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Hi All! I'm not very active on this, but I might start giving updates on my acne scar journey. I have darker skin tone and have very deep acne scars, so it's quite difficult to find doctors who are willing to work on my skin. I've seen two doctors that have been mentioned on this site (Dr. H from BH and Dr. T from SLC). Before starting treatments with these two doctors, I did get 6 sessions of secret RF microneedling from a medspa which was a waste. Anyway, I saw Dr. H last year and I'm gla

Man, your skin is literally perfect, go and enjoy life!

8 weeks post-procedure. Tried to get lighting as close as possible.

Yeah I think Dr Rullan is very open and honest he talks a lot about his methods and what he thinks works the best. For him that’s the quatro and the phenol peel. He is also open to patient input and very forthcoming. I’ve had so much improvement since seeing him that’s why I keep going back. It’s a shame his office is terrible at responding. Here are some pics from the first two days of healing

I would do absolutely nothing and go live my life in peace.

So in my comment I wasn't really referencing your areas of atrophy. Those scars in the center of your back are pretty deep and can only improve so much; however, its probably the least worst place to get them so be thankful for that. But for the areas on your lats - thats what you can get smoother. And you can improve the color everywhere. It depends on how many treatments you get and how your respond. Most of my scars are skin colored and lay mostly flat, making them more unnoticeable at a

I’m back to make a comment to help anyone else who stumbles across this post from a Google search like I originally did. i was free from the condition for over 6 months but somehow something triggered it to resurface. I believe strongly it is fungal. But as per Aussie Scientists posts it does matter what yeast is causing it. I assumed mine was candida. so this outbreak I managed to get some Nystatin online from a German pharmacy. Can’t seem to buy it in the UK.

I dealt with some hypertrophic/keloid scars on shoulders/chest and got some pretty good results. Yours are definitely not keloids, but I imagine the treatment would be similar, minus cortisol injections. It would be something like a vascular laser or IPL for redness and then a fractional non-ablative laser for texture (basically to smooth them out). This is a very large area, so it'll probably be expensive. Just go to a couple dermatologists and get opinions. Good luck!

Back is the least area people consider. As that is not how you intoroduce yourself. Your face is used everywhere from employment to relationship. That is what gets highest marks. Now that out the way there are scar and pigmentation. What you can do is target pigmentation with retinols and for scars not sure as the skin heals differently in the back. For temporary solution make sure is well moisturizer oily skin will divert the attention from the scars. Have you ever seen body builders oiled up.

I thank to god I was asleep during mine that's all I can say. I can't even imagine how deep he went on me given the scabs I got afterwards. Still thankful but ouch... Must've been like a geyser in that office. I mean if it works why not consider it. Dermbrasion has it's place. Whether it's just for icepicks maybe idk. Whether it's good in concert with lasers idk maybe. I'm bummed doctors abandoned Dermabrasion (the old type that went deep or effective, risks notwithstanding) and jumped

Scarless healing doesnt meen turning scar tissue into normal skin(that will probably never happen) but rather either allowing the skin to heal without forming a scar or removing the old scar and allowing the skin to heal all over without it.

I think you just had fractional laser. You might've had grid marks and the area turned darker and the skin fell off after 5 days. I used Obagi cream tretinoin 0.1%. I stopped using it 1 week before the procedure, and I waited 1 week after to start using it. Although maybe it's recommended to not use it until 2 weeks+ after. I also used some PCA gel with kojic acid that's supposed to act similar to hydroquinone for about 4 weeks before the procedure, it didn't help with hyperpigmentation.

Thank you Dan and Lizzieswellness for the reply. I’m happy to report that the drying has improved drastically and so has her skin. We still have a few spots but things are looking good. I’m glad that we remained patient and followed the regimen.

Phenol and erbium combo abrasion

So I attached two photos, one from 2017 when I was first assessed by Dr Lim and he said I was borderline excision. He opted for lasers and subcision to treat my scars. Now five years later, countless treatments and scars remain. Less deep but they are going nowhere… The pic with the shitty drawn arrows is 2022. These scars I am the most concerned over.

https://scholar.google.com/scholar_url?url=https://www.spandidos-publications.com/ijmm/22/2/229/download&hl=en&sa=X&ei=O_LxYumDA7yUy9YP98Sv4Ac&scisig=AAGBfm3gGFLIKSGJWMvZfkYgnB6-cWe6sQ&oi=scholarr Our study demonstrated that nicotinamide attenuates atRA-induced overexpression of AQP3 in cultured human skin keratinocytes and decreases water permeability. We also provided evidence that nicotinamide inhibits atRAinduced EGFR and ERK activation. This novel finding 234

Hey - I appreciate you taking the time and energy to make a website dedicated to the white pustules, but to be completely honest, I don't have any hopes that a doctor will come up with some perfect solution to this disease and save us all. We know already what the problem is - i.e Gram-negative folliculitis and/or Staph folliculitis - and as you mention Accutane is currently the "best" solution (with 1000 side effects). There are actually lots of case studies on this white pustule disease a

I'm curious why no one has recommended a tca or phenol peel. Do those not work for areas besides the face?

