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JYSLA

Seeking advice for treatment and doctor rec!

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3 minutes ago, getsmart121 said:

Amanda for those excision lines you need to  ablate the area with fully ablative laser. Go to dr Taylor in Salt Lake City Utah. After excision I had an indented excision line where two scars were excised side by side. Very wired looking . After 6 months it’s got finer but still didn’t heal well. You could still see it clearly. Did. Tca cross on the that indented line helped a bit. Then went for fully ablative on that spot, it is complete invisible now two months later.

What she means is about the facial anatomy on how the skin pressure is on that area. The higher the pressure the greater chance of excision line or opening up.

Ohh i got it, i though she was referring muscle movement like smile line etc.

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On 8/5/2021 at 10:21 PM, JYSLA said:

Hi Shei!

Been stalking your posts! I think your scars definitely improved alot. I remember reading you were considering excision for your boxcar scars, have you decided yet?

I was quoted ~$3600, IRRC for Behnams "Trifecta" of TCA+Sub+PRP :0

Thank you! ^_^ yes, I will be doing excision for my boxcars (nothing has flattened them and I am five years deep into treatment) I don’t know when but it’s relatively cheap for what it could potentially do for my stubborn scars so it seems like a win for me. 
 
Wow, prices really are increasing. I have no problem with that it the results are there but often you need multiple treatments so it’s very costly. I paid $600 for sub with him and he charged per cheek so it would have been $1200 all up so I decided to have my worst cheek done lol. Very weird when dermatologists charge like this. 
 

I heard you are considering excision too - Dr Rullan charges $250 per scar. However I think your scars could be raised significantly by TCA/phenol cross. But I am not an expert so not 100% on this. 

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1 hour ago, can i get a new life please said:

If we do excision on tension line what if we dont move a muscle on our face? Will it heal like non tension line excision?

It's not just tension. I'm guessing healing depends on area where there's more fat/skin/whatever - not really sure. It could also be the stitching technique of the doctor. But my plastic surgeon did two and one healed great while the other did not. 

Some doctors will inject Botox around the scar so that there's less movement there. Again, I'm not an expert so it's always best to speak to a specialist and get multiple consultations if that makes you feel more comfortable.

1 hour ago, getsmart121 said:

Amanda for those excision lines you need to  ablate the area with fully ablative laser. Go to dr Taylor in Salt Lake City Utah. After excision I had an indented excision line where two scars were excised side by side. Very wired looking . After 6 months it’s got finer but still didn’t heal well. You could still see it clearly. Did. Tca cross on the that indented line helped a bit. Then went for fully ablative on that spot, it is complete invisible now two months later.

What she means is about the facial anatomy on how the skin pressure is on that area. The higher the pressure the greater chance of excision line or opening up. One way is to use absorbable sutures and keep sutures longer to provide it adequate support.With this method you can keep the sutures longer.

I did fractional CO2 a few times on them and didn't see improvement. I can't do ablative as that's too risky for me. Phenol Cross didn't help them as well.

I had one excision with dissolvable sutures but I still got a visible linear scar. Two others were with stitches that had to be manually taken out. One of those two healed beautifully while the other did not.

Did a biopsy with a dermatologist and he was not good. He did a punch excision and I was left with a red mark - fixed by the plastic surgeon.

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2 hours ago, Amanda Hall said:

It's not just tension. I'm guessing healing depends on area where there's more fat/skin/whatever - not really sure. It could also be the stitching technique of the doctor. But my plastic surgeon did two and one healed great while the other did not. 

Some doctors will inject Botox around the scar so that there's less movement there. Again, I'm not an expert so it's always best to speak to a specialist and get multiple consultations if that makes you feel more comfortable.

I did fractional CO2 a few times on them and didn't see improvement. I can't do ablative as that's too risky for me. Phenol Cross didn't help them as well.

I had one excision with dissolvable sutures but I still got a visible linear scar. Two others were with stitches that had to be manually taken out. One of those two healed beautifully while the other did not.

Did a biopsy with a dermatologist and he was not good. He did a punch excision and I was left with a red mark - fixed by the plastic surgeon.

