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drop07

Best scar treatment doctor in Europe

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Hi , 

Can you tell me what treatment should i do for my scars? And do you have any specialist dermatologist advice in Europe? i tried derma-pen 6-7 times but it did not work and i really need your help and advices. I really appreciate!

9490F3AF-F93A-443B-9361-26E990B189F5.jpeg

13734E40-EC44-469D-BA07-ED5FEBE9F5BE.jpeg

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@drop07 Hi there thanks for the pictures, helpful


You have many icepicks, boxcars, and some hyperpigmentation. Regarding a provider I would see Dr Emil in Denmark.

I can see needling not helping this alone .... nor should it. It's great as a at home treatment between Dr's visits.

* TCA Cross  -  lots of sessions of this for icepicks ca

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

* 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.

Disclaimer: Information and support is not meant to diagnosis, treatment, or cure any health or mental condition and is not a substitute for professional face to face medical care  (consult with a few Dr's and pick your favorite one). Posts are for informational purposes only, please consult your personal health care practitioner before engaging in anything discussed.

 

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Thanks for your quick answer.

Ok i will searh Dr Emil.

Also i was planning to go Dr Davin Lim but it is so far from Turkey  because i have to visit many times,

Also i sent a message him from realself but did not any answer yet:(

I can't entrust my skin to every doctor. I'm so determined that I want to make a point shot!
Germany is very easy from here and if you can say ‘ok go to this doctor ‘ i will contact as soon as possible .

And in this process i really need your guidance!

Because i really do not know what to do!

Sincerely..

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@drop07 Emil should be fine for you ;-) Germany does not have excellent practitioners (even they travel), but if you wish to look at the FAQ in the main scar treatments sub, pinned at the top there, goto the providers section and countries. 

I am sure you can find someone in Turkey to do the work, Turkish Dr's can be trained in the USA  or Europe so they do cheaper procedures there in your country for foreigners. Look at Instagram, Youtube, and Facebook for tca cross and a major city by you. RF microneedling can be found everywhere in med spas and Drs. Filler there are a bunch or expert injectors who can do your filler if needed locally to where you live, don't have to stay with one dr. Lots of Dr's have lasers in Turkey, look at the reviews. 

Otherwise you have Emil to get started and supplement with local providers. 

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Hi again ,

Dermatologist told me he would support the subcision with lipofilling,

Is lipofilling correct for scar treatment ??

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@drop07 This could means fat grafting, lipo = liposuction ... ask him to make doubly sure or he is using it as a term for filler. Not many use fat grafting anymore for scars, we use a HA filler, ... why because less side effects. Fat is still popular in Eastern Europe and some other places, but it has lost favor with more moldable fillers that have consistent results. Please consult with 3 providers not just one before treating as you want to make sure you make the best choice for yourself.

 

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Hi BA,

I sent my photos and  got information from Dr. Emil for my treatment as below:

TCA Cross,Cannula subs. and filler of the checks ( HA ot overdilute Sculptra)

Eventually : q-switch ng: YAG for PIH and to improve skin texture

What do you think about it ?

 

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Posted (edited)

Definitely go seeing Dr Emil. Went there last week, don't want to talk too soon because there might be micro swelling that tricks me but I'm seeing improvements

Edited by SimpleMutton

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