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mtnr

Advice on treatment plan please (photos inside)

Hello everyone, 

I've recently been to a dermatologist for a consultation on how to treat acne scars. I'm 35 in case this makes a difference. 

She suggested a treatment involving subcision, a full face TCA peeling, dermasanding and injection of hyaluronic acid. 

There are two things I'm concerned about: 

a) She suggested only one round of subcision. Most people seem to require more than one of these treatments. 

b) I'm very concerned about the TCA peeling. Most stories I've followed involved a lot of discoloration and healing time of up to six months. Kind of the same with dermabrasion.

What do you think? Would one round of subcision and hyaluronic filler do any good here? And if so, what kind of healing time am I looking at before I can return to work? 

Let me know if more or different photos are required, please. Thanks a lot to anyone who can spare advice.  

 

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@mtnr Hi there. You have rolling scars, some box cars, perhaps some ice picks. Definite fat deficiency. 

Ok good "She suggested a treatment involving subcision, a full face TCA peeling, dermasanding and injection of hyaluronic acid. "

Do not do all that at once. 

** Please Note I offer to acne scar suffers a "more" "customized" (private) consultation than the above general advice. Analysis, answering questions, ongoing support by Private Messaging. Feel free to message me there. Be patient as I can get over 100+ of the worst acne scar cases to help, it "may" take me up to 48 hours to respond.

Checkout the main scar treatments sub, find the FAQ pinned on top there, goto the bottom, there are Dr's or call around and ask who does cannula subcision or nokor subcision (needle type) to dermatologists and or plastic surgeons, consult a few before you decide who you like, even if you have to pay as treatment is expensive, better like them. Ask how many subcisions they do a month and if they treat your skin type. If they just do laser run they will just blast you and not solve your issue.

___________
Disclaimer: Information and support is not meant to diagnosis, treatment, or cure any health or mental condition and is not a substitute for professional face to face medical care  (consult with a few Dr's and pick your favorite one). Posts are for informational purposes only, please consult your personal health care practitioner before engaging in anything discussed. 

 

 

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Thank you beautifulambition, 

I was also thinking that doing everything at once seems little much, despite my dermatologist's advice to the contrary. Seeing someone famous might be a little difficult in my case as I am not in the US or Australia. 

I will have to look into what a vascular laser does, that's a term I haven't come across yet. 

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I don't know what your country is, ... but if it's Europe there is Chu - UK and Emil is in Denmark.

Vascular laser = redness, PIE, PIH discoloration, hyperpigmentation treatment ... making the skin the same color. 

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Thanks beautifulambition, that was very informative. 

How do I know when subcision has done all it will do and I should move on to RF needling? 

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@mtnr Figure on 3-4 sessions, some do more if they need top ups in filler in the future. Your waiting at least 3 months between sessions. You can rotate the rf needling between these treatments. We just need 3 months between to heal. Many Drs rush treatments, every week, or every month. The body just does not heal like this. I would for sure get some over dilute sculptra for you injected throughout the cheek after some subcision, ... 1-2 vials. You can do another one in 3 months, or wait till after your first rf needling. 

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So the schedule would be subcision with Sculptra, three months later RF needling, then repeat after another three months? 

Thanks again for the advice, it's much appreciated. Do you have a recommendation for which "differin/retin-a/tretinorin" and "kojic acid and licorice" products I should use? Or are these only required once TCA peels begin? 

Edited by mtnr

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@mtnr Yes 3 months apart per DR's treatments, the body is very slow to heal. We want you to develop collagen and not overtreat. 

Differin... those are all the same thing and separate products, sold over the counter in the USA Differin or try Ebay. Any Kojic and licorice cream look at the reviews on Amazon, if you can't find one try the Google Images search with those. Start at the beginning now, nightly we want cell turnover. 

Sunscreen!

 

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Thanks again. Got two more dermatologist appointments coming up in January, then I will decide where to get subcision done.

I'll be back with updates and possibly photos after treatment.  

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