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Ccmeow

People who have had excision

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Posted (edited)

I’ve made a few posts im getting a few deep scars excised on my temples in 2 weeks,  like 3 of them. anyone whos had excision done how’d you deal with having stitches in your face for 2 weeks before you go back to get them taken out?  Anything you did to hide it or did you just hibernate from the world for 2 weeks lol.   
 
also interested in peoples personal experience/results they had/ hyperpigmentation redness after 

 also the doctor who is doing mine is a derm.. i’ve heard alot of people say go to a plastic surgeon instead.  These are his credientials:  

“has been trained in adult and pediatric general dermatology, dermatologic surgery, and cosmetic dermatology, with special interests in skin cancer, tumescent liposuction and laser fat melting, acne and acne scarring, botox (botulinum toxins) and dermal fillers, such as Juvederm®, Radiesse®, and Sculptra®. “
 
what do you guys think?

Edited by Ccmeow
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This is a really big deal because it's your face, so make sure you are 100% with the right doc. If you are questioning it, listen to yourself, and ask more questions, see more people and get more opinions until you feel like you are in the right hands.

As far as stitches go, that just makes you tough :) Luckily everyone usually thinks about themselves and not other people, so no one will care.

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On 5/12/2022 at 11:59 AM, Ccmeow said:

I’ve made a few posts im getting a few deep scars excised on my temples in 2 weeks,  like 3 of them. anyone whos had excision done how’d you deal with having stitches in your face for 2 weeks before you go back to get them taken out?  Anything you did to hide it or did you just hibernate from the world for 2 weeks lol.   
 
also interested in peoples personal experience/results they had/ hyperpigmentation redness after 

 also the doctor who is doing mine is a derm.. i’ve heard alot of people say go to a plastic surgeon instead.  These are his credientials:  

“has been trained in adult and pediatric general dermatology, dermatologic surgery, and cosmetic dermatology, with special interests in skin cancer, tumescent liposuction and laser fat melting, acne and acne scarring, botox (botulinum toxins) and dermal fillers, such as Juvederm®, Radiesse®, and Sculptra®. “
 
what do you guys think?

I still think you should always go to a plastic surgeon because they have more experience in surgery whereas derms don't have as much, but truth be told either can give a good or bad outcome.

I had an excision a while ago and while excisions are great for certain types of scars mine turned out poorly simply because it was the wrong treatment for an enlarged scar left over. It made it worse basically as in just changed the shape and enlarged/added more scarring in linear fashion.

I can tell you this at least from my own experience, the excision is sewn and leaves a linear scar where the edges heal. That linear scar at least as far as mine is, always stays light red or pink or something at least it's never changed in my eyes. 

Again, excision is good for certain types of scars, so don't let any of that dissuade you but it's not a good treatment for other things. It totally depends as do all treatments.

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2 hours ago, getsmart121 said:

In my opinion you only trade scar when you know a fine line will be better 

After the surgery under lights scars still casts shadow or not? Thats the problem i need to find.

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Posted (edited)
1 hour ago, JesusChrist said:

After the surgery under lights scars still casts shadow or not? Thats the problem i need to find.

they might if the excision leaves a slight indent.the goal of excision the reduce the depth by cutting and suturing them. that is why excison is best suited for a deep scar when i mean deep it means depth plus large scar border and also the length shouldn't be that long

 

Edited by getsmart121
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Posted (edited)
7 hours ago, harmlessboy1441 said:

I still think you should always go to a plastic surgeon because they have more experience in surgery whereas derms don't have as much, but truth be told either can give a good or bad outcome.

I had an excision a while ago and while excisions are great for certain types of scars mine turned out poorly simply because it was the wrong treatment for an enlarged scar left over. It made it worse basically as in just changed the shape and enlarged/added more scarring in linear fashion.

I can tell you this at least from my own experience, the excision is sewn and leaves a linear scar where the edges heal. That linear scar at least as far as mine is, always stays light red or pink or something at least it's never changed in my eyes. 

Again, excision is good for certain types of scars, so don't let any of that dissuade you but it's not a good treatment for other things. It totally depends as do all treatments.

 

7 hours ago, harmlessboy1441 said:

I still think you should always go to a plastic surgeon because they have more experience in surgery whereas derms don't have as much, but truth be told either can give a good or bad outcome.

