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Jaythamurse

21 y/o with severe scarring. Please give advise

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Hey everyone! 
 

So I’d really appreciate some advice on my acne scarring. I’ve had acne ever since 13, and been on some ointments and antibiotics, which never really worked. I also was uneducated on the side effects of acne, which caused massive scarring along my cheeks and other areas as seen in the pics. I’m currently on accutane (holy shit, thank god) and I just wanted to know if anyone is in the same boat and what works for people like me!
I seriously hate having to show my face anywhere, and I really appreciate masks. I would sincerely appreciate any words of wisdom. 
I’ve had 2 subcision treatments (without filler) before I actually got my cystic acne under control. I’m hoping to finish my medication regimen, and wait for however long recommended by the dermatologist before beginning scar treatment. 
 

Help me out y’all, Ya boi is kinda confused. 
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Posted (edited)

You need more subcision also there is hyperpigmentation that needs to be taken care of. Your scars are noticeable due to the color and contour(edges of the scar). To fix color you need to do chemical peels or use hydroquinone and sun protection. For edges of the scar you do fully ablative laser on the scar edges. Fully ablative means it removes the complete surface of the skin wherever the laser is done. You can do filler as well when the scar surface is very close to normal.

if I were you I would fix the color of the scar first since that is causing it to look much worse than actually is I would say that alone should give you huge improvement.

Look at this person much worse than your scars

 

Edited by getsmart121
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2 hours ago, getsmart121 said:

You need more subcision also there is hyperpigmentation that needs to be taken care of. Your scars are noticeable due to the color and contour(edges of the scar). To fix color you need to do chemical peels or use hydroquinone and sun protection. For edges of the scar you do fully ablative laser on the scar edges. Fully ablative means it removes the complete surface of the skin wherever the laser is done. You can do filler as well when the scar surface is very close to normal.

if I were you I would fix the color of the scar first since that is causing it to look much worse than actually is I would say that alone should give you huge improvement.

Look at this person much worse than your scars

 

I seriously thank you for your advice! When I complete my accutane treatment, I’ll definitely start with working on the color aspect first before jumping into the edges and subcision (with filler this time). Thank you! 

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@Sirius Lee can you help this person with a treatment plan based on your knowledge.

also one thing I would say is start early and don’t let doctors rip you off. As it could take a year or two to get satisfied or happy with the results, if it means working two jobs to get funding for the treatment do it. If you start later then there is the risk of skin being not in its prime condition of healing also your life is mostly when you are young so you have to have quality time now. By the time you start corporate job this will make you focus more on the job and climb the corporate ladder faster rather than thinking about your scars all the time.

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On 6/5/2021 at 5:59 PM, Jaythamurse said:

I’ve had 2 subcision treatments (without filler) before I actually got my cystic acne under control. I’m hoping to finish my medication regimen, and wait for however long recommended by the dermatologist before beginning scar treatment. 

I would recommend TCA and filler: TCA to fade out the edges and filler to fill the depressed areas. Subcision is optional.

It's not gonna be a quick fix. Stay the course for at least 2 years and you should see incremental improvements over time. Good luck.

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hey, buy a derminator or a microneedling devide and use it every month with vitaminc c, no matter how long you do it for (a year or 3 years).  get subcision and tca cross and fillers only. lasers don't do anything and a waste of money. Also, at home do the derminator. Even if you see 5-10% improvement from derminator it's still free and worth it. 

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Off topic, but dude you're so handsome, I don't even notice the scars. 

 

On topic, a few subcisions will likely make you very happy, and then perhaps vbeam the redness away

Edited by LivingWithFaith
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I agree with the others.  Your issues are mainly deep rolling scars, fat loss, and sharp scar edges.   The fat loss and deep rolling scars can be improved with fillers.  The sharp edges of the scars need to be effaced, or softened, with some type of ablative procedure like laser or deep peeling (both of which come with risks).  One approach with fillers might be to get Sculptra injected for to help create generalized volume in your cheeks and then go in and fine tune with a hyaluronic acid filler like Restylane and inject directly into the scars themselves.  Virtually any HA filler would work. 

Finally, the redness is probably the most straight-forward to treat with vascular lasers like Vbeam Perfecta and should likely be done last. 

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On 6/14/2021 at 3:36 PM, LivingWithFaith said:

Off topic, but dude you're so handsome, I don't even notice the scars. 

 

On topic, a few subcisions will likely make you very happy, and then perhaps vbeam the redness away

Okay, that made me feel good, honestly thank you. 

On 6/15/2021 at 1:12 AM, dazzed said:

I agree with the others.  Your issues are mainly deep rolling scars, fat loss, and sharp scar edges.   The fat loss and deep rolling scars can be improved with fillers.  The sharp edges of the scars need to be effaced, or softened, with some type of ablative procedure like laser or deep peeling (both of which come with risks).  One approach with fillers might be to get Sculptra injected for to help create generalized volume in your cheeks and then go in and fine tune with a hyaluronic acid filler like Restylane and inject directly into the scars themselves.  Virtually any HA filler would work. 

Finally, the redness is probably the most straight-forward to treat with vascular lasers like Vbeam Perfecta and should likely be done last. 

Gotcha, thank you so much for the recommendations and advice! I sincerely appreciate it! 

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