Unfortunate to hear but its why im not a big fan of laser.. subcision is fine though. Wish you luck! im doing subcsion

Hi, my healing is slow. Unfortunately not much progress as of right now. I'm using Good Molecules transexamic acid + niaminicide, LeRoche Posay Cicalfate balm and spf (during the day only). I'm also using silicone scar tape/patches I got from Amazon.

Which doctor did you see for your dermabrasion? This one is charging too much and as I am Canadian 8000 American would come out to over 10 grand canadian for me. Not worth it. I am basically contacting many dermatologists and plastic surgeons right now throughout North america and sending them my pictures to find out their prices and to look at their before and afters. So far no one's really made an impression. I saw his work on youtube as well. His reviews aren't too good. California de

+1 This stuff spreads like wildfire. If you are not in control then it will get out of hand quickly. This is why it's so important to get on a good diet and/or skincare regimen to stop the trainwreck in its early stages. Otherwise you will risk further mental health decline/skin scarring, etc. Sometimes I forget some of the basic things that can help with this condition, here are just a few tips: Don't touch your face ever... except when your hands are clean or you are doing y

this doctor does dermabrasion but his staff said they cant show me any before and afters https://www.instagram.com/p/CKM69erjKLO/?igshid=YmMyMTA2M2Y=

I tried TCA with a prominent derm in my area who specialized in it. I wanted a test area first and I'm glad he only did a few scars. My results weren't good. My scars became wider and visible after a few months. I believe he did 80 or 90% percent TCA. I discourage people to experiment with TCA at home and if you're going to do it with a doctor, ask for a small test area first. Most derms who are into medicine and not about the $ will agree to a test area for a minimal fee before committing

My procedure was a combo treatment done at the same time. I had a phenol cross (like TCA cross), subcision, then fractional Erbium laser. Your progress seems the same as mine. The skin turns darker, little scabbing, and fall off in about 5 days from the laser. Then it was mostly fine, except for the areas where cross was done. The cross areas started out light-pink or whitish on day 1, then progressively got darker and redder. They looked really bad for 2-4 weeks. Eventually I think the ski

Not buying it. I had dermabrasion done and my doctor did really well on my cheeks (80%+ on depth) but in reality he created two shallow but large spots that hypopigmented and are large. He said "oh that'll heal well don't worry". Not even close it didn't change in size one bit. Basically it was a blunder and doctors say stuff like that sometimes when they either don't know or hope for the best. I don't really blame him s he did fantastic on my cheeks but screwed up there, so yeah lol... I'm

So after many many years of trying everything from acids to sugar to eating healthy I decided to go the most extreme method, the only thing I haven't tried yet and that is not washing my face with nothing at all. For the past 47 days water has not touched my face, I don't even shower, I just use a rag to wash the important parts. Here is what I have experienced so far, the good and the bad. The skin mask is thick, most thick is on my forehead. My play was to not exfoliate until the 3 month mark

Spot nokor sub and juvederm fillers when the swelling subsides

My guess is a combo of subcision and ablative laser resurfacing with a 50-75% improvement expected. But, that's a guess. You want to get under the care of a really good plastic surgeon or derm who specializes in scar repair. I tell everyone to get 3 or even more than 3 opinions and see what they say.

Hope it helps 100% , subcision and fillers should work!!

I never had subcision btw. I had a poor excision or revision together in that one spot which made it worse. My leftover scars are more textural at this point but the problem is they are very textural as a byproduct of such good depth and healing from super aggressive dermabrasion. Problem is the texture is unpredictable day to day the pores can dilate or turn red. I need a subcision on my cheek scar but the pore scars I was considering maybe careful erbium. At my age I just want the

The theory of his new procedure is to specifically target the edge of the scar with liquid and then burn it with erbium. This way you reach fastest to rolling appearance for boxcars. Hence making it look smoother at one month mark. I have done it. I do see a very good improvement. I think if you already had a full field Subcision. No need to repeat it again just do cross and erbium abrasion.

