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Toni94

What is laser good for?

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CO2 Laser is a very popular treatment when it comes to fixing acne scars. However, many people say it's just marketing and its results are very limited compared to other methods like subcision or TCA cross. Not only are subcision, peels and microneedling more effective but also way cheaper than CO2 laser...My question is:

When should we use laser to fix scars?

Is there a type of scar that responds well to laser?

What can a person with acne scars expect from a laser session? (results) 

Can laser fix scars or only improve texture?

Can laser remove minor/shallow acne scars?

 

*I know there are many types of lasers...fraxel, pixel, co2, fractional, ablative and non-ablative, etc...So please specify if you want to talk about a specific one. Anyway, I meant co2 laser which is apparently the most famous and used to improve acne scarring.

 

Thank you.

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@Toni94 This questionn is too broad and I don't have time to fully awsner it. I have awsnered this many times for you in the past Toni. 

Manual methods are always best, ... you do these first for optimal healing and improvement. You only move to co2 laser at the end of your treatment for texture, NOT for acne scars. It does not do anything magical for acne scars other than textural softening. 

Scars are on a case by case basis and customized treatment, so no I cannot awsner this. You cannot generalize treatment. Many bad Dr's will just tell you to do CO2 laser and that will fix everything, it will not, ... then the patients end up here asking me how to fix their problems after spending thousands or perhaps having side effects. 

"What can a person with acne scars expect from a laser session? (results) ""- the same as you would from a chemical peel, done by a professional, with a bit of tightening, it really depends how you heal. This question again is too broad and not applicable.  Scar procedures are not one and done, ... you don't walk in get a CO2 and call yourself "all fixed." You need several diffrent treatments adressing the underlying issues of scarring.

Laser does not remove scars, it resurfaces the area and we do not use CO2 for this we use erbium fully ablative laser resurfacing. It might not be done in your country as your ethnicity is prone to hyperpigmentaiton, ... it is done by the worlds top acne scar specialists. 

No I am not going to talk about a speicific laser(s), .... your asking a genralized broad topic that does nto apply to everyone, why would I respond with marketing hype from a device that over promises results or settings.  This is like asking a suergon which scapel they use, it's their skill that matters most.

You need to see a speicalist for your acne scars Toni, ... doing things at home is not the same as treating with a expert. I know sadly in Europe or even internationally there are many poor poor Dr's who sell devices and treatments that are infective to make $$$$. This is why you need to consult with a few Derms and plastics, ask for pictures, make sure they treat exactly your scar type in the pictures and ethnicity. Make sure they evaluate your skin and give you a plan. Pick the one you like best.

Even "shallow" scars do not have a default treatment, ... this is oversimplifying treating scars. Perhaps they need a series of peels, or they may need a deep chemical peel from a plastic suergon, or they made opt for Fully abaltive erbium resurfacing. Or they need tca cross, or a surgical method, ....etc

This is not easy. Dr's will make you think it is by offering laser which is not apporirate for app people. Some don't want to chance the side effects.

Now to help the 100+ daily cases (of the worst scar types), I get by email who may have been effected by lCO2 laser and need a plan mpoving forward. 

 

 

 

 

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Posted (edited)
22 hours ago, beautifulambition said:

@Toni94 This questionn is too broad and I don't have time to fully awsner it. I have awsnered this many times for you in the past Toni. 

Manual methods are always best, ... you do these first for optimal healing and improvement. You only move to co2 laser at the end of your treatment for texture, NOT for acne scars. It does not do anything magical for acne scars other than textural softening. 

Scars are on a case by case basis and customized treatment, so no I cannot awsner this. You cannot generalize treatment. Many bad Dr's will just tell you to do CO2 laser and that will fix everything, it will not, ... then the patients end up here asking me how to fix their problems after spending thousands or perhaps having side effects. 

"What can a person with acne scars expect from a laser session? (results) ""- the same as you would from a chemical peel, done by a professional, with a bit of tightening, it really depends how you heal. This question again is too broad and not applicable.  Scar procedures are not one and done, ... you don't walk in get a CO2 and call yourself "all fixed." You need several diffrent treatments adressing the underlying issues of scarring.

Laser does not remove scars, it resurfaces the area and we do not use CO2 for this we use erbium fully ablative laser resurfacing. It might not be done in your country as your ethnicity is prone to hyperpigmentaiton, ... it is done by the worlds top acne scar specialists. 

