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tryinghard123

Facelift for acne scars

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Posted

Hi my name is TM and I am from Australia.  I am a 42 year old male.  I have tried everything and I mean everything for acne scars with absolutely NO results and just lies inc lasers, fillers, needling, dermal grafts the lot.....The only thing I have not done now approaching 43 years old and recommended by a surgeon in Perth Australia is to do a facelift (mini) as when the skin is pulled taut and stretched it looks a bit better and to add fat grafts at the same time.....Any suggestions or recommendations on this would be much appreciated....Regards.....TM

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Posted

Hi there, I have often dealt with this situation by posters. Please post a pic of your scars, scars make shadows, ... use a flashlight or directional lighting. Your plan will be based on your specific scarring. Dr Lim is in Brisbane and might be worth a plane ride, ... people are traveling internationally to see him for his specialty.  

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Check out drdavinlim on instagram- some videos are graphic. Shows subcision with facelift in older gentleman, I would wait for a before and after before making any hasty decisions. As for fat grafting, I am sure you know its predicability is its unpredictability. Often 2 needed, possibly 3. Up to 50% or more re-absorbed by the immune system. Go slow, go steady, do your research. Free up the bonds before face lift (key suture)- I think the video explains the depth of scarring. Take care, and keep us informed. 

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He is the last person I want to see lol thanks but no thanks and I know of a few people who are unhappy with this fraud as he posts pictures in different lighting....stay well clear of him.......he is a fraud....

My main thing is to see what people think of a proper plastic surgeon who can perform a facelift of some type as when you stretch and pull the skin it looks better and rather taut?

I am not at all interested in fillers, subcision, needling it does nothing as you can see

regards

TM

14 minutes ago, beautifulambition said:

Hi there, I have often dealt with this situation by posters. Please post a pic of your scars, scars make shadows, ... use a flashlight or directional lighting. Your plan will be based on your specific scarring. Dr Lim is in Brisbane and might be worth a plane ride, ... people are traveling internationally to see him for his specialty.  

Hi this is my picture......I only want to see about the possibility of facelift type procedure pulling and stretching the skin at 43 years old as dermatologic acne scar treatments do not work over 20 years for me wasted thousands false promises and hopes....regards......TM

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Posted (edited)

Hi there, it's a shame you do not like Lim. It's a free world - country. I have seen actual patients who have gotten good results. But I am highly impartial here. I am here to help. Someone who can help... 

You PM'd me, I will reply there. Just wanted to say checkout realself.com for reviews or a good AUS review like site, I don't know if you guys use yelp.com,... something like that. South Korea has excellent plastic surgery some people travel to save $. What about posting in a regional social media site like reddit or whatever is popular in AUS and asking who does good facelifts. Checkout Youtube for videos of plastic surgeon's in AUS to review.

I really understand how terrible and expensive bad treatments can be both $ and to the psyche. 

Edited by beautifulambition
Wrong Korea haha , thanks @motherofms

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Posted
19 hours ago, beautifulambition said:

 North Korea has excellent plastic surgery some people travel to save $. 

You mean SOUTH Korea, right? ^_^

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Posted

Well, see Prof Greg Goodman as he is probably the best in Australia for scars. He has the most experience in acne scarring, but he's no hand holder. He just gets on with it and gives you no choices- but the suggestion he gives is accurate. Another person is Dr Danny Lanzer, if you like your hand held, he is the man for the job. Every one is entitled to their opinion, so in your case, stay WELL AWAY from Lim - as you said his pictures are not to everyones expectations so he must be a fraud.  If you want the best deep plane face lift, see Dr Mendelson, his pictures are excellent, so he must be the best. He is in Melbourne and is respected by many as the best Plastic Surgeon for face lifts. Keep us informed of your progress, as we are all here to help you. ( You must have had a bad experience with Dr Rob Sinclair with your dermal grafts, but don't be disheartened nor loose hope, oh, one more suggestion for Perth- Dr Anh, female plastic surgeon, she will under cut anyone for a mini S, and has great pictures). Let us know how the fat grating goes with the mix of dermal grafts. That will be an interesting picture. Wish you well. 

