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Ivan_070703

Deeper Scars and Lumps From Aggressive Nokor Subcision

Hi all,

 

First time poster but long time lurker on the forums. This is my first post so pardon me if the formatting is not great.

Two weeks ago I underwent aggressive 18g Nokor subcision for my rolling and boxcar scars.

The first pic is before the subcision, and second one was taken on 18 Feb, exactly two weeks after.

There is a significant formation of nodules on my cheek that gives it a bumpy appearance, as well as a deepening of lines in the surround area.

During the subcision, the doctor was very aggressive and I heard a lot of snapping noise. There was also a lot of swelling and bruising. The swelling has gone down after around 10 days, but my skin is still yellow from the bruising.

I am really distressed that the Nokor subcision made things that much worst, and the lumps really bother me. I rather than the rolling scars over the lumps to be honest!

I am feeling really down and would appreciate any advice or anyone who has experienced the same thing.

Thanks in advance

Dec 2019 (Before).jpg

17 Feb 2020 (After).jpg

Edited by Ivan_070703
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The yellow color is from the subcision bruising.

It was actually purple / black, then turned green and now it is faded to yellow.

It will return to normal color in 1-2 weeks, or at least that was my previous subcision experience with a hypodermic needle and blunt cannula.

The distressing thing about this aggressive 18g Nokor subcision is that it left me with multiple raised lumps that is really unsightly. The one in the middle of my picture is tender and painful if I press it lightly.

Very worried right now :( 

 

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The lumps is hematoma (I think). I had one on my right cheek which faded after about a month. I just kept massaging it. I think you can get injections for them if they dont go down. 

I'll be avoiding nokor next time because of it, maybe you should too. Stick to cannula.

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11 hours ago, hsd87 said:

The lumps is hematoma (I think). I had one on my right cheek which faded after about a month. I just kept massaging it. I think you can get injections for them if they dont go down. 

I'll be avoiding nokor next time because of it, maybe you should too. Stick to cannula.

Thanks for your response hsd87

Nokor was really brutal, I read about some people on these forums having amazing results from it but it is probably not for me. The 18g nokor needle is huge and it just destroys everything in its path.

Keeping my fingers crossed that no permanent damage is done.

How was your results from your Nokor? Are you happy with it?

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9 hours ago, Ivan_070703 said:

Thanks for your response hsd87

Nokor was really brutal, I read about some people on these forums having amazing results from it but it is probably not for me. The 18g nokor needle is huge and it just destroys everything in its path.

Keeping my fingers crossed that no permanent damage is done.

How was your results from your Nokor? Are you happy with it?

Lumps are apparently "rare" but happens to some people. 

Not much improvement so far. Only done it once. Heard a lot of snapping and tearing like you did.

I did nokor and cannula at the same time, heard more noises when cannula was used! So I'll stick to that.

Nokor does seem very dangerous! I was bleeding a lot with that. No wonder most doctors dont use it now it seems. Hopefully using it once is good enough and then cannula can be used the other times.

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I had aggressive Nokor Sub done with one who was supposed to be the best acne scars Dr- Chu and this left me with new scars and bumps not going away for almost 3 months. So do no worry, it will go away with time. Cannula is more gentle and in the right hands act like a Nokor. 

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4 hours ago, Sibel said:

I had aggressive Nokor Sub done with one who was supposed to be the best acne scars Dr- Chu and this left me with new scars and bumps not going away for almost 3 months. So do no worry, it will go away with time. Cannula is more gentle and in the right hands act like a Nokor. 

Thanks for your response Sibel, it helps to put my mind at ease.

Although whenever I catch a glimpse of my subcision lumps in harsh lighting, I get hit with this fear that the aggressive nokor subcision could potentially make things worst!

How are your results for Dr Chu's subcision? Did you get good improvement after all the new scars and bumps went away? 

Thanks!

 

Edited by Ivan_070703

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Hi all,

 

Just wanted to update on my Nokor subcision, I done it on 4 Feb and now it is 21 Feb, so about 2.5 weeks.

My left cheek still looks bad, in fact worst than before the subcision.

I circled the area where the lumps are, they are tender and slightly painful to the touch. I have fat loss around my cheeks and these lumps make the depressed areas that much more obvious!

