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Rubenmasilva

Type of scars and best treatments please

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IMG_20180907_014434.thumb.jpg.c2401587e311dbb388841b8d44638c14.jpgIMG_20180907_014434.thumb.jpg.c2401587e311dbb388841b8d44638c14.jpgHello everyone. I am really frustated and Im always depressed because of my scars. 
I wanna know what type of scars do I have and help for the best treatments

They look shallow but are really noticeable, I hate that 

Edited by Rubenmasilva

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@Rubenmasilva You badly needle cannular subcision. That will give you the most improvement. I would use sculptra throughout as well as you have surface rolling and box cars scars. 3-4 treatments are needed. Space them out.

Do rf microneedling, 3-4 treatments, the needling will stimulate the sculptra and make collagen forum. Another option is CO2 3-7% low density at the highest power just on the scars. Treat in between subcisions, allow 3 months apart. Then do another subcision.

TCA cross / paint on also called spot peel can be put directly in some of those pits. You would need a few sessions. 

You can finish with a erbium resurfacing of the texture or a deep peel.

At home treatment's until you can do subicsion are dermastamping and at home peels.

Because of your ethnic skin I would get picsoure done. This will work on your PIE or hyperpigmentation and stimulate collagen. Vascular laser works on the discoloration.

Everything is optional. Stop at any time.

Treat as you have time and money. Allow time to heal.

Give it time, ... it's a slow process.


 

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Do you really think i need subcision? Im saying that cause they are really shallow and i dont know any doctor doing subcision here um portugal.
But if this is really need i got no options other then travel

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@Rubenmasilva Yes I do... Look at the temples, you could benefit here with cannular subcision. Look at the other recent post of some Drs in Spain they posted in the acne scar sub. The posters are just calling around or investigating. I am sure there must be someone in Portugal. They found a famous Dr on Youtube to do it.

BA

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15 hours ago, Rubenmasilva said:

If you say thatt I believe.  Who se the doctors from spain? Spain is close from here, I could go there

look at my topic friend ;)

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Beautiful ambition I have some doubts. First of all I am planning to travel to Spain to do the subcision. You told me to do the subcision combined with microneedling, but how do I do that? do the subcision and microneedling on the day or do I let the skin recover and only then do the microneedling? And another.thing is what is sculptra and picsoure
thank you

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@Rubenmasilva I read above,... I don't recall saying combining treatments. Dr's will do this. Because your traveling I see why it's important to do more things at once. I do think it's a bit much to do subcision, filler, and or "rf microneedling" in the same session. We don't heal like that, and with more things going on there is more room for mistakes. There will be swelling when they subcise, this is why it's not a good time for filler. Mistakes can be made. Now if your doing subcision and rf needling you could (I don't recommend) do it in the same session. Our body typically takes 3 months minimum to heal. I understand travel is the issue here. Is there anyone in Portugal (Plastic Surgeon) who can do these items locally. Even if they were to just do rf needling locally to you (needling is found all over Europe), ... it does not need to be the same Dr.

BA

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I know. Microneedling I can do here, filler too but you think I need filler? My doubt is how I should combine the treatments. Can I do the subcision and a week later do the micronnedling? Or I will not ge results with this way

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Subcision, low density lasers, or microneedling.


Respect the anatomy in this area. See a dermatologist of plastics for some treatments with the above combination. 3-4 sessions will yield a 70-90% improvement.  Dr davin lim

Edit by MOD: Link posting, marketing, or advertising, is not allowed here!


 

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@Rubenmasilva You do not need filler unless you choose sculptra injected throughout, ... possibly one vial post subcision. You need subcision the most. No you do not do subcision and a week latter do microneedling. You need time to heal, ... I recommend 3 months post subcision doing another treatment, ... with filler that can be longer. At home microneedling can be done between treatments if the mm (depth is low). If you over tax the bodies ability to heal, ... it won't properly. IF your comparing the Derminator and rf needling there is no comparision. IT's like comparing laser and at home microdermabrasion (one is much weaker). That being said if you are low on money and need DIY. Do the subcision, ... then alternate peels and microneedling at home. IT's a slow process but you will get some % of improvement. Then you can move on to DR's treatments which are more costly if you need more improvement.

