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Dis_figur

Scar Treatment Advice for Scars Between Eyebrows

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Hello everyone,

 

Here is some emotional junk that you can skip if you'd rather just leave treatment advice:

For several years I have been in a deep depression resulting from a series of cysts that caused various scars between my eyebrows. I'm sure you are all familiar with the highs and lows of living with these kinds of facial scars. I am grateful that despite intense acne in my teens, scarring was minimal until I got several cysts within the last couple years that ended up forming these scars. Sometimes I tell myself I almost got away with having bad genes...then I didn't. My anxiety spikes around mirrors and whenever I see my reflection or myself in pictures I am cast into a deep depression of anxiety and self loathing for days afterward. 

I find it hard to look my own friends in the eye while we talk and I constantly hide my face as much as I can with hoods and hats, usually both. I miss being able to love myself and most days the happiness and confidence that come with self-love now seem eternally unattainable. However, I am finally in a position to have cosmetic work done on the scarring and hopefully that can be one piece of the puzzle to reclaiming my happiness. If I decide to undergo treatments, I would like to post before and afters here and hopefully, if I have good results, I can provide hope for other forum lurkers.

Many progress posts I see eventually stop being updated, I'd like to think that those people are now happy with their scars, but I'm afraid that most treatments just fail...

My Location:

I am currently located in Los Angeles. Fortunately, I know there are several renowned practitioners in this area, however, I am open to traveling.

My Scars:

My scarring is mostly clustered at the inner ends of both of my eyebrows. I am most concerned with the large pitted boxcar(?) scar toward the center-right (your left) of my face. Second would be the other pitted scar just above my left eyebrow (your right) and third, on the right again, (your left) is two icepick scars that somehow became connected by a shallow trench after the cyst that created the big scar (the first one I mentioned) finally receded. 

There's a bunch of other dings and scratches in that area but those are the ones that make me feel the most self destructive.

 

20210330_232507.jpg.32ff04dce1038fe67154fc9077f79e75.jpg20210330_232257.jpg.1bbba4eabf8940465d697470aba5b780.jpg

20210316_010517.jpg.29bc308513253b07cf771c248dbbaf9d.jpg

My Concerns: 

First of all, I should say I am opposed to filler, which I am assuming will be a huge impediment to my success here, but I dont see that changing. My other concerns are that this counts as "forehead" skin, which I understand to be much more difficult to get results on, particularly with regards to getting volume back, but also in regards to healing as this area of skin undergoes a lot of "animation". Thirdly, I am concerned that the location being close to the eyes could be prohibitive or risky for certain procedures such as CROSS and even Needling.

Please let me know if any of these concerns are unfounded.

 

My Plan (please come up with a better one):

Plan A:

Plan A starts with subcision. I usually see this mentioned as the procedure which caused the greatest permanent results (up to 3 treatments). However, I'm quite a bit worried about the proximity to the eyes and if there could be any collateral damage to important nerves. I am also concerned that these scars will have no benefit from this as I can't tell if they are "tethered" or not, but people seem to have results with this subcision on various scar types. Lastly, I know sometimes fillers are used to prevent retethering, however I'd like to avoid that. I've seen some stuff about using suction to prevent retethering but I'm completely uninformed on the matter.  What do you think?

Then, I would like to proceed with CROSS (TCA or Phenol) and RF Microneedling treatments and perhaps finish with a CO2 laser when I feel that I am no longer seeing results from the other modalities.

Plan B:

My plan be is likely most peoples plan Z because it involves grafting and excision. I think it's likely that this is a terrible location for excision. But I would probably start with subcision again, as well as microneedling but to avoid acids that may widen the scars. The more I type the more excision seems very unlikely for me, but I would settle for a horizontal scar in place of the ugly thing in the middle of my face there. I'm open to more ideas on how to angle toward excision.

Plan C:

Harakiri

 

Doctors:

I've been looking at the typical options in my area including, Ben Benham, Dr. Rullan, Dr. Behroozan, Dr. Rebecca Fitzgerald and Dr. Raffy Karamanoukian. 

