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dirigo39

What should I do next? Nothing works.

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3 hours ago, Catharsis2018 said:

Re: shareholders ---- honestly, that would not be a huge stretch at all. Lutronic is a small laser company compared to the bigger names - shares must be cheaper. Infini and Genius have been hyped up SOOOOOOOO much by specific acne scar doctors like Lim and Weiner and then echoed here - those who've taken the plunge with infini/genius (like me, 3k down the drain), have seen NO results.

It's so evil to take advantage of acne scar sufferers - ffs we are a vulnerable community as it is. Really angers me. 

I really don't know why i'm seeing a difference now with these treatments. I don't know if it's the light CO2 peel after the RFM, or if it's RFM from a machine that comes from a reputable company like cutera. it's interesting for sure.... but also confusing lol 

Let’s analyze, what are the parameters for both the devices you had. One is depth of the needle it went before number of passes and the energy’s that was realeased. Can you give side by side what was the needle size the passes and current at each depth. Maybe something caused it to deepen.I could understand if laser was the case as it would cause two different output. Again the info is in details if really everything is same maybe co2 is helping in your case.

Edited by getsmart121
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On 6/21/2022 at 11:20 PM, getsmart121 said:

Let’s analyze, what are the parameters for both the devices you had. One is depth of the needle it went before number of passes and the energy’s that was realeased. Can you give side by side what was the needle size the passes and current at each depth. Maybe something caused it to deepen.I could understand if laser was the case as it would cause two different output. Again the info is in details if really everything is same maybe co2 is helping in your case.

 

Nah it's not the parameters. I had rf done by dr weiner's office and it looked worst.

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45 minutes ago, dirigo39 said:

 

Nah it's not the parameters. I had rf done by dr weiner's office and it looked worst.

Did it became better after that

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Posted (edited)
1 hour ago, getsmart121 said:

Did it became better after that

 

No, i don't think so. 

This is from 2019 before most procedures. I should have went straight to dermabrasion. 

Screen Shot 2022-06-23 at 12.38.10 PM.png

 

Now compared to present day (before this recent dermabrasion) it's more pronounced.

 

Screen Shot 2022-06-23 at 12.42.11 PM.png

Edited by dirigo39
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Posted (edited)

Dr steven Weiner also had all low star reviews deleted from his google page. 

Edited by dirigo39
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I think these are wide boxcar or rolling scars deep.  It looks like you need collagen production. But hey you can fluke it with dermabrasion as well.

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On 6/21/2022 at 7:50 PM, harmlessboy1441 said:

Who knows, I mean Rullan is certainly accredited but Lim seems to work on more creative or stubborn cases. He might have more skill at subcision or more ideas, or might be able to refer you to someone if his attempts fail. But you may be right and it's hard to tell people to keep shoveling money into the unknown.

It's extremely hard to figure out besides subcision what to throw at spots that are atrophic or loss of fat/material. Even most doctors don't have very good answers for it to be blunt. 

Permanent fillers might be some option maybe Lim has some ideas on that. But things like fat filler or other horror stories of shifting/clumping do scare me I'll be honest, even if it's not very common. 

You may want to try more subcision maybe different approaches with more experienced doctors, possibly with different fillers. Just looking at your scars they still seem like they should technically respond best to it, I have no clue why some get great results others nothing. So frusterating.

 

I actually never heard the popping noises so many people talk about when i had my 4 subcisions. I heard tugging noises--unless those tugging noise are what people are referring to. yeah, i don't think my scars are tethered. 

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On 6/27/2022 at 12:10 PM, dirigo39 said:

 

I actually never heard the popping noises so many people talk about when i had my 4 subcisions. I heard tugging noises--unless those tugging noise are what people are referring to. yeah, i don't think my scars are tethered. 

Then it is collagen atrophy loss your best bets are fillers and collagen production.

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33 minutes ago, getsmart121 said:

Then it is collagen atrophy loss your best bets are fillers and collagen production.

 

The juvederm voluma gave me fullness for a week. How many syringes of ha filler am i suppose to get?

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5 hours ago, dirigo39 said:

 

The juvederm voluma gave me fullness for a week. How many syringes of ha filler am i suppose to get?

Are the scar back there then ? You know scar revision doesn’t mean 100 percent improvement. For me the most improvement is when I can see my scars gone in 90 percent light setting. I am fine with the rare shadow lighting.

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14 hours ago, dirigo39 said:

 

The juvederm voluma gave me fullness for a week. How many syringes of ha filler am i suppose to get?