Also I massaged the area for the past two days, and felt that it made things worst. I think I might have cause more internal bleeding because after the massage (I used quite a lot of pressure), I had a pool of blood accumulate under the skin of the lumps. 

Still feeling great regret of going through aggressive treatments, but what is done is done. I will keep updating and if anyone has similar experiences with Nokor subcision - good or bad - please share them.

IMG_4105.jpg

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@Ivan_070703 Did you get filler done with the Nokor subcision? Filler is important after subcision, as a spacer, to prevent retethering. Scars can retether in a way that make them worse than before the subcision.   

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Hi Zephyr101,

 

No filler, just nokor subcision. It has been only 2.5 weeks so I doubt it can retether so soon? 

Also I done blunt cannula subcision before and didn't have such a bad reaction.

Those lumps are really bothering me!

Regards

Ivan

 

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Yeah, I don't know how long retethering takes. Generally, I believe fillers with subcision are better than subcision without fillers because fillers can stimulate more collagen production and act as a spacer. So if you can afford it, stick with cannula subcision and use fillers next time. Also be aware that even a small change in the angle that light shines on you can make a pretty significant difference in scar appearance. You may not even realize that the angle is different, sometimes. 

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Who did the procedure? Have you asked Dr. for post-treatment advice?


2.5 weeks is still early imo. 


From what I have read (previous BA advice and others) you should start massaging again. No risk of new bleeding now, as all blood vessels have healed. 

Apply hot dressings, take Aspirin, massage. It should help. The Dr could inject Hyalase or steroid in the bump if it does not help. 
 

Your own blood is a great spacer, contains lots of growth factors, will stimulate collagen. Heads up, I think you will see some improvement over time bro.

Good luck!

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9 hours ago, AcneNoScarsMore said:

Who did the procedure? Have you asked Dr. for post-treatment advice?


2.5 weeks is still early imo. 


From what I have read (previous BA advice and others) you should start massaging again. No risk of new bleeding now, as all blood vessels have healed. 

Apply hot dressings, take Aspirin, massage. It should help. The Dr could inject Hyalase or steroid in the bump if it does not help. 
 

Your own blood is a great spacer, contains lots of growth factors, will stimulate collagen. Heads up, I think you will see some improvement over time bro.

Good luck!

I am based in Singapore, we don't have any household names here the likes of Davin Lim or Dr Chu etc, the guy who did it was a young but brilliant chap who is building up his trademark in nokor subcision. 

I consulted my dr at the two week mark and all he said was to wait it out. I have another appointment at the four week mark.

At this point I am not even thinking about improvements, just want to see the bumps go away lol 

Thanks for your well wishes, good luck to you too on your journey

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Ivan, no results after Sub without the filler with Chu, only more scars... then I did 2 sub with another Dr with the cannula and the result is very mild but no extra marks/scars/bumps...Sub without the filler does not make sense, the scars retether but Chu was against the fillers... 

I massaged gently the bumps with the ice pad... as I said 3 months I had it...so just wait... 

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Just a quick update in case anyone is following or interested

This is day 20. Picture it taken tonight, I tried to replicate the same angle and lightning but can't seem to get it 100%, eventually settled for close enough :)

The lump is still very obvious and distressing. I guess a minor good news is that the yellow discoloration from the bruising is slowly fading, and skin is more of a normal color.

At this stage I am still better off not having done Nokor subcision, but probably still too early to judge the final results. These three weeks has been a cascade of emotional ups and downs, sometimes I wonder if all these money, time and emotional investment is worth it lol

Will update again in a couple of days, I am trying not to examine my face daily, it is playing havoc on my sanity!

IMG_4144.jpg.4110381e3399cc92c9033c7b7e322ad0.jpg

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I've had similar experience with nokor subcision. Where some areas on my cheek rose around the surface lvl. 
Here is my thread, your concerns are more or less the same. 

 

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healing well. My lumps didint go away compeletely for 7 weeks. Looks like you have significant volume loss in cheeks. Would advice to do just sculptra next. 

