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maga777

Please HELP! 5 laser treatments, 5 chemical peels, 4 micro needling and zero results at my scars.Photo attached.

Hello guys, before I will start I would like to say everybody my apologizes for English bc it is not my native language. Sorry for any further inconvenience. Ok, guys, lets me start from the beginning. My name is Tim and I'm 25 yo. And I have a lot of scars. 

But when I was 20(it was happed in Russia) I went to the clinic where they promise me to get rid of the scar. I did 5 times laser(i didn't remember it was Fraxel or another one), 1 time per 2 months and 0 results.

When I become 23 I tried 5 times chemical peels, 1 time per month, 0 results. They also swear that I will get rid of scar(it was in Russia)

When I move to the USA I found a doctor in Los Angeles, who promise me to get rid of scars.  I was extremely happy, bc I knew that the medical system in the USA better multiple times that another country and I was surprised that I lost around 2k for nothing and I understood that the hustlers in the USA also. And I give up.

By accident, I have recently found this forum and youtube videos Dr. Davin Lim from Australia. And I started to watch each video and found a lot of good advice, but I can not fly to Australia just to get rid of scars, so right now is my questions:

1) Guys I found on your forum that one of the best doctors is Rullan Peter P MD, is it right? Is it make sense to go to him? I don't care about price, I care just about results, bc during my experience it is 0 results.

2) I have recently started used Obagi cosmetics and especially Retinol, and my face become a little bit better. My face doesn't have any reaction to retinol and any side effects, so I use it a lot before go to sleep on the clean face. Do you have any advice? Is there anything better than Retinol?

3) Please look at my scars, i putted out there timilens, to make it easier to understand. What kind of treatment do i need and how long? And why another ones have zero results? Is it worth to visit Dr. Rullan in San Diego?

Guys, i beg you, please help or just explain whats going on? Why i have a zero results? Even in the USA? What i must or should to do?

Best,

Tim.

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Hi Tim, 

I have similar extensive scarring. What I've learned so far: 

1.) You've had the most ineffective treatments for severe scarring. While it's true that some lasers might help with some scars, it is often in combi with other treatments. Lasers alone and peels alone don't do much for the scar as the scar sits deep in the skin and those procedures are good for a final touch up for better texture once the scars have filled and elevated.

2.) Look into manual methods - needling, TCA or phenol CROSS, Subcision with fillers. They are proven in clinical studies to actually improve scarring to some extent( whatever %that might be)

3.) Don't take anything anyone recommends here (including me)or at a doctor's consult for the thing that will fix your scars. Take it as suggestion as a possible treatment option you should research yourself. Dr offen push the same treatments to everybody. It's totally fine to get a consult and then want to give it a thought at home, discuss with family.

4.) Write to people here on this forum with journey threads, photos or to ppl who've actually been to the hyped doctor or had the hyped treatment!!!

5.) Research the treatments yourself online, seach for clinical evidence from studies ( In Pubmed you can find summaries from the studies and see if the method works, search by key words, i.e. microneedling long term effects etc). Look who funds the study, if it's the laser company or the Pharma industry take the results with a grain of salt. 

5.) Don't look at doctors as half gods in white. Ask uneasy questions, how many scar patients they see weekly,  ask for before/after photos. Be fussy about the treatment, politely fussy, not aggressively fussy. Act a bit up, say you're scared and unsure of the treatment. It's your skin, it's your money. The right doctor will take your concerns seriously and be more careful than usual. The arrogant doctor you can go without. There are others who offer the same or similar treatments.

Edited by JenSteli
Typos

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I think Dr. Rullan is one of the most praised doctors on this site so yeah if you can afford it go see him. 

I've had good experience with Retinol.

As for why 0 results, I dont know if laser and peels, even needling are the best for real scars.  I had my inprovement 15% from 3 subcisions. I'm looking into other treatment now.

Edited by NuageBlanche

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similar situation. In order of what i think will be most effective for you:

1. Phenol cross (or TCA) - 3-5 sessions

2. Sculptra for widespread scarring 1-3 vials

3. Subcision 3-5 sesssions cannula if you can

4. Infini/Genious RF microneedling 3-5 sessions. 

The reason why your previous treatments didn't work is because you did not treat the DEPTH of your scars. 

