Jump to content
Acne.org
Search In
Find results that contain...
Find results in...
Jboy600

Hi! please take a look at my acne scars! @beautifulambition

Recommended Posts

Hi! I have had acne all my life but have finally found myself a good regimen and have been able to get off it without the use of accutane. There was a period where I picked on my pimples and overwashed,  this left pores and scars. I have been recommended 3 Microneedling RF ( Endymed) sessions and 3 fractional CO2 sessions..... but of late I have lost a lot of faith in my dermat since the friend who initially recommended him has seen no results even after a year. Is this regimen right for me? What’d yal recommend Hoping @beautifulambution takes a look at this , seriously the best advice out there !

B300A115-64D6-4236-BE85-2289F73A5C7D.png

7A71DB37-0C96-472A-AF40-15D17436E561.png

Some more pictures of my scars , I have some really nasty ones on my cheeks and lateral to my eyes. I have had one session of RF and have seen some difference, could you please tell me what regimen to follow? Also if my dermat is correct?  The last picture is before my microneedling treatment, all the other ones are all after

9F1350D7-9259-4039-B5DC-C204BDEA49D9.jpeg

49D1DA39-F0AB-4E55-A934-BF2352F16815.jpeg

52FEC62E-D4A4-46D4-8ED6-4AFEEC9BA389.png

EEB21238-D9CC-4560-84B6-58156C75F152.png

Share this post


Link to post
Share on other sites

@Jboy600 Thanks for providing the pictures, helpful.
 

You mainly have boxcars, a few rolling scars, and many icepick / linear scars. Some discoloration.

* I would do 3-8 sessions of cannula subsision to your scars, this will help you most, ... Chinese Cupping (Amazon) over the subcision areas for a month after, yes you will bruise a bit but it keeps things from re-tethering. TCA Cross can be done in the same session for your icepicks and smaller linear scars.

* If your scars do not respond you may need punch excision on some of the larger box cars. This is surgical so I never recommend this first.

* I would do rf needling to your scars, ... this helps rolling / boxcars

* CO2 laser if you need a boost in low density and high power setting. IF they do not have this do erbium.

* For texture we lastly do Sciton fully ablative laser resurfacing OR several TCA peels.

* For the redness or PIE and hyperpigmentation you can do picosure or picoway or pulse dye laser

* buy a dermastamp and stamp them monthly (you treat with the Dr every 3 months regardless of what they tell you, the body is incredibly slow to heal and they want $$$$). So once a month you dermastamp or derminator (google it), you can also alternate with  glycolic peels if you wish also (alternate) at home. Treatment for many takes 3 years, everything is optional.  Everything is optional above, treat as you have time and money, many take 3 years to treat, it's a slow process, that depends how you heal.  


* This is a must for your skin type and discoloration to do nightly

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).



 

Share this post


Link to post
Share on other sites

Thank you for the earnest reply @beautifulambition!  

I have already started one Microneedling RF session , and have been prescribed 3 of those plus 3 CO2 laser by my dermat.  Can I do the cannula subcision plus TCA after that? Or do these need to be in any specific order?

Also What settings should I dermastamp/ use the Fermin stir on at home? 

Lastly, how much improvement do you think I will be able to see, realistically speaking ☺️☺️

I’m prepared for the long run ☺️ thank you so much for your help! 

Share this post


Link to post
Share on other sites

@Jboy600 That is a problem then "I have already started one Microneedling RF session , and have been prescribed 3 of those plus 3 CO2 laser by my dermat." You have not treated the underlying scars, this is often when I get complaints after all of that saying "it did not work." Manual methods are always necessary first. Your Dr just want's to blast your with energy devices quickly. 

You could do it after but it does not make since, we treat the deepest issue first, laser is for surface texture.

No idea what your saying about the dermastamp, but 1mm to 1.5mm derastamp is fine monthly.

