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Why did you get so many subcisions? You need to see if the scars are tethered or not. Stretch the skin around the scar and if it goes away, then it's not tethered and subcision won't be useful. It's also useless for icepicks and most boxcars as you pointed out. A lot of improvement that you saw in the initial days might've just been Microswelling which plums up the skin and makes it look good. Normal Microneedling/Microdermabrasion/lChemical peels are also no good for pitted scars.

Other modalities like TCA cross/Phenol cross, RF Microneedling,  fractional ablative lasers might help you. TCA cross has been shown to be useful in darker skin types as well. The usual complications are PIH but you can ask your doc to prescribe Hydroquinone or some other lightening agent.

7 hours ago, CheckFlop said:

The last 6-7 years have been hard, but what makes it harder is dermatologists giving people like us false hope, claiming such and such works or "results won't show up for about 6-7 months", only for our money to be wasted.

 

Yeah, many docs are very unethical and want to make quick money.  I wish we could pay by results instead of treatments. Acne scars should be treated as a medical procedure IMO.

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19 hours ago, HellishDuffel said:

Why did you get so many subcisions? You need to see if the scars are tethered or not. Stretch the skin around the scar and if it goes away, then it's not tethered and subcision won't be useful. It's also useless for icepicks and most boxcars as you pointed out. A lot of improvement that you saw in the initial days might've just been Microswelling which plums up the skin and makes it look good. Normal Microneedling/Microdermabrasion/lChemical peels are also no good for pitted scars.

Other modalities like TCA cross/Phenol cross, RF Microneedling,  fractional ablative lasers might help you. TCA cross has been shown to be useful in darker skin types as well. The usual complications are PIH but you can ask your doc to prescribe Hydroquinone or some other lightening agent.

 

Yeah, many docs are very unethical and want to make quick money.  I wish we could pay by results instead of treatments. Acne scars should be treated as a medical procedure IMO.

 

17 hours ago, Wish we could go back in time said:

Hi,

Where did you have your procedures done and where are you from if I may ask?

 

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5 minutes ago, CheckFlop said:

My scars always re-tethered. Especially the ones on my upper cheek. Every time I would go back in for subcision I could hear the tethers being cut as well.

 

I think that may have happened because you didn't get any fillers after the subcission? That's important to keep scars from re-tethering.

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13 hours ago, Wish we could go back in time said:

 

I think that may have happened because you didn't get any fillers after the subcission? That's important to keep scars from re-tethering.

 

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16 hours ago, CheckFlop said:

I've spent $10,000+ on acne scar treatments

This is really unfortunate, but this myth has become a mantra for a lot of acne scar sufferers. They believe they absolutely must spend this much to get improvement. The sad fact, even after spending this much, their scars are not much better than before. Somehow they believe more expensive the treatment, the better it must be.

On top of that, these greedy doctors, whose names I won't mention, ain't helping either. They never seem content. Always hiking prices for those useless procedures, they place profit above their patients. 

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16 hours ago, CheckFlop said:

Hey to anyone reading this. Long time lurker but just making an account. I've suffered with acne scars for the past 6-7 years and I've tried many procedures to try and treat my scars. I had severe cystic acne on my upper right cheekbone and right temple area that left me with severe scars, maybe even loss of fat. I also had regular acne that left me with icepick, rolling, and boxcar scars mainly on my temple and cheek areas. 

Treatments I've tried.

I've done many treatments throughout the past years, below are those treatments ranging from light to the heaviest procedures, 

  1. Microdermabrasion (5 treatments). - 5% improvement. Mainly just made my skin feel softer for a couple days.
  2. Light and heavy chemical peels (10+ treatments). - Skin looks 90% better after my skin is done peeling but goes back to normal in a week and a half.
  3. Microneedling (7 treatments spaced 1 month apart). - 0% improvement from these sessions, even after 6 months.
  4. Punch Excision ( 3 treatments). - This is a hit or miss treatment in my experience but when it does work I see about 85% improvement.

Subcision (10+ treatments). - Subcision is bar far the one treatment where I see consistent results with but only with my rolling or boxcar scars. However my scars always come back within 1 month. On my temple and upper cheekbone area I've done the most subcision treatments (about 8-9),  which I have linked before and after photos of what my scars look like before and after subcision. However my scars do come back eventually and I keep having to pay for subcision every couple months.

 

The problem with subcision

  • I've started to notice after about my 6th or 7th subcision treatment that my facial lines and wrinkle lines have started to change and shift. For example around my eye on the right side of my face where I've had the most subcision, I now have "crows feet" when I smile or laugh and it's just on that one side. On the left side of my face where I've had subcision mainly on my cheek area to try and treat icepick scars, I now have a dimple that is about half an inch long that appears when I talk, laugh, smile. These don't really bother me but I think I am pushing the boundaries with subcision.

