Notifications
Clear all

What treatments would you suggest for me? (w/pics)

MemberMember
1
(@poorbunny888)

Posted : 06/20/2020 6:02 am

Treatments i've done: 

1. 2 dermastamp with PRP + Revlite laser --> absolutey almost no improvement and the dermastamp, the clinic used it twice, the second time i could feel the needle was getting blunt and not smooth going in and out of my skin

2. 3 dermapen with PRP + PicoGenesis --> i was quite surprised by how smooth and painless the dermapen is unlike many reviews. also the results are better than first 2 treatments. I think people really need to check the brand and condition of the needling device. the sound of the device is so smooth as well unlike the needle device my friend used in other clinic (she recorded her own treatment and surprised with the sound)

however, i do feel i get pin holes especially on my temples and nose areas where i've asked the doc not to use the same length of needle but i didn't feel he ever stopped to adjust needle length :( 

i'm really confused of the next treatment now as i feel my scars aren't that deep to begin with. do you think TCA Cross would be too risky? i have concern with scabbing (NOTE: never picked them, always leave them fell off byt themselves). But it seems everytime the scabs fell off by itself, it'd leave indented scars. Anyone experience this way too? Would it be the same with TCA Cross? Hyperpigmentation is another issue as my acne scars usually becomes PIE instead of PIH and it takes a long time for my skin to get back to its natural colour.

Another concern, i have 1 saucer-shape scar which is still new (circled in pic below). Do you think it's not good candidate for TCA Cross?

20200617_153722.jpg

20200617_153810.jpg

20200620_172215.jpg

Quote
MemberMember
129
(@kay24)

Posted : 06/20/2020 1:02 pm

That's so shallow. If you're using flash on your camera it's distorting the depth but it's definitely minor scarring either way. I would consider a peel resurfacing, either DIY at home with low TCA or in office. I absolutely wouldn't do cross at home when your scarring is so minor to begin with, the risks don't outweigh the benefit. Maybe consider cross in office if those tiny scars are bothersome.

 

 

Dodgerguy liked
Quote
MemberMember
1
(@poorbunny888)

Posted : 06/21/2020 3:41 am

@Kay24

thanks for replying back :) yes you're right , the scars were actually quite shallow but located right below the cheekbone in one straight line (got soo lucky with all the very inflamed pimples grew there altogether) so it gets accentuated more and hard to miss in any lightning.

I think my problem is more of a texture problem? Here and there box and ice pick scars. Another problem I encounter is I have not heard any derm that is good with TCA Cross here locally so a bit of concern there. I wouldn't do TCA Cross alone at home. Another concern as I mentioned above is the scabbing that might cause further indentation and hyperpigmentation (Fitzpatrick type II skin)

I read other threads and thinking about Matrix or Infini RF. Too scared doing them in the past due to very bad reviews in Realself website. but i read here that they might be good for my type of scars?

 

 

Quote
MemberMember
129
(@kay24)

Posted : 06/22/2020 9:11 am

I'd have to see different pictures. Genius RF didn't leave me satisfied with my surface texture, I still need a resurfacing after 3 sessions. What it did do is lift deeper boxcar/rolling scars.

If your scars are really shallow I'd proceed to a resurfacing and save thecost on genius/infini. If you drop the same amount of money on a medium depth physician assisted peel I think you'd have better luck. Take a look at your depth under harsh lighting. If it's decently noticeable then maybe a couple RF sessions wouldn't hurt. If you can find someone using the Genius device please consider them. Genius is better than infini, and infini was the best device in use. I'm just not sure if it's worth the cost in your case.

I have no personal experience with cross so others would probably have better knowledge to share.

Quote
MemberMember
1
(@poorbunny888)

Posted : 06/24/2020 9:30 am

@Kay24

aside from Infini, I also heard of eMatrix, using the same RF Technology but more for shallowscars. But Dr. Davin Lim says normally he sees result with eMatrix only for newly formed scars. some of mine has been there for a while, the oldest was around 1.5years and there are still some PIE left even as you could see in the photo above.

