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xelon861

Would subcision + filler treatment suitable to my acne scar

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Hi guys,

 

Would like to know whether subcision + filler treatment help with my acne scars revision? I done few times of CO2 laser many years ago. However, I didn't notice any improvement. And recently I've been reading good reviews about subcision + filler. Would like to know whether does it help? My scars are mostly concentrated at cheek + temple area.

 

Thank you.

 

 

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5 minutes ago, xelon861 said:

Would like to know whether subcision + filler treatment help with my acne scars revision? I done few times of CO2 laser many years ago. However, I didn't notice any improvement. And recently I've been reading good reviews about subcision + filler. Would like to know whether does it help? My scars are mostly concentrated at cheek + temple area.

 I can't really make out the depth of your scars. Can you please make another snap using the suggestion as follows?

Consider taking a picture using the angle-lighting approach like the one shown in the picture below. This will create a heavy shadow that will accentuate the scar for better evaluation. This can be done by pointing a bright light perpendicular to the angle of the lens. So if you're shooting the side of the face, you would point the light from either the front or the back of the face.

image.png.e235ad914ccddcb765af7612633aeacc.png

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20 minutes ago, Sirius Lee said:

 I can't really make out the depth of your scars. Can you please make another snap using the suggestion as follows?

Consider taking a picture using the angle-lighting approach like the one shown in the picture below. This will create a heavy shadow that will accentuate the scar for better evaluation. This can be done by pointing a bright light perpendicular to the angle of the lens. So if you're shooting the side of the face, you would point the light from either the front or the back of the face.

image.png.e235ad914ccddcb765af7612633aeacc.png

Hi Sirius,

 

Thank you for replying. I have taken the pics as requested. Let me know if it is sufficient.

 

Thank you.

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10 hours ago, xelon861 said:

Would like to know whether subcision + filler treatment help with my acne scars revision?

It appears that you have a combination of boxcar and rolling scars. They aren't severe, but they're widespread. I don't think it would a bad idea to start with subcision. After 3 months, I would proceed with TCA to iron out the hard edges.

If you plan on getting filler, it should hyaluronic filler like Juvederm. Also I highly recommend you wait at least 2 weeks for the swelling to subside completely before injecting. Make sure to raise the pits as much as possible.

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10 minutes ago, Sirius Lee said:

It appears that you have a combination of boxcar and rolling scars. They aren't severe, but they're widespread. I don't think it would a bad idea to start with subcision. After 3 months, I would proceed with TCA to iron out the hard edges.

If you plan on getting filler, it should hyaluronic filler like Juvederm. Also I highly recommend you  wait at least 2 weeksfor the swelling to subside completelybefore injecting. Make sure to raise the pits as much as possible.

But 2 weeks after subcision without filler , Dont scars retether ? 

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44 minutes ago, Miro said:

But 2 weeks after subcision without filler , Dont scars retether ? 

No. Scarring is a slow process that can take up to 4 weeks. It doesn't happen overnight.

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I understand it doesnt happen overnight  we are here talking About 2 weeks, but people start this suction technique when dr doesnt use filler on 3rd day after subcision to prevent retethering 

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6 hours ago, Miro said:

I understand it doesnt happen overnight  we are here talking About 2 weeks, but people start this suction technique when dr doesnt use filler on 3rd day after subcision to prevent retethering 

In that case, what does "retethering" mean to you? When the scar fiber is surgically severed, you intentionally create a wound. Like any wound on our body, that wound needs to be healed as well. The healing process is very gradual and can take up to 4 weeks. 

Why you should wait at least 2 weeks before injecting filler is due to swelling. But can the scar re-tether in that time? Likely not. Also when the filler is injected, they usually do a light subcision (eg. lancing movement) anyway. That will break up any possible retethering, so there shouldn't be any concern.

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On 10/6/2020 at 8:09 PM, Sirius Lee said:

It appears that you have a combination of boxcar and rolling scars. They aren't severe, but they're widespread. I don't think it would a bad idea to start with subcision. After 3 months, I would proceed with TCA to iron out the hard edges.

If you plan on getting filler, it should hyaluronic filler like Juvederm. Also I highly recommend you  wait at least 2 weeksfor the swelling to subside completelybefore injecting. Make sure to raise the pits as much as possible.

You highly recommend injecting the filler at least 2 weeks after subcision based on what exactly? Is there scientific evidence (papers) to show it gives better results than subcision and filler in one go? Which scar specialists do it the way you recommend? Thank you. 

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4 minutes ago, Sisi90 said:

You highly recommend injecting the filler at least 2 weeks after subcision based on what exactly? Is there scientific evidence (papers) to show it gives better results than subcision and filler in one go? Which scar specialists do it the way you recommend? Thank you. 

It's more common sense than "scientific evidence". How could you realistically and precisely inject fillers when the face is so swollen, which is always the case after subcision? Do you really need to a write a paper on this for people to understand? 

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So you base your recommendation solely on your subjective opinion, because it makes more sense to you? No medical papers, no proven to be effective ways of doing it from the top acne scar specialists??

Of course you need papers that prove something is working. It's how clinics and doctors choose and apply the best possible therapies, based on scientific evidence. Otherwise every qualified or not so qualified person would do what feels like "more common sense than scientific evidence" to them.

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It's really too bad you are not a doctor and don't have a dermatology clinic( I'm guessing since you're posting here and usually doctors aren't allowed to post). You and your common sense would have cured all our acne scars by now. Why do to the top acne scar specialiats anyway? They've been doing it all wrong relying on evidence and experience ahaha.

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Scarring starts to retether again on the 3rd day. 
 

the problem is that your face will swell after a subcision, so depending on the doctor’s skill, they may mess up. I would get them both at the same time personally. 

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