1. Subcision(with pics)

    Forums Scar treatments 11 replies

    @abraxas21 Cannular subcision by a skilled Dr who knows anatomy yes. Otherwise Most Dr's will not touch the temples or forehead, one can go blind or other issues here with overly aggressive sub. The first rule is to know the anatomy, and sadly many Drs don't now this well either unless they are familiar with scars. They can always use a normal needle as well to spot treat the scar. Vascularity, muscles, etc is problematic here.Filler is a issue, saline or prp is fine.
  2. Acne scars

    Forums Scar treatments 5 replies

    @Florina994 Yes I would do more subcision. The problem with Chu is he does not use filler. I really do think sculptra throughout the scarred area and rf needling OR 3-7% CO2 (low density at full power) would help (you have Intracel in London med spa's), you can treat as you have time and money.Suction is great for deep pits, but does not work well for texture. Eventually you want to get to a place of peels or a deep erbium laser resurfacing. If you need at home solutions goto the FAQ - see the tca section, click the mega link. You need to spot peel your scars. I think paint on some of the pits would be best (instructions there). Resurfacing is always last. HA filler can be used on individual scars to touch up individual areas but if too superficial it must be done with care. Skin Booster's are another option, for texture it's done in Europe, but does not have the lasting power of some of the other things. BA Everything is optional, ... I know Chu just does his program, you might have to look elsewhere (Medspa's / expert injectors).
  3. @Reeb0k Hi there... Understand, fixed income. 1) What I would do in this case is subcsion is not that much money, figure on one a year or more depending on what you can afford, find cannular subicision, you might have to call around dermatologists or use the faq- top post in the scar sub. You can use Chinese cupping (Amazon) afterwards to prevent re-tethering. 2) I would buy a derminator, ... it's relivily cheap and you can microneedle your scars once a month deeply. The at home protocol is to alternate peels and microneedling. 3) I would Do a few TCA peels, ... please follow the guide in the FAQ, under peel section, click the mega-link You are going to spot peel only the temples or scarred areas, ... do a small patch test first as you have pigmented skin, start low % for your test, and build up as you can take it. 4) Nightly use differin or tretinorin and a konjac albutin cream. 5) IF you get some more money do some spread out sessions of rf microneedling OR 3-7% co2 at full power (this is called low density) over just the scarred area. These are stronger treatments and are optional. Treat as you have time and funds. The above are mainly at home treatments. BA
  4. @Maxzide Right away once wounds are closed. little goes a long way. Yes subcision causes bruising. Sounds to thin of a application for powder.
  5. @getschwifty Yes you can do Subcision and suction if you wish 6 months after. Stop suction if it causes you any issues,... you normally do not need subcision because you got sculptra is a spacer but I understand you may have areas that need spot treatment.
  6. Retin A and microneedling

    Forums Scar treatments 1 reply

    @Horus Microeedling no it does not matter unless it causes you irritation, stop a day before ... Wait till it heals and start a day after. Subcision yes stop a week before. Wait till it heals and start up again.
  7. @BusyKitty This is not scarring ... it's PIE or redness post acne. There are many things you can try ... we made a guide goto the skin section of the faq - top of the hyperpigmentation sub, ... Vascular laser is the most effective and the most costly. You can try comfrey balm and castor oil, retin a is also helpful. BA
  8. @Kratosandboy Yellow is normal this is bruising as you know. Even guys can get something like dermablend concealer and put over it during healing. Please be prepared cupping makes bruises this is by design to forum scar tissue under the skin. So something to cover it might help. Vitamin K is good for bruising.
  9. @acnewarrior101 Please make your own post and post some pictures, with a flashlight for directional lighting so I can help.
  10. Acne scars

    Forums Scar treatments 5 replies

    Chu is good, I can barley tell you have scars after all that work. It's just slight textural scarring at this point, ... I can tell alot is done. Chu does not do filler. I would have done Sculptra throughout the cheeks and done rf needling afterwards (3 sessions) for texture. I don't see any deep pits, ... it's mainly large pores and surface texture. I would look into getting erbium resurfacing (no grids marks), or a series of peels for the texure. The pits on the left cheek look like they are not subcised yet?? I would also do paint on tca inside of the pits (Let the acid dry and re-apply in the pit 3x ) - I would do several sessions of this with you. Chu does not really do textural treatments or laser as you know, ... we have some recommendations in the FAQ. I do also see you needing some vascular laser for the red areas.
  11. Hi There, As Quan said... I would do cannular subcision ... I would not use a filler as this is a dangerous area. Vascular in nature. PRP or saline is fine. You will need 3 of them. I would also do rf microneedling, I have had many people respond well doing this treatment for the temples. You space these out 3 months apart and between your subcisions. I would also do TCA Paint on to some of the pits, ... paint on means 3X in the same session when it dries and only to the pits. You will need multiple sessions of this. Finally I would do some sort of resurfacing