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Lookin in to subcision

Hey everyone.. I am serious about getting subcision done or TCA cross.

I would really appreciate if anyone could please recommend a good doctor. I live on the West Coast but I am willing to travel.. I was thinking of Dr Rappaport? anyone had any procedures done by him??

I am planning to post some pics soon..

thanks for any info

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I had subcision done by Dr. Rapaport of NJ in Oct. 2000. $750 for zilch.

Hey everyone.. I am serious about getting subcision done or TCA cross.

I would really appreciate if anyone could please recommend a good doctor. I live on the West Coast but I am willing to travel.. I was thinking of Dr Rappaport? anyone had any procedures done by him??

I am planning to post some pics soon..

thanks for any info

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Thanks for the reply falnhart....Did u have any follow up subcisions done? Did he offer any reason as to the non improvement?

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The plan at first was to have 3 or 4 subcisions for maximum benefit. But then I started wondering. Not all depressed or indented scars are "bound down" by fiberous scar tissue. Some scars, like mine, seem to have a loss of tissue so I didn't see the point of having subcision done again. Plus, I didn't see any improvement the first time AND Dr. Orentreich, the doc. who developed the idea of subcision, said silicone injections would be preferable to subcision in my case.

Thanks for the reply falnhart....Did u have any follow up subcisions done? Did he offer any reason as to the non improvement?

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True...If u don't mind me asking what kind of scars do u have? Just to get an idea if this would work for me or not. Also I live in Canada so to travel will cost alot so I just want to make an informed decision.. What other procedures did u have or are considering? I am kinda leanin toward smoothbeam but just want to maximize my improvement with multiple procedures.... Thanks alot i do really appreciate the input

oh yeah also up here we have atrecoll for a filler..don't know a whole lot about it ..has anyone had this done as a filler???

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I have what's often called "rolling scars." The surface appears smooth but completely uneven and horrible in certain lighting. Dr. Rapaport has a website. The before/after photos are impressive, but I don't buy it. I had Co2 laser back in summer of 1996 but saw nothing of it. I've had 4 injections of silicone and have seen minimal improvement. This is a slow process so as to avoid overcorrection. I had 15 punch floats just 11 days ago and cannot really comment on that at this point. I have a dermabrasion coming up early next month, and every 3 months thereafter until I am satisfied. I may return for 2-3 silicone injections to correct contour if not achieved with dermabrasion. I've done research on fillers and Artecoll is among the ones I tossed aside. It supposedly causes hard lumps or granulomas. So does silicone, but very rarely, and almost always when not injected appropriately or in pure form. Plus, silicone has a much longer history.

True...If u don't mind me asking what kind of scars do u have? Just to get an idea if this would work for me or not. Also I live in Canada so to travel will cost alot so I just want to make an informed decision.. What other procedures did u have or are considering?  I am kinda leanin toward smoothbeam but just want to maximize my improvement with multiple procedures.... Thanks alot i do really appreciate the input

oh yeah also up here we have atrecoll for a filler..don't know a whole lot about it ..has anyone had this done as a filler???

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Thanks for sharing ur experiences falnhart.... I am soo confused as what to do...I think I need to see a good Dr to start on the slow process...just hard everyday..If I knew where to begin it would be easier.. I just want to start doin somthing but not outof haste ... I don't want to make things worse.. plus here in Canada we don't have to many specialists in this area... Guess I should put up some pics and see what u guys may think to start on

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I also saw Dr. Rappaport for subcision and TCA. From the subcision, I had good improvement on 3 fairly large boxcar scars. 2 of them are ones that sort of merge with a rolling scar. (My face is kind of a mess so it is hard to describe the scars individually.) I would say on 2 of the 3 that benefitted from subcision, the improvement was about 60-70%. On the other one it was about 40%. I'm very happy with this improvement. I also have a long rolling scar that I think improved slightly--can't really put a number on it. I was disappointed because the doctor did not perform subcision on an odd rolling scar (that was left by a bad dermabrasion) that I had really hoped would be helped by subcision. I was told by 2 other derms that they thought that scar would respond well to subcision, but I chose Dr. Rappaport to do it because he seems to do so many of them. Anyway, he kind of blew me off when I asked him to look at that scar--it is not that noticible in certain lights and is really not my worst scar, but it bothers me a lot. He simply dismissed my concern about that scar and couldn't be bothered with trying to see what I was showing him. Also, with the TCA, he seemed to randomly treat spots and left many that seemed like very good places for TCA untouched! I am only about 4 hours away from him, so it was not a huge time or money investment to see him, but I do kind of resent paying all that money for his fees and not having all my scars treated. Anyway, take from this story what you will. I am glad I did the subcision and think Dr. Rappaport did a good job on the scars he chose to work on. If I'd come all the way from Canada to see him I'd probably feel disappointed. I think if I were you, I'd see some derms near you who do a variety of procedures and see what they say about subcision. If none of them thinks it makes sense, I wouldn't bother with going to see Rappaport. If you do go to see Rappaport, bring a friend to watch what goes on to make sure you get the information and treatment you want. Good luck to you!

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thanks for the reply alicerb1! I went to see one derm and she said that maybe one would benefit form subcision. SHe said they are not deep enuf to consider it.. She suggested I do a series of cooltouch but I aint impressed with it.. I am considering doin some spot TCA or smoothbeam for the shallow ones... It is just hard to find a derm up here that specializes in acne scars... It is a far way to travel but like I said I am serious about my scar revision...

What are you doin now in terms of procedures??

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I'm not sure what my next step is. I'm back in research mode. It is great that you are doing a lot of research before you try anything at all. Even though you may feel desperate to try something (anything!!) to fix your scars, it is best to be careful, ask a lot of people for information, don't place too much trust in what the doctors tell you, and have realistic expectations. You will save yourself wasted time, money and the possibility of making your scars worse.

FYI - I've done smoothbeam in the past--4 over 6 months--and had some good improvement in the general appearance of my skin in the areas where the texture was pretty rough, but it had no effect on my actual scars. If your scars are shallow (too shallow for subcision), it might be helpful for you, though. Good luck!

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I went to Dr Rappaport for some TCA peels and like someone else said felt that he kind of rushed me in and out of the office, and all the times I was there I waited over 2 hours...definately would look into other Doctors.

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