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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!

Just an update, ^ This advice @harmlessboy1441 was so on point also @getsmart121, thanks so much! I ended going to Dr Rullan and yep he said the same thing. He strongly suggested filler, so I agreed and he didn't even put much in. Super happy so far with results post-week and 1/2 later. I'll also update in another couple weeks when the remaining swelling goes down. Also want to mention that Dr. Rullan said that I had a few boxcars but the majority of my scars were atrophic. Wh

Scarring doesn’t improve in one week unless you physically shaved the entire area. It takes time to see results. Set your treatment frequency every 2 to 3 months and wait at least, first it immediately heals the area. Healing goal is to first make it in a workable condition and after that slowly slowly results sets in.

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

Procedure started at 5:45pm, lidocaine injections were placed ten minutes prior. Once numb, he sawed off portion of my cheek. My skin flaked everywhere like confetti. I felt some stinging pain but nothing like laser. The thought of a metal rotating instrument like the ones they use to file down acrylic nails kept me on edge the whole time. It was probably 8 mins or so and it was done. I expected lots of blood but when I looked I saw slight redness. At first I sighed, one of disappointment.

I know they will not be completely gone, especially the ones in the middle. But flat them out so I can get a tattoo back piece would be fucking sick. This is my back after some heavy sun and sea after one weak and different lightning. Its better than before tho. luckly my chest is clear. Face got some small scars but nothing worth mentioning. I live in Germany and had many appointments with derms, waited 6 month for every appointment and only got some zinc

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.

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.

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

I am to see him two weeks from now for a quick check up. I wonder if I can just send pictures over to his instagram instead of driving all the way over there since it’s a hike. I highly doubt a dermabrasion like this will be anything significant in terms of scar revision. Maybe I’m cynical. The most I ask is that it’s not worse, I’d be happy with that. Next step is probably fillers. I say this with scorn as I hate the idea of fillers but man, I also gotta live in some semblance of peace. My

i dont visit the dr anymore either, unless its for something i know specifically and even then the chances are they wont prescribe it for me and offer me some alternative which has 10x more sides you cant forget the damage the drs have done to you once you realise what all these drugs do even the cosmetic derms, very very few people get good results from lasers and other treatments...i think more get botched and come home with even worse skin, the truth is noone really wants to help yo

As I answered in the forum i created, my testosterone level are very high, about 1100, and i have never taken any steroids etc. I'm not big cause i don't workout and don't eat a lot because i'm afraid everything breaks me out. But this testosterone level is for sure one of the causes of excess sebum production which in my opinion is major cause of these breakouts. I think why accutane works in our case is because it makes your skin dry and whatever gives you the pimples (bacteria, staph, fungies

I mean its kind of hard in romantic situations, sure my daily life is not affected, but everytime I meet a new girl I am always scared to show her my naked body I limit myself in dating very much. Feeling like deadpool on my back bruh. I dont go swimming with friends, I rather stay at home in summer. I just wish for a normal life, and I think everyone with scaring that bad can relate.

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

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.

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!

Exact same here lol, chronic sinus/rhinitis issues and insane amount of ear wax I've been using the Finacea for a few days and I'm optimistic, it does seem to calm my skin down a lot, but it's too soon to say what impact it has on the pustules. After just a few days though my nose creases look cleaner than they have in years... they usually have all kinds of gunk no matter how well I try to clean them when cleansing: Today is also a good day without any pustules, but with this

Accept it no one will gives a shit about your back acne, except you.

Hi guys, I wanted to share my story in the hopes that maybe it will help some of you. I've put a list of specific things that helped me at the bottom of this post, but I highly encourage you to read my whole post to understand exactly how I reached healing from roaccutane. My story: I was on a heavy dose of roaccutane for almost a year when I was 19. I got all the classic symptoms; depression, dry & thin skin, hair loss. After stopping roaccutane the symptoms began to slowly d

Definitely tried the BP regimen. My derm currently has me on Tacrolimus to test out whether it is Perioral Dermatitis. I also apply BP in the morning and do the Tacro at night. I think I need to clean up my diet as well and reduce my stress. I was in a Mexican small town last month where I didn’t have access to all my usual junk food and when I got back home, I cleared up to a manageable level and I was really excited. I’ve been trying to think what in the world I did differently. I was down to

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

Try to find a professional acne scar doctor with much experience. It looks like you will benefit from TCA CROSS.