No, in this case tryinghard123 should visit North Korea, possibly take a few pictures, a video or two....they are very good at $ facelifts. ^_^ But seriously, try Dr Anh and please post the after pictures with your fat grafting after you had dermal grafts in situ. Very curious to see the results. 

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Posted (edited)

I am much older than TryingHard123, at age 71.  I am scheduling a facelift with Dr. Lev in Costa Rica in January.
https://www.realself.com/find/Costa-Rica/Costa-Rica/Plastic-Surgeon/Alejandro-Lev
https://eternallyvain.com/

With that said, plastic surgery is generally not the best option for acne scars.  I am doing this as the final touch after my success with Fraxel Repair.  If I had not had that success I would probably not be doing Plastic Surgery except for aging.  The old Plastic Surgery of just tightening the skin is obsolete and left people with the windswept look. 

https://www.realself.com/question/memphis-tx-the-difference-in-technique-sams-and-deep-plane-facelift-the-cost-the
I very strongly recommend you continue to work on your scars before turning to Plastic Surgery.  You mentioned lasers, but that comment is useless unless you are talking about Fractional Ablative CO2 Laser such as Fraxel Repair.  Non-ablative laser will not work!  Even The Gold Standard Fraxel Repair must be done at a high megajoule or you will not see results, and it takes multiple treatments.  The problem is that doctors will try to sell you what they have, and be too conservative.  You are only 43, and if you look at my signature you will see that I tried just about everything.  I started Fraxel Repair at age 61 in 2008, and I was one of the first people to get Fraxel Repair.  Plastic Surgery does not generally change the texture of your skin.  That is why I believe you should first treat the scars and then get plastic surgery when you have reached maximum improvement with the sacrs. 
I fully understand your frustration, and if you look at my signature you will see that I did all of the biggies.  The only option for me until I was 50 was dermabrasion, and that was worthless.  Then came regular CO2 about 1996 and that was worthless.  Then came Fraxel Restore around 2007, and was prepared to try that until the doctor came back into the room and told me that it would not do me any good.  I was very depressed after the doctor told me that because I lost all hope.  Then in 2008 Fraxel Repair was introduced, and that was the best thing that ever happened to me.  I have been in this battle over 55 years, and that is longer than most people on here have been alive, but thanks to Fraxel Repair I am a survivor.  Because I had so much improvement I believe my facelift will either take me to 100% or very close to it.  One other thing you should look at for ultimate success with a facelift is your weight.  You want to be either at your ideal weight or a little under.  Research Plastic Surgery before you do anything.

https://www.americanboardcosmeticsurgery.org/
https://www.plasticsurgery.org/
https://academic.oup.com/asj/

You younger people who aren't even considering Plastic Surgery now may well be looking at this when you get older.  I think that part of dealing with acne scars is that you may never be satisfied with your appearance.  I have recently had extensive dental work and 4300 hair transplants, and I am working on getting down to my High School weight.  Acne scars robbed me of my youth, but I never gave up.  I married 3 times - twice to the same woman who was a total knockout, but I was never satisfied.  Even now I am seeing a younger woman who is a clothes designer and part time model. My personality is about the only thing that kept me going through the bad years.  You will always want more.

Edited by DudleyDoRight

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Posted

Hi thanks all for your views....I have tried all the traditional procedures and as you see i my photos it does absolutely nothing absolutely just wasting my time and money....I feel maybe I am wrong that when surgeons pull/stretch the skin like a mini facelift or cheek/mid face lift the scarring looks so much better and at least it can hopefully last a few years?  suggestions/recommendations?

And I emailed Dr Mendleson who did not get back to me twice.....I am looking at getting it done by Dr Jeremy Rawlins who is a supposed a reputable burns and scar specialist and is registered with FRACS etc....

