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please help , acne scars ( pics )

MemberMember
3
(@boxinglife)

Posted : 09/05/2018 12:06 pm

hello i have been
stalking these forum more than a year , i have decided to post here my scars and ask what would you do to fix this problem .
a little history : i have been doing rf microneedling sessions , and i have improved like 30 -40 % in the deep of the marks , and better texture of the skin , but i want more .
I said my doctor to do subcision , but he said my scars are not that deep for that , i think he is not familiar with this treatment . 
by last , i need a doctor in spain specialist with subcision , do you know any ?
5b900acf90dd3_fotoeditada.thumb.jpg.5766a2b7d91591b8502c1d28f620b3c1.jpg5b900ae9a6a5d_fotoeditada2.thumb.jpg.04e9eff3c8e8c8801b65289114546472.jpg5b900c4c45728_20180726_1907051.thumb.jpg.8bbcb0858e286bf0d09a0fdfcbfdb7af.jpg5b900c079c605_20180726_1906591.thumb.jpg.fc351ca6666c29aef3c611943bc20cb5.jpg5b900bdd16218_20180726_1906451.thumb.jpg.2ff64521ff15427cb82ea8f199011ebc.jpg5b900d0ce9ae5_20180726_1913041.thumb.jpg.1c2dcd8278294e36ad63dd6e231fc669.jpg5b900b4799483_20180726_1915051.thumb.jpg.0272493b4e10ffdf322e5fd779e52bfe.jpg 
the red zones here , feel hard and little bumpy , there were cysts before , i think is fibrosis or something , how to get rid this texture ?

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MemberMember
1750
(@beautifulambition)

Posted : 09/06/2018 7:13 am

No offense... your Dr is clueless. Your scars are perfect for cannular subcision and filler (pics 3-4).

The red is PIE post acne or wounding. Vascular laser is very good to work on this try V-beam or picosure if your of ethnic skin.

You may be happy with just the above, everything is optional. But you can also rf needle the scars 3 treatments 3 months apart or co2 3-7% density with the highest power for the fibrosis.

You can do some peels after if you wish for texture or a erbium resurfacing.

Treat as you have time and money.

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MemberMember
3
(@boxinglife)

Posted : 09/06/2018 10:03 am

thank you BA , i think the same as you , he is a nice doctor but i think he is not familiar with subcision , please someone knows a good doctor in subcision in spain ? i need it a lot , i cant find one .
on the other hand , i already did 4-5 rf needle sessions , you think i should do subcision first 3 sessions and after repeat 3 rf needle sessions , or between subcision and another i do 1 rf needling , 3months apart and repeat the process?
pd : sorry my english not my first language.

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MemberMember
1
(@losing_hope)

Posted : 09/06/2018 10:25 am

You look very good, they are barely noticeable! 
Now I feel even worse about mine . If you consider yours bad, then I would probably be considered a monster.

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MemberMember
3
(@boxinglife)

Posted : 09/06/2018 11:04 am

34 minutes ago, losing_hope said:

You look very good, they are barely noticeable! 
Now I feel even worse about mine . If you consider yours bad, then I would probably be considered a monster.

thank you , but you know, we are our own critics , and they were worse before , cheer up buddy .

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MemberMember
1750
(@beautifulambition)

Posted : 09/06/2018 6:43 pm

@boxinglifeSadly I don't know all the Drs around the world, especially Spain. The one's I heard of the people were not happy about. Go meet with 3 specialists. Before you go in make sure they do subcision and filler. Perhaps in Spain they are Plastic Surgeon's.

They don't even have to be scar specialists in your case, ... just able to do subcision.

If you already did rf needling the order was not correct. Your stimulating the scarred areas which would have a spacer after subcision. Instead with rf needling you still have tethered scars and no spacer. Perhaps it helped your right cheek that has little issues other than PIE or redness.

Find someone to do subcision. Otherwise the Drs I know are in London and Denmark. There are always more. Just make sure the have done hundreds if not thousands of the procedure and ask how they do it. You will need HA filler.

I don't really see RF needling being needed anymore, you need subcision, filler, and perhaps a peel or laser for texture on the pits.

At the very least I would do vascular laser or picosure for the "reds"-PIE as they distract on the face.

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MemberMember
3
(@boxinglife)

Posted : 09/07/2018 9:07 am

14 hours ago, beautifulambition said:
@boxinglifeSadly I don't know all the Drs around the world, especially Spain. The one's I heard of the people were not happy about. Go meet with 3 specialists. Before you go in make sure they do subcision and filler. Perhaps in Spain they are Plastic Surgeon's.

