beautifulambition

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About beautifulambition

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  • Gender Male
  • Interests Improving Scars. Have tried it all. ^ Adam Levine is great inspiration of beautiful skin ^

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  1. Nothing is working!

    You have a light infection or allergic reaction, call the doctor or see a derm! You can try tipple antibiotic until then and diluted white vinegar pats (2 times a day), no other products.
  2. Picosure tends to work best on Ethnic skin. For those of more Caucasian variety Vascular laser: V-beam, Excel V, IPL are better choices. 1064nm is nonablative laser and produces collagen - working on PIH. This does not effect the dermis so it's a safe treatment for you along with v-beam. Notice most of the PIH patients that are treated by lim with Picosure are Asian, due to the melanin in their skin. It's mainly used for tattoo removal if you look at realself.com IT's not cheap when you figure weather v-beam, ipl, excel v, 1064nm you need multiple treatments. But yes the 1-2k cost if for resurfacing. Infini RF/intracel/ secret/ vivance, etc would also work for you as it protects the dermis (this is not for discoloration). Subcision w/ filler also work for pitting.
  3. How severe are my scars? Treatment Options?

    Yes you have rolling scars, they are superficial in nature. You need 3 sessions of subcision with filler. I would do (3) RF microneedling, there are many brands like Infini, Intracel, Intensif, secret, etc... You schedule these around your subcision. I don't see any icepicks. I would finish off with many medium strength tca peels (from a derm or med spa) or a sedated TCA peel with a (derm / plastic) that will get under the scars and resurface the texture - this is considered a deep peel. Regarding your PIH or Hyperpigmentation I would not treat until you treat your scars as this will bring some redness. Vascular laser is the best for this. Finally the body takes time to heal, please allow months in between treatments, ... many treat over 3 years as they have down time and money. You can start now with your subcision. Read more about subcision and acid peels in the FAQ - top post of the scar solutions sub.
  4. really deep discolored scar

    Please goto a derm, so your ready for your spring break, ... things can get worse. I don't know if your in the healing phase or post where you can do glycolic peels to resurface it. Your skin seems sensitive. No hydro.... does not cause discoloration, it's a weaker OTC steroid. Hence next steps would be to try a skin whitening or bleaching cream with albutin or hydroquinone in it. Goto target if it's been a month after and get differin which is a OTC retin a sub. This will also help (at night - use sunscreen days). You won't get thinning if you only do it for 2 weeks Hydrocort....
  5. Scar on forehead

    Typical treatment for a scar like this is subcision with filler/botox and something for the texture weather a acid peel or erbium laser resurfacing once the area is raised. I have seen good results with botox (used as a spacer) and subcision, then worry about the texture as stated above. This area moves (muscles) so botox is necessary.
  6. Nothing is working!

    Don't be scared,.... looking at the pic, they probably had the setting way to high. You only need level 3. I think they turned up the power again too high and that is why it looks like that. You have sensitive skin. Can you go elsewhere for the next one. It will heal up fine, just take a long time because they did a higher treatment on you (when you turn it up to high you don't get the benefits of protection RF microneeling provides - too much energy). Your skin will peel when it's that high (setting). Talk about the settings next time to whomever you goto. Have them give you a vicodin or a pain pill and xanex or something for the worry if you wish Every little bit helps.
  7. really deep discolored scar

    Is this from a treatment or how did it happen. Vascular Laser ( aka v-beam, ipl, excel v) is the treatment choice for PIH. Hyperpigmentation. You can try hydrocortisone for 2 weeks only it's sold OTC. Hydroquinone also works for some people. If it's a fresh wound let it heal. See a Derm for treatment.
  8. Nothing is working!

