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Aron08

Help me with these Acne Scars

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Hello, So I was suffering from Acne from last 4 years, Finally after taking Accutane My Acne Problem is solved, But now I have these ugly scars all over my face. I tried 3 sittings of Co2 Laser but no improvement, Please help me I am really depressed rightnow.

Right Cheek:

IMG_20181104_005254.thumb.jpg.bbbd2357cf3c295bb9c1ea6f5c948ed0.jpg

Left Cheek: 
Screenshot_2018_1104_012353.png.64453d8459ab2d57d68bdc1a0cb3e8e7.png

Edited by Aron08

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@Aron08 He Aron. The issue from your post is your tried CO2 laser first before doing any of the manual methods of scar work. You have box cars, rolling, and ice picks. 

TCA Cross for the smaller icepicks and tiny linear scars. Several sessions.

4 sessions of aggressive subcision throughout the whole cheeks. You need filler as well for the deeper pits. 

Do 3 sessions of rf needling between the subcisions. IT's great for box cars. Wait 3 months apart. 

If you need more of a boost now you can do co2 laser to the boxcars angled to only his the scars border not the floor at 3-7% density and the highest power. 

You can lastly for surface texture do a few tca acid peels or a erbium peel.

Picosure laser is great for your red skin that is discolored. It also simulates collagen.

I want you to use retin-a/tretinorin/differin nightly and a konjac arbutin cream to prevent discoloration and promote cell turnover. Stop whenever you treat, and then start once your healed.

All treatments should be 3 months apart - body is slow to heal, many take 3 years to treat. Everything is optional, treat when you have time and money. 

TCA Cross and Subcision will help you most with filler. 

You may dermastamp your scars between DR treatments at home once a month.

BA

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On 11/4/2018 at 5:09 PM, beautifulambition said:

@Aron08 He Aron. The issue from your post is your tried CO2 laser first before doing any of the manual methods of scar work. You have box cars, rolling, and ice picks. 

TCA Cross for the smaller icepicks and tiny linear scars. Several sessions.

4 sessions of aggressive subcision throughout the whole cheeks. You need filler as well for the deeper pits. 

Do 3 sessions of rf needling between the subcisions. IT's great for box cars. Wait 3 months apart. 

If you need more of a boost now you can do co2 laser to the boxcars angled to only his the scars border not the floor at 3-7% density and the highest power. 

You can lastly for surface texture do a few tca acid peels or a erbium peel.

Picosure laser is great for your red skin that is discolored. It also simulates collagen.

I want you to use retin-a/tretinorin/differin nightly and a konjac arbutin cream to prevent discoloration and promote cell turnover. Stop whenever you treat, and then start once your healed.

All treatments should be 3 months apart - body is slow to heal, many take 3 years to treat. Everything is optional, treat when you have time and money. 

TCA Cross and Subcision will help you most with filler. 

You may dermastamp your scars between DR treatments at home once a month.

BA

Thanks For your wonderful suggestion, My old dermatologist was forcing me to do Co2 only which were not giving me any results, but After reading your answer I consult a new dermatologist and I will start my treatment as you mentioned by the end of this November, Thanks Alot man.

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Follow BA, unless your dermatologist has special skills to hit your scars at angles with the correct CO2 laser focal length, its TCA all the way before any laser. Subcsion will also help. BA has it all covered, and you won't get better advice than from this moderator. He knows more about scar revision than anyone on this forum, for others reading this post. Be guided by him and not your normal dermatologist. He knows more about scar revision than 99% of 'scar revision plastics and or dermatologist'. Remember specialist only specialise in their line of work. Very few only specialise in acne scar revision, so at the end of the day they will know 'something about a lot of things', but not everything (within reason) on one topic; namely acne scarring. 

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After taking the advice of @beautifulambitionregarding my Skin, I consulted a new dermatologist. And I just had 1 sittings of Subcision, PRP and DermaPen. RF Microneedling is next. This is how my skin looks now.

Right Cheek: 

IMG_20181129_005752.thumb.jpg.5261367e71ec7f1d30e0330530e389fd.jpg

Left Cheek:

IMG_20181129_005744.thumb.jpg.d83bdf5cbb00d15e5cfb22605076154f.jpg

 

Edited by Aron08
Typo

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nice result man, its going to be better, progress is vissible... keep doing !