No I am not going to talk about a speicific laser(s), .... your asking a genralized broad topic that does nto apply to everyone, why would I respond with marketing hype from a device that over promises results or settings.  This is like asking a suergon which scapel they use, it's their skill that matters most.

You need to see a speicalist for your acne scars Toni, ... doing things at home is not the same as treating with a expert. I know sadly in Europe or even internationally there are many poor poor Dr's who sell devices and treatments that are infective to make $$$$. This is why you need to consult with a few Derms and plastics, ask for pictures, make sure they treat exactly your scar type in the pictures and ethnicity. Make sure they evaluate your skin and give you a plan. Pick the one you like best.

Even "shallow" scars do not have a default treatment, ... this is oversimplifying treating scars. Perhaps they need a series of peels, or they may need a deep chemical peel from a plastic suergon, or they made opt for Fully abaltive erbium resurfacing. Or they need tca cross, or a surgical method, ....etc

This is not easy. Dr's will make you think it is by offering laser which is not apporirate for app people. Some don't want to chance the side effects.

Now to help the 100+ daily cases (of the worst scar types), I get by email who may have been effected by lCO2 laser and need a plan mpoving forward. 

 

I know you gave me some advice on my scars. Anyway I just wanted to know more about laser, that's all...

 

Quote

 

 

I know you gave me some advice on my scars in the past. Anyway I just wanted to know more about laser, that's all...

As for the treatments available where I live...Let me tell you this is not the US. Doctors and healthcare in Spain are amazing...Cancer treatments, heart conditions, transplants and so forth...Dermatologists are very good too if you suffer from skin cancer or if you need a face transplant or things like that. However, when it comes to treating acne scars, the range of treatments is quite narrow and simple, and doctors don't specialize in acne scars but in breast enhancement, rhinoplasty, etc...

 

There's a doctor from the FAQ list that performs subcision here in Spain and I don't think there are many more offering this treatment. So far I've not come across a single doctor that performs TCA cross here in Spain. In fact, I asked some dermatologists for it and they had no idea what it was. 

I had 2 dermapen sessions performed by a doctor and then a DIY TCA 35% peel. This year I've had 3 derminator sessions at home and though the results are good at first (swelling, skin more tight etc...), over time the scars look exactly the same. Then I visited another dermatologist and he offered me Radiesse or Nanofat, neither of them offer permanent results so I discarded them immediately. There's no point in having to refill your skin every 9-12 months.

 Now I've visited another dermatologist and they offer me Peelings, CO2 laser, IPL and fractora. What can I expect from Fractora?? (radio frequency needling I think). Money is not a problem right now, but I don't wanna go to Australia or the US only to treat my scars, which are not that severe. My scars are quite mild yet nothing seems to fix them...I wonder whether acne scars can be treated at all :(

Edited by Toni94

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@Toni94 fly to Emil in Denmark, ... flights should be pretty cheap - several budget carriers goto Denmark. 

These Dr's sound clueless about acne scars, ... as such you either have to continue yourself to find someone who does the manual treatments like subcision and tca cross locally to you or fly. 

Your not looking for permanent filler, ... we don't use filler to be permanent, so his suggestion of over dilute Radiesse or nano-fat may have been fine. Did you ask if he subcision and his technique? Using filler is not for a permanent solution, it's used as a spacer so your body can heal. If you find someone who does Subcision, you can also do Chinese cupping afterward for a month at home (applying daily).

A DIY TCA peel (or a Dr TCA Peel and dermapen session) is not alone going to get you where you want to be. Remember several peels and dermastamping sessions are needed not just 3.  

Fractora is a terrible device, ... I am not a fan as it does not work like the better machines. Infini, Genius, Vivance, Secret, Intracel, etc. The mode of delivering energy is different. 

CO2 may be fine for you in low density and high lower multi-pass or Fraxel 22 passes over your scars. Seems everyone around you is an energy device Dr, unless you travel. Peels make since but you must have a stronger one by a practitioner. As I recall you needed TCA cross to your scars and tca paint on to the scar floor, this takes many sessions. IT's a terrible time to treat for this in Spain because of the sun. 