What makes you feel Gemini is lesser than Infini? I agree, same technology with different companies could make huge difference. in my case, the Picosecond laser. First one i tried the Picosure with only test patch level, it left tiny blood vessel bursts for almost 1 month and i rarely find any laser uncomfortable but this laser is like slapping your face hard with rubber band. Not painful but really uncomfortable for me. Recently i tried Picogenesis and it does work wonder with the downtime. Whole face was bloody red only to disappear completely the next day after treatment but I find it's not enough to level up the scars.

I'll try to take more pictures with complete darkness captured by the camera with flash. I'm also curious with the real depth of my scars and why they're pretty stubborn even with the treatments i've tried. Perhaps the laser setting might play a factor too.

Another resurfacing laser i consider is Erbium and ND Yag perhaps but I'm Fitzpatrick II skin so have to be quite careful in choosing any resurfacing treatment

 

Quote
MemberMember
1
(@poorbunny888)

Posted : 07/14/2020 12:01 am

Hi, sorry for the late response. Here're the pictures I took in dark room using camera flash to show the depth of the scars. I'm not sure whether it could be categorized as shallow though. I took several pics in slightly different angles to show more of the depth. This worst texture is just below the cheekbone line (you could imagine it's the area that is very prominent and women like to apply highlighter around that area too). With any type of lightning would just accentuate the scars :(

@Sirius Lee @Kay24

I think my type of skin is Fitzpatrick type III. Which resurfacing laser more suitable for my skin and my type of scars? Erbium or CO2 laser?

Also I wonder, as you could see from my scars, there're still red, most of them are more than 1 year old. Does that mean there still inflammation underneath? The redness is more pronounced if I were in higher temperature condition for example sweating or after exercises.

 

20200708_with flash 2.jpg

20200708_with flash 1.jpg

20200708_with flash 4.jpg

20200708_with flash 5.jpg

Quote
MemberMember
72
(@dodgerguy)

Posted : 07/14/2020 1:14 am

You can make the scars more noticeable and wider with CROSS. They're so small that no one notices them except you. If they really bother you a lot, a little makeup but I would hate for you to spend money on treatments that make things worse.

Quote
MemberMember
3
(@zeynepppp_000hotmail-com)

Posted : 07/14/2020 12:16 pm

I have scars like this. What treatment do you consider? I am searching too. Can TCA use increase even more? I'm afraid of that.Please keep up to date with developments.Do you know about other RF devices?

Quote
MemberMember
1
(@poorbunny888)

Posted : 07/15/2020 5:48 am

@dodgerguy

actually they're very noticeable though small, they're indented and clustered along underneath the cheekbone which make them worse under any lightning. i attach pic of them taken inside the house during broad daylight. the ones i circle is already 3 years old and they're still quite red somehow. i prefer not to put on makeup and i think there won't be any makeup that would cover these type of scars perfectly. i forego doing TCA cross after research in this forum, too much of a risk and don't think i know any derm i could trust doing TCA Cross locally.

@colorful

plan to have resurfacing type of laser. but still got no idea which type. done 5 sessions of PRP with microneedling (first 2 sessions were with dermastamps) and the scars only lifted very little. but i do feel, my derm and I don't see things in the same way. he likes to focus on areas that i don't even think to be focused on. yup got communication problem with him and atm i'm still patient since he's the only one with trusted laser machines and training background. if there's still no improvement, i'd need to trade with the derm that could understand my need better but with older or second-hand laser machines. unfortunately only few laser specialists i got here.

what type of RF are you considering? i read many horror stories since it could actually reach up to your fat layer. so never thought of looking for RF treatments up to now. 

20200617_153810 (1).jpg

20200708_prolonged redness.jpg

Quote
MemberMember
3
(@zeynepppp_000hotmail-com)

Posted : 07/15/2020 7:17 am

@poorbunny888

I am researching RF microneedling (Infini, Scarlet, Genius, Secret...). There were many brands like this. Some devices were better than your skin color. I am a little dark skin so Genius and Infini are more suitable for me. I have read here that a person has increased their scar, but there are also those who are satisfied. I heard that the results were successful when PRP was performed after RF. I watched Dr Lim videos. I think the device is important, although it is an experience depending on the experienced doctor.
I think there is no problem in fat melting when done at the appropriate depths. I will investigate this issue. I would be glad if someone shares negative experience in RF microonedling application.