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Posted

tryinghard123, just saying you did laser means nothing because if you didn't do Fractional Ablative CO2 you will not see results.  I have been in this war a long time, and Fraxel Repair is the ONLY thing that ever helped me.

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Posted

Lasers dont do nothing they dont go down deep enough for my type of scars...waste of time and money

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I am going to re-post this here so anyone who reads this subject can also get multiple viewpoints. Again If you want to get a facelift, please let us know how it went. It may be right for your "individual" concerns and condition. I am trying to help... many people here. For many who post on this forum a facelift would be not needed excess, needed on a episode of "botched" TV show with plastic surgeons and those wanting aesthetic boosts... Any time we cut or do surgeries we can cause more scarring (benefits must out-way side effects). Aging has two major components people have issue with fat/bone loss, and laxity of tissues. Minor laxity can be fixed simply with fillers and subcision.  Scars become more prominent by old Dermal Grafts (this old procedure caused scarring to get far worse), aging, attachment causing 'idiosyncratic scarring' which causes issues (see Instagram video below). These cases need aggressive subcision, due to the poor dermal condition-attachment and depletion of fat (filler needed) of their skin. I have seen people over peel and use so many energy devices, stacking, ... to many treatments they deplete all their fat and cause more tethering (Aging). Manual methods of scar work are still the best methods of correction.

BA

I am sorry you do not need a facelift here. This is way overkill. Facelifts can also cause complications, be extremely expensive, and are not appropriate for the young, even athletically fit middle aged patients. I have helped thousands of patients and I know you can get results with the above. These issues must be considered separately not together: aging and skin laxity and acne scar issues.

Filler is a more appropriate solution to fat loss of atrophic scarring. There are long lasting options if one likes the vocalization it provides. Even in Face Lifts they still use filler at a additional cost for this purpose. 

There seems to be some parties who post at this site now who are pushing treatments and are dealing with Aging which is not related to acne scarring. All that can be said is Acne scars can cause pre-mature aging if not corrected by the above means or "over" corrected (usage) by energy devices. Acne scars can be treated conservatively, targeted to the scar type, and the main complaint. Thus as seen below if one has a facelift they must "also do all of the above treatment recommendations" as "a facelift does not address surface irregularities" or damage to the dermal and sub - cutaneous layers of fat - just excess skin laxity due to the aging face.

A further complication with facelifts for acne scars are many are dealing with auto immune like conditions and poor healing results. You see this even from acne scar treatments. Treatment is all about how you heal and your bodies response. If your body is chomping up fat due to lupus, no facelift for laxity will fix this. You will be skelator with stretched skin.

If one watches Dr Lim's Anatomy videos you will see a facelift will not correct scarring alone and, he still after doing one in extremely bad scar cases has to do several other acne scar treatments. Watch this video, warning gruesome. If one knows anything about Face lifts this is why a acne scar patient is complicated and can have issues with a face lift (the scar tissue is fused to the skin). Further treatment is needed to treat the scars on top of a facelift of laxity. 

 

All of the treatments I mentioned above are backed up by data to give you percentage of improvement (see the FAQ - top post of scar solutions sub, first post, "proof" link). There are several white papers there to address scar improvement and treatment that back up what I am saying.

After looking at your photograph, I don't believe a facelift is the answer to your acne scarring. The only ones who will "beefit" from a facelift  have extreme destroyed sub-cutaneous fat and also have significant tissue laxity excess.

- Louis W. Apostolakis, MD - Facial Plastic Surgeon

Facelift surgery is used to improve laxity in the skin and muscle of the face (particularly the lower face).  Facelift does not directly address surface irregularities of the skin. Acne scarring is best treated with combination treatment such as manual methods, excision, laser, and resurfaacing of deep scarring followed by laser resurfacing at a later date.

- Earl Stephenson, Jr., MD, DDS - Facial Plastic Surgeon












Please be patient and allow 24-hrs., Due to Dr Lim's recent endorsement of this forum and heavy traffic we are overwhelmed with PM's and new poster. I am trying to help everyone.