You mean it didn't last longer than a week? Srsly? But yeah getsmart is right. You have those rolling/atrophy scars and the only viable procedure is subcision and it doesn't work with you. In the other thread Dr. Emil just gave that kid such wonderful subcision/filler results. No idea why it's not working on you. What do doctors say is the reason subcision is not working? Did you go to Emil or just Rullan?

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1 hour ago, harmlessboy1441 said:

You mean it didn't last longer than a week? Srsly? But yeah getsmart is right. You have those rolling/atrophy scars and the only viable procedure is subcision and it doesn't work with you. In the other thread Dr. Emil just gave that kid such wonderful subcision/filler results. No idea why it's not working on you. What do doctors say is the reason subcision is not working? Did you go to Emil or just Rullan?

 

I found a guy that does deep dermabrasion--he says he stops before the fat layer and that a dressing will stick and fall off in 2 weeks with a scab. 

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5 hours ago, dirigo39 said:

 

I found a guy that does deep dermabrasion--he says he stops before the fat layer and that a dressing will stick and fall off in 2 weeks with a scab. 

Are you accounting the risk of hypopigmentation and who is this doctor. Remember weigh out the risk vs benefit. Dermabrasion can’t solve atrophy but what happens is people sand the healthy skin to match the scarred area. 

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12 hours ago, dirigo39 said:

 

I found a guy that does deep dermabrasion--he says he stops before the fat layer and that a dressing will stick and fall off in 2 weeks with a scab. 

Can you please DM me contact details?

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7 hours ago, getsmart121 said:

Are you accounting the risk of hypopigmentation and who is this doctor. Remember weigh out the risk vs benefit. Dermabrasion can’t solve atrophy but what happens is people sand the healthy skin to match the scarred area. 

Dirigo please be careful I tend to agree with getsmart. I also have some tinges of hyperpigmentation or hypopigmentation in certain light myself. My improvement is something I'd do again but at the same time I had much different scars and was not Asian skin. I had almost all icepicks and nicks.

I can't say whether to do it or what the risks are or whether when everything has failed it pays to just gamble but it's not as clearcut as other scars or cases here. Atrophy typically isn't responding to dermabrasion as far as I know.

 

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Based on Mr. Matt's routine, maybe peels will help, the kind where the upper layer cracks and comes off like a snake's skin. I noticed it's not one of the treatments she tried.

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Posted (edited)
On 7/3/2022 at 7:04 PM, Urbanite said:

Based on Mr. Matt's routine, maybe peels will help, the kind where the upper layer cracks and comes off like a snake's skin. I noticed it's not one of the treatments she tried.

 

i've done it-- forgot which acid. but a brown and thin scab formed.

Edited by dirigo39
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On 6/27/2022 at 1:10 PM, dirigo39 said:

 

I actually never heard the popping noises so many people talk about when i had my 4 subcisions. I heard tugging noises--unless those tugging noise are what people are referring to. yeah, i don't think my scars are tethered. 

I’ve had 9 subcisions, if you didn’t hear popping your doctor did not do your subcision correctly. Also I can attest to the fact that subcision + filler is nonsense, 8 of my subcisions featured this and yielded no results. Lo and behold my 10th subcision I’ve followed with suctioning and my face looks better than the 9 subcisions before it. Google scholar is our only friend, a few  great studies out of the Middle East feature subcision suction and intradermal prp. It starts with a proper subcision though, I tried suctioning after a half assed borderline non subcision from rapaport in nj and saw no results. I’m currently 15 days out from a proper subcision and suction protocol and my face looks better than the 9 subcisions before it. I also did intradermal prp with the subcision. I can’t wait to rinse and repeat. It seems subcision is a multi step process, cutting the tethers isn’t enough, you need a method to keep them cut. Also we need to start holding accountable these doctors claiming they’re doing subcision when they’re just running my a needle under your skin and not cutting tethers. May I ask who did your subcisions?

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Whats with all the spam lately. Are there no mods to block ppl?

On 7/13/2022 at 1:51 AM, Samedeepwaterasyou said:

I’ve had 9 subcisions, if you didn’t hear popping your doctor did not do your subcision correctly. Also I can attest to the fact that subcision + filler is nonsense, 8 of my subcisions featured this and yielded no results. Lo and behold my 10th subcision I’ve followed with suctioning and my face looks better than the 9 subcisions before it. Google scholar is our only friend, a few  great studies out of the Middle East feature subcision suction and intradermal prp. It starts with a proper subcision though, I tried suctioning after a half assed borderline non subcision from rapaport in nj and saw no results. I’m currently 15 days out from a proper subcision and suction protocol and my face looks better than the 9 subcisions before it. I also did intradermal prp with the subcision. I can’t wait to rinse and repeat. It seems subcision is a multi step process, cutting the tethers isn’t enough, you need a method to keep them cut. Also we need to start holding accountable these doctors claiming they’re doing subcision when they’re just running my a needle under your skin and not cutting tethers. May I ask who did your subcisions?

