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CratersRntCool

Recommend treatments?

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I had heard in the past that subcision was good for rolling scars, and I remember it being mentioned at a price point of around $500—now that I have returned to this board I am finding people talking about rates higher than 1k for one session. Is this the case with any good doctor? This is very disheartening.

What do you think? Would you recommend subcision? Do you think that micro-needling at home is worth it in my case? I imagine it is not. Any advice is appreciated.

Thank you

 

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Edited by CratersRntCool
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To me it looks like some volume loss.  You could benefit from 1-2 subcisions and some filler.  Unfortunately I have never seen anything under 1k in the last few years.

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5 hours ago, CratersRntCool said:

Would you recommend subcision? Do you think that micro-needling at home is worth it in my case? I imagine it is not. Any advice is appreciated.

Unless you suspect tethering, there's no need for subcision. Frankly, your scars appear too shallow for subcision. 

At-home microneedling won't help much here. However, RF microneedling will. Any brand will do, it doesn't have to be Genius (which seems to be the favorite here). If you can afford it, I would suggest you combine RF with either Sculptra or Radiesse.

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Posted (edited)

Thank you very much for writing. I assumed all depressions were tethered but now I am confused. (I think that scar level with my eyebrow in this photo is tethered tho)

Do you have any idea how I can contact any of these places to get a straightforward pricing estimate for procedures? They never provide information online about cost and I just don’t know how much I should have to even approach them. I have no idea how much to expect to pay for all the procedures you suggested.

Do you think I could benefit from a derminator + hyraluronic acid? 

 

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Edited by CratersRntCool
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4 hours ago, CratersRntCool said:

Do you think I could benefit from a derminator + hyraluronic acid? 

The short answer is no.

That said, when I blow up the picture and look at the cheeks more in detail, I can clearly see the scar edges. So scrap what I said earlier and get TCA cross. If you want more detail regarding TCA, reach out to me via PM.

5 hours ago, CratersRntCool said:

Do you have any idea how I can contact any of these places to get a straightforward pricing estimate for procedures? They never provide information online about cost and I just don’t know how much I should have to even approach them. I have no idea how much to expect to pay for all the procedures you suggested.

You just need to call around. Due to Covid, some even offer free online consultation. Just be aggressive.

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On 1/5/2021 at 9:40 PM, Sirius Lee said:

The short answer is no.

That said, when I blow up the picture and look at the cheeks more in detail, I can clearly see the scar edges. So scrap what I said earlier and get TCA cross. If you want more detail regarding TCA, reach out to me via PM.

You just need to call around. Due to Covid, some even offer free online consultation. Just be aggressive.

How do you think this area might be remedied? I don’t even know what caused this appearance. I am thinking of doing a modest % tca peel on these grainy areas and then doing tca cross on more identifiable, individual scars. But with the individual scars they are rather wide so it seems like a big area to be doing tca cross on—they seem like boxcar and rolling scars.

CA224131-38AE-46B7-86A7-B874725508DC.jpeg

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4 hours ago, CratersRntCool said:

How do you think this area might be remedied? I don’t even know what caused this appearance. I am thinking of doing a modest % tca peel on these grainy areas and then doing tca cross on more identifiable, individual scars. But with the individual scars they are rather wide so it seems like a big area to be doing tca cross on—they seem like boxcar and rolling scars.

 

When you shine a bright light at an angle (as shown below) you will see the scar edges. You need to pay attention to those edges when applying the TCA. Hopefully that answers your question.

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Angled lighting is an approach used to create a heavy shadow that will accentuate the scar for better evaluation as shown below. This is done by pointing a bright light perpendicular (90-degree) to the angle of the lens. See below.

 

image.png.ceef7ca2fcb2f56e3f1d18f76085e5c4.png

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8 hours ago, CratersRntCool said:

How do you think this area might be remedied? I don’t even know what caused this appearance. I am thinking of doing a modest % tca peel on these grainy areas and then doing tca cross on more identifiable, individual scars. But with the individual scars they are rather wide so it seems like a big area to be doing tca cross on—they seem like boxcar and rolling scars.

CA224131-38AE-46B7-86A7-B874725508DC.jpeg

What percentage TCA cross would you recommend for these boxcar scars

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12 hours ago, Cubsfan24 said:

What percentage TCA cross would you recommend for these boxcar scars

It would vary from 70% to 100%. For most boxcars with prominent edges, you most likely will need to use 100%. There's no way around it. Remember, you're literally changing the shape of the scar. You can't do that with, say, 35%.

Your doctor would know this so no need for me to go into depth.

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