    They did not numb your face? You can use topical anesthetics, and have injections done. Also some Drs give laughing gas now for pain. IF your doctor will not allow this. Take a pain pill next time and put on topical anesthetic you can buy before you go in (occlude with saran wrap for a hr). This looks weird. Bleeding can happen. Almost looks like you have swelling like laser and extremely sensitive skin. Hopefully they used the right device. @Obi wan take a look above at the pics. Do you know what the power settings were? Possibly she went to high for your skin. Fire will go away take a pain pill if needed. You can ice if needed (cover the ice bag with something sterile). I would use a healing cream like strataderm, or triple antibiotic or honey and aloe if it is post 24-hrs.
  9. Fractora for deep ice pick scarring

    Fractora as I recall is a kind of rf microneedling. This does nothing for ice pic scarring, ... but does protect the epidermis if insulated. Ice pics respond best to tca cross and only treat the icepick scar bed, so this might be a option. Doesn't sound like he does it though. With sensitivity your only other option is clear and brilliant (takes several sessions) or laser genesis, these are more gentle lasers. But cross is best.
  10. What might work for this Surgical scar?

    Go to Dr. Lim now and see what he suggests, you can stop accutane for a few weeks and start up again. Let him know you have done so. Dr. Lim knows about Infini, fillers, subcision, etc... He might be able to get away with laser as well. He is knowledgeable on the subject of tane and treatment.
  11. Scars, redness and orange peel texture

    You don't do both ;-) Just one or the other. Save the cupping if the filler runs out and you do another sub. Filler is more optimal as you have seen from your treatment.
  12. What might work for this Surgical scar?

    This picture is very small so I can't advise you the best. Is the scar from the mid ear to just under the lower part of the ear in a line like scar? Dr. Lim is extremely good with lasers/ expert, for him I would let him use this method on you (many bad doctors out there with lasers). We are not against lasers here, we just do not choose it as the first choice for wide spread acne scars. You have a scar that is minimal and can be hidden or treated. Note I do recommend erbium peels for texture but suggest for acne scars (this is not) peels first for texture before laser. Ok so some solutions (note these are options for this type of thing, many solutions get to the same point): * Subcision with filler and or botox if the wound is depressed * PRP Injections * Erbium Laser Resurfacing or CO2 for the texture * RF Microneedling to break up the scar tissue * Wound-Scar Revision / Zplasty Flap by a plastic hiding the wound in the contour of your ear * Acid peel of the wound * Vascular laser if their is discoloration I Would think Dr. Lim would do the filler/botox - subcision and laser option. Use Strataderm after your procedure for proper healing of the wound. I would not mess with DIY stuff here TCA Peel/ Cross if you have the funds (this is covered under your medicare supplement I believe) as this is not a acne scar and as such harder to treat, underlying skin structures have been affected. Dr. Lim can get you 50% improvement definitely, go see him!
  13. Tips for wound healing

    I believe Dr. Lim and a few other doctors are mentioning Strataderm out of Switzerland (Also sold in the USA) being the best post surgery , revision gel. It also has silicone in it. Dimethicone. Dermatix is a good liquid and scaraway and cica-care are the same patch wise. With a liquid you must apply a twice a day but its more convenient. Some like a patch covering the area of red or during the night time.
  14. What kind of treatment do you recommend ?

    Hi there, You have mainly rolling and box cars with fat deficiency in the cheeks.I would start with subcision using a nokor needle and do filler (you will need 3 sessions of this spread around your rf microneedling). Filler is essential in your case, and does require a top up, if you like it down the road you can get something like PMMA or Bellafill but I would not start here as it's not reversible and the body needs to heal during revision (HA is naturally found in the body).I would also do RF Microneedling, there are many brands including infini, secret, intracel, intensif, etc... (you will need 3 treatments of this).I would then do either several TCA peels (derm, or med spa) or a Sedated TCA peel with a dermatologist or plastic surgeon to get under the scars and resurface the skin. You may need more than one , ... another option is erbium ablative resurfacing with a laser, but I would start with peels - less side effects. Goto a doctor who specializes in your skin type for resurfacing. Please checkout the FAQ - top of the scar solutions sub, first post, and look at subcision, and tca peels. You can have some good improvement, but it will take take. For some that is over 3 years as they have the down time and funds. Also The body needs time to heal so please put some months in between treatment's to rest.
  15. Newbie needing someone to talk to