I cannot say how much improvement you will get, the treatment is already following your dermatologists recommendations so you would have to ask him what he thinks. It all depends how you heal, your Dr's skill, and the order you take to slowly deal with the scars. Bad Dr's just blast your as quckly as possible. Collagen is fragile.

Your very welcome!

- BA

Share this post


Link to post
Share on other sites

 

@beautifulambition 

Okay, I will not go forth with the laser! 

Thank you! Can I continue the microneedling though? ( I purchased a 3 session package since I was getting a  good discount! How many sessions of microneedling do you think I would need? I have my second session scheduled for tomorrow, so I will get it done accordingly and will ask for subcision instead of laser)

 

thank  you for all your help , you’re a godsend ☺️☺️

Share this post


Link to post
Share on other sites

Sure you can miconeedle now all you want. Save the laser until you do manual methods, it won't goto waste. You need tca cross and subcisions, lots of them. Then do your rf needling and lasers. 

- Welcome, BA

Share this post


Link to post
Share on other sites

Hi ! @beautifulambition Hope you’re doing well i spoke to my doc, and have convinced him  )  that your treatment plan is the one we’re going to follow ! Thank you so much for that!

my docs apparently done a lot of research on combining subcision with co2 laser ,  and he’s promised good results. I don’t think its about the money, hes a family friend.

( I’ve done 2 sessions of 3mm microneedling RF already) 

i told him that you recommended manual methods first , so he asked me to take your advice on whether i should combine subcision with c02 laser? The plan is to do three sessions of the same alternated with/preceding TCA cross? 

Will this be suitable? Subcision is on either way, all thanks to you!!!  just need your advice on whether it should be combined with c02 laser or not.

Also Do you know/know of any good doctors in India? 

Please do let me know :):) Hope you’re doing well

Share this post


Link to post
Share on other sites

@Jboy600 The choice is yours and the risk is yours. Go ahead if you wish. I hear this all the time co2 and subcision at one time, some do 5 things at one time. More harm than good, but you do what works for you, perhaps he knows how to treat you best, it will delay healing.

Also have tons of patients who do rf needling first and complains it does nothing, I tell them of course, they have not addressed their individual scars and instead are just mass treating. Priorities seem out of order on these patients and a desire to get it done quick. Much easier for Dr's to just blast you with laser and rf and tell you see were doing something as you swell. 

No you combine subcision and tca cross, ... you can get filler if needed. Doing several of those. 3-8 sessions. After the first few you can between sessions do rf needling. I would wait on co2 until after your done with the subcisions. Why because this will show you what manual methods did and how you healed, then your relying on energy devices. Do you know under the skin you heal for 6 to 12 months after laser. 

India I hear bad reports all the time, they constantly complain to me that the Dr's are not experienced, or they just laser them, or someone on a street corner does something. The biggest and most popular treatment in india is punch excision for scars like yours. Where they cut out the scar and put a stitch, I think it's cheaper to do than other methods as well. I have some Dr's in the FAQ, pinned to the top of the scar treatment main sub, goto the bottom, find India. Search Instagram, Facebook, youtube for ""subcision"" your city or ""punch excision"" and your city or bigger ones nearby.  Consult 3 Dr's if they are nearby and pick the one you like most, ... Have them do a test area if you do not trust them before doing the whole face.

Peraps your CO2 and subcision derm is fine, ... have him do a test area and see. I see your skin needling a lot of TCA cross and sub and takes skill, which is manual, not laser. CO2 is like frosting on a cake, we bake it first, then we work on texture.

Share this post


Link to post
Share on other sites

Hi ! @beautifulambition

god bless you! I can’t believe you do this for free, you’re helping me so much. 

Going to follow your advice to the core. 

One last question , I’m really sorry for asking too many, but your replies are practically the highlight of my days now :))  

will a ketogenic diet affect healing of scars and collagen induction? I am due to start the diet from June , and I’ve read of its anti inflammatory effects. 