I had an excision a while ago and while excisions are great for certain types of scars mine turned out poorly simply because it was the wrong treatment for an enlarged scar left over. It made it worse basically as in just changed the shape and enlarged/added more scarring in linear fashion.

I can tell you this at least from my own experience, the excision is sewn and leaves a linear scar where the edges heal. That linear scar at least as far as mine is, always stays light red or pink or something at least it's never changed in my eyes. 

Again, excision is good for certain types of scars, so don't let any of that dissuade you but it's not a good treatment for other things. It totally depends as do all treatments.

my scar is kind of a wide deep box car scar on temples.  In shadow lighting it looks large, but in regular lighting not really, but still ugly and noticablely deep.  They think it wont respond to other treatments because of the depth.  So itll be a good trade for a linear scar. 

6 hours ago, getsmart121 said:

In my opinion you only trade scar when you know a fine line will be better 

I think a fine line will totally be better, its a deep wide box scar

7 hours ago, harmlessboy1441 said:

I still think you should always go to a plastic surgeon because they have more experience in surgery whereas derms don't have as much, but truth be told either can give a good or bad outcome.

I had an excision a while ago and while excisions are great for certain types of scars mine turned out poorly simply because it was the wrong treatment for an enlarged scar left over. It made it worse basically as in just changed the shape and enlarged/added more scarring in linear fashion.

I can tell you this at least from my own experience, the excision is sewn and leaves a linear scar where the edges heal. That linear scar at least as far as mine is, always stays light red or pink or something at least it's never changed in my eyes. 

Again, excision is good for certain types of scars, so don't let any of that dissuade you but it's not a good treatment for other things. It totally depends as do all treatments.

What kind of scar was it, what do you mean it was for a large scar left over?

Edited by Ccmeow
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Posted (edited)
16 minutes ago, Ccmeow said:

 

my scar is kind of a wide deep box car scar on temples.  In shadow lighting it looks large, but in regular lighting not really, but still ugly and noticablely deep.  They think it wont respond to other treatments because of the depth.  So itll be a good trade for a linear scar. 

I think a fine line will totally be better, its a deep wide box scar

What kind of scar was it, what do you mean it was for a large scar left over?

measure the length of the boxcar in the angle of the suture plus increase by 20 percent that would be the linear scar length. see acne scar journey post of 2017 -2020 where she had large boxcar excised. Now think if you will be happy with that kind of scar. and the more the scar is away from your face the better the exicison. also another way to is to slant the edges like using high power co2 of that boxcar edge instead of taking it out.

Most often the depth is not lifted much its the angle that changes over time. I had deep boxcar on temple. initially it had hard edges but after some treatments that softened and once the edge was soften the fillers did the trick. Now i barely see it.

Edited by getsmart121
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4 hours ago, Ccmeow said:

What kind of scar was it, what do you mean it was for a large scar left over?

My doctor basically took a smallish boxcar scar and doubled or more it's length in linear scar. What getsmart says is accurate that the depth isn't changed you can't change volume by excising but it sorta blends a bit. But again if you have a sharp or deep or poorly shaped scar than excision is a viable option.

Getsmart is correct that you should measure increase by 20% etc... if you're happy with that... etc. 

The problem with my treatment is my doctor seems to have created far more linear scar than should have been etc.

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19 hours ago, getsmart121 said:

measure the length of the boxcar in the angle of the suture plus increase by 20 percent that would be the linear scar length. see acne scar journey post of 2017 -2020 where she had large boxcar excised. Now think if you will be happy with that kind of scar. and the more the scar is away from your face the better the exicison. also another way to is to slant the edges like using high power co2 of that boxcar edge instead of taking it out.

Most often the depth is not lifted much its the angle that changes over time. I had deep boxcar on temple. initially it had hard edges but after some treatments that softened and once the edge was soften the fillers did the trick. Now i barely see it.

These are the scars what do you guys think about excision

4AB72BA8-A7EE-4999-BF9A-D3CD4FD4E2C8.jpeg

0CD94590-BF18-4255-B2AC-EB8055FF476C.jpeg

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Posted (edited)

no, do subcision-filler-resurfacing. The scar is too big for excision - not worth the trade off. And its not ugly at all to do such a hardcore treatment. IMO only a very gnarly types of scars are worth to be excised.

Or is it a pure scar tissue you got there?

Edited by Candy Says
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I also would be curious about how scars on the face form, heal verse the rest of the body.