    Quad gave you excellent advice... You have all scar types. Mainly rolling and box cars with fat deficiency.I would start with subcision using a nokor needle and do filler (you will need 3 sessions of this spread around your rf microneedling). Filler is essential in your case, and does require a top up, if you like it down the road you can get something like PMMA or Bellafill but I would not start here as it's not reversible and the body needs to heal during revision (HA is naturally found in the body).I would also do RF Microneedling, there are many brands including infini, secret, intracel, intensif, etc... (you will need 3 treatments of this).For your icepicks you will do TCA cross now (several sessions are needed) - this raises the scar bed.I would then do a Sedated TCA peel with a dermatologist or plastic surgeon to get under the scars and resurface the skin. You may need more than one , ... another option is erbium ablative resurfacing with a laser, but I would start with peels - less side effects. Goto a doctor who specializes in your skin type for resurfacing. Because of your skin type you need to prep the skin to avoid hyperpigmentation, use skin bleaching cream, also called whitening, or hydroquinone with tretinorin or retin a 3 weeks before and after you heal.Please checkout the FAQ - top of the scar solutions sub, first post, and look at subcision, and tca peels. You can have some good improvement, but it will take take. For some that is over 3 years as they have the down time and funds. Also The body needs time to heal so please put some months in between treatment's to rest.
  16. Suggestions for my Scars

    Hi there, you have all scar types. Mainly rolling and box cars with fat deficiency. I would start with subcision using a nokor needle and do filler (you will need 3 sessions of this spread around your rf microneedling). Filler is essential in your case, and does require a top up, if you like it down the road you can get something like PMMA or Bellafill but I would not start here as it's not reversible and the body needs to heal during revision (HA is naturally found in the body). I would also do RF Microneedling, there are many brands including infini, secret, intracel, intensif, etc... (you will need 3 treatments of this). For your icepicks you will do TCA cross now (several sessions are needed) - this raises the scar bed. I would then do a Sedated TCA peel with a dermatologist or plastic surgeon to get under the scars and resurface the skin. You may need more than one , ... another option is erbium ablative resurfacing with a laser, but I would start with peels - less side effects. Goto a doctor who specializes in your skin type for resurfacing. Because of your skin type you need to prep the skin to avoid hyperpigmentation, use skin bleaching cream, also called whitening, or hydroquinone with tretinorin or retin a 3 weeks before and after you heal. Please checkout the FAQ - top of the scar solutions sub, first post, and look at subcision, and tca peels. You can have some good improvement, but it will take take. For some that is over 3 years as they have the down time and funds. Also The body needs time to heal so please put some months in between treatment's to rest.
  17. What type of scars do I have?

    These do not look like scars, they are PIE or post acne wounding. They take many months to heal naturally. We have many treatments for them, basic ones are honey and aloe vera or triple antibiotic cream. For those who do not want to wait or they do not go away vascular laser / IPL makes the red go away (takes several treatments). See the FAQ - top of the hyperpigmentation sub, first post.
  18. ISO SCAR SPECIALIST NEAR KANSAS CITY

    I don't know a doctor in Kansas, you would have to check realself and yelp reviews and call for treatments. This is not a common area we are asked for acne scar specialists nor has anyone mentioned anyhting. Erbium will do Nothing for icepicks, ... the treatment of choice is TCA Cross (many sessions are needed to raise the scar bed. Some of your boxcars this will also work on if they have a defined border. Some of the spots need subcision first to release them (box car pits). RF microneedling works well on boxcars that do not work with TCA Cross. Dr's and med spa's will have this around you like Infini. I would also do some TCA spot peels to the cheeks once you raise up the icepicks with cross to even things out. We have a guide to TCA Cross and TCA peels, top of the scar solutions sub, first post FAQ. Goto TCA section, click link for post and read the first page.
  19. What type of scars?

    Same thing. Atrophy simply means ... fat or tissues are gone, (pitting). One is a general term, the other the type of scar.
  20. Scar Treatment Help

    @Raster Peels can be done for "monomorphic" scarring or as you know fully ablative erbium resurfacing. Few I have found do this like Dr. Lim who overrides the Profile's settings and treats free-form by hand... Most doctors are doing fractional erbium or a "light preset peel" - which you need several of. This is why I think a strong sedated peel with a doctor weather Phenol or TCA is much better and more widely available for texture issues. They do the same thing for texture irregularity if performed by a expert (The point is you need it deep enough to get under the scars).
  21. Subcsision should target each scar or all the cheek ?