Whats the name of your dermatologist if I can ask.

 

best regards

Andy

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1 hour ago, andys_01 said:

nice result man, its going to be better, progress is vissible... keep doing !

Whats the name of your dermatologist if I can ask.

 

best regards

Andy

Thanks man and yeah I would love to tell you the name but he is not in United States. 

Edited by Aron08

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3 minutes ago, Aron08 said:

Thanks man and yeah, I would love to tell you the name but he is not in United States. 

Im also not in US. My location is Germany/Europe. Myabe is he in Europe too :D

Wish a lot of success for the next treatment ! ;)

Andy

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4 minutes ago, andys_01 said:

Im also not in US. My location is Germany/Europe. Myabe is he in Europe too :D

Wish a lot of success for the next treatment ! ;)

Andy

Nah man, Unfortunetely he is in Asia.

Thanks alot for your kind words andy, Means alot to me❤

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i would do punch excision and elevation with possibility of grafting....that will get you the best result

and thats swelling will come back to the same.....you need surgical scar revision

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On 11/30/2018 at 12:41 AM, tryinghard123 said:

i would do punch excision and elevation with possibility of grafting....that will get you the best result

and thats swelling will come back to the same.....you need surgical scar revision

Oh, I see I am waiting for @beautifulambition's thoughts on this. He was the one who recommended me to change my dermatologist and do manual treatment first and I get really good results. Ba please reply man.

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@Aron08 I don't wish to side track this post and cause a disagreement. Please look at tryinghard123 username by clicking on it on the left <============ of his posts. Sometimes others don't want ""you"" to succeed because they themselves area dealing with ""something else,"" please research the users post history it tells a different story. He thinks no one else will get improvement because he supposedly did not, he is the first person I even heard had 0%improvement from treatments - which seems statistically impossible, especially form filler being used. I told him every person is different, the way they heal, health concerns, the skill of their practitioner, the treatments that are done and their total % of improvement. 

There is no doubt here that there is improvement between the sets of pics. OF course this may be swelling afterwards so it's best to evaluate between a month and a half to 3 months between treatments healing. As you know this is a long journey, where several procedures are needed. You will see with your own two eyes the things that work and give you the most healing, continue the journey. I have helped thousands of people with their acne scars, gain sucess. Let's let your healing be the guide. Why would someone just cut out a bunch of skin, that could lead to terrible results, think about it, ... very few expert plastic surgeon's in the world. The beauty of you above plan is it's scale-able right, ... you don't get results then you move onto something stronger ie. energy devices. If you want to have your skin cut out in the places that are non respondent at the end of the above plan you still can if you wish, I offer conservative natural healing using the body and new collagen response.  I personally wouldn't do it as I have to help these botched cases often ;-) Any time you cut, ... you get a new surgical scar ;-)

Good work, keep us updated with the excellent results.

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We are still waiting for Trying Hard to show some kind of evidence to back up his claims. His posts on this forum are mainly just having a big vent against a certain doctor. He has stated that he got zero percent improvement from scar revision procedures, yet this didn't stop him from repeatedly coming back for more and more treatments. And over 20 years! You be the judge.

I wouldn't go back to the same doctor and do more treatments if I got zero improvement. Hmm.

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I am back guys, Had one more session of Subcision, PRP and DermaPen.

Right Cheek:

IMG_20181226_024949.thumb.jpg.00db51a48249bf9caeb40fd5b929fc9f.jpg

Left Cheek:

IMG_20181226_025001.thumb.jpg.b290ca0ad984de6a6cfe2d962731f131.jpg

My Dermatologist Consult a DePigmentation Cream and A Scar reduction Cream, RF Microneedling is next probably. Cheers <3

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On 11/6/2018 at 7:22 AM, Aron08 said:
On 11/4/2018 at 6:39 AM, beautifulambition said:

@Aron08 He Aron. The issue from your post is your tried CO2 laser first before doing any of the manual methods of scar work. You have box cars, rolling, and ice picks. 

TCA Cross for the smaller icepicks and tiny linear scars. Several sessions.

4 sessions of aggressive subcision throughout the whole cheeks. You need filler as well for the deeper pits. 

Do 3 sessions of rf needling between the subcisions. IT's great for box cars. Wait 3 months apart. 