If you do decide to go with CO2, ask how many procedures they have done, before and after pictures that are similar to yours, what settings they are using and how do you avoid side effects. If you will need more than one session. If they can promise their work.

Laser is not the solution, but sadly many practitioners do this because it's quick $$$$$. The Radiesse Dry may be fine if the does that with subcision. Perhaps inquire more.

Also look if anyone does fully ablative erbium laser resurfacing (deeper laser peels).

 

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Posted (edited)
On 7/16/2019 at 11:15 PM, beautifulambition said:

@Toni94 fly to Emil in Denmark, ... flights should be pretty cheap - several budget carriers goto Denmark. 

These Dr's sound clueless about acne scars, ... as such you either have to continue yourself to find someone who does the manual treatments like subcision and tca cross locally to you or fly. 

Your not looking for permanent filler, ... we don't use filler to be permanent, so his suggestion of over dilute Radiesse or nano-fat may have been fine. Did you ask if he subcision and his technique? Using filler is not for a permanent solution, it's used as a spacer so your body can heal. If you find someone who does Subcision, you can also do Chinese cupping afterward for a month at home (applying daily).

A DIY TCA peel (or a Dr TCA Peel and dermapen session) is not alone going to get you where you want to be. Remember several peels and dermastamping sessions are needed not just 3.  

Fractora is a terrible device, ... I am not a fan as it does not work like the better machines. Infini, Genius, Vivance, Secret, Intracel, etc. The mode of delivering energy is different. 

CO2 may be fine for you in low density and high lower multi-pass or Fraxel 22 passes over your scars. Seems everyone around you is an energy device Dr, unless you travel. Peels make since but you must have a stronger one by a practitioner. As I recall you needed TCA cross to your scars and tca paint on to the scar floor, this takes many sessions. IT's a terrible time to treat for this in Spain because of the sun. 

If you do decide to go with CO2, ask how many procedures they have done, before and after pictures that are similar to yours, what settings they are using and how do you avoid side effects. If you will need more than one session. If they can promise their work.

Laser is not the solution, but sadly many practitioners do this because it's quick $$$$$. The Radiesse Dry may be fine if the does that with subcision. Perhaps inquire more.

Also look if anyone does fully ablative erbium laser resurfacing (deeper laser peels).

 

I posted several pics here last year, which I deleted then. This is where I'm at...as you can see the scars vary from almost non-existent to quite deep depending on the lighting, that's the thing that frustrates me. Sometimes I feel I have a baby face, sometimes I feel my face looks awful. I've not posted my left cheek as there are barely any scars there. 

What can I expect from 3-4 laser sessions? C02 laser, retin-A cream at nights, TCA peels, Phenol peels...those are the treatments I can find where I live. Subcision and TCA cross are gonna be difficult to find. From the pics I see (I'm not an expert however) I'd say the predominant scars I have are rolling scars. 

I've read the thread "Successful cases" and I see how acne scars are rated depending on how severe they are...from 1 to 4 if I'm not wrong. Where would you put my scars on that scale? Level 1 or 2? 

 

*Here are some pics which I'll delete later on...just want you to assess my current scarring. I always take pics of my face but I have to say my scars don't make me feel depressed or affect my dates, jobs, etc...I know they are not severe and I know people notice them but I have never been judged or poorly treated because of them. The thing is I'd like to have a face without acne scars.

 

 

 

@QuanHenry

Edited by Toni94

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@Toni94 Thanks for posting the updated pictures. Looks like the options you have available near you, ... since you don't want to travel a cheap flight to Dr Emil in Denmark are" laser" by general practitioners. 

Fractional CO2 or 1927nm Fraxel 22 passes over the textural scarring areas or you can jump straight to the below.

See if you can find fully ablative laser resurfacing with the erbium laser or a medium to deep peel with a plastic surgeon. 

Your scars are mainly textural, ... Did you do rf needling yet? 

Quote

What can I expect from 3-4 laser sessions? C02 laser, retin-A cream at nights, TCA peels, Phenol peels...those are the treatments I can find where I live. Subcision and TCA cross are gonna be difficult to find. From the pics I see (I'm not an expert however) I'd say the predominant scars I have are rolling scars. 

Be aware without subcision we weill see limited results. I would also do paint on tca on some of your box cars. Do the above if it's all you have available and you do not want to travel. It won't be perfect but should improve if they are skilled. 