    @Obi wan I have been helping this poster ... Student .. in France... Can't or does not want to pay for travel to Emil / Chu. Going to local Dr's who are doing standard needle subcsion and CO2 lasers. He is ethnic and has atrophic scarring (rolling on cheeks, some box cars). He tried the suction method and it reattached apparently a week or 2 latter. Told him to save up and get Nokor done by Chu / Emil and get filler done. I suggested filler weather the above Drs or a local french Dr (money is a issue), they get some supplement for healthcare with their local healthcare - ... but cannot find a "acne scar specialist". There is no one there that does the Taylor Liberator method that I am aware of in Europe. Individual scar treatment is best with Nokor for your scar issues.
  22. What is my condition and my options?

    You have PIE, ... post accutane acne wounding. This is not scarring. Again please look at the FAQ - top of the scar solutions sub, top post, goto skin, and PIE, ... lots of treatments there. Vascular laser being the most effective ... but this will go away naturally in many months.
  23. Scarlet RF or Infini RF for pitted acne scars

    @misshopeful123 There are many machines that are similar, ... yes. As long as it has insulated needles to protect the dermis. Maybe the aesthetician is good if she is trained professionally the doctor. I know in some office nurses do this work. It really depends how many cases they have done with the machine, their training, and especially for acne scars their experience. It is your right as a patient to get her to do it or to go elsewhere where you feel someone with more experience is operating it . Ask lots of questions, inquire to the number of acne scar patients like yours they have done monthly. You may always test it on a spot of your scars first and see how the person handles the device before proceeding.
  24. Acne Scars - My Journey - Subcision

    @EagleEva That's cheap for RF Microneedling. Here it's a thousand or more a treatment. So yes get that done. Subcision costs are about the same, filler being more costly. Why not wait on the dermiantor until closer to summer, and do all the DR treatments now. Derminator can be used for upkeep at home. You want to do one treatment a month, especially the doctor type ones. No TCA Cross is for shallow or deep icepicks, small boxcars, and rolling scars that have a defined border. It lifts the scar bed up. IF Emil found some to do great do those (cross), then subcise the rest and do your saline suction, and finalize with a deep sedated peel or several TCA peels. Great subcision on the forehead is needed and rf microneedling with also help (both). Yes smaller needle is fine here. Tunneling is the simple act used with a needle or cannula during filler, it's retro grade releasing substances or making dermal tunnels. That's fine about saline, ... if he normally does filler it's just something else to try (he normally does filler). IT's not that he does not know what he is doing, it's your having him try things he is not used to doing. Dr's do similar procedures once they get a pattern. Your not lecturing him if you discuss ObiWan's treatment suggestion. He is used to injecting botox in the forehead I am sure, it's just a combo treatment most doctor's don't do because of the added cost I think. You will not get embolism or blindness from filler or saline, both are biologically found in the body, they can dissolve filler, any doctor worth his salt know's anatomy. He is a expert injector and used to injecting all around the face. See the video above, he expertly injects filler, for acne scars.
  25. Mild acne scarring help

    Yes mainly big & scarred pores, some ice picks. You could take care of this with a sedated Peel (Rullan is in SD and does this, quick flight away). Unfortunately I do not know a lot of good places for peels in the Bay Area that are not expensive and no one exceptional for scars. Dr. Ting is expensive in San Ramon, Dr Ransom in SF is a expensive plastic surgeon. As you are a student you can a) save up money some every month and go get treated, b.) care credit or a credit card to be treated, c) read the faq - top of the scar solutions sub first post, goto the tca section, click the link and read the whole first page. You can do this at home with enough study. You will do a test spot in a small area one icepick of tca cross at a low percentage to test is first, also testing for spot peels by the ear. This is all in the instructions. The only reason I mention this is the cost factor / student... A doctor could also do a fully ablative erbium peel if they go deep enough under those scars, but peels have less side effects, cost, and I suggest trying them first. You seem to have some skin pigment, please for 3 weeks before use skin bleaching cream and retin a or tretinorin (differin is OTC at target) to get your skin read for treatment, you will also do it once you heal again to avoid pigmentation issues. Dr. Rullan specializes in all skin types, especially ethnic he can do a single sedated peel for this if your scared of DIY.