to be an expert in filling acne scars Dr Melenhorst Utrecht and a Velp Netherlands Clinic(Link Edited By MOD). He does fat grafting and other injectables and I'm really hoping that my deeper scars can be filled up.

When all the deep stuff is gone (it must be great to wake up in the morning seeing that shit gone!!) I will go for a bunch of Infini RF treatments, probably at: Prins Hendrik Clinic Amsterdam (Link Edit by MOD)

Who is your derm atm? Keep us updating! I'm also grom Holland and I'm interested in Dr Henningsen en Dr Melenhorst.

32 minutes ago, Noa27 said:

Who is your derm atm? Keep us updating! I'm also grom Holland and I'm interested in Dr Henningsen en Dr Melenhorst.

Still with Luc Louis! If only he could add Nokor Subcision+Filler, Infini and TCA cross to his treatment options...

By the way, I noticed that you had fat grafting done a very long time ago. How was your experience with that? I see pictures on the internet like the one below, is that really something you can expect or is it just one of those top 1% successes?

I had one treatment with Louis Huysmans. I came to him to discuss Subcision, the first visit was good, he took pics, we discussed poss options for each scared zone. I pointed out that I would not do laser. The second visit he gave me the Plan - Canula subcision plus erbium in one procedure. When I refused he tried to talk me into Laser. He said he loved lasers. When I tried to say that I was not going to do laser any more because it did nothing for the pits and gives me the outbreak every time he started to laugh. I went away from the cabinet nerves but came back and in the end he did canula Subcision on the forehead plus dermapen. Charged around 300euro. Zero result. In his list of things he does different scars treatment but I could not develop the normal dialog after him pushing the laser. He showed one pic of the guy with one scar treated with punch elevation and I did not like what I saw. It is extremely difficult when the doc starts to push His treatment only- laser in this case, the whole consultation instead of normal discussion u explainwhy u do not want laser.

I've seen Dr. Huysmans a couple of times, and he did a couple of times a cannula subcision combined with peels, prp etc. Zero results. When I look back, I didn't like him that well. But he was the only doc near my home who did subcision and I was desperate.

He laughed away my concerns, he didn't listened to me what I wanted. He pushed what he wanted to do. I didn't have any laser treatments by him though.

@Srananmanyour forehead is great... very hard area to treat. Your specialist has some talent. That is major improvement - seriously. Temples should be conversely easier to treat, especially if one considers the anatomy. Scar revision in this context is slow and steady. Each area will respond differently compared to others- nose is very forgiving, temples usually easy to treat, apex of cheek is the hardest, and forehead has only 1.5 mm to work with. All things considered you are doing very well. Scar revision is always a marathon, never a sprint. Doctors who sell it as a sprint... sprint out of their office. I am sure BA with echo my thoughts. Regardless, you are on track. Stay positive, I wish you well.

Noa27, so it is not only me who had negative experience with Dr.Huysmans. You simply can not deal with the Doc who treats u this way.

Any updates here?