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Acne Scar Journey from 2017 - 2020 so far (before and after photos)

 

I have too many pictures to post of the journey through out the years but for now I will post the beginning photo (December 2017) and the current result (December 2020) 

 

Treatments I have done: 

(5) Microneedling RF less than two months of each other (July 2019 - May 2020) 

(2) subcisions (2017, 2019) 

(1) fraxel laser (2017) 

(1) erbium laser (June 2020) 

(30+) derrapen treatments at home, I stopped around December 2019 (2018-2019) 

(2) TCA cross 80%  (2019)

(2) vi peel treatments (early 2019) useless, don’t waste money

(1) hydroquinoine cream before and after erbium laser, stopped after one month

My last treatment was in may of 2020 (Erbium laser)

 

Skincare: tarzarotene cream every night (similar to retin-A) , if I had a treatment done it would be when I was healed, sunscreen in mornings, going to start vitamin c + vitamin e moisturizer for mornings

 

Treatments I will continue to do: erbium laser or laser that is equivalent unless doctor recommends another route. 
 

**I have maintained the same weight; no weight gain. No fillers. No fat graft. I have followed Dr. Davin Lim for some time and the forums here. I have gone to different doctors each time, no specific one. I go by procedures, depth and cost so the doctor who does it often does not matter to me. 
 

Please let me know if you have any questions. 

CAF75684-228F-4EAE-B6F5-540AFF3B3784.jpeg

224241BC-6EF2-4CA0-B22E-BD2B5E914BE3.jpeg

Edited by Dontgiveupitsonlyscars
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woah , amazing improvement. How deep did you do your microneedling? I've stopped doing microneedling at home because I did it at 1.5mm and ruined my skin texture on my left side of my face. Not too sure if its solely due to that one microneedling session but it looks as if that side is less firm than the right side of my face.

In regards to subcision and TCA cross how much did each of the respective treatments give % wise?

I plan on doing subcision and TCA cross but need to travel the world to find a good acne scar doctor.

Cheers.

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Looks like u got nice improvement, congrats and thanks  for sharing this with comunity, TCA cross 80% at home ? Wow , u did it for Icepicks ? How they responded ? Got wider ? 

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8 hours ago, chingym8 said:

woah , amazing improvement. How deep did you do your microneedling? I've stopped doing microneedling at home because I did it at 1.5mm and ruined my skin texture on my left side of my face. Not too sure if its solely due to that one microneedling session but it looks as if that side is less firm than the right side of my face.

In regards to subcision and TCA cross how much did each of the respective treatments give % wise?

I plan on doing subcision and TCA cross but need to travel the world to find a good acne scar doctor.

Cheers.

Microneedling: I started at 1.5mm and gradually increased up to 3.0mm, used hyaluronic acid as a glider. Yes I know what you mean about the appearance of firmness. Perhaps I remedied this concern by going to a doctor and getting RF or laser. I stopped microneedling, I don't know if it helped or not but I stopped completely as of May 2020. I think it makes the skin very sensitive, every time I would get a procedure with a doctor it would be unreasonably painful and I think it was due to the microneedling sessions causing the skin under my cheeks to still be somewhat raw.

TCA Cross: It made some of my scars appear wider and I had pigmentation until I got laser and/or Hydroquinone cream was prescribed. 

I understand, there is a doctor in Korea that does burn scar victims but he uses the "PINHOLXEL" method and I think his method and results are interesting for scars, including acne scars. If I was able, I would more than likely travel to this doctor because I think his method of attacking scars is promising. Here is the link: 

 

Subcision: I think subcision did a vast improvement. It lifted the scars to a surface level. I did Subcision with combination of an RF in 2019, subcision first then RF. 

There is a doctor in Utah (United States) by the name of 'Mark Taylor' who also seems promising by his method of attacking scars, look for him on realself.com to see his patient results + procedures he incorporates. 

I would like to also note that I am against permanent filler, and doctors who usually offer that as a solution to me are more often than not experienced with acne scarring procedures. 

 

2 hours ago, gynoscar said:

Wow congrats! What do you think improved the most out of all those treatments?

It is hard for me to say. If I were to do it again, I guess I could do the RF treatments and lasers. If I was not olive skinned, I would do CO2. Since I am olive, I have plans to do erbium laser at least 5 or 6 times if not more spaced out every two months. I have asked doctors to do a co2 one pass low density on me because I read a medical journal stating that it is a solution to acne scarring for olive skin but when I asked a few doctors in my area, they told me its less profit for them and I have more chances of hyperpigmentation issues. I don't see the issue with hyperpigmentation, if the scars are more prevalent to me. They say hyperpigmentation is hard to treat but it usually reduces after a few months especially with using a lighting agent a month before and after co2 procedure so I am still confused. In either case, erbium laser produces decent results, of course, not as much as co2 would but again since I am olive skin I would need to do up to 15 erbium lasers to get the result of 4 co2 lasers. 

