Jump to content
Acne.org
Search In
Find results that contain...
Find results in...
LuckyAce

Acne Scar Treatment: Thoughts on sequencing

Hi, I've completed my accutane course 3 months ago and I'm ready to do acne scar treatment now. 

I plan to consult doctors but they are time consuming and can be expensive (I'm from Toronto) and I would appreciate the non-biased and informed opinion of the community here. I've read the official acne FAQ and have done some further digging but I still have many things to learn. I see rolling, box and ice pick scars. There's some white spots on the right check but I guess those are whiteheads? I will start using a chemical exfoliate once a week for that.

So could the community comment about the treatment path i should take / have planned?

1. Subcision. Repeat if needed. (I believe fillers are needed to make this permanent)

2. wait 1-2 weeks then filler (I believe this 1 time filler should create a permanent effect and I would not need to redo the fillers in the future.)

3. wait a month then RF Microneedling (Or should i do TA cross first?). Repeat this once a month for 6 months. 

4. Chemical peels for surface remodeling.

5. BE FREE OF MAJOR SCARRING and LIVE LIFE.

Pic1.jpg

pic2.jpg

Share this post


Link to post
Share on other sites

I see rolling scars, boxcars, and icepicks. Subcision should be your first line of treatment IMO to address the rolling scars. You can get fillers as spacers as part of the subcision, or do chinese suction cups to save money on the fillers.

I would do TCA to raise the boxcars and icepicks before Infini. Or you can alternate Infini in between the other treatments.

I suggest PMing beautifulambition for a more detailed plan.

Share this post


Link to post
Share on other sites

I would alternate subcision-filler month with TCA/phenol cross month to address depth issues. Not sure what type of filler you should get, your scars seem widespread but hard to tell if you lost volume in your cheeks? then go for sculptra if not go for HA. Always look for the best injector in your area.  Then do energy devices. 

Share this post


Link to post
Share on other sites

What does the $1500 include? That is a common range I’ve seen for subcision & filler combo. I haven’t seen anything for $200 but I’m not sure what you’re referring to. Unfortunately these treatments are costly and that’s why people on here emphasis doing it in a certain order to maximize results/spend less money in the long run. I really recommend PMing beautifulambition on here and ask for a treatment plan as they only respond to PM’s now and their info is very useful. HA filler for individual pits is useful even if it’s temporary but realistically it’s take more than one syringe for all of the spots you want. Sculptra is a different story and I believe it takes more than one as well but I’m not sure. It all depends on the level of improvement you want & what you’re comfortable spending. I’ve seen considerable improvement on spots I’ve done subcision+HA filler combo on personally and think it’s worth it and would recommend starting off with those two. Be mentally prepared that it *may* (everyone’s different) take more treatment & money than you originally thought but there will still be improvement. 

 

Its also recommended on here to not do back to back treatments monthly because microswelling lasts 1-2 months and won’t allow you to see the true progress/what’s working for your skin. Again I recommend PMing BA because I’m not an expert but I believe the protocol is to do subcision and then get filler a month after (can’t remember if it’s okay to do filler same day or not so again you should ask), and then RF microneedling 3 months after that. 

Edited by hlp334

Share this post


Link to post
Share on other sites

Starting with subcision is wise. What you want to see is the hard edge removed from your boxscar scars. Do as many sessions as you can until little or no results is seen. Then go on to both TCA cross for the smaller deeper scars and infini rf for an overall "lift". Chemical peels...nah. If you want a surface remodelling, any energy device work better. 

Share this post


Link to post
Share on other sites
On 12/5/2019 at 5:24 PM, LuckyAce said:

i was quoted 1500 for 1 session. Isn't that a lot... I've heard people get 200 per session.

A few months ago I paid $2000 for subcision + 1 vial of Sculptra with Rullan.  I don't think I've heard of a sub treatment for $200...

As far as sequencing, your plan looks fine except you'd probably want to wait 3 month (after sub) then do Infini.  As per BA, this will give time to heal appropriately.  CROSS/peels in between the sub and RF treatments.

Share this post


Link to post
Share on other sites

Final results and conclusion: Do not do chemical peels / TCA cross with this doctor. It was applied like streaks across my face instead of inside the actual ice-pick scars. Poor application due to probably too big droplets leaking. Subcision + filler is ok.

 

1 hour ago, superburrito said:

@LuckyAce which doctor, so that we know who to avoid for TCA cross?

Dr. ron Lemckert.

Edited by LuckyAce

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.


  • Personalized Advice Quiz - All of Acne.org in just a few minutes


×