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10 hours ago, incepticon said:

I've had similar experience with nokor subcision. Where some areas on my cheek rose around the surface lvl. 
Here is my thread, your concerns are more or less the same. 

 

Thanks Incepticon, your thread is very inspiring to read, glad to know you are focusing on living your life instead of some minor scars.

Indeed, I am going through the very same thing you did, including regret at having done such an aggressive nokor subcision.

I am exactly 21 days in and feeling really down, at this stage, the large lumps of my cheeks are worst than the original scars. If I had a choice to turn back time I would take the scars over the lumps :|

In your thread, you mentioned at the 3-4 months mark, you still had a bump on your left cheek and 2 spots that are raised on your right cheek. That was back in June 2018. Are those bumps still there today?

On 2/23/2020 at 1:57 AM, Sibel said:

Ivan, no results after Sub without the filler with Chu, only more scars... then I did 2 sub with another Dr with the cannula and the result is very mild but no extra marks/scars/bumps...Sub without the filler does not make sense, the scars retether but Chu was against the fillers... 

I massaged gently the bumps with the ice pad... as I said 3 months I had it...so just wait... 

Sibel, sorry to hear that you did not see results or had only mild results from your subcision.

There was a post by Dr Davin Lim on realself where he said some rolling scars can be rather stubborn and it is not easy to untether the bands pulling them down. 

Did those bumps of yours completely resolved after 3 months? Also you mentioned you got more scars after the nokor sub. Hopefully those have resolved with time also. 

 

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12 hours ago, Ivan_070703 said:

In your thread, you mentioned at the 3-4 months mark, you still had a bump on your left cheek and 2 spots that are raised on your right cheek. That was back in June 2018. Are those bumps still there today?

These bumps are still there, i had talked about 2 lines that were visible to the naked eye. When I look in the mirror I can see them albeit to a lesser extent. But I'm much better at ignoring them today and focus on more constructive things. In the end, these are minor "disfigurement" compared to what millions of people around the globe are dealing with daily. I think learning to accept and move on is the best antidote to bad feelings. 

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Ivan, yes the bumps are completely resolved after 3-4 months. I still have Nokor scars, it has been more then a year and they merged with some old scars which made them look wider and bigger( 

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Honestly, if it's bothering you a lot I would get a series of low doses of cortisone shots to flatten them a bit.  

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12 hours ago, incepticon said:

These bumps are still there, i had talked about 2 lines that were visible to the naked eye. When I look in the mirror I can see them albeit to a lesser extent. But I'm much better at ignoring them today and focus on more constructive things. In the end, these are minor "disfigurement" compared to what millions of people around the globe are dealing with daily. I think learning to accept and move on is the best antidote to bad feelings. 

That is a really healthy mindset to adopt Incepticon, good to know you have made peace with yourself and moving on with your life. I hope to get there someday :)

8 hours ago, Sibel said:

Ivan, yes the bumps are completely resolved after 3-4 months. I still have Nokor scars, it has been more then a year and they merged with some old scars which made them look wider and bigger( 

Sibel, good to know that the bumps completely resolved after 3-4 months. That sounds like a really long time but better late than never I guess!

Sorry to hear that you still have some Nokor scars. Just curious, what are these scars you speak of? Are they like the red post inflammatory hyperpigmentation that we get after a pimple heal, or did the nokor create new pockmarks or hole in the skin? If it is the latter, that would actually be counter-intuitive to the whole point of subcision which is to lift the areas that are tethered down.  

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Hi all,

 

Today is 24 post Nokor subcision, this is going to be a quick update. Nothing much has changed, those lumps are still there although the yellow discolouration from the bruising has almost completely faded.

My face is just really bumpy, not just from the subcision lumps, but the whole texture is just lumpy in general......if that makes sense. Also the lumps are making the areas between the lumps look caved in. 

Picture says a thousand words so here is an updated pic from tonight. It is taken in the same place at around the same time under the same lightning. I still cannot get it to exactly match all the time, but it looks close enough.

Still sad and slightly depressed over this Nokor experience, but I had a number of folks telling me the lumps take up to several weeks or even months to fade, so here is hoping. I am not even looking for improvements at this point, just praying that the damage is minimized.

IMG_4177.jpg

Edited by Ivan_070703

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