If you need more of a boost now you can do co2 laser to the boxcars angled to only his the scars border not the floor at 3-7% density and the highest power. 

You can lastly for surface texture do a few tca acid peels or a erbium peel.

Picosure laser is great for your red skin that is discolored. It also simulates collagen.

I want you to use retin-a/tretinorin/differin nightly and a konjac arbutin cream to prevent discoloration and promote cell turnover. Stop whenever you treat, and then start once your healed.

All treatments should be 3 months apart - body is slow to heal, many take 3 years to treat. Everything is optional, treat when you have time and money. 

TCA Cross and Subcision will help you most with filler. 

You may dermastamp your scars between DR treatments at home once a month.

BA

Thanks For your wonderful suggestion, My old dermatologist was forcing me to do Co2 only which were not giving me any results, but After reading your answer I consult a new dermatologist and I will start my treatment as you mentioned by the end of this November, Thanks Alot man.

Grow a beard!

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12 hours ago, Aron08 said:

I am back guys, Had one more session of Subcision, PRP and DermaPen.

Right Cheek:

IMG_20181226_024949.thumb.jpg.00db51a48249bf9caeb40fd5b929fc9f.jpg

Left Cheek:

IMG_20181226_025001.thumb.jpg.b290ca0ad984de6a6cfe2d962731f131.jpg

My Dermatologist Consult a DePigmentation Cream and A Scar reduction Cream, RF Microneedling is next probably. Cheers <3

You have some ice pick scars if your doctor have experience in TCA cross try to do one TCA cross session and then continue with subcision and microneedling or Rf needling

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Its been 1 week now of my second Session of Subcision, PRP and DermaPen. There are Improvements But I need more. Still my skin looks ugly when I look at myself in Low Lights. Lemme Upload some pictures.

Right Cheek:

IMG_20190102_161910.thumb.jpg.4aa2996dfe3d3576984f82e397102f57.jpgIMG_20190102_165202.thumb.jpg.f7f0478d9d5fc6648b59f2eac7c2f020.jpgIMG_20190102_165158.thumb.jpg.f86cebdcb86fe2938b36b6f9bfa1a252.jpg

Left CheekIMG_20190102_165226.thumb.jpg.17d2fcc22c399d190a9a5bcf30df3cc1.jpgIMG_20190102_161902.thumb.jpg.3a6ce4ee4f4673b89a44e99ebb092635.jpg

Forehead

IMG_20190102_161944.thumb.jpg.60ed38b18c4815cbc9ceba7be6b67de4.jpg

@beautifulambition Please Check these Pictures and Lmk what do you think is best for me. My Dermatologist want me to undergo one session of RF Microneedling next Month. And he has given me some Scar Cream to apply. 

@beautifulambition I have one more Question for you, Is it possible for me to get Clear and Beautiful skin? I mean we are in 2019 and we still don't have proper treatment for Acne Scars?

Please revert back as soon as possible. Your response means alot to me. Because of these Scars I dont have self confidence to face world.

Edited by Aron08

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@Aron08 Thank you for your patience we had a new years holiday recently. 

You have severe scars, I do not know if your Dr is a expert but this is difficult to treat. The good news is your treating with subcision, and other manual methods before doing laser. I do see improvement. Now for the psychological and realistic parts. No one will have glass smooth skin after many acne scar treatments, they will look better, and softer. I always tell everyone it depends on how you heal, expect 50% improvement after many treatments, if you get more great. 

1) Your forehead linear scar needs subcision, also some filler, I don't know if this Dr can do that injection as it's a difficult area. This might need a scar revision where they excise it, make a thin line, and then laser resurface it as it's deep and wide. But we can try subcision first. 

2) Again severe scars you will need 4-6 sessions of subcision, did he subcise all the scars, I see many un subcised scars. More sessions if the is not doing them all

2) You have icepicks all over, ... tca cross should be done, multiple sessions. 

3) Yes you will need both rf needling, and erbium or co2 laser multiple sessions. Start with the rf needling between your subcisions and tca cross.Laser more toward the end.

4) You do not have filler and have fat loss, this is necessary with subcision to lift the pits.

5) I see hypertorphic scarring they will have to inject with steriod and or resurface with laser. 

