Hi all, just came across this forum when I were looking up scar treatments. I am a 27 year-old Asian guy, been struggled with acne & scars since high school. Fast forward to now, the acne situation is mostly in check. I™m currently on a low dosage of Accutane (10mg/day) for maintenance. However, the scars really bother me. I am thinking of getting treatments, and was wondering if I can get some recommendations here. Thanks in advance.
@hnttHi there
You have mainly boxcars and icepick scarring.
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100% agree with the above. The box car scars can be hard to treat if one does not have experience. DO NOT punch any of these scars out. They can be markedly improved with angled CO2 to the sides and base, or TCA painted. Now, the forehead scars- see someone good for this. MANUAL scar directed needling is best, 2-3 sessions with saline. Then last session with DILUTE vvv dilute Botox to relax the muscles. You can end this with fully ablative laser if scars are shallow enough. See the correct people, and your scars will be treated to good effect. Above all stay on the 10 mg Isotretinoin. Wish you well.
A little bit update. To prep for the procedures, my current doctortookme offIsotretinoin (Iwas previously on a low dosage of 10mg a day), and hadme taking somesupplements instead (A, C, E, B6, biotin, zinc, etc.). Its been 3 weeks.
@Obi wanwhen you said Above all stay on the 10 mg Isotretinoin do you mean during scar treatment period as well? I understand thatthere is not a definite answer on this. According to latest research, some treatments can be done without the 6-month waiting period, but also everyone heals differently?
For scar treatment, I went to see 2 specialists.
One only recommended Pico, which didnt really inspire a lot of confidence from me. From my understanding, scar revision is not what it is best for. They seemed to be quite dismissive when I brought upother options such asneedling / PRP.
Another one suggested to start with TCA Cross.They would addother types oftreatmentamonthlater, just to be safe from Iso / Accutane. I can start TCA next week.They alsoprescribed topical Tretinoin (0.05%)nightly to prep my skin. I think I will go forward with them.
@hnttI would stop the accutane while treating, ... that is the beauty of low dose you can stop and start with your Dr's agreement. The second specialist sounds best. Lots of tca cross work to do.