@skyblue2073 Please do not post real self here. We do not allow marketing. I gave sound advice above. The OP want's a cheaper way to treat his scars. Did you even read my post(s) above ^?  IF you would like to follow real self that is great for your own research or decision making process. Otherwise we do not need to Promote Lim here, he get's enough praise. Drs treat many different ways. Rullan (etc) may fix this person's scars and he does not even post on Real Self or market himself, ... there are many other physicians. While Lim is talented, he is a laser dermatologist and as such your paying for that advice. Some Drs don't even use lasers and get great results. Many paths to the same goal, ... you need a Dr with experience and that costs $$$$ for scar treatment. Always get consultation(s) by multiple Drs before starting a costly scar journey. DIY at home treatments are safe(legal) to start at home, for someone with financial constraints. Many can do subcision once a year, & DIY treatments,... even on the smallest of budgets. 

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Ok I will do that. Subcision will not give me results inmediatelly? I know its not like magic but weeks later after subcision I won t see improvements? 
I will do the subsisionn in november, then I do microneedling in february, then again subcision is. That?

56 minutes ago, beautifulambition said:

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@Rubenmasilva No subcision does not give you immediate results. You take 3-6 months to heal, ... often looking worse before better, the body is very slow to heal. Now if you get a "HA" filler then yes that will be how it looks when the swelling goes down, ... Sculptra takes some time to kick in as it stimulates the bodies collagen growth.

You do your subcision, ... then microneedle and peel after 2 months or so... at home treatments (peels-needling) every month or so, it depends on the strength and depth - more for the later. 

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Ambition the doctor from spain where I go only does nokor subcision, I dont know the difference of nokir and cannulla but I know nokor is.bigger then cannulla and on temples maybe I cant do nokor right? 
tell me what is better for.me and withouth risks

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Cannula Subcision is safest for the temples but Nokor can be done. 

Cannula is blunt, nokor is a mini scapel. They both have their place. The temples have optic nerves hence the saftey. Cannula is safer. Nokor can be done on you. The physician must be experienced. Most plastic surgeons are. 

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ambition I need your help, im really tired of my head, im working and living my life always thinking on my scars and in.the.things I should do to fix this but its really frustated when you live in a country where there is nothing. Its like a country of 3rd world. Nobody knows absoluty anithyng abiut acne scars, the people with scars here maybe are retard and dont wanna know or the doctors dont want learn about this and help peopl. We  dont have doctors like davin lim.or others specialists that really focus on this a issue and tries new things to learn how to help peope. I need your help because I want you tell me some  good doctors for I do my subcision,  in europe. I was thinking about going to didac barco but I see things on his website and im.not confident, he only does nokor and in faqs and doubts about subcision he says on risks that ``we should be cautious and dont do subcision on temples and in high risks areas``

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Contact his office and see if they will do your temples with a cannula. Otherwise you may need to travel elsewhere for a DR. It's the same in the USA and elsewhere, ... few good Drs. See if any expert injectors by you who do filler, ( not not need to be acne scar drs - just filler)  or not will do cannula sub just on the temples. Worth a try. Then goto someone else for the rest if you want. 

BA

 

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I am saying. You can split up your treatments. If the Dr in Spain you only want Nokor on the cheeks cool. If you goto someone else "locally" in Portugal for filler have them use a cannula on the temples and break up the tethers there. If they do not know how to do it,. Have them look up a white paper (academic) on the surgery. Otherwise you will have to travel.

Again this is only if he refuses to subcise your temples (Spanish Dr).  

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Oh ok I understand you know. you are saying for I look for a doctor who does filler and with the needle of filler he or.she breaks the fibers right? I can talk with my dermatologist, she does filler, but I dont.know if she knows whats subcision is. She does micronedling, laser co2, vascular laser, peelings, skinbooster, filler but subcision no.. She tells me once that I just need micronnedling, but will take time to have results, and I ask her for.filler, she says to me `` fill what?`` and says that my scars are too superficial for filler.
Anyway I will talk to her a about that 

Edited by Rubenmasilva

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IMG_20181025_014955.thumb.jpg.10e6dabfed906f6ddd1b858a02e2eb6b.jpgIMG_20181025_014948.thumb.jpg.857224f006f8bf9cef23f97804829465.jpgIMG_20181025_014942.thumb.jpg.8c5bd0839f4495c0d57fff50e1e1ce50.jpgHey guys
Im here to update my skin
Today I did my subcision and laser treatments.
I loved the whole procedure, the private hospital where I did this are amazing, they treated me fantastically. Im really hoppefully that I will like the results
this is my after treatments.

Edited by Rubenmasilva

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Thanks buddy, I did this here in portugal, I found a doctor that does subcision, was really difficult to found xd he works in many clinics and hispitals, I did this in a private hospital, if I get good results I will say the name of the doctor. Lets see what happend 

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