Thank You,

Ba

 

@Obi wan Please give your feedback on the subject of facelifts and acne scar treatments.

 


 
 
** Please "Like" my response above; Capturedwdn.JPG  As a volunteer encouragement helps! |::wiggle:

I provide - (private) messaging to answer your acne scars. PM me to ask more.

[Thank You For Your Kind Understanding - I reply to individual PM's addressing your concerns as soon as I can, helping many people a day, please be patient.]
__________________________________________________________________________________________________________________________________________

 :smileys_n_people_116: CLICKABLE LINK: OFFICIAL ACNE SCAR SOLUTIONS; Q&A / FAQ :smileys_n_people_108:
TABLE OF CONTENTS:
1. SUCCESSFUL TREATMENT THREADS                                                                 7. HYPERTROPHIC / KELOID (RAISED SCARS)
2. WHAT IS ACNE & PREVENTING SCARS                                                              8. SUBCISION
3. DIFFERENT TYPES OF SCARRING                                                                       
9. FILLER FOR SCARS
4. TREATING SCARS AT HOME                                                                              10. LASER
5. SKIN: RED (PIE) BROWN (PIH), WHITE MARKS,                                               11. MICRONEEDLING
     TEXTURE, LARGE PORES,  DRYNESS, & COVERING UP SCARS                    12. TCA CROSS FOR ICEPICK SCARS & ACID PEELS                       
6. PUNCH GRAFTING & EXCISION                                                                        13. 
LIST OF ACNE SCAR TREATMENT DOCTORS

Yes but the problem is like myself you have exhausted all procedures - lasers, fillers, excision, grafts etc and it still looks the same....what do you do next??????  facelift with fat grafting????

  •  

I am not trying to sell any physician see who you want. It's the practitioner and not the laser or device that matters. You see Dr Lim or Dr Taylor in Utah. They can do more extreme surgical treatments. It is how you do the treatment that matters and not ... oh I did X,Y,Z. I get you. I help many people who everything failed. Many times they healed poorly - auto immune, had improper treatments by spotty Drs who were money hungry, or the plan was to blast the face and not logically follow a plan for treatment. If we do everything at once, .... many don't heal well that way. If we just blast a bunch of energy devices, ... well they might get scar tissue as the body also does not build collagen this way. Many I have seen need filler and subicsion. But instead their drs push bullshit treatments. Filler will push out the scar and made them soften.   I have many patients who only do 1ml of filler when they needed Sculptra throughout and several syringes of HA filler to the pits, ... you see there was not enough volume. How can 1ml be for major fat loss. 

Now if you have age laxity then yes get a face lift plus all the treatments above.

Warning Possible Gruesome Video Below <I do not endorse the below - would not do on my friends or family>

Dr Taylor in Utah ( ""taylor liberator"") uses a very strong form of subcision which is like a undermining facelift specifically for scars. This is a very strong treatment and not for most people's scars. Also much more expensive $$$$$ than other treatments. He is literally blasting the face with several things at once. This is only for the most extreme cases, the body does not heal like this (allow proper time and separation between treatments unless you tried everything else) - there are risks to healing here. I would not send 99% of patients here due to side effects and possible issues, ...risk. But for the extreme 1% sure it ma be worth it.
 

 



The biggest issue I see also is scarring from dermal grafting, it can literally fuse the skin and make fat disappear. It needs a strong surgical undermining of the areas plus sub and filler. We need to think about stimulating collagen and not pulling taunt alone. 

I am not here to dissuade anyone from a facelift again, I Am here to say it's overkill for most cases and one has to do additional treatments for scars as well with the fracelift (multi - treatments), not a one size fit's all. They still use filler after as we loose it as we age,... still laser your face, or peel, etc.


The below man had HIV fat loss also called facial lipoatrophy. All that was injected is Sculptra.