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7 hours ago, Miro said:

Looks like u got nice improvement, congrats and thanks  for sharing this with comunity, TCA cross 80% at home ? Wow , u did it for Icepicks ? How they responded ? Got wider ? 

TCA should be performed by a doctor but yes quite naive on my part. Some scars got wider and red for a while. I did RF microneeding such as Infini RF after a month of TCA procedure. I would not do TCA again unless by knowledgable doctor. 

4 hours ago, BabySteps said:

Thanks for sharing your journey and pictures, your scars have been reduced by a lot.

Thank you, perhaps three years from now they will look better after getting a few erbium laser treatments starting in 2021. The journey is long and sometimes feels hopeless but I research procedures and doctors and then ask local doctors in my area to perform a procedure and negotiate the price (of course). My message to everyone is to not let it rule your life and make you depressed that you forget to live. Be guided by knowledge and the right doctor (for the time being) will help you with your journey.

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U did 5 MRF ? What type of machine was used ? Infini ? How was your satisfaction factor with those 5 treatments ? It mus have been expensive .

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2 hours ago, Miro said:

U did 5 MRF ? What type of machine was used ? Infini ? How was your satisfaction factor with those 5 treatments ? It mus have been expensive .

(1) secret Rf with subcision 

(4) Infini rf

had to take anti-viral medication. Each RF treatment was $500. Originally the doctor was trying to charge me $950 each but I negotiated fairly well. The erbium laser was $600 but the doctor expressed her desire to charge more but I expressed I had very limited means, in which case both times we met in the middle. Most doctors bullshit about the finances, I walk away if the price does not match. 

I can’t tell if it helped or not but I gave it a chance and it might have helped. I found the most notable improvement with erbium laser but of course that is with after having done all those prior treatments. Perhaps some of those treatments contributed to my improvement in small amounts and I only noticed the present result after further evaluation.

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On 12/15/2020 at 8:55 PM, Dontgiveupitsonlyscars said:

(1) secret Rf with subcision 

(4) Infini rf

had to take anti-viral medication. Each RF treatment was $500. Originally the doctor was trying to charge me $950 each but I negotiated fairly well. The erbium laser was $600 but the doctor expressed her desire to charge more but I expressed I had very limited means, in which case both times we met in the middle. Most doctors bullshit about the finances, I walk away if the price does not match. 

I can’t tell if it helped or not but I gave it a chance and it might have helped. I found the most notable improvement with erbium laser but of course that is with after having done all those prior treatments. Perhaps some of those treatments contributed to my improvement in small amounts and I only noticed the present result after further evaluation.

May i ask u ? What do u think of laser treatments u underwent ? Any problems ? Healing was Ok ? How did those treatments contributed to your overall improvement ?

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What a nice improvement of your scars! Congrats and thanks for sharing with photos! And with a few more treatments your skin might improve even more. 

Can I ask you about the Erbium laser? I also have olive skin and it's the only laser that's safe for me I think. Do you know what it was exactly? Was it the Erbium glas, the non-ablative, or the ablative Erbium? How was your recovery after the laser? 

On 12/15/2020 at 8:55 PM, Dontgiveupitsonlyscars said:

(1) secret Rf with subcision 

(4) Infini rf

had to take anti-viral medication. Each RF treatment was $500. Originally the doctor was trying to charge me $950 each but I negotiated fairly well. The erbium laser was $600 but the doctor expressed her desire to charge more but I expressed I had very limited means, in which case both times we met in the middle. Most doctors bullshit about the finances, I walk away if the price does not match. 

I can’t tell if it helped or not but I gave it a chance and it might have helped. I found the most notable improvement with erbium laser but of course that is with after having done all those prior treatments. Perhaps some of those treatments contributed to my improvement in small amounts and I only noticed the present result after further evaluation.

Aren't these docs supposed to have fixed prices, a price list or something? It's insufferable how we have to bargain with them about prices, as if we are at the street market!

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This is really inspiring. You give me hope. Would love to see more pics of the progress in between and of the rest of the treatment area. 

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Your progress is great. I am very glad for you. Your skin texture has improved too much. Please also share your next erbium treatments.
Have you received nonablative or fractional ablative erbium treatment? You gave me hope, thank you.

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How much improvement would you say you got % wise (How much % improvement did every session give and how much % overall did you get). In terms of improvement with collagen remodeling after how many months from the procedures do you see the most improvement? 

Cheers.

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