I am not talking about full cheek ablative. I am talking about spot fully ablative just covering the excision line. Go to duration 2:26. In this case he is doing just scars, but same thing can be done on the excision lines. In my opinion the risk is not bad since it’s just targeted on the scar alone. Dr taylor does that with erbium laser he calls it tangential resurfacing. I don’t think fractional can do anything on these excision scars. I remember I told the doctor the area of the indented  line and he went over with full ablative mode while the rest he went with fractional and I had small indent line somewhere it didn’t do much on them. I am pretty sure he missed those scars with fully ablative and hence they look the same.

 

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Wow that was quite alot of info. Took me a few minutes to absorb it as there is so much to learn. Amanda and getsmart, mind sharing which doctor performed your excisions? Thank you!!

On 8/7/2021 at 6:57 PM, shei514 said:

I heard you are considering excision too - Dr Rullan charges $250 per scar. However I think your scars could be raised significantly by TCA/phenol cross. But I am not an expert so not 100% on this. 

I am currently looking for a plastic surgeon that performs excision and CO2 laser in my area. Or I am willing to travel if I can find a reputable plastic surgeon. If you decide on a doctor please share!

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On 8/9/2021 at 11:03 PM, JYSLA said:

Wow that was quite alot of info. Took me a few minutes to absorb it as there is so much to learn. Amanda and getsmart, mind sharing which doctor performed your excisions? Thank you!!

I am currently looking for a plastic surgeon that performs excision and CO2 laser in my area. Or I am willing to travel if I can find a reputable plastic surgeon. If you decide on a doctor please share!

I did it with dr Taylor in Salt Lake City Utah , he is a derm but knowledgeable in regards to acne scars, I would say he he very good with laser compared to surgery. You can go to a plastic surgeon for excision and then go to him for laser part, he khows to improve those shallow scars post excisions or indents from excision.first try out 2 scars one big and small and see how you heal in both cases. For most people smaller area scars heal way better than large ones. Make sure multiple suture are used to keep the wounds together. Don’t be bothered by number of sutures as those suture ensure the scar is closed tight and not open.

the reason I went to him was he saw what I saw in my scars. I always believed excision was the solution for the deep ones, and he agreed when I had the consult. I’m didn’t mention what I wanted but he proposed this to me. So I knew we were on the same page.

Here is a video of him

 

Edited by getsmart121
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On 8/14/2021 at 10:12 PM, wishnoscar777 said:

who is the doctor "Russel"? Is he in the U.S.?

Sorry I was reffering to Dr. Rullan

 

On 8/15/2021 at 4:24 AM, getsmart121 said:

I did it with dr Taylor in Salt Lake City Utah , he is a derm but knowledgeable in regards to acne scars, I would say he he very good with laser compared to surgery. You can go to a plastic surgeon for excision and then go to him for laser part, he khows to improve those shallow scars post excisions or indents from excision.first try out 2 scars one big and small and see how you heal in both cases. For most people smaller area scars heal way better than large ones. Make sure multiple suture are used to keep the wounds together. Don’t be bothered by number of sutures as those suture ensure the scar is closed tight and not open.

the reason I went to him was he saw what I saw in my scars. I always believed excision was the solution for the deep ones, and he agreed when I had the consult. I’m didn’t mention what I wanted but he proposed this to me. So I knew we were on the same page.

Here is a video of him

 

Thank you! I will reach out to his office for a consult!

 

 

Quick question, I have an appointment set to see Dr. Rullan next week for his "Quatro" (cross,sub,filler,Erbium). It appears that erbium is not really effective on deep boxcar scars. Im now debating if Im better off getting just cross+sub with Rullan and see another derm for fully ablative Erbium/ co2? Or should I just try dr rullans quatro treatment and see how my skin responses? 

And if i was to go to another derm for laser how long should I wait after cross/sub?

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10 hours ago, JYSLA said:

Sorry I was reffering to Dr. Rullan

 

Thank you! I will reach out to his office for a consult!

 

 

Quick question, I have an appointment set to see Dr. Rullan next week for his "Quatro" (cross,sub,filler,Erbium). It appears that erbium is not really effective on deep boxcar scars. Im now debating if Im better off getting just cross+sub with Rullan and see another derm for fully ablative Erbium/ co2? Or should I just try dr rullans quatro treatment and see how my skin responses? 

And if i was to go to another derm for laser how long should I wait after cross/sub?

If you want to go sooner I would say 2 months post cross phenol for laser session separately.

 

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