Dermal Fillers St. John's, NL | Dermal Fillers in St. John's, NL A1A 1X7 | The Lazer RoomSubcision plus filler experience - Scar treatments - Acne.org Community

Perhaps @Obi wanWill give us more perspective from his side of thinking, always good to get multiple opinions, ... He normally posts on his time zone.

 

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So the other thing I can think of but probably not possible can they place skin over the scars to cover up the holes?  I dont get how it cant just put non scarred skin over the a large area of scarred skin?

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Yes, Dr Jeremy Rawlings is a good plastic surgeon. Awesome at promoting a treatment called Re Cell, (US Government contract pending for the military). Maybe see Dr Fiona Woods, in Perth. Take BA's advice, see Dr Mark Taylor, not Lim as he's too conservative. As per my advice, see Dr Anh, she's got a good reputation and is a compassionate hand holder, so if you have your heart set on a face lift and fat transfer to all those bonded dermal grafts, do it. BA has devoted so much energy into one post. We are not here to convince you WHO to see or what to do. You have made up you mind, so take the leap. (No one here is looking out for our best interest just yours) Wishing you well.

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Posted (edited)
9 hours ago, beautifulambition said:
 
 Thank you, This is the point I was trying to make about Plastic Surgery not changing the texture of the skin.  I think we have all taken our fingers and seen how our scars disappear, and a certain amount of skin will be removed, but I understand that the scars will remain until they are properly dealt with.  I don't pretend to be up to speed on any new treatments like you are.  I am a one topic guy who had success and is finishing off that success with a facelift.  At 43 the OP may be looking at doing PS too early, and should first treat his scars and then have PS at a later age. 

In retrospect I doubt that many doctors would do Fraxel Repair at the levels I was treated at 70mg-60%, and only that is what worked for me.  I was lucky to find a Plastic Surgeon who specialized in lasers and her clinic was even named LaserLight Skin Clinic. When I had mine done I believe there were only 15 Repair machines in the USA, and doctors were more inclined to be aggressive.  After the first treatment my face was so swollen as to be unrecognizable.  Subsequent treatments were much easier.  People are wrong saying that it doesn't work.  The problem is that I don't think you can get treatments at that level any more, and lower levels do not work.  I am much more informed on SMAS and Deep Plane Plastic Surgery because that is where my attention has turned to.

The OP really need to study the links I provided before.
https://www.americanboardcosmeticsurgery.org/
https://www.plasticsurgery.org/
https://academic.oup.com/asj/

Facelift surgery is used to improve laxity in the skin and muscle of the face (particularly the lower face).  Facelift does not directly address surface irregularities of the skin. Acne scarring is best treated with combination treatment such as manual methods, excision, laser, and resurfaacing of deep scarring followed by laser resurfacing at a later date.

- Earl Stephenson, Jr., MD, DDS - Facial Plastic Surgeon

@Obi wan
 

@Obi wanWill give us more perspective from his side of thinking, always good to get multiple opinions, ... He normally posts on his time zone.

 

Edited by DudleyDoRight

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@DudleyDoRight No worries mate! Remember I transferred your Laser Link O' Rama to the current one which is linked off the FAQ under the laser section. I very much respect you for your journey and contributions to Acne.org.

I just want many of these young and mid-life suffer's to realize there real issues of premature aging could be solved with filler (see the above HIV cases and see how drastic the results are), and ""sub"" (very important), they are not getting enough. Now if there is skin drooping, and you want everything tightened with the above yes face lift as well. A Hollywood young face which get's PS - Facelift is a completely different world. The scar suffer's issues are stacked and must all be dealt with and considered separately. I think what they learned over the repair - Fraxel days Dudley is you only treat the scars. Imagine the damage it could do in a ethnic patient or someone in poor health, or someone who is not Caucasian with strong skin. Many suffer's also suffer with poor health - healing from procedures (they have scars after all, which were white blood cells - pus reacting to infection) auto - immune like conditions, etc. 

We now know peels can be just as effective as Fraxel Repair on blast (minus many of the energy based side effects). We want to limit expose and side effects of energy devices.