Your a level 1 or 2 your right, ... mainly textural scarring. 

Do a few consults, come back and tell me what they offer, and we can go from there, ... were not going with optimal treatment, but what you have available near you. 

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Posted (edited)
16 hours ago, beautifulambition said:

@Toni94 Thanks for posting the updated pictures. Looks like the options you have available near you, ... since you don't want to travel a cheap flight to Dr Emil in Denmark are" laser" by general practitioners. 

Fractional CO2 or 1927nm Fraxel 22 passes over the textural scarring areas or you can jump straight to the below.

See if you can find fully ablative laser resurfacing with the erbium laser or a medium to deep peel with a plastic surgeon. 

Your scars are mainly textural, ... Did you do rf needling yet? 

Be aware without subcision we weill see limited results. I would also do paint on tca on some of your box cars. Do the above if it's all you have available and you do not want to travel. It won't be perfect but should improve if they are skilled. 

Your a level 1 or 2 your right, ... mainly textural scarring. 

Do a few consults, come back and tell me what they offer, and we can go from there, ... were not going with optimal treatment, but what you have available near you. 

Thanks BA. 

 

I've not discarded a flight to Denmark in the future, though I have to admit it's gonna be difficult for me to find a few days off work to travel plus a few days off for the recovery. At the moment I'm just planning a treatment for the fall/winter... till the end of October with such a strong sunlight in Spain it's impossible to have any treatment, not even creams with retinoid acid at home.

 

I've looked-up doctors that perform subcision in Spain and I've come across a few that offer it in Barcelona, that would be a more feasible option...just a short flight. I'll let you know what the doctors come up with as soon as I visit them.

Edited by Toni94

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@Toni94 Do it twice a year (treatment), while on Holiday or on your way back from Holiday somewhere. Take some sick days and a weekend. Or speak to your supervisor and tell them you have a medical procedure and need a week, ask them to help you do this twice a year. 

Oh I know strong sunlight and hot in Spain now. You can wait. Use a retinoid nightly. Keep alternating your glycolic peels monthly when you can and dermastamping. Take a break if you need it.

Good you have better resources than me in Spain since you are part of the culture and social media there. Make sure they do lots of subcision (ask how many a month and what type they do). Perhaps you have more to add. Barcelona has tons of plastic surgery so there should be something. 

 

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1 hour ago, beautifulambition said:

@Toni94 Do it twice a year (treatment), while on Holiday or on your way back from Holiday somewhere. Take some sick days and a weekend. Or speak to your supervisor and tell them you have a medical procedure and need a week, ask them to help you do this twice a year. 

Oh I know strong sunlight and hot in Spain now. You can wait. Use a retinoid nightly. Keep alternating your glycolic peels monthly when you can and dermastamping. Take a break if you need it.

Good you have better resources than me in Spain since you are part of the culture and social media there. Make sure they do lots of subcision (ask how many a month and what type they do). Perhaps you have more to add. Barcelona has tons of plastic surgery so there should be something. 

 

You lost me hahaha. What do you mean by saying that??

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@Toni94 

You state you don't know how you can find time to travel or treatment downtime.

Idea: Treat twice a year.

Take some sick days and a weekend.

Speak to your supervisor and tell them you have a medical procedure and need a week, ask them to help you do this twice a year. 

The second part was stating you could search the local social media resources for " Barcelona subcision  " Dr that posts on Instagram, facebook, or whatever is popular there. 

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On 7/20/2019 at 12:26 AM, beautifulambition said:

@Toni94 

You state you don't know how you can find time to travel or treatment downtime.

Idea: Treat twice a year.

Take some sick days and a weekend.

Speak to your supervisor and tell them you have a medical procedure and need a week, ask them to help you do this twice a year. 

The second part was stating you could search the local social media resources for " Barcelona subcision  " Dr that posts on Instagram, facebook, or whatever is popular there. 

Ah ok thanks...I didn’t understand what you meant with the social media thing...Now it’s clear.

 

Good news. I found a doctor in Valencia, where I live. He runs a team of dermatologists that specialize in different things. They work in a private hospital here and I had an appointment scheduled for this morning. She told me I have rolling, icepick and box scars, none of them are severe though.

