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exob1t3

Need help for acne scar revision

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Hello everyone! 

I'm new here, lurking for some time now.

In october I had a big cystic acne flare-up that ended up scarring my face like this. The acne is currently under control, with spironolactone+ clindamycin+ niacinamide pharmacy prepared topical cream. Also using azelaic acid(15% skinoren gel) in the am, spf 50 everyday.

Went to a cosmetic derm that performed prp, a week ago, to be honest the results are barely there.  She said the prp will help healing the inflamation under the PIE.  I also got prescribed minocycline (Minoz 100 mg) 1/day, but still thinking if I should take them because of side effects (got pretty bad ones from Accutane that I had to stop after 3 weeks). The antibiotic is for the underlying inflammation and to aid the topical clindamycin. 

I use Retin A 0.025 cream once a week and a glycolic acid at home peel once a week.

I also got a silicone cream that I use twice a day.

Next she proposed we do a chemical peel, and the next time after that, subcision and microneedling with radiofrequency (Infini Lutronic).

The pie is very much bothering me, but I also noticed the scars underneath, some rolling and some boxcar.

 

Should I get another opinion, what treatment would you choose? 

 

20210110_000143.jpg

20210124_213145.jpg

20210124_213223.jpg

 

Edited by exob1t3
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4 hours ago, exob1t3 said:

In october I had a big cystic acne flare-up that ended up scarring my face like this.

Fresh scars tend to improve within the first 6 months, so I would wait until April before starting any treatment.

4 hours ago, exob1t3 said:

...prescribed clindamycin, minocycline, clindamycin 

Wow, that's a lot of antibiotics. I bet your doctor never mentioned that those antibiotics not only kill the bad germs but also many good bacterias in our gut as well. This is how you end up with super-resistant bacteria like MERS. By then, no antibiotics will work.

4 hours ago, exob1t3 said:

The pie is very much bothering me, but I also noticed the scars underneath, some rolling and some boxcar.

Just getting rid of the PIE alone will help a lot here. You can look into vascular laser like VBeam. 

 

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I had really bad scars and I noticed that vitamin c helps a lot. I would recommend using products from the Body Shop that contain it. This was years ago so cant remember the exact product I use. Hope this helps!

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43 minutes ago, exob1t3 said:

I am supposed to be getting a TCA peel in a week, but I'n not sure it will help. Any advice?

TCA peel is usually in the low % range. It might help for the PIH, but not for the actual scars. 

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On 1/26/2021 at 11:52 PM, Sirius Lee said:

TCA peel is usually in the low % range. It might help for the PIH, but not for the actual scars. 

Yes, it will be for the PIH . Thanks!

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On 1/29/2021 at 1:44 PM, Sirius Lee said:

Are we talking about the RF microneedling or the manual needling? If RF, you might see some improvement from collagen induction, but with the manual, likely not. It's worth noting RF microneedling will not help with the scar borders though. It really would be pointless to get RF micro without first smoothing down the scar borders. 

 

More or less the same side-effects as with any other treatments: swelling, redness, oozing, and possible infection.

 

On 1/25/2021 at 1:05 AM, exob1t3 said:

Hello everyone! 

I'm new here, lurking for some time now.

In october I had a big cystic acne flare-up that ended up scarring my face like this. The acne is currently under control, with spironolactone+ clindamycin+ niacinamide pharmacy prepared topical cream. Also using azelaic acid(15% skinoren gel) in the am, spf 50 everyday.

Went to a cosmetic derm that performed prp, a week ago, to be honest the results are barely there.  She said the prp will help healing the inflamation under the PIE.  I also got prescribed minocycline (Minoz 100 mg) 1/day, but still thinking if I should take them because of side effects (got pretty bad ones from Accutane that I had to stop after 3 weeks). The antibiotic is for the underlying inflammation and to aid the topical clindamycin. 

I use Retin A 0.025 cream once a week and a glycolic acid at home peel once a week.

I also got a silicone cream that I use twice a day.

Next she proposed we do a chemical peel, and the next time after that, subcision and microneedling with radiofrequency (Infini Lutronic).

The pie is very much bothering me, but I also noticed the scars underneath, some rolling and some boxcar.

 

Should I get another opinion, what treatment would you choose? 

 

20210110_000143.jpg

20210124_213145.jpg

20210124_213223.jpg

 

 

Hi there, I hope you feel better soon. I am not a doctor or anything, but Davin Lim's youtube video on scarring discusses ematrix as a possible solution for early scars. He also mentioned Laser Genesis and IPL as possible solutions. Maybe discuss these with your derm :)

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