 

I had it done by weiner and rullan, and a couple of lesser known docs. who did your 9th sub? With rullan I did hear  my skin being tugged sounds but not popping. 

On 7/6/2022 at 3:39 PM, getsmart121 said:

Who’s the doctor that you found for deep dermabrasion 

 

He's in mexico so he's familiar with type 4 and 5 skin and won't be wishy washy like other docs whose only experience is with type 1 skin

On 6/14/2022 at 12:16 AM, Dontgiveupitsonlyscars said:

I had a consult with him before, although the consult was for excision around October. He refused to do any excisions and only recommended dermabrasion. 

Interesting, maybe this too would be a light surface sanding which is NOT what I want. I’ll see how it goes at the pre-op. 

 

Rubeinstein replied to my instagram messages and said "a scab shouldn't form".

So you can probably skip the consult because he doesn't know how to do deep dermabrasion. 

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35 minutes ago, dirigo39 said:

Rubeinstein replied to my instagram messages and said "a scab shouldn't form".

So you can probably skip the consult because he doesn't know how to do deep dermabrasion. 

Yep. Whether it was safe or not in hindsight, I definitely had scabs. It's the only thing that pushed the sticky bandages off a little at a time until all scabs pushed it entirely off and that's what my doctor told me to wait for. 2 other people on this board definitely got the same type of dermabrasion based on what they describe.

Probably works best on just icepicks given the technique and how I only had icepicks. My scars can still be seen it's just texture now. I could show you pics if you're interested shaven + in different states but it's definitely all icepicks that it healed.

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2 hours ago, dirigo39 said:

Whats with all the spam lately. Are there no mods to block ppl?

 

I had it done by weiner and rullan, and a couple of lesser known docs. who did your 9th sub? With rullan I did hear  my skin being tugged sounds but not popping. 

 

He's in mexico so he's familiar with type 4 and 5 skin and won't be wishy washy like other docs whose only experience is with type 1 skin

 

Rubeinstein replied to my instagram messages and said "a scab shouldn't form".

So you can probably skip the consult because he doesn't know how to do deep dermabrasion. 

Can you tell the name of the doctor ?

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@dirigo

My 9th was with Rapaport in NJ, he said he was going to do Nokor and a field subcision. He did the nokor point subcisions well enough from what I can tell, approaching the scars from above the skin. However the field subcision with cannula was a joke, it was so quick and cursory when he walked out of the room (not even so much as a goodbye btw) I fully expected him to come back and finish, he never did. 
 

Earlier he tried to sell me on a laser that he said I’d have to see him every 3 months in perpetuity to have skin like people do. The whole business model for most of these ‘experts’ is not to solve your problem but keep you dependent on something that barely works. I can’t stress enough that Google scholar is our only friend. They read these publications too and are still pushing shit that doesn’t work. I remember an interview with a younger rapaport where he said ‘lasers don’t lift skin’, must have been a time when greed wasn’t his main motivation. His older greedier self contradicted that right to my face.
 

The fact that you heard tugging and not popping with Rullan is interesting, I trust that man with my life. This leads me to a couple thoughts:

1. Tethers aren’t your problem, you’re dealing with just atrophy.

2. You have tethers but cannula can’t cut them

I’m no doc obviously but collating all the experiences I’ve come across if I was in your shoes I’d do the Taylor liberator but only with someone who does tumescent anesthesia so they can be sure to see tethers. I wouldn’t do a combo with laser or cross or anything bc the most important thing would be to follow with suction because subcision without suction is useless. Just gonna be a broken record about that because I’ve watched it work on my face and hope someone can find some benefit from our collective experience and the real experts, doctors doing real studies who don’t have a vested interest in seeing acne scar patients over and over and over again. 

Edited by Samedeepwaterasyou
Typo
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Posted (edited)

may do a taylor lib sub next year. I'm going to get a deep dermabrasion next month. This is what the doc in Mexico wrote to me...

Him understanding that a scab should form is what convinced me. 

 

"Thank you for taking the time to send me your photo for evaluation. 

Each Surgical dermabrasion session goes as deep as possible, right before we encounter fat. Please consider that yoru scars are considerably deep and therefore multiple sessions would be needed to provide optimal results. After each session (spaced at least 6 months appart) you would see improvement. 

The procedure is usually done under sedation plus local anesthesia. 

A scab definitely forms on the treated area and a dressing literally sticks to your skin and would naturally peel off within a week or two. 

Patients can be red or pink or even a little darker toned for 3 to 6 months. "

Edited by dirigo39
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