@RedMandolin

Hey there,

What I am seeing happen is a few things, treatments occurredin the wrong order. Improper treatmentsfor scar type and instead generalized energy devices, and finally side effects of energy device treatments.I also wonder if the MRF they did the treatment wrong and hit the fat or were too superficial. If the operator was poor this could happen.

If it were me I would get a few consultations for next steps and not go back to that Dr. Pick the one who makes most logical sense to you (questions to ask are in the FAQ).

Find someone who does canular subcision. This should have been done first before the MRF. They can use filler, and or prp to do it. For filler you can try something like sculptra which is a collagen stimular or ha filler throughout the cheeks. It will take 3-4 treatments spaced out when the filler runs out. The MRF stimulates the collagen after filler or prp is done. What's happened is you had a bit of fat loss or the pits became widerafter the energy treatments, because the pits were not raised as much as possible first or you healed poorly.

I feel on some of your spots you need tca cross and paint on tca to raise some of those icepicks and boxcars.

Get a derminator and miconeedle at home between sessions. Use retin A/tretinorin/differin nightly.

I would avoid energy devices until you do more manual scar work.

You can then resurface at the end the slight texture with erbium or a deep peel, this will help a lot if they go deep enough to get under the pitting, but the scars must be raised first sub/filler.

10 hours ago, RedMandolin said:

I have done 4 MRF treatment and 1 CO2 laser treatment. But i cant see any noticeable results also in some lightning i think it look more worse than before.

Huh?? Your most recent photo looks way better than pre-op photo IMHO. It could be due to different lighting, but the scars look much improved and less visible.

You can clearly see the scars distinctly even "with no sunlight" (pre-op) vs less visibly even with sunlight (post-op).

All scars look red in sun. Doctor said the redness is due toneovascularrization. How long will it take to come back to normal skin colour?

@RedMandolin

It could, but it will take time. Sometimes up to a year. If you had any sort of fat loss this also makes things show up. But it's normal after all those energy treatments to have PIE or wounding, by their very design.

You have ethnic skin. Typically they prep the skin with retin-a/tretinorin/differin and a konjac and albutin cream nightly or hydroquinone. This prevents discoloration in these skin types.

You can try things like Comfrey which @Sirius LeeLikes and uses himself for healing and castor oil for healing.

Otherwise for your skin type you can do picosure or a vascular laser for the PIE.

Learn more in the faq under skin and PIE section.

BA

https://www.acne.org/messageboard/topic/361029-acne-scar-qa-faq-library-of-popular-threads/

12 hours ago, RedMandolin said:

All scars look red in sun. Doctor said the redness is due toneovascularrization. How long will it take to come back to normal skin colour?

As already mentioned above, if you apply Comfrey faithfully every night, the redness should be gone under 2 months. Just apply it before bed and leave it on overnight.

Please let's not pretend hyperpigmentation is a scar. Pits are the real scars, redness is not. Redness will go away if you wait around long enough, pits are here to stay...for ever.

Also wanted to know if the scars will improve going forward or only the redness will improve. I have heard that MRF takes around 8 months to show up results and CO2 takes around 6 months.

Attaching some more pics. Scars are very red in sun. I hope this is normal and will come back to normal colour in some time.

What are these tiny red things? These were not present before. 

1 hour ago, RedMandolin said:

Also wanted to know if the scars will improve going forward or only the redness will improve. I have heard that MRF takes around 8 months to show up results and CO2 takes around 6 months.

This is right the body takes time to heal. You need to be applying tretinorin, retin a, or differin nightly now as well topically on the skin. CO2 can take a year actually, MRF is up to 6 months peak, 3 months min.

You have hyperpigmentation - I cannot tell if it's PIE or PIH, see the FAQ for how to tell. This is normal in your skin type especially after these procedures. Please see the FAQ, skin section, and PIE - wounding, PIH - pigmentation.

Laser is the most effective for this. In your skin type picosure works well, but there are other vascular laser options.

Redness is not scarring.For many redness can take up to a year to go away, this is not scarring. It's wounding. This is why we recommended comfrey and castor oil above as a first line of defense, also try the retin - a / tretinorin as I said. Guys can wear a concealer / tinted sunscreen like dermablend too while they heal to cover redness.

I see a bunch of pits, ... cannular subcision should have been done. This was not done prior to treatments and is still needed.

I met a doctor he told u have gotrosaceabeacuse of CO2 laser and he has givenminocycline hydrochloride tablets + sunscreen. I hope this might help.

19 hours ago, beautifulambition said:

This is right the body takes time to heal. You need to be applying tretinorin, retin a, or differin nightly now as well topically on the skin. CO2 can take a year actually, MRF is up to 6 months peak, 3 months min.

You have hyperpigmentation - I cannot tell if it's PIE or PIH, see the FAQ for how to tell. This is normal in your skin type especially after these procedures. Please see the FAQ, skin section, and PIE - wounding, PIH - pigmentation.

Laser is the most effective for this. In your skin type picosure works well, but there are other vascular laser options.

Redness is not scarring.For many redness can take up to a year to go away, this is not scarring. It's wounding. This is why we recommended comfrey and castor oil above as a first line of defense, also try the retin - a / tretinorin as I said. Guys can wear a concealer / tinted sunscreen like dermablend too while they heal to cover redness.

I see a bunch of pits, ... cannular subcision should have been done. This was not done prior to treatments and is still needed.

Will the tablets work which the doctor has given for rosacea?

Rosacea is not related to PIE or PIH, it is it's own dermatological condition. Please consult with the Dr. Steriods give temporary relief.

Hi,

I didn't take the "minocycline hydrochloride tablets" med. I applied castor oil for few days, didn'thelp in the redness to go.

Hence i consulted 1 more doctor he has given me the below things, post whichThe redness have come down. The entire treatment is for 40 days. Only 10 days treatment taken till now.
1)isotretinoin capsules ip 20 mg
2) Clindasil A gel

Is the tablets safe to take after 3 months of laser treatment? Please let me know.

On 8/10/2018 at 5:51 PM, RedMandolin said:

Hi,

I didn't take the "minocycline hydrochloride tablets" med. I applied castor oil for few days, didn'thelp in the redness to go.

Hence i consulted 1 more doctor he has given me the below things, post whichThe redness have come down. The entire treatment is for 40 days. Only 10 days treatment taken till now.
1)isotretinoin capsules ip 20 mg
2) Clindasil A gel

Is the tablets safe to take after 3 months of laser treatment? Please let me know.

Please let me know on this.