Manual methods (sub, cross, needling, etc) are always better to start with, and use extensively... after seeing the above Instagram, I am sure you can see why. Too much laser can also cause pre-mature aging and fat loss. Any-Kind of - Dr (scary) can now get a laser and pulse stack a scar or do a 10 session package, without understanding scars, quick $$$$. Packages are bad, ... never do packages, ... it must be customized and tailored to your individual needs (treatment). 

We learned that healing 3-6 months between treatments is necessary (Drs push treatments a week apart, you should set the schedule). Your face heals just like a facelift for a year after laser and a facelift. You can re-evaluate how you heal and what worked and did not.

We learned filler is not just for volume but used as a spacer to prevent re-attachment (subcision), ... volume to puts can come later. We want your body to replace the filler with collagen. HA Filler's will be out in the next 5ish years which will be reversible & last 10 years. If you cannot wait get bellafill (only when you like the results a few times from HA filler - permanent fillers can be permanent problems). 

Laser in my opinion should be a tool and considered last, raise the scars as much as possible through natural manual method collagen production then turn to softening procedures that work best on surface texture (laser/peels). For boxcars we now know that angled fractional co2 laser can treat just the broader to soften it( nothing else has to be treated) . What happens if someone has to many sessions of laser with icepicks - ... it opened them up wider as they cannot fully get down to the depth (tca cross is needed). 

I think acne scars do prematurely age the suffer (especially) with the over reliance on energy based treatments. When the fat is gone, it's time for filler. But consider the face lift as a tool right laxity then get it and still acne scar treatments are needed for individual scars. 

Sadly any time we do a treatment there is a scar, ... minimize what will cause the lease problems and the most benefit - R.O.I. %.

Can you help me: There is a poster I do feel could use a facelift after posting pics, dude to age and scars. Here is the link, post there your feelings on facelifts. She badly needs volume. While I don't feel laser would be appropriate unless its for surface texture (even a deep peel would work), this is a case point of where it could help.

https://www.acne.org/messageboard/topic/381095-long-battle-going-to-prchu-your-help-needed/

@tryinghard123 This is called geometric plastic surgery using flaps (MOH's does this). Plastic surgeon's can do it. Scars are created and they try to hide them through tricking how the eye perceives the flap (ie. Z-plasty). I really do think you could get improvement through aggressive (many) subcision and filler). IF your referring to raised punch excision where they raise the scar and stitch, ... this can look bad as well and then needs resurfacing. Or do you mean scar revision where a linear scar is made and resurfaced by cutting out and stitches. You can cut multi- scars, but you would have multiple linear scars made, we do not know how this ""could"" look down the road. I think it's best if you see multiple Drs , even if you pay for consult and see what you like most. If you have your heart set on a facelift, ... do that, but they also will have to do some of the above scar work in conjunction. I personally will only get a facelift (laxity -no one in my family has this) when everything else fails (filler/subs/ Deep peels/ Laser Tightening). Never enough volume/sub for acne scar suffers. Filler can give you a quasi face lift, ... pull up your temple, with your fingers towards the ear,... see this is what volume(filler) could do. 

BA

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On 10/10/2018 at 6:39 PM, tryinghard123 said:

Lasers dont do nothing they dont go down deep enough for my type of scars...waste of time and money

As you will, I can say no more.

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BeautifulAmbition, Plastic Surgery at a young age should be reserved for procedures like Rhinoplasty.  I am much older than everyone here so I have a combination of reasons for PS which include my final journey with acne scars and aging.  I am so vocal about Fraxel Repair because I believe it saved my life.  As I said before I doubt people will find any doctor willing to treat patients at the level I was treated at, and that makes all the difference in the world.  My Link-O-Rama has too many dead links so feel free to delete it.  Back I go to RealSelf and Plastic Surgery discussions.  Keep up the good work.