I am leaning towards at least starting with Dr. Rullan, mainly due to the overwhelming acclaim I see for him on this site and elsewhere, but also due to his extensive work with Phenol Cross. I also recently read on here that he is known for being quite handy at subcision as well? 

 

Conclusion

I feel like I'm asking a lot of total strangers to look at my ugly forehead and read all of my brain droppings that I have just strewn across the page above. Any responses would mean a lot to me, even if its just to respond to basic comments, questions or speculations that I may have made in this post. Ideally, I'd like some mad dermatological mastermind to help me create a plan and save my life, but yanno.

 

Ok cool yall looking forward to talking. Nice to finally be a poster and not a lurker.

Thanks,

Dis_

 

Edited by Dis_figur
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I've read comments on Realself by plastic surgeons that scars in the area at and above the bridge of the nose suitable for surgical excision as they run along lines that they could excise, but I'm not an expert. You might want to consult with a plastic surgeon. 

 

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Cysts suck. I've had them and they caused much traumatic effects for me as well. Sorry that you were left with the scars but let's hope we can support and guide you as best we can.

My opinion is that any type of microneedling is not going to help. If you do Cross, it will take many, many sessions. Excision is something to check out. Definitely consult with multiple plastic surgeons. I've had excisions done and can say that healing depends on the area. Some areas heal much better than others. This is not medical advice but I don't think there's much to worry about with regard to treatments being so close to the eye. Subcision and excisions should be fine. The doctors will let you know, but I've seen videos of procedures like these done close to the eyebrows.

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On 3/31/2021 at 3:19 AM, Marumi said:

I've read comments on Realself by plastic surgeons that scars in the area at and above the bridge of the nose suitable for surgical excision as they run along lines that they could excise, but I'm not an expert. You might want to consult with a plastic surgeon. 

 

Unfortunately you seem to have missed the keyword here. Do you think they are or aren't suitable? Thanks for the response!

17 hours ago, Amanda Hall said:

Cysts suck. I've had them and they caused much traumatic effects for me as well. Sorry that you were left with the scars but let's hope we can support and guide you as best we can.

My opinion is that any type of microneedling is not going to help. If you do Cross, it will take many, many sessions. Excision is something to check out. Definitely consult with multiple plastic surgeons. I've had excisions done and can say that healing depends on the area. Some areas heal much better than others. This is not medical advice but I don't think there's much to worry about with regard to treatments being so close to the eye. Subcision and excisions should be fine. The doctors will let you know, but I've seen videos of procedures like these done close to the eyebrows.

Why do you feel that way about microneedling? 

Why do you say that cross will take many x2 sessions? Because of the depth?

Thanks for the response!

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15 hours ago, Dis_figur said:

Unfortunately you seem to have missed the keyword here. Do you think they are or aren't suitable? Thanks for the response!

Why do you feel that way about microneedling? 

Why do you say that cross will take many x2 sessions? Because of the depth?

Thanks for the response!

Sorry. They ARE suitable. The other day I read a comment on Realself by a plastic surgeon who said he would excise scars in the glabella region. Laser docs were recommending laser + filler afterwards, but you said you're opposed to fillers.

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Personally I don't think you scars are bad at all. Most people probably wouldn't even notice.

Microneedling wouldn't do anything.

Cross might work but it will probably take many sessions for some degree of improvement but never really 100%.

Fillers will improve that area instantly but most are temporary.

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On 4/1/2021 at 4:17 PM, Dis_figur said:

Unfortunately you seem to have missed the keyword here. Do you think they are or aren't suitable? Thanks for the response!

Why do you feel that way about microneedling? 

Why do you say that cross will take many x2 sessions? Because of the depth?

Thanks for the response!

The depth is the issue for microneedling and TCA cross. My boxcar scars are much shallower than yours and I didn't see improvement from those two procedures. However, we have different scars. Cross could smooth out the borders for your scars but it takes a while for you to see results from Cross. 

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