 

She’s looked at the scars using something that looked like a flashlight; I guess she was making shadows to see the scars better.

 

Since we are in July and treatments are not performed till October, she’s only told me that the treatments for my scars will be subcision and CO2 laser, and maybe hyaluronic injections. I asked her about TCA cross and she told me they did perform it in the past but not now...She said TCA cross is good for icepicks but has to be carefully poured into the hole otherwise the acid might produce boxscars if it overflows the pick and burns the skin around.

 

Something I didn’t like was the fact that they offer CO2 laser as a TCA cross substitution. As far as I know, Co2 laser and tca cross have nothing in common and are completely different treatments. She came across as a very good doctor but I don’t know why she said that... She said sth like:  “Now we use laser instead of TCA cross”.

 

-What’s your opinion about hyaluronic fillers? Do they last? Do they give good, natural results?

 

-Do you think it is spot on to perform subcision and laser in the same session? (I think she said they will combine treatments each session).

 

*I can ultimately ask them for TCA cross if the results are not good after the other treatments are performed.

 

 

 

 

 

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@Toni94

This is silly quote below. If the top 1% of acne scar Dr's use it then you know it's good. She is a laser Dr and that's fine if that's all you have. No one pours "TCA" in a hole so I wonder if she just didn't understand what TCA Cross is. Regardless you have subcision, filler, and laser then.

Quote

I asked her about TCA cross and she told me they did perform it in the past but not now...She said TCA cross is good for icepicks but has to be carefully poured into the hole otherwise the acid might produce boxscars if it overflows the pick and burns the skin around.

TCA Cross does have zero in common with a laser. The best scars that respond to laser are boxcars. Somewhat rolling, but not as much. 

OF course, HA filler does not last, it's temporary. We are not using this for beauty like some Hollywood star. We need a spacer after subcision, ... now I don't know how she will use them so you will investigate that. We don't need permanent here with filler as it's your body's duty to heal after a subicsion and not "retether." If you don't like that do Chinese cupping for a month after the procedure yourself, daily.

No I do not like combination treatments, after treating thousands this is where the Dr makes $$$$ and the patient has side effects. There is not a proper time to heal and observe. Does it happen - sure, ... say you fly into an international Dr', perhaps you only have a few days to treat, you're taking a risk. The choice is yours, ... like you said your scarring is not that severe but you did have sensitivity with peels. As she is local why rush it. 

TCA Cross is very skill dependent. Just because they know what it is, does not mean they are good at it. Warning signs are they do not do it often, they use the wrong terminology with administering it and she probably does not have (lots) of pictures of her using it on patients. 

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17 hours ago, beautifulambition said:

@Toni94

This is silly quote below. If the top 1% of acne scar Dr's use it then you know it's good. She is a laser Dr and that's fine if that's all you have. No one pours "TCA" in a hole so I wonder if she just didn't understand what TCA Cross is. Regardless you have subcision, filler, and laser then.

TCA Cross does have zero in common with a laser. The best scars that respond to laser are boxcars. Somewhat rolling, but not as much. 

OF course, HA filler does not last, it's temporary. We are not using this for beauty like some Hollywood star. We need a spacer after subcision, ... now I don't know how she will use them so you will investigate that. We don't need permanent here with filler as it's your body's duty to heal after a subicsion and not "retether." If you don't like that do Chinese cupping for a month after the procedure yourself, daily.

No I do not like combination treatments, after treating thousands this is where the Dr makes $$$$ and the patient has side effects. There is not a proper time to heal and observe. Does it happen - sure, ... say you fly into an international Dr', perhaps you only have a few days to treat, you're taking a risk. The choice is yours, ... like you said your scarring is not that severe but you did have sensitivity with peels. As she is local why rush it. 

TCA Cross is very skill dependent. Just because they know what it is, does not mean they are good at it. Warning signs are they do not do it often, they use the wrong terminology with administering it and she probably does not have (lots) of pictures of her using it on patients. 

I don't remember whether she used the expression "pour acid into the icepick",  but she did state that TCA at high % is dangerous as it can produce boxcars around the icepicks (because it's not easy to only inject the acid in the icepick without it touching the skin around).

She also said (I forgot to tell you this yesterday) that they don't perform TCA peels either, because they often produce pigmentation issues. So, unless I insist that they use TCA cross and/or TCA peels for my scars, their treatments will be Laser, Submission and HA fillers.