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Posted
@DudleyDoRight yes, no doubt, Fraxel RePair was suitable for YOU- with out doubt. I assume you are older than the average scar patient correct? This means you probably have elastosis as well as acne scarring. As one ages, skin looses their elasticity, and scars are more apparent. If you have a mixture of scar types, including textural changes, as well as pick, box car scars, wrinkles, sun damage, laxity, then I have no doubt Fraxel RePair 'back in the day' can help you. Top specialist STILL use Fraxel RePair in the R1 or R2 over-ride modes, as not many CO2 lasers can resurface at 70% density with ONE pass. So, the question is are there other better lasers for scar revision TODAY, absolutely. Fraxel RePair has only 2 modalities to control- superficial or 'deep' (260 microns???). UP or Ultrapulse goes to ....wait for it.... 4500 microns. RePair can give density coverage, based upon passes. Number one rule in CO2 laser resurfacing- try not to pulse stack. Pulse stacking can lead to prolonged redness, longer recovery. The reason why they pulse stack with horizontal and vertical passing is because for the average punter the company has worked out the density- usually 20-30% density. I can see with your energy settings you have had higher densities at 60% consistently. People who know this will always over ride the system and lay down one pass - once again its because even with modern day lasers the 'density per pass' still can not beat Fraxel RePair in R1- R2 mode.  Even the HALO (not for scar revision), can only lay down 30% at 100 microns max in fractional erbium mode. So the RePair still has the advantage of density. Power and depth is a problem- 70 mj is very low. 80 mj is the starting point for scar revision, but lower power with high density can treat global skin problems as mentioned. In some cases of acne scar revision where by dermal and subdermal fibrosis occurs, one has to double your treatment power.

New Co2 lasers will never have a consumable-as this is not needed. It adds unnecessary cost for the patient. New Co2 laser can control the PD or pulse duration, number of stacks (if burns patients need treatment or fibrotic scars need to be treated), additional their power levels are very high- up to 160 true mj per delivery. They do not pulse stack but place random dots (Smart Exide e.g..YouLaser), and they combine different wavelengths e.g.. non ablative lasers within the same delivery. This in turn can be controlled to deliver stand alone, or sequential delivery. Technology has moved on. I hope this address the issues with Fraxel RePair for you- namely it worked for you, with your set of scars, at your age. Specialist still use RePair to treat sun damage- Sue Kilmer one of the US most experienced dermatologist STILL uses RePair to repair solar damage. Fraxel is an umbrella of lasers, Co2 is called the repair, Fraxel Dual uses 1927 Thullium delivered, and 1550 non ablative, it also encompass the Clear and Brilliant, again 1927 in the Permea setting but is Diode driven and a shorter wavelength non ablative. Like the video shows, not one company makes the best lasers. IF one visits a specialist and they only have lasers made by say- Syneron Candela, or Cynosure (PICO, Icon etc), Lumenis (m22, Ultrapulse), they have their hands DEEP in the laser company's pockets. Great plastics and dermatologist will never sign up with a company and purchase a laser based upon its merits- hence their practice will have a myriad of lasers.   Dr Rox Anderson, Dr Chris Zachary and Dr Sue Kilmer- they all have a stake holding in SOLTA the company that invented Fraxel. When ever they get asked about acne scarring, Fraxel RePair is never mentioned, as they know better. The recent video by Alma shows Rox Anderson talk about the YOULASER in treatment of burns - a  Co2 laser that can be controlled well beyond his Fraxel RePair system. This shows the integrity of a scientist like Dr Anderson who will not push his RePair for conditions like scars. 

Lasers are merely tools to get the job done. RePair is Swiss Army knife - a basic all rounder, it worked for you, but time has moved on since your first treatment a decade ago.....


 

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Posted

Obi wan do you remember the triplets that were burned in a fire and were treated with Deep FX with very good results.  It would be nice to see a follow up on their case.  Also do you remember Eduardo who had very severe scarring and was achieving good results with a combination of treatments?  You may be right, I might have been the perfect patient when I had it done.  My interest has moved on to Plastic Surgery now so my next time visiting here will probably be around March or so a few months after the facelift.  Keep up the good work.

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