Imagine you made a bunch of picks into a block of wood, and then you tried to sand it down with lasers and chemicals. How much would you have to sand down to get your skin to look even? A lot. Address depth with fillers and cross. Cut your tethers with subcision and then RF to make boxcars look more smooth. 

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Hello Goodnight
I'm sorry, but the reason you don't have results is because a dermatologist specializes in acne scar = a professional scammer.
they promise the impossible "improve the scars a lot". useless and painful treatments and very expensive at all.
If dermatologists charge their treatments FOR RESULTS, they will starve. This is a super profitable multi-billion dollar business worldwide.
as their treatments are useless excuses appear:
you need another 6 months to generate collagen
you need more treatment sections
your genetics is bad
you need to apply more X cream
we will experiment with another treatment
his scar is very difficult etc.

There are those who say that their treatments work but it is only photos with different angles and lighting, or temporarily inflamed skin, or placebo effect.

the only thing that maybe can improve your skin by 5 or 10% maybe the Subcision and temporarily are the fillers.

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On 11/16/2019 at 3:17 PM, joeysk said:

similar situation. In order of what i think will be most effective for you:

1. Phenol cross (or TCA) - 3-5 sessions

2. Sculptra for widespread scarring 1-3 vials

3. Subcision 3-5 sesssions cannula if you can

4. Infini/Genious RF microneedling 3-5 sessions. 

The reason why your previous treatments didn't work is because you did not treat the DEPTH of your scars. 

Imagine you made a bunch of picks into a block of wood, and then you tried to sand it down with lasers and chemicals. How much would you have to sand down to get your skin to look even? A lot. Address depth with fillers and cross. Cut your tethers with subcision and then RF to make boxcars look more smooth. 

Also to add to this post, Sculptra , they say is a temporary solution but the original studies state it was 80%+ active after 2 years, who know how long it takes to completely dissolve?? Be careful when injecting this stuff, it can provide semi long term results but if not done by correcct professinal it can go bad. Check realself.com, or the forum FAQ and get the best providers near you.

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@joeyskDo you already have an idea from which provider you are going to get Sculptra? Where I live I've only found some fancy high-end doctor offices that don't necessarily make me trust them with my skin. They don't seem to have much experience with acne scarring, rather they offer Sculptra for rejuvenation purposes.

Edited by NuageBlanche

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1 hour ago, NuageBlanche said:

@joeyskDo you already have an idea from which provider you are going to get Sculptra? Where I live I've only found some fancy high-end doctor offices that don't necessarily make me trust them with my skin. They don't seem to have much experience with acne scarring, rather they offer Sculptra for rejuvenation purposes.

I think your over thinking it. There are expert injectors in every city. I live in the middle of nowhere and there is an expert injector with 25 years of experience. She is an anti-aging expert but have done acne scar people as well but not her expertise. I don't go to her, and if I was strapped for budget I would. It's okay to get injection from people like this, 1 vial of sculptra is really nothing. The current provider I am going to I found through real self, highest rated person in the sculptra category but I have to drive 3.5 hrs one way and somewhat more expensive. I am taking a day off so I don't mind the drive. 

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@joeyskGuilty as charged, I do tend to overthink lol. But seriously, I've had bad experience with general derms and lasers, and since then I'm extremely cautious who I trust my skin with. Not saying anything about the expert injectors, but I really prefer, like you, to save up and travel to see a scar specialist once or twice a year. Don't know, it's just how I see things - experience with acne scars is very important to me. Dr Chu might not be giving proper aftercare or might be rushed, but I never never got more scars from the treatment with him. 

Besides I have a cluster of atrophic scarring, it's not a singular scar, it's not normal skin structure, so I'm a bit afraid that the filler might migrate. Something to discuss with the derm. 

I hope your Sculptra goes well and you get good improvement. And keep us posted on your progress. We'll appreciate it.

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