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Fully Ablative Lasering + Microneedling : What Else Can I Do?

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Posted (edited)

Hi there,

I have quite a few icepick and boxcar scars on my cheeks. I am post-Accutane (two rounds) and ready to get more aggressive with my acne scar revision. I am based in Ohio and am not having a lot of luck finding experts in the field. Everyone simply wants to laser. Does anyone have any recommendations? Or even better, has anyone had success with the revision of similar scarring? As well all know, it is maddening. Thanks in advance!


Note -

I have had a fully ablative DOT Laser on these scars.

I have had 4 microneedling treatments. 




Edited by icepickqueen

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@icepickqueen Thank you for posting the pictures. Dr's are in the FAQ, pinned at the top of the scar treatments main sub, scroll to the bottom. You might have to travel to a Dr or look up your area, and search for subcision and see if you find anyone, or call around and ask if they do this specifically with a cannula or nokor needle. OR call a local dermatology college in your state and ask the department if they do subcision. The hardest part is finding the first 2 manual items, everything else can be done locally to you by a laser dermatologist or a expert injector nurse. 

Yes you mainly have boxcars and icepicks, all textural scarring. 

* I would do 3-4 sessions of subcision on some of the spots (mainly the bigger box cars), and perhaps some Chinese Cupping for a month after (amazon). I don't see a lot of areas that need filler, but if the Dr thinks there are areas discuss with them.

* TCA Cross, you need a bunch of this, many many sessions combined with your subcision. 

* RF microneedling will help your box cars, 4 sessions between the subcisions

* 3-7% Density co2 with the highest power or 1927nm fraxel at full density multi pass over the scar areas only. 

* Some sort of resurfacing procedure for texture at the end, several tca peels, J plasma, fully ablative erbium resurfacing, or a deep peel are all options. 

* I want you to dermastamp between treatments on the scars monthly (at home), Treat with a Dr at least 3 months apart or even once a year if that's all you can afford. Everything is optional

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 inflammation. 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 Active Sunscreen, Elta MD Physical).

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