6) You at home use retin-a/differin/or tretinorin nightly with a cream of kojic acid and licorice as well. I want you to once a month buy a dermastamp and stamp the individual scars at home. Wait 3 months between treatments.

Many do treatments over 3 years. It's a slow process!

Is this dr qualified to do acne scar treatments I cannot say yet.

We have proper treatments for acne scars, ... but not for glass smooth skin. 

If the above treatments do not work, because your scarring is so severe, more severe then the pics you originally posted, you will need punch excisions and excisions of some of the bigger scars followed by laser. I would decide on this after a few subcisions, some filler, tca cross, and needling. Do co2 laser last with the excisions if you need.

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5 hours ago, beautifulambition said:

@Aron08 Thank you for your patience we had a new years holiday recently. 

You have severe scars, I do not know if your Dr is a expert but this is difficult to treat. The good news is your treating with subcision, and other manual methods before doing laser. I do see improvement. Now for the psychological and realistic parts. No one will have glass smooth skin after many acne scar treatments, they will look better, and softer. I always tell everyone it depends on how you heal, expect 50% improvement after many treatments, if you get more great. 

1) Your forehead linear scar needs subcision, also some filler, I don't know if this Dr can do that injection as it's a difficult area. This might need a scar revision where they excise it, make a thin line, and then laser resurface it as it's deep and wide. But we can try subcision first. 

2) Again severe scars you will need 4-6 sessions of subcision, did he subcise all the scars, I see many un subcised scars. More sessions if the is not doing them all

2) You have icepicks all over, ... tca cross should be done, multiple sessions. 

3) Yes you will need both rf needling, and erbium or co2 laser multiple sessions. Start with the rf needling between your subcisions and tca cross.Laser more toward the end.

4) You do not have filler and have fat loss, this is necessary with subcision to lift the pits.

5) I see hypertorphic scarring they will have to inject with steriod and or resurface with laser. 

6) You at home use retin-a/differin/or tretinorin nightly with a cream of kojic acid and licorice as well. I want you to once a month buy a dermastamp and stamp the individual scars at home. Wait 3 months between treatments.

Many do treatments over 3 years. It's a slow process!

Is this dr qualified to do acne scar treatments I cannot say yet.

We have proper treatments for acne scars, ... but not for glass smooth skin. 

If the above treatments do not work, because your scarring is so severe, more severe then the pics you originally posted, you will need punch excisions and excisions of some of the bigger scars followed by laser. I would decide on this after a few subcisions, some filler, tca cross, and needling. Do co2 laser last with the excisions if you need.

Thanks for your Response @beautifulambition, I understood Everything now, Currently I only had 2 sessions of Subcision, PRP and DermaPen. I'll request my Dermatologist for few more sessions of Subcision. (Do you have any idea, Like which needle is best for me?) Then after this will undergo for Some sessions of Tca Cross, Fillers and RF microneedling. 

Honestly, it feels really depressing when You see all of your friends have Crystal Clear skin and you are the only one with such ugly skin, I can't really concentrate on my work and studies, and I don't have guts to talk with someone without having fear of being judged.

Since last 4 years I was suffering from Acne and now after getting Acne treated, these ugly Scars, I changed alot of Doctors and I think the one which I am consulting now is good, I hope one day I will get a beautiful skin too.

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Posted (edited)

I had 1 sittings of TCA and 2 Sittings of Radio Frequency Microneedling.

Right Cheek:

IMG_20190331_030259.thumb.jpg.b56a40d4a748fddf00fdbb3919575bbc.jpgIMG_20190331_030259.thumb.jpg.b56a40d4a748fddf00fdbb3919575bbc.jpg

 

Left Cheek:

IMG_20190331_030311.thumb.jpg.2412bb0c55cb4aec8ad88f383e89910a.jpgIMG_20190331_030328.thumb.jpg.c04f0c6ad6f5d3ff1c27a0192df393c8.jpg

 

I have an appointment with my dermatologist next week for One more sitting of RF Microneedling with Prp And some Subcision, So looking forward to it.

Btw, I look fine sometimes in bright Sunlight. But when I look at myself in low light my skin still looks a little bit ugly because of shadow effects.

These Acne and Scars Sucks lol. I will update you guys next week after my another treatment.

IMG_20190331_030239.jpg

Edited by Aron08

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