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@Toni94 She is a laser Dr. That is her goal, most of her treatments. Goto her for laser, ... which may be fine in your case as you only have mild scarring. 

You can get hyperpigmentation with any procedure in ethnic skin types. Sounds like laziness about creating a box car, that is the goal to widen the scar, ... perhaps she is untrained. It was developed in Korea and as you know they have Ethnic skin as well. 

See it's not worth fighting or twisting the arm with a Dr like this. Go in expecting laser. It's interesting she does subcision, but I don't know how good she is.

It's up to you if you want to give her a try or not. Sounds like a general laser dermatologist.  Ask for lots of pics.

You don't need TCA peels necessarily, she can do laser peels instead. Takes a lot of skill in ethnic skin types, as you mentioned possible side effects. To find a top Dr who treats ethnic skin and specializes in acne scars is very rare. 

I would not insist on TCA Cross as she does not sound proficient in it. 

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19 hours ago, beautifulambition said:

@Toni94 She is a laser Dr. That is her goal, most of her treatments. Goto her for laser, ... which may be fine in your case as you only have mild scarring. 

You can get hyperpigmentation with any procedure in ethnic skin types. Sounds like laziness about creating a box car, that is the goal to widen the scar, ... perhaps she is untrained. It was developed in Korea and as you know they have Ethnic skin as well. 

See it's not worth fighting or twisting the arm with a Dr like this. Go in expecting laser. It's interesting she does subcision, but I don't know how good she is.

It's up to you if you want to give her a try or not. Sounds like a general laser dermatologist.  Ask for lots of pics.

You don't need TCA peels necessarily, she can do laser peels instead. Takes a lot of skill in ethnic skin types, as you mentioned possible side effects. To find a top Dr who treats ethnic skin and specializes in acne scars is very rare. 

I would not insist on TCA Cross as she does not sound proficient in it. 

Thanks BA.

Is there a possibility that after 2-3 subcision + 2-3 CO2 laser sessions my scars look exactly the same? I mean, I've seen cases of people that see little improvement after many subcisions, lasers, peels and so forth...Which makes me think that more often than not acne scars treatments are a waste of time, money and hope. Those that achieve a 25-30% improvement can consider themselves very lucky. It's happened to me with dermapen, derminator and TCA 35% peel. After each session of the mentioned treatments, my scars were almost non-existent due the microswelling and my skin look tight and fine. As weeks go by, my skin always looks the same and there's no improvement whatsoever. I don't wanna go down that road again with lasers, subcision or whatever treatments I undergo. That's why I'd like you to tell me what I can achieve. I know this can't be answered but you've seen many cases and know what my scars are like (severity, types, texture...) so you can tell me more or less what I can expect from a few subcision and laser treatments.

 

As for the phrase: "It's interesting she does subcision, but I don't know how good she is." Is necessary to have subcision done by a good professional in order to see good results? I guess I'll see some results even if she is not someone expert with subcision.

 

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@Toni94 Welcome!

No idea, ... this is why I think you need to also pursue some counseling as internal scars can be worse than the external ones. Your already setting yourself up for failure. Best to stop now if the results will not meet your preconceived ideas. These cases are hardest to help and they become quite jaded as they expect perfection. Some of that is BDD or Body Dysmorphia, not seeing your scars as the world sees them. 

Back to your Dr. I can not vouch for a general dermatologist who does laser. She may be good. You would have to try it out. Just because a treatment works again, does not mean she is experienced doing it. A lot here is relying on generalized laser settings. But your scars are very minor, you may do great. It's up to you if it's worth it to "try" with her and see. 

Your comparing cases where you "perceive" that nothing has happend. When I analyze these often that is not the case. Not saying that there is not cases of Dr creating damage.... But often the person has cognitive distortions of reality. Some are poor healers or have medical conditions. Some goto incredibly bad Drs who are clueless. Others are thinking laser will solve it all. If you want to find negative or failures, ... that is easy to find they are the only ones who post on these sites, ... the thousands of happy patients never post again. Most are more inclined to post something negative than positive. 

If you already feel it's a waste of money don't do it.

30% improvement is very little, I would say more 50% after many treatments, and that is on the conservative side. 