I know someone on here has done facial excisions with mixed results. I think it's this thread: 


 

I personally have a few linear scars on my body. One on my arm, a 'tight' area of skin did not heal well. I have a couple on thicker more fatty areas that healed far better but still leave a white thin scar. I imagine excising the temples where the skin is super thin would be one of the harder spots to cut and stitch back together well.

From the image you provided, they look like reasonably shallow box, rolling type scars. Depending on your personal preferences you may want to try something less risky like chemical peel, laser, abrasion, or MF needle. I have personally done some chemical peels at home which if you're careful are extremely easy and cheap as long as you're okay with a little pain and at least 3-4 days of looking like an iguana. Results are mild but also risk and cost are low.


The other general types of scar treatments fall into a few categories:

1) Homogenization - Softening scar 'edges' to make the scars less apparent or more in-line with the surrounding skin. ( Box, pick, superficial )
2 ) Unbinding - rolling scars that have become tethered are manually broken off lower levels to lessen wave amplitude.

3) Filling - Generating or inserting filler - fat, scar, artificial - under divets to pillow them upward either temporarily or permanently




 

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2 hours ago, Ccmeow said:

These are the scars what do you guys think about excision

4AB72BA8-A7EE-4999-BF9A-D3CD4FD4E2C8.jpeg

0CD94590-BF18-4255-B2AC-EB8055FF476C.jpeg

A big no from me. I had the similiar scar on the temple with depth and harsh borders. After few sessions of erbium full ablation on the sides it converted into rolling. the depth was still there. so that dr did cannula subcision plus filler and it improved by 80 percent. no need for excision risk. 

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3 hours ago, getsmart121 said:

A big no from me. I had the similiar scar on the temple with depth and harsh borders. After few sessions of erbium full ablation on the sides it converted into rolling. the depth was still there. so that dr did cannula subcision plus filler and it improved by 80 percent. no need for excision risk. 

The doc told me because the scar is white like theres no fat under it, that it probably wouldnt respond to other treatments.  Do you think i should cancel my appointment or see if they can just try subcision on it first?

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You guys, im so stressed.  My appointment is may 24.  I dont remember if i mentioned hes doing punch excision, not scalpel.  If that makes any difference. Also i dont know if those pics do it justice how deep they are.   In shadowed lighting it looks like a giant pit in my face and looks pretty bad. 
 
also the doc told me the incision would only be 2-4 mm.  Idk ? Im so lost now. 

20 hours ago, harmlessboy1441 said:

My doctor basically took a smallish boxcar scar and doubled or more it's length in linear scar. What getsmart says is accurate that the depth isn't changed you can't change volume by excising but it sorta blends a bit. But again if you have a sharp or deep or poorly shaped scar than excision is a viable option.

Getsmart is correct that you should measure increase by 20% etc... if you're happy with that... etc. 

The problem with my treatment is my doctor seems to have created far more linear scar than should have been etc. 

 

is there anyway i can see a pic?

20 hours ago, harmlessboy1441 said:

My doctor basically took a smallish boxcar scar and doubled or more it's length in linear scar. What getsmart says is accurate that the depth isn't changed you can't change volume by excising but it sorta blends a bit. But again if you have a sharp or deep or poorly shaped scar than excision is a viable option.

Getsmart is correct that you should measure increase by 20% etc... if you're happy with that... etc. 

The problem with my treatment is my doctor seems to have created far more linear scar than should have been etc.

Is there anywqy i can see a pic?

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Posted (edited)

Again it can’t be punch because this site is large so probably it will be scalpel and there are some different scar removal tactics that may hide the scar. Again we are judging based on photos, if in person it is literally the worst then I don’t know. What most most people do is slant the edge and add filler like ha. They probably will draw like eye pattern around the scar and then suture it. See the video below. Again just be sure that Subcision plus filler won’t work. If you have already tried filler and sub. Then if it really really bothers you go for it. Can you circle in the picture the area you want to excise or the pit area.

 

Edited by getsmart121
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9 hours ago, getsmart121 said:

Again it can’t be punch because this site is large so probably it will be scalpel and there are some different scar removal tactics that may hide the scar. Again we are judging based on photos, if in person it is literally the worst then I don’t know. What most most people do is slant the edge and add filler like ha. They probably will draw like eye pattern around the scar and then suture it. See the video below. Again just be sure that Subcision plus filler won’t work. If you have already tried filler and sub. Then if it really really bothers you go for it. Can you circle in the picture the area you want to excise or the pit area.

