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Eric98

Treatment plan for my Indented PIE and shallow scars

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Posted (edited)

* I was wondering if Pulse Dye Laser is a good treatment for my PIE. In general do people end up with scarring after their PIE fades?

* Does it look like I have boxcar, rolling or icepick scars? I believe I have rolling scars, but I am worried that my PIE is indented, do they "fill in" over time?

* Finally would microneedling at home be enough to clear that up?

So my plan is just Pulse Dye Laser then microneedling. But I am wondering about other treatments like TCA cross and derma fillers, but they seem not necessary in my case. 

Many Thanks

 

Time to get serious about food. No more pimples!!!.JPGIMG_5436.jpgTime to get serious about food. No more pimples 2.JPG

Edited by Eric98

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1 hour ago, JohnThegreat said:

must be an asian skin? 

Yea I am asian. Asians seem to have either perfect skin with no problems or acne prone skin haha.

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@Eric98

1) Pulse Dye - Yes, AKA V-beam, Excel V

You have PIE this is not scarring, it's wounding, your skin will take a looooooooong time to heal. As such there are strategies to work on this but be aware it's not scarring.

Regarding slight pitting this is early scarring and things can improve this and the pie like Ematrix also called Sublative RF, Low density CO2, Picosure. 

What are some things you can try at home 1) Glycolic peels, 2) Silicone based creams help fade PIE, 3) Dermastamping or Derminating the pits, 4) Niacinamide, 5) Retinoid or Tretinorin product nightly, 6) Sunscreen, 7) Salicylic Acne wash type product

I will paste below a routine

2) No early scars, and active acne, the products should help with this as well.

3) Yes it takes a year for many

4) IT could, but please be clear of acne, use that foaming acne BP wash from the store made for acne or a salicylic acne wash. You don't have to go deep .5mm to 1.25mm dermastamp

5) None of it is necessary in your case, you have perfect skin with some acne wounding, ... treat it early and avoid scars

 

Use nightly: Retin-a or tretinorin(prescription), or Differin (Target/Walmart), The Ordinary Granactive Retinoid (if you can't get the above). Cureology(USA) & Yoderm(USA) provides online prescriptions with customized skin care creams for your concerns, those in UK Dermatica provides the same thing. Apply a moisturizer when your face is dripping wet. Wait 5 minutes for it to dry, and then apply the tretinoin. This cuts down on irritation, you can also skip days of application (one or two days a week) if it's irritating and you need to build up %. This provides skin turnover - new collagen. To prevent (reds & browns from all Dr-treatments to ethnic skin or to work on current skin discoloration), try PCA hydroquione free gel for Hyperpigmentaion (Amazon) or Cureology/Dermatica includes this in their products if ordered. Using this prevents hyperpigmentation from treatments. Hydroquinone has side effects for some people, natural options  are better with ingredients like: kojic acid/Konjac, Alpha Arbutin, Niacinamide by The Ordinary is great for large pores, discoloration, and inflamation. The Ordinary, Cerave, Eucerin (QV Skincare in AUS), Dr Sam Bunting Flawless Cleanser, La Roche-Posay (sensitive), and Acne.org's products are all great options for moisturizers and cleaners without fragrance / dyes / allergens. The Three most important things one can use are: Vitamin A skin turnover (retinol, retinaldehyde, retinoid), Vitamin C Serum which makes collagen, and a sunscreen (zinc oxide physical for sensitive skin - DRMTLGY Acitve Sunscreen, Elta MD Physical).

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18 minutes ago, Eric98 said:

Yea I am asian. Asians seem to have either perfect skin with no problems or acne prone skin haha.

let me guess, Chinese? yeah true! Asians are known for having a firm and smooth skin especially East Asians. sadly I am asian but my skin is horrible too!

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Posted (edited)
25 minutes ago, JohnThegreat said:

let me guess, Chinese? yeah true! Asians are known for having a firm and smooth skin especially East Asians. sadly I am asian but my skin is horrible too!

Yep I'm Chinese, I broke out very badly and extremely quickly within 1 month on my cheeks after developing intolerances to gluten, dairy, soy and vegetable oils. Had alot of gut issues, and food was definitely the cause of my inflamed acne, and it sucks that even when you clear the acne you have to deal with PIE or possible scarring! But you just have to be proactive and treat it early. Hopefully we can be clear soon!

@beautifulambition

Thanks a lot for the advice. I will seek Pulse Dye laser soon and be patient for the 6 months to a year healing from what I've seen. 

Edited by Eric98

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