Yes lasers have risks maybe more risks than others and you should google "orange peel" for example which scared me years ago. But for every terrible outcome there's many either "no change" or "good outcome". So it's really just something you have to weigh the upsides. I got major dermabrasion that worked really well for the most part but it seems they don't do it aggressive anymore since lasers came out, not perfect though as it left this weird texture but at least it healed the actual depr

Not sure Subcison is going to work on these scars just get cross and erbium for now. Your goal is to blunt the edges first that will give you the most improvement. Filler maybe for other scars if he sees you in person.

Thanks I hope it - I dont need smooth, perfect skin. But an improvement around 50% would be amazing. Less visible in bad light, thats all what I wish for my skin.

I had an appointment in September for Subcision and Filler. Hope that will help to improve my scars. I live in Germany and will travel around 700km to the doctor. He has treated scars many times, so he has experience comparing to others in my near. It was not easy to find someone, who did subcision not only every 2 years. I can post pictures before and after of course.

@shei514 First of all your scars definitely have improved ! For those 2 box scars, have you considered or heard about collagen stimulator such as Sculptra and Radiesse? It could be combined with subcision, i think the underlying method is similar to cupping, the scar doesn't get tethered back and on the plus side the stimulator would add extra collagen stimulation. Radiesse would be the stronger version out there but it also lasts longer than others. So if you have concern about your

Current protocol is earthborn elements st John's wort and vitamin c gummies to boost cytochrome p450 3a4, which is needed to detoxify the liver of accutane and toxic bile acids. Will see what happens in the coming week or two. https://pubmed.ncbi.nlm.nih.gov/14593076/#:~:text=Mifepristone was an effective antiandrogen,with a (T877A) mutation.

Hi, I just want to share my acne scar journey so that it might help some of you out there. These are some things that worked and didn't work for me. Don't ever give up and be very patient with the process. Before and after photos below is a 3 year progress. Acne history: I suffered from cystic acne ever since middle school and it got very severe in high school. Saw a dermatologist regularly and I was put on Accutane. Acne got better but then I started getting hormonal acne in college

@SlickClickwhat pinworm treatment did you use? Thanks

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

These were the results I was able to achieve after visiting him. My treatment isn't completed. I will be returning for touch ups.

Dr Rullan is hands down the biggest contributor to acne scar treatment in the United States in our modern day. I hate to see his name get dragged with these remarks. He invented subcision for acne scar, phenol cross and reverse chemabrassion. With these treatments, you can resolve 80-90% of your scars which no other doctor before him could accomplish - especially with such commonly available tools. He has been doing this longer than any other doctors and we should be grateful to him for his cont

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

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

aussie scientist, Ive spent alot of time with horse breeders and vetinarians, I asked them what is the numebr 1 killer of all animals, they all answer the same, worms!!!! then ive asked, how is it all our animals die or are debilitated by these worms yet we are immune? The vetinarians all answer the same, "were not" theres no worm that can live in your cat dog, rabbit or bird that cant live in us" hmmmmmmmm, so then we all have worms and those worms are all excretin

Hey everyone - wanted to post an update. I saw Dr Lim on Thursday before I flew home. He said he would like to do one more ultrapulse treatment in THREE months time. He said I’m healing well and can expect up to 80 percent improvement once everything is all done. I’m still red right now, but that’s ok. I thought I would post some pictures he took while I was in his office/clinic. He said the reason why he used CO2 core instead of ultrapulse is simple: ultrapulse is far more aggressive, uses more

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I think I experience a very similar condition. I've been off accutane for almost 5 months now, but I still blush rather badly. I always feel the pulse and the heat in my face, which only makes it get worse. I think it's even led to a certian amount of Social Anxiety Disorder or however you want to call it. Similarly to you, I used to have oily skin that tanned rather easily, now my skin is paler and dry, and is prone to redness. Hoofy's advice sounds excellent, but after seeing this picture

Where to start... I had mild to moderate acne up until 9th grade, when the cystic acne began. I was passing out papers in my math class and some moron says "what the hell is wrong with your nose??!!" (which is where the cyst just happened to be, so I looked like rudolph with a huge bump). By this time I was so sick of people asking me about - mostly friends who were concerned - that I said to him quietly so no one else would hear, but in a very stern tone "if you mention anything again you'l