They don't even have to be scar specialists in your case, ... just able to do subcision.

If you already did rf needling the order was not correct. Your stimulating the scarred areas which would have a spacer after subcision. Instead with rf needling you still have tethered scars and no spacer. Perhaps it helped your right cheek that has little issues other than PIE or redness.

Find someone to do subcision. Otherwise the Drs I know are in London and Denmark. There are always more. Just make sure the have done hundreds if not thousands of the procedure and ask how they do it. You will need HA filler.

I don't really see RF needling being needed anymore, you need subcision, filler, and perhaps a peel or laser for texture on the pits.

At the very least I would do vascular laser or picosure for the "reds"-PIE as they distract on the face.

wow , thank very much BA , you are so kind helping in this site ;).
you are right , i need subcision first of all . you told me to do cannula subcision , i have found a doctor who does nokor subcision , is this good too ?
regards.

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MemberMember
1750
(@beautifulambition)

Posted : 09/07/2018 7:09 pm

@boxinglife Cannula sub is fine, Thank You :D!

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MemberMember
5
(@fredm)

Posted : 09/08/2018 2:07 pm

On 7/9/2018 at 4:07 PM, boxinglife said:
wow , thank very much BA , you are so kind helping in this site ;).
you are right , i need subcision first of all . you told me to do cannula subcision , i have found a doctor who does nokor subcision , is this good too ?
regards.

Hello,
Where do you find in Spain?.
Search Dr Didac Barco (Barcelona), but he seems younger, i dont know if he has experience.
Dr. Juan Sopena (Madrid) IMDE. But I dont know the real experience of him.
Regards.

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MemberMember
3
(@boxinglife)

Posted : 09/08/2018 4:31 pm

2 hours ago, FredM said:
Hello,
Where do you find in Spain?.
Search Dr Didac Barco (Barcelona), but he seems younger, i dont know if he has experience.
Dr. Juan Sopena (Madrid) IMDE. But I dont know the real experience of him.
Regards.

hello , thanks for the recommendation, you are right Didac Barco seems to be good , Dr Sopena did not know him . im from Andalucia .
regards mate .

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MemberMember
5
(@fredm)

Posted : 09/09/2018 3:44 am

11 hours ago, boxinglife said:
hello , thanks for the recommendation, you are right Didac Barco seems to be good , Dr Sopena did not know him . im from Andalucia .
regards mate .

ok. In sevilla or near for sure you would find any doctor to do the subcision. If you search in youtube Dr Sopena you will find, and the website IMDE from him, you will find He says he uses HA with subcision. He tried famous and you can see him in tv, like la1.
Didac Barco, in youtube shows subcision and excision too.
Im from Spain too, I hope you find good for it. I supposes will be several more.

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MemberMember
2
(@rubenmasilva)

Posted : 09/10/2018 9:47 am

Boxing you are going to didac barco?
he is really good?

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MemberMember
3
(@boxinglife)

Posted : 09/10/2018 1:34 pm

3 hours ago, Rubenmasilva said:

Boxing you are going to didac barco?
he is really good?

i dont know him personally , but im thinking of going to see him .

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MemberMember
2
(@rubenmasilva)

Posted : 09/10/2018 1:52 pm

Hmm I need to think very well, im from portugal, its a high risk go to spain like this

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MemberMember
5
(@fredm)

Posted : 09/10/2018 2:42 pm

Hello,
You can check Dr Didac here

i dont know if he does it correctly, atleast He has one video.

Juan Sopena is from Madrid and he does it too. Im sure will be more doctors doing this procedure.
http://imde.es/estetica-facial/cicatrices-de-acne/

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En IMDE trabajamos con canulas romas finas y en una primera fase realizamos una subcision o despegamiento de la piel que mejora las cicatrices deprimidas. Posteriormente se rellenan las cicatrices atroficas con pequenas cantidades del producto.

In IMDE we work with fine blunt cannulae and in a first phase we perform a subcision or detachment of the skin that improves the depressed scars. Subsequently atrophic scars are filled with small amounts of the product.

Im sure will be more doctors doing this procedure in Spain, you can looking for in Andalucia or your city.

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MemberMember
2
(@rubenmasilva)

Posted : 09/11/2018 3:40 pm

I dont want any doctor, I want a doctor that I can trust and really knows how to do sub

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