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Seek advice on scar treatment

Hi @beautifulambition and all expert,

I had these scar for more than 10 years, mainly due to wrong handling of acne before. 

Would like to know which kind of treatment/ surgery is the best for my situation. I have eczema, not sure whether the treatment will affect my allergy or not.


thanks in advance.


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@Lionking123 Hi there, thanks for the pictures, helpful.

You have moderate scarring. Boxcars, Icepicks, and some rolling scar atrophy. Focus on Subcision and some filler for the cheeks, tca cross, and you will need some rf needling - co2 laser for those box cars. Lastly work on texture. Prioritize what bugs you most.Your very welcome. IT's the provider that matters most especially with your skin type.

This is some generalized help - scar work is always customized to the patient's needs.

** Please Note I offer to acne scar suffers a "more" "customized" (private) consultation than the above general advice. Analysis, answering questions, ongoing support by Private Messaging. Feel free to message me there. Be patient as I can get over 100+ of the worst acne scar cases to help, it "may" take me up to 48 hours to respond.

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.

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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After few months of research, I have finally got a consultation from a specialist in person.

She suggested me to go for infini & ultra pulse 2-3times. And add filler after few treatment completed.

She thought subcision is not needed here as the whole treatment could serve the similar purpose as it is. May I know without subcision at my case is it an issue and make my scar tethered? I would like to know more about any side effects for infini and ultra pulse?

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I think you should consult other physicians.  Her approach is not in the correct order.  Sounds like she wants to push lasers on you, which should really be left at the end of your treatments.  You need subcision and fillers of some sort to re-volumize your face and lift the sunken / indented parts.  The worst scars I see are areas of fat loss on your cheeks.  

She doesn't sound like an acne scar expert, and based on her suggestions I do not have confidence in her abilities.   You always want to lift the scars as close to the level of the good skin as much as possible before doing lasers / resurfacing procedures.   Lasers do next to nothing for deeper indentations.  


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looks like you have a lot of icepicks as well as deep and narrow boxcars. Would highly recommend doing phenol cross 3 sessions with a Rullan or a trained doctor. Basically painting all of your scars with phenol acid with a metal toothpick. Call around and see if any doctors your area does this, Dr. Rullan has trained so many people that your bound to find someone in any city.  

Also you're bound to get better results with infini if you can reduce the depth of your scars first with cross. 

Edited by joeysk

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