So just out of Dr Rullan’s office today. No punch excision for the boxcars Rullan said he prefers this for deep ice pick scars and not boxcar scars. Instead I did erbium, subcision, filler and carbolic cross. Dr Rullan said for the quatro he prefers this method now and one session alone can provide powerful results. He is seeing a lot of improvement in his patients using this method. Cost $2300 USD and some change.

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Hello! Has anyone had trouble getting into contact with the cosmetic/acne scar revision consultation staff at Dr. Rullan's office? I don't know if I've been blacklisted by the office, but they won't return any emails or calls. Maybe they're swamped? Just wanted to see if anyone's been able to get in contact with them recently, within the past few weeks.

no, i strongly agree with you. i find men/women with scarring absolutely beautiful and resilient. my SO has acne scarring and he is the most beautiful man I have ever seen. I tell him all the time that his scarring is attractive to me, not only because I have it, but because I find him more human and less superficial than everyone else. I want real people with real skin who aren’t afraid to be themselves and see the rest of the world as viewing our current beauty standards as wrong (i.e. filters

I'm supremely suicidal man. These are supposed to be my prime years of life. Being a young adult, just living my life, enjoying while I still can! But here I am curled up in my room, just eating, sleeping and being depressed. My brain fog is massive from all this depression and the self loath I absorb every time I catch my own reflection. Its hard being optimistic man. I'm legit facially deformed. Acne and these scars took away my high school, my college, everything. I've missed out on normal te

I completely agree with everything you said above as well. I took a gamble on Hazany and it paid off. Some improvement is better than none (just my personal opinion). I also realised and accepted my face is never going to be the same but I feel alot better about myself after receiving my treatments even though they came at a premium and I am ok with that. I have my reasons why I choose him over someone else. As far as treatment goes, I have received: phenol Cross, subcision and Scupltra (hi

This is a Scarless healing Thread. Please dont waste our time with discussion about Lasers that have a long track record of doing bugger all for scars, any results you see are minimal and probably a result of swelling, I speak from experience. People want to remove their scars not improve them marginally and lose a lot of money in the messy process. The momentum for scarless healing has gathered much more steam the past 5 or so years because of inferior current day treatments. Lasers and ot

Whats the point you're trying to prove here these past few days? You came here with this wave of negativity and keep criticizing everything. What are we supposed to do? What does the thread say? "Scarless Healing". That's all we are trying to talk about, discuss future prospects and what not. Everyone here realizes that verteporfin may or may not work. Do you expect us to stay depressed about our situation and not research into future prospect on what may or may not work? Longaker ha

we can create entire organs from scratch. creating collagen that will plump up your scars and offer a permanent result shouldn't be that difficult in comparison.

Getting rid of the damaged tissue altogether has always been the best treatment, only thing was another scar resulted from excisions, now you don't get a replacement scar, just neighbouring healthy skin filling the gaps.

An old thread but well worth nudging from time to time. When on Accutane either as a short term Rx or long term off-label anti-aging use, I had to find a whole new approach to deep-skin moisturising. I took high dose Accutane on Rx decades ago to cure cystic Acne. Now, I am using it again off label for full-body skin anti-aging. My skin most certainly does 'remember' Accutane as it reacted very quickly on my face after all these decades I find the 20mg I take, has made my skin

I am in my 50's it made me look younger. Gave me a facelift. I have an age spot that faded and really have no wrinkles. I had no idea this would happen. I got acne during menopause and this really cured a lot more than I bargained for. :)

Has anyone figured this out because it’s been driving me insane. I’m 27 and this literally happened out of nowhere to me. I have Always had perfect skin. Never had a pimple in my life that I can remember. A few months ago I got A bump on my face and started scratching it. Turned into a scab that I picked. Then on my chest there was a random hair that kind of looked in grown so I pulled It out and then it turned into a scab. Again I picked it and now I’m left with this disgusting thing on my ches

I wanted to mention that zinc has been really helping my skin. I've read that vitamins and health is related to acne. I read about zinc, decided to give it a try and its done wonders. I hope this helps someone.

I am also a 14 year old British girl. I have severe acne and have been on Lymecycline for nearly 5 months now. I was prescribed it at the same time as Dianette (a form of birth control pill). So each morning for 5 months I've been popping these 2 pills and have actually had great success; the majority of my acne has cleared up. However due to the severity of my acne I have been left with severe hyper pigmentation (red marks) and scarring so my dermatologist prescribed me... Skinoren!! It is

Thanks Dudley. Yeah it is aquaphor anywhere it is shiny.