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Catharsis2018

70% TCA Cross, V-Cannula Subcision, Lutronic eCO2 & Radiesse with Dr. Sajic on 12/29 (Guelph, ON, Canada)

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Hi fellow community members. On Tuesday December 29th 2020, I saw Dr. Sajic for TCA Cross on my rolling scars, V-Cannula Subcision with tumescent anesthesia, Lutronic eCO2 (I will update with the settings used once I get that info) & subdermal filler + meso-style application of Radiesse immediately after the Lutronic eCO2. Total sum with taxes was $3.7K CAD. Skin type 3.5/4. I was told they discounted $1K. 

In office treatments I have done in the past are listed below:

  • 3 Blunt Cannula Subcision  with overly diluted saline and sculptra with Dr.Lemckert (Dissatisfied with the practitioner, Dr.Lemckert from Hamilton Ont, so can only speak so much on effectiveness)
  • 2 Blunt Cannula Subcision with radiesse with Dr.Sajic
  • 3 Infini RF Sessions at Medispa in TO
  • 1 Profractional session at Medispa in TO 

At home treatments I have done in the past are listed below:

  • Innumerous derminator sessions with hyaluronic acid

Regular Skincare Routine Includes:

PM: Cycling of Hydroquinone 2%, prescription-based micro-retinal,  squalene oil if i'm feeling very dry, triple lipid restore cream from Skinceuticals, aquaphor, cerave, etc

AM: CE Ferulic from Skinceuticals, Vivier Grenzine (Adding this after i'm back to my skincare routine), mineral sunscreen, Cetaphil moisturizer

Feedback of treatment: 

Dr.Sajic did a punch biopsy on a pitted scar on each side of my cheek to insert the v-shape cannula for subcision. I do currently have sutures that will probably be taken out next Tuesday during follow-up but not 100% on that. What struck me most was the difficulty Dr.Sajic had to break up some of my big adhesions with the v-shape cannula - very forceful tugging to break up. When I asked him about this and why it was so difficult compared to cannula, he informed me that the v-shape cannula can break up bigger adhesions versus the  bluntcannula which breaks up smaller adhesions. - this point has definitely made me consider choosing v-shape cannula for future subcisions. While Dr. Sajic offers the liberator full field subcision, he believes the difference in final  result between the v-shape cannula and the liberator is insignificant, especially given the higher risks associated with the liberator. The liberator is also much larger in size than the v-shape cannula and would require a larger incision. So lots of things to consider. I was happy with my choice of radiesse until I read a post on here that radiesse is not great for immediate post-subcision application since it's a subdermal filler and not the best spacer... but here's to hoping the tumescent anesthesia and the other treatments are also acting like a spacer... 

Feedback on multiple treatments in one day: I'm now thinking this is probably ideal for acne scar revision, especially after witnessing how difficult it was for Dr.Sajic to break up some of my scar adhesions, even with the v-shape cannula.  Bigger recovery required but so far I think it's worth it. 

Rando pre-treatment photo in Aug 2020. This is prior to Infini #2 (08-29-2020), Infini #3 (09-24-2020), 1 Radiesse & Subcision (10-29-2020), 1 Profractional (12-02-2020) and obviously the session on 12/29

 

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Pre-Treatment Photos with Dr.Sajic on 12/29

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Post-Treatment (Today - Dec 31st): I still have a ton of tumescent anesthesia in my face and won't be vinegar soaking til tomorrow. Staying away from the sun (what little of it we have in Ontario). I definitely think i'll be doing another CO2 in the future - if only for the resurfacing potential... but obviously also too early to say since i'm only 2 days out.  Will continue to update.

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Edited by Catharsis2018
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4 hours ago, Catharsis2018 said:

What struck me most was the difficulty Dr.Sajic had to break up some of my big adhesions with the v-shape cannula - very forceful tugging to break up. When I asked him about this and why it was so difficult compared to cannula, he informed me that the v-shape cannula can break up bigger adhesions versus the  bluntcannula which breaks up smaller adhesions.

Has it ever crossed your mind that Nokor would have been a better instrument? Whereas Nokor has the blade on the side, both V-shape cannula and Taylor liberator have the blade at the tip. There are, of course, downsides to all of them. For instance, unless you're handling the instrument with a pinpoint accuracy, you will likely miss the scar band using the VC or TL since the width of the cannula is small. Nokor, on the hand, will indiscriminately cut anything in its path. But, in your case, Nokor would have given a nice clean cut. As you might know, how a cut is made can make a big difference in the formation of the scar. The cleaner the cut, the cleaner the scar. Otherwise you end up with a mess. 

Anyway, good luck going forward. Do keep us updated.

image.png.4d9fa3bd0dc939a02b8f36eb5a0d0ce1.png

 

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On 12/31/2020 at 5:01 PM, Sirius Lee said:

Has it ever crossed your mind that Nokor would have been a better instrument? Whereas Nokor has the blade on the side, both V-shape cannula and Taylor liberator have the blade at the tip. There are, of course, downsides to all of them. For instance, unless you're handling the instrument with a pinpoint accuracy, you will likely miss the scar band using the VC or TL since the width of the cannula is small. Nokor, on the hand, will indiscriminately cut anything in its path. But, in your case, Nokor would have given a nice clean cut. As you might know, how a cut is made can make a big difference in the formation of the scar. The cleaner the cut, the cleaner the scar. Otherwise you end up with a mess. 

Anyway, good luck going forward. Do keep us updated.

image.png.4d9fa3bd0dc939a02b8f36eb5a0d0ce1.png

 

Admittedly, it didn't cross my mind because of the risks associated with the Nokor. But I am considering it now....I will post some photos after I see Dr.Sajic tomorrow to remove the sutures. I think I may be sticking to subcision versus heat energy going forward. The co2 wasn't worth the bang in buck. 

 

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