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Alexander24

Help with my acne scars please!!!

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20190512_200930.jpg.12d94146ed922cf9fc1e39373b9bd769.jpgI suffered from acne when I was about 16 I was left with these scars on my right cheek. They look horrible and really knock my confidence sometimes making me too depressed to go out of the house. Any info on what i could do to reduce or get rid of them would be really great and appreciated

20190512_201151.jpg

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Its honestly not that bad, its mild to medium scarring. You have nice pigmentation, not terrible volume loss. You have to deal with the psychological aspect of it aswell (acne dysmorphia) 
https://www.acne.org/acne-dysmorphia.html

We understand, we've all been there, all of us have our good and bad days.
I see rolling scars, some boxcars. 
Best plan would be subcision+filler and then resurfacing. You can try the derminator (microneedling device-can do at home every 4-6 weeks)
Treatment options depend on your budget aswell. Where are you living?

As for topicals get a retinoid for cellular turnover (new collagen), vitamin C if microneedling. Read - information is your friend, and so is BA who will likely give you the best plan in a while 

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Thanks Atrophica.

 

Looked at the derminator. Definitely going to purchase one. I'm UK based.

What is a retinoid and where could I get one from? Sorry pretty clueless when it comes to all this. Any good info sources you know of i could take a look at?

Thanks 

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@Alexander24 

Thanks for posting those pictures, helpful.


You have rolling scars - atrophy, box cars, and linear scars.

Never start with laser treat the deeeeepest problem and move to surface resurfacing.

Some Good Dr's in the UK are Dr Anil and or Dr H Consults, contacts are in the FAQ top of the scar treatments sub, bottom of that post and find the UK.

* I would do 3-8 sessions of cannula subsision to your scars, this is actually the treatment that will help you most with the right cheek that seems to have fat atrophy. I would get a vial or two of Sculptra under your scars after the subcision. Even if the Dr does not do Sculptra injections (some are not trained), call around and get this done a week or so after when the swelling has gown down. I see this helping you as you have fat loss. Do a few sessions of this, latter on your will do HA on top with your subs for indiviudal pits, ... you can also do Chinese Cupping (Amazon) for a whole month any time you don't do filler after you subcision(with cupping yes you bruise, so be prepared if you take this route, you can vary the suction strength, wear a concealer over the area like dermablend). A buffer keeps things from re-tethering.

* I would do rf needling to your scars, ... this helps rolling / boxcars (4 sessions or more). Dr Anil has this machine.

* CO2 laser if you need a boost in low density and high power setting.

* For texture we lastly do Sciton fully ablative laser resurfacing, notice I said ablative, non-ablative with do nothing for your scars. Jplasma, or a Deep Chemical Peel is good.  OR several TCA peels, or a deep peel on the scar areas only. You have sensitive skin discuss this aspect with the Dr you goto, talk about steriod shot to the hip, doing a test area, and aftercare. This works once you raise your pits, but there is down time.

* buy a dermastamp or derminator (google it) and stamp them monthly. You will be treating with the Dr every 3 months - the above things, regardless of what they tell you, the body is incredibly slow to heal and they want $$$$ quickly, observe your progress of what works). Once a month your dermastamping and you can alternate with do glycolic peels at home. Treatment for many takes 3 years, everything is optional. Treat as you have time and money (for some that's only 2 things a year), it's a slow process again with most of it related to how you heal and what works best for you, do more of that.  

* For redness we do pulse dye laser, or something like picosure, picoway. Laser resurfacing (Above) and Q switch is used if the pigmentation is not responding after several treatments. Alternatively you can try first peels for discoloration or hyperpigmetnation.

* Nightly before and after treatments until the issue is taken care of:

Use nightly: Retin-a or tretinorin(prescription), or Differin (Target/Walmart), The Ordinary Granactive Retinoid (if you can't get the above) or Avene or Osmosis (I am not a big fan of their other products) "Retinaldehyde" product (for sensitive skin). Cureology(USA) & Yoderm(USA) provide monthly - 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 (or do 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/Yoderm/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, Avene, 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, La Roche).

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. Please Note I do ongoing support by PM for complex cases / questions, daily - you can message me there. Please be patient as I can get over 100+ of the worst acne scar cases to help.



 

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@beautifulambition thank you so much this information has been really helpful. I'm going to look into all the options on here. What % should ingest a glycolic peel in? And is there much downtime?

Thanks 

 

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@Alexander24 Glycolic & dermastamping are ok to do at home in between Dr's treatments, it won't fix the scars completely. You also really need subcision and some filler. 

Ok for your question: Checkout MUAC they sell peels and have great customer service. You can get the highest % Glycolic there, ... try that out and you can work your way to TCA peels if needed. Samples are available.  

Read the acid peel guide pinned to the main scar treatments sub.

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Thanks @beautifulambition. I understand the glycolic and stamping wont fix it fully, I just want to get my skin regime at home on point and then I can start looking into the subcision and fillers. Thanks so much for all this information I felt pretty clueless before posting here and probably would have taken any clinics word for what would sort the problem. I'm going to spend the next few days researching and reading on all the the things you mentioned and make some progress. Thank you so much.

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