I plan to see thedoctor soon.I will also get information about TCA. I don't know about laser treatments and I'm a little scared of them. I'm glad you got results with microneedling and PRP.

Quote
MemberMember
1
(@poorbunny888)

Posted : 07/16/2020 4:17 am

@colorful

i heard about ematrix too that is more suitable for shallower scars. you could read negative reviews of RF from R*alself (sorry need to put asterisk since i think it might be inappropriate to mention other forum website). The operator is the key factor in my opinion. you could do old version lasers and still achieved good result as long as it's on the right hands but do beware of those clinics offering laser machines that unheard of or they could use secondhand as well. good maintenance of the machine is another contributingfactor.

be careful with microneedling with RF, check reviews around, once damage is done it's almost impossible to reverse. Also RF treatments are deeper than lasers, lasers don't get to the fat layers as the RF does. the thing that needs to be worried is the ablative lasers for our type of skin. i've done Pico and it's great for our type of skin(1 type of pico suits me whilst the other doesn't) but it's not enough (perhaps the settings as well) to lift up the indented scars hence, i'm thinking of resurfacing lasers.

May i know why Infini and Geniousis better for our type of skin? i think they all should be the same for microneedling RF?

Quote
MemberMember
3
(@zeynepppp_000hotmail-com)

Posted : 07/16/2020 5:30 am

1 hour ago, poorbunny888 said:

@renkli

Ben de s±Ÿ izler i§in daha uygun ematrix duydum. r * alself RF olumsuz deŸerlendirmeleri okuyabilir (¼zg¼n¼m diŸer forum Web sitesinden bahsetmek i§in uygun olabileceŸini d¼ÅŸ¼n¼yorum §¼nk¼ y±ld±z iÅŸareti koymak gerekir). Bence operat¶r kilit fakt¶rd¼r. eski s¼r¼m lazerler yapabilir ve doŸru ellerde olduŸu s¼rece yine de iyi sonu§ elde edebilirsiniz, ancak duyulmam±ÅŸ lazer makineleri sunan veya ikinci el de kullanabilen kliniklere dikkat edin. makinenin iyi bak±m±n± saŸlayan diŸer bir fakt¶rd¼r.

RF ile mikroiŸneye dikkat edin, etraftaki incelemeleri kontrol edin, hasar yap±ld±ktan sonra geri d¶nmek neredeyse imkans±zd±r. Ayr±ca RF tedavileri lazerlerden daha derindir, lazerler RF'nin yapt±Ÿ± gibi yaŸ katmanlar±na ulaÅŸmaz. endiÅŸelenilmesi gereken ÅŸey, cildimiz i§in ablatif lazerlerdir. Pico'yu yapt±m ve cildimizin tipi i§in harika (diŸeri uyuÅŸmazken 1 tip pico bana yak±ÅŸ±yor) ama girintili yara izlerini kald±rmak i§in yeterli deŸil (belki de ayarlar), bu y¼zden d¼ÅŸ¼n¼yorum y¼zey yenileme lazerleri. 

Infini ve Genious'±n cilt tipimiz i§in neden daha iyi olduŸunu ¶Ÿrenebilir miyim? san±r±m hepsi mikroiŸne RF i§in ayn± olmal±?

I looked at that forum after you said it. Yes, some of them had terrible results with RF. It seemed more reliable to me. :( It's hard to find a good doctor. I think Pico is better for spots. I heard it is not very effective in pits. I asked a question on this platform and said @Sirius Lee 'If you have dark skin, Infini or Genius is better.'
I think they use insulated needles. Thus, the risk of staining after the procedure is lower in dark skin. And these are the latest technology in RF. But these are not where I live. Doctors use Scarlet more here. Still, the doctor who does it is important. I understood them with what I read here. 
There is no ematrix in my country. I can not find.:(
Do you know what is the difference between fractional laser and fractional co2 laser? I heard the icon fractional laser, is this different from them?
I will investigate nonablative lasers more. Thank you. (Sorry for English is not my main language.)

Quote