Thank you, please do let me know! My next reply will be ( hopefully) a progress update based on your advice! 

Youve already helped me cope with my anxiety so much! Can’t thank you enough! 

Goodnight from India 

Jai

Share this post


Link to post
Share on other sites

@Jboy600 

Welcome!

Ketogenic diet is good in general, it will not heal scars or make them go away but it can help with a diet and lifestyle that is out of balance. Diets are for our overall health. Sugar, Refined Carbs, Dairy, are not good. Eat lots of fruits and veg, lean meats. Collagen supplements can be helpful. 

:D

- BA

Share this post


Link to post
Share on other sites
On 5/17/2019 at 1:22 AM, beautifulambition said:

@Jboy600 The choice is yours and the risk is yours. Go ahead if you wish. I hear this all the time co2 and subcision at one time, some do 5 things at one time. More harm than good, but you do what works for you, perhaps he knows how to treat you best, it will delay healing.

Also have tons of patients who do rf needling first and complains it does nothing, I tell them of course, they have not addressed their individual scars and instead are just mass treating. Priorities seem out of order on these patients and a desire to get it done quick. Much easier for Dr's to just blast you with laser and rf and tell you see were doing something as you swell. 

No you combine subcision and tca cross, ... you can get filler if needed. Doing several of those. 3-8 sessions. After the first few you can between sessions do rf needling. I would wait on co2 until after your done with the subcisions. Why because this will show you what manual methods did and how you healed, then your relying on energy devices. Do you know under the skin you heal for 6 to 12 months after laser. 

India I hear bad reports all the time, they constantly complain to me that the Dr's are not experienced, or they just laser them, or someone on a street corner does something. The biggest and most popular treatment in india is punch excision for scars like yours. Where they cut out the scar and put a stitch, I think it's cheaper to do than other methods as well. I have some Dr's in the FAQ, pinned to the top of the scar treatment main sub, goto the bottom, find India. Search Instagram, Facebook, youtube for ""subcision"" your city or ""punch excision"" and your city or bigger ones nearby.  Consult 3 Dr's if they are nearby and pick the one you like most, ... Have them do a test area if you do not trust them before doing the whole face.

Peraps your CO2 and subcision derm is fine, ... have him do a test area and see. I see your skin needling a lot of TCA cross and sub and takes skill, which is manual, not laser. CO2 is like frosting on a cake, we bake it first, then we work on texture.

If a doctor does Infini RF needling like 3 - 4 times first, does that mean after you change doctors that you have to do the RF needling on the scars again after subcision? Is there a bad effect of doing it this way aside from the fact that my scars weren't raised in the first place and i didn't get much improvement from it?

 

edit: I personally had RF microneedling done 4ish times, then he did 2 rounds of subcision afterwards. now he wants to use vivace on me but im thinking i might just go to Adrian Lim in Sydney (urepublic). I suppose what I’m trying to ask is, is there any implications from me doing RF needling first? Can I not do it again in the future? 

Edited by JustSomeName

Share this post


Link to post
Share on other sites

@JustSomeName I think that's a good idea, perhaps consult a few drs there in SYD and pick one you like. 

Rf needling I don't think your scars were targeted properly. I would do manual methods like tca cross or punch excision over rf needling. 4 of them with no results is not good. Even if treatment was out of order or your practioner was bad, I don't think they targeted your scars. As such I would have you do laser like CO2 or Erbium over the rf needling at this time "After" you do several manual treatments. 

RF needling is a very tricky device to get right, if they are too low it will do nothing or get rid of fat, ... too high and in your skin type discoloration or surface issues. But you should have seen "some" response, I would move to a different procedure unless your Dr is confident they can treat you w/ this. Consult a few Drs ;-)

You can do it at any time, ... the point is doing treatments that you respond to, do manual methods first.

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.


  • Personalized Advice Quiz - All of Acne.org in just a few minutes

×