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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!

Hi, I had a very similar scar (mine was deeper and bigger than yours) excised recently by an ophthalmologist. They perform a layered closure, in which the underlying tissue is closed with absorbable sutures so that the level of the surface matches the surrounding skin after healing. In my opinion, there is not much dermatologists can do about it because of the tricky location, and I personally wouldn't feel comfortable with someone microneedling that area. When I got the anesthetic injection I t

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.

@Dan Thank you, it actually ended up healing mostly fine. It looks like it was just part of the recovery process.

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.

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

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.

Hi everyone, I wanted to share with you the results I've had so far from Fraxel and subcision (with Sculptra injection). I've had two sessions of Fraxel (in March and April this year) and have one further session to take. I'll probably use have this final session next year. I've subsequently had three sessions of subcision, with Sculptra injection performed at the same time, in June, July, and August. The doctor performing this procedure has recommended four sessions in total. The i

Yeah I was down the Demodex rabbit hole for a couple of months and while I saw some promising results, it never completely cleared my skin. I tried various acaricidal agents like topical Soolantra (ivermectin cream), oral ivermectin, topical sulfur, and the ZZ cream which I posted about earlier. With the ZZ cream I got to a point where I was 95% clear but still had some white pustules, and as you all know 1 or 2 white pustules is still enough to drive you insane. At some point - around mont

Relax some people have it worse than yours. Coming to treatment you need to shave the edges of scars with erbium and phenol cross combo.also look into Taylor or cannula subcsiom. Not sure if your scars are severe enough to consider Taylor subcision

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

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 definitely think you need an expert just because someone like Lim would probably pull out 4-5 things out of his tool chest and see if he can simultaneously work on things that have different textures, needs, and so on. That's just my impression. I don't think an ordinary plastic surgeon is geared enough for complicated cases. The subcision might push out some other scars you want less noticeable too so idk I think you need various things or a good plan. Now as far as I know bruising happe

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.

It's severe for sure, but you're super lucky it's on your back. Not a single person will ever care that you don't remove your shirt, and you shouldn't care either. Personally I wouldn't even know how to improve it even if you wanted to. I don't even know if they do this on the back, but potentially subcision or fat grafts or something, fat transfer. That's my only guess if that's even possible. Maybe some excisions mixed in with that. But that's just my 2+2. I don't know if you want t

I think you got very decent improvement. To be honest if the redness wasn't highlighting the scars it would blend much better. Good luck on anything else like the laser. But I think you did pretty good so far. I'm not much of a fan of TCA but maybe the way you got it was the key in it being successful. Did you get just a TCA peel? Or Cross method? I see you got phenol cross maybe that was more beneficial. Spending $15k though at least you got good results for that price. Wish you luc

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

Looks like 1 of 2 things to me: 1. Acne cosmetica: Caused by makeup. It can linger for months after you stop using an offending makeup. 2. Scrubbing too hard. I used to get this kind of thing when I overwashed and scrubbed.

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

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

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

There are ways to nuke the area but depends on the scars. Like phenol Chemobrasion, deep dermabrasion. When it comes to scarring treatments there are no guaranteees. You will always damage In a controlled fashion and hope it heals in a certain way. But scars keep on changing as u damage. Again I can’t tell from the pictures what damage she has.

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.

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

Hi all - I also have issues with this, lots of pebble stone looking bumps all over my chin that seems to look worse when I wear makeup and in certain lights. They aren’t very visible when I smile or when the skin is stretched out. I still have active acne though so I’m going to start my 2nd round of accutane and will let you know if that improves them at all.

Hi Friends, It has been almost 3 years since i posted. The last treatment i did was subcision and tca cross which was Dec 2019. Since then, I've quit smoking and alcohol and started to live healthy lifestyle. The first thing i did was cut down alot of sugars/hidden sugars from my diet, dairy and greasy food. Was consuming more proteins, vegetables, vitamin C and whole food. I've lost about 8-10kg since then by doing more on HIIT workouts. This is just sharing from my experience. When i star

I am ok but some lighting are just bad and you are super conscious about it. Yes it is like a ptsd thing even though the condition is improved it’s just is hard to get over it mentally. I still have scarring but it is nowhere as bad as when I started. lol girls are starting to flirt with eyes a lot but I still can’t gather up the courage to take action. I just have to be open for rejection. I just don’t want the rejection to be because of scarring I am much comfortable in mirror. In mi

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

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

Hey Lany. Wondering if you can give us an update about your phenol peel? I’m seriously considering on having it done in August.

any update post treatment, how is the recovery going?

So long as the scar being treated isn't hyertrophic or lacking a ton of volume I really don't see a problem in micro-coring extracting scar tissue and it closing up normally. The device is an array of hollow needles that creates cores of complete skin right down to and a bit after the dermis even hitting the fat(it suctions these cores out of the skin), the body's response to small injuries from needles even to scars is to close the hole up, if microneedling doesn't leave open holes in scars th

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.

Used to be an acne suffer, so I really want to share my experience with using low dose of Isotretinoin (aka the infamous Accutane). I hope my story will help and shed some light to other people as well. I had acne for 11 years, I started had acne when I was 14 and until I was 25. And quite honest, life with acne was a living hell. Until I discovered Accutane that's when my life started to turn around. I was on 2 full courses of it, both time my skin was not just clear but perfectly clear and

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

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