The other issue with subcision is that they don't treat icepick scars.

Conclusion

The treatments I've tried look very good temporarily, however in a couple weeks my scars start to reappear. There are some treatments I have yet to try like laser and TCA cross but I've been cautioned to use those because supposedly my skin is too dark. Not 100% sure about that though. Anyways all these treatments have spanned over the course of about 6-7 years and unfortunately my scars have gotten the better of me. I rarely go out, I am really uncomfortable in social situations, interactions, etc., and going out in public requires me to think way too much about what people will think of me. The last 6-7 years have been hard, but what makes it harder is dermatologists giving people like us false hope, claiming such and such works or "results won't show up for about 6-7 months", only for our money to be wasted. Oh well, I guess this is just kind of my last send off. I desperately wanted to believe the scars could be fixed, but I think it's time to come back to reality and try to accept my face for what it is. Anyways thanks for reading this far guys,

Hope you all have much success in your scar treatments. 

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Just now, nikkigirl said:

Join the crowd dude.....save your money....i spent over 30k and no results.The reason your skin looks better for awhile is because it is swelled up.You can get skin tightners cheep to give the appearance of smoother skin

 

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10 hours ago, Sirius Lee said:

This is really unfortunate, but this myth has become a mantra for a lot of acne scar sufferers. They believe they absolutely must spend this much to get improvement. The sad fact, even after spending this much, their scars are not much better than before. Somehow they believe more expensive the treatment, the better it must be.

On top of that, these greedy doctors, whose names I won't mention, ain't helping either. They never seem content. Always hiking prices for those useless procedures, they place profit above their patients. 

 

10 hours ago, nikkigirl said:

 

 

 

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7 hours ago, boxthatboxcar said:

Are the sunlit images 'after' too?

 

 

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25 minutes ago, CheckFlop said:

You got that right, out of money and scars look the same if not worse. You hate to see it.

That's because you didn't have a solid plan. For a lot of people, they got it all backward. They believe scar remodeling is all about filling the crater. Once the pit is filled, they will regain their flawless skin. But this logic itself is flawed IMO.

Like I've said all along, you need to SMOOTH DOWN THE SCAR EDGES FIRST, then fill the pit. If your treatment is oriented towards filling the pit first, you will most likely, if not always, fail.

Do you know why you need to soften those edges? When the light bounces off the scar borders, it makes the scars really stand out. This is why under certain lights and in certain angles, they are more visible. 

On that account, only TCA (or Phenol, which I've never tried so no comment) can effectively achieve this. So maybe it's time to change your plan. You know, come up with a better strategy. After applying TCA consistently for about 2 years, I'm willing to bet you will see at least 50% improvement.

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Have you thought about getting fillers? Even if it's temporary, it will boost your confidence in the mean time and you can always go back to get it refilled.

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On the bright side, there is clearly improvement between the very first and very second photo. For that amount of effort and money, I don't blame you for expecting more though. If you plan to continue down this path, clearly you should try another doctor and possibly a new strategy. More specifically, an acne scar specialist. Perhaps your doctor had poor subcision techniques. There's also more than one way to skin a cat, and maybe you just need to try another provider's techniques. If you go down that road, you're going to have to be prepared to spend a lot more time and money to do so (and you may decide it makes sense to fly to a known specialist in order to minimize risk of another bad doctor with poor results). On the other hand, there's nothing wrong with accepting one's imperfections and putting energy into something else. There's more to life than acne scars :) best of luck

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Dont give up bro , your skin looks good in your last picture , the shadows in the light is not " real life light " but i think fillers could you help that . I like the SIrius lee´s advice , it has a lot of logic , the scar edges creates the shadows . Cheer up .

@Sirius Lee is possible to apply tca at home ?if yes,  is there any guide or something ? 

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1 hour ago, boxinglife said:

Dont give up bro , your skin looks good in your last picture , the shadows in the light is not " real life light " but i think fillers could you help that . I like the SIrius lee´s advice , it has a lot of logic , the scar edges creates the shadows . Cheer up .

 

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12 hours ago, boxinglife said:

 

@Sirius Lee is possible to apply tca at home ?if yes,  is there any guide or something ? 

Yes, it's possible. But I'm not allowed to speak about it in public. So, if you're interested, shoot me a PM.

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3 hours ago, boxthatboxcar said:

Its really upsetting that this person removed their content. Its a good reference for scars similar to his/hers.

 

Did it ever crossed your mind that he might be a troll?

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I am not sure. I have seen that same person (recognized through the "before" picture) on realself and reddit. It was nice to see an update after so long. I wish I had taken a screenshot of all the treatments he had done but oh well..

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