That proves my point even more, ... you mention microswelling, that can be achieved with filler and treatments. They probably wanted filler and though laser or whatever would fix it all.

Then don't do it. This is a completely optional cosmetic procedure. Best if you do nothing. If you already think it's bad. I cannot predict if your general Dr may be good, ... possibly. Up to you to try or not.

Of course, .... read this Forum. They went to Chu, ... said the subcision was not done well, ... then went to Emil and it's done much better with results. You see - that is the skill. I don't know about your Dr without you trying a treatment or two, should be cheap enough to try if she is local. There are more Dr's than Emil who can do these things though. I think you should have a consult and discuss outcomes, look at pictures, and ask her about these things, your paying her, not me to convince you and answer your questions. 

 

 

 

 

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Dr. Pedro Alberto Santos has a Masters’ in Anti-aging and Aesthetic Medicine from the University of Complutense in Madrid, Spain.

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8 hours ago, Binga said:

Dr. Pedro Alberto Santos has a Masters’ in Anti-aging and Aesthetic Medicine from the University of Complutense in Madrid, Spain.

21 days after laser ? really ? and not to mention those 2 pics are diff angle, and that says all 

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5 minutes ago, Miro said:

21 days after laser ? really ? and not to mention those 2 pics are diff angle, and that says all 

I actually had a session last week. Seeing some improvement. Lets see

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1 hour ago, Binga said:

I actually had a session last week. Seeing some improvement. Lets see

Wish u All the best 

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On 7/27/2019 at 1:37 AM, beautifulambition said:

@Toni94 Welcome!

No idea, ... this is why I think you need to also pursue some counseling as internal scars can be worse than the external ones. Your already setting yourself up for failure. Best to stop now if the results will not meet your preconceived ideas. These cases are hardest to help and they become quite jaded as they expect perfection. Some of that is BDD or Body Dysmorphia, not seeing your scars as the world sees them. 

Back to your Dr. I can not vouch for a general dermatologist who does laser. She may be good. You would have to try it out. Just because a treatment works again, does not mean she is experienced doing it. A lot here is relying on generalized laser settings. But your scars are very minor, you may do great. It's up to you if it's worth it to "try" with her and see. 

Your comparing cases where you "perceive" that nothing has happend. When I analyze these often that is not the case. Not saying that there is not cases of Dr creating damage.... But often the person has cognitive distortions of reality. Some are poor healers or have medical conditions. Some goto incredibly bad Drs who are clueless. Others are thinking laser will solve it all. If you want to find negative or failures, ... that is easy to find they are the only ones who post on these sites, ... the thousands of happy patients never post again. Most are more inclined to post something negative than positive. 

If you already feel it's a waste of money don't do it.

30% improvement is very little, I would say more 50% after many treatments, and that is on the conservative side. 

That proves my point even more, ... you mention microswelling, that can be achieved with filler and treatments. They probably wanted filler and though laser or whatever would fix it all.

Then don't do it. This is a completely optional cosmetic procedure. Best if you do nothing. If you already think it's bad. I cannot predict if your general Dr may be good, ... possibly. Up to you to try or not.

Of course, .... read this Forum. They went to Chu, ... said the subcision was not done well, ... then went to Emil and it's done much better with results. You see - that is the skill. I don't know about your Dr without you trying a treatment or two, should be cheap enough to try if she is local. There are more Dr's than Emil who can do these things though. I think you should have a consult and discuss outcomes, look at pictures, and ask her about these things, your paying her, not me to convince you and answer your questions. 

 

 

 

 

Hahahaah of course I wanna try to improve my scars, I asked you just to have an idea since you have experience and have seen many cases; but asking doesn't mean I don't want to undergo scar treatments.  After all, I have nothing to lose, my scars are not gonna get worse after the treatments (I hope so lol) and money is not that important...I don't smoke, don't drink, don't do drugs...people spend hundreds per year, slowly but surely, smoking cigarettes, weed or whatever. So yeah, I´ll definitely try something (subcision, laser, filler, all the above???) in October.

 

As for the improvement %, I based my opinion in what I've seen, and what I've seen is people that undergo many different treatments and combinations of them and don't get great results. Maybe most people don't go to good doctors and that's why their outcome is not the best. I don't know if a 50% improvement is achievable but I'd be very happy if my scars improved 50%.

 

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