 

  This is one i watched where a doc did punch excisions on some larger ones.    
They told me punch excision so you think theres a possibility id go in there and they just do regular? It so id probably say nevermind and ask if he can just try subcision instead.  We do plan on subcising my cheeks at the following appointment anyway.   
 
im driving 4 hours to these appointments because its the closest acne scar specialist, already have hotel booked.  I guess when i go i can ask more questions and if i dont feel comfortable ask to do subcision that day instead if possible. He has his RN do subcision usually, seeing him for excision so not sure if he’d be willing to do that instead this appointment. 

Heres another pic and my cheek scars they want to do subcision on.  Co2 laser as the final step on whole face. 
 
 

1642CFD0-65CB-4FD4-B753-B69FA7A587D7.jpeg

79D04A70-E71C-4884-9186-64BC70D6CBD2.png

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Excision option will always be there if you are not satisfied since the area is large let’s try other method first. If not satisfied you can always go for excision

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23 hours ago, getsmart121 said:

Excision option will always be there if you are not satisfied since the area is large let’s try other method first. If not satisfied you can always go for excision

So i took your guys advice.  

So, i spoke to the doctor’s nurse who was going to perform my subcision/tca/ laser.  She siad if im nervous about the excision we can definitely try the tca and subcision first.  So thats what were doing :) i feel better now.  If i see no improvements from that ill do excision as the last resort.  She did reassure me the excision is punch and its like one stitch and super small and definitely wouldnt be bigger then the scar.  But we are going to do the tca/ subcision first.  Do you think those temple scars could respond to tca ans subcision? 
 

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2 hours ago, Ccmeow said:

So i took your guys advice.  

So, i spoke to the doctor’s nurse who was going to perform my subcision/tca/ laser.  She siad if im nervous about the excision we can definitely try the tca and subcision first.  So thats what were doing :) i feel better now.  If i see no improvements from that ill do excision as the last resort.  She did reassure me the excision is punch and its like one stitch and super small and definitely wouldnt be bigger then the scar.  But we are going to do the tca/ subcision first.  Do you think those temple scars could respond to tca ans subcision? 
 

Ask them the size of the punch biopsy. They come in different sizes. Also if you are doing Subcision then also use filler. Again we could all be wrong and you don’t see much change. You always have the option open for excision. Only thing lost is time but if the outcome is bad from surgery you would regretting that you did it.

how can it be small? Are we talking about temple area correct ?

Edited by getsmart121
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7 minutes ago, getsmart121 said:

Ask them the size of the punch biopsy. They come in different sizes. Also if you are doing Subcision then also use filler. Again we could all be wrong and you don’t see much change. You always have the option open for excision. Only thing lost is time but if the outcome is bad from surgery you would regretting that you did it.

how can it be small? Are we talking about temple area correct ?

Yes the temple.  Im not sure.  Thats what they told me, i had a consult with the RN who does subcision/laser/tca.  But grabbed the doc to come look at the scars on temples to see his thoughts on punch excision as he would be the one who would perform that.  and he agreed that it would be good.   idk :/  
  
what are your thoughts on tca for box scars? 
  
do you think subcision wont work without filler?

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57 minutes ago, Ccmeow said:

Yes the temple.  Im not sure.  Thats what they told me, i had a consult with the RN who does subcision/laser/tca.  But grabbed the doc to come look at the scars on temples to see his thoughts on punch excision as he would be the one who would perform that.  and he agreed that it would be good.   idk :/  
  
what are your thoughts on tca for box scars? 
  
do you think subcision wont work without filler?

It might work but haven’t seen great visual difference without the filler. I had 3 Subcision sessions proper to that. It’s only when filler was used the area was lifted. I would say up to 80 percent improved. Filler will cover the depth. That’s how usually temple scars are treated. This is what dr rullan told me as well.

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Good to know.   Do you know if there is any risk with cannula subcision in the temple area?  Because of nerves ect

On 5/16/2022 at 6:03 PM, getsmart121 said:

It might work but haven’t seen great visual difference without the filler. I had 3 Subcision sessions proper to that. It’s only when filler was used the area was lifted. I would say up to 80 percent improved. Filler will cover the depth. That’s how usually temple scars are treated. This is what dr rullan told me as well.

 

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