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Simp

My acne scar treatment route (pics)

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Hi! 

Some of you may already know that I made a thread about treatment of acne scars with fractional co2 laser. That was supposed to be for discussion about fractional co2 for acne scars so I decided to make this new thread dedicated to update about my acne scar treatments and results. So far I have had 1 fractional co2 done by my dermatologist 9 days ago and I have planned to have 2 more this spring. In between I will possibly do subcision with filler for few deeper scars on both my cheeks and left temple (will update about this later). Healing from co2 fractional went well and fast, with minor redness persisting to this day. My skin started peeling 2 days after treatment and peeling was complete on day 4. Co2 fractional was done with higher fluence on my scarred areas, and surrounding skin was treat with low fluence. I will ask my derm if he is willing to go with higher settings next time. My scars that I have are now 1,5 to 1 years old. Here are pictures of my skin 2 months ago after I had finished my isotretinoin course and yesterday (8 days post fractional co2). Note that my result so far might be from swelling and that I will update if there are changes to the condition of my skin

before35088298-508F-4184-9575-A3A089CA7B87.thumb.png.835b9e10026441c9bd226ac87315202f.png

 

after

BEBD9F68-1580-4B03-81F7-F6A931F5BD05.thumb.png.b141439b9fee23fface51e4b815be0cc.png

Edited by Simp

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Hey man. Yes for sure that is swelling. Me personally i have done a full laser treatment on my scars but from the precious treatments i have done (subcision, microneedling and microdermabrasion) i know that it takes about 3 weeks before the swelling goes down. Ofc it is varies from person to person but please let us know in a couple of weeks! Good luck.

 

PS. I stronly recommend subcision and microneedling!

Edited by Mjjmands

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Hi all! 

I just had fat transfer and subcision done today! I got it for relatively cheap price since someone cancelled their surgery 2 days ago and I got it for discounted price. I paid 2400e for fat transfer and subcision. Procedure was done under anesthesia. My plastic surgeon mapped my scars under different lightings that made shadows on my scars. I agreed on the scars she was going to work on and everything went great. I’m going to get home soon and will get to wait for the results. I will also have my second fractional co2 in 2 days (my PS and derm agreed that this is safe after fat transfer because my fractional co2 won’t go deep enough to affect fat underneath. We all agreed that combination of these will likely enhance my results). I will keep you updated on my results and laser as soon as my bloating subsides.

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You had subcision and a fat transfer procedure today, and then you're getting fractional laser two days later? What a very strange combination of scar treatments. You should space your treatments over 3-6 months, not two days.

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@ScarRight Not convinced about that hypothesis, sorry. We have talked about this earlier yet no evidence about results being better doing laser 3-6 months after subcision/fat transfer. I believe my plastic surgeon, derm and evidence that combination therapy is effective for acne scarring. My plastic surgeon is unbiased towards co2 fractional laser since that’s something they dont even offer here on their hospital and I asked this morning before I had my subcision and fat transfer if I should have my fractional co2 this thursday as scheduled and she said I can have it with no worries since won’t affect the fat transferred as the fractional co2 i’m having(exelo2) can’t ablate deeper than 750 microns and the fat is deeper than that. She also agreed that fractional co2 would only enhance my results even though there is nothing for her to gain from that procedure. If there is something you would like to add or comment about our disagreement I would ask you to write on the other thread where we discussed earlier. (It’s the one talking about fractional co2 laser(exelo2))

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Hi! Just wanted to update a little. I had 3 fractional treatments during last spring in total and my skin has become a lot better than it used to be. Here are some pictures from my skin during summer. (Not angled lighting). I haven’t been thinking too much about my skin lately which is great! 

CB6613D1-101E-4168-B616-279C960276F5.png.b56fe25e9b6325831da6af0c2d8168d9.pngB8BEEF86-7FD5-46E1-A978-CB313BEEE883.png.9f5d53f1c81a08e521940c7151fe0bfc.png

 

Back to the present moment. I had my fourth treatment today and it was done much more agressively than the 3 before. The first pic is what my skin looked like immediately after the first, second and third treatment. And the second pic is how my skin looks at the moment after fourth much more agressive treatment.

1F342829-434B-4B64-A592-9A408225DE39.png.84b6ca2064a96928f74d6cec53954ce9.pngDB25DBFC-B660-46AC-B9E1-C7301AFAD9B9.png.04bd6cc6701ddd623052a6373b824582.png

Today there was a lot of pinpoint bleeding but I believe this treatment will give me even more effective results, even though i’m almost satisfied with my skin right now. I’ll post updates with angled lighting after the swelling and redness goes down (probably 2 weeks).

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Thanks for the update.   What's your final opinion on the fat transfer?  Seems like it worked out well. 

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That’s a great improvement achieved only in a few months! Do you know if you have to go back for more? I heard fat grafting doesn’t last forever

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