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new member, old acnee scars , some help pls

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New member here, found about this great forum on a facebook group. I am 30 yrs old now and I've been dealing with severe acne in my youth. Got rid of it only with accutane , no more acne problems now, only few zits from time to time, but now that I'am getting older my acne scars look worse and worse each day, also my whole face is like full of impurities. 

can you suggest any "home remedies" at first glance, already got 2 derma rollers , 1mm and 1.5mm and some serums with retinol ,HA, vit e and c. Also read about essential oils, like tamanu oil, rosehip oil etc.

please any suggestion, ideas would be good, also attached a pic.




Edited by BaZ88
wrong type

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@BaZ88 Hi there thanks for posting a picture, helpful.

You have lots of boxcars, rolling, icepicks, and surface scarring.

I gave you a full plan below, everything is optional. Some only do one or two Dr's treatments a year. As you stipulated cost you will be doing a majority of peels monthly and Derminator (Google it) at home, alternating monthly between your Dr's treatments. Subcision is cheap though and tca cross. You will reach a point with box cars that if you do not do energy devices (We do this at the end of treatment), then results will be limited.

Regarding the oils you posted, they do nothing for scars, a retnoid does nightly though. See the nightly section below.

I think cannula subcision will help you a low especially your temples, then do the Chinese Cupping (Amazon) for a month after to prevent retethering. RF needling can be cheap if it's spaced a part fart enough ( some buy a package or do care credit or a cc).

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

* I would do 3-8 sessions of cannula subsision to your scars, this will help you most, ... they can do a bit of filler after or you can do Chinese Cupping (Amazon) for a whole month (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.
* TCA Cross for icepicks can be done at the same time as subcision

* 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.

* If your box cars were non responding, you could find a plastic suergon who does punch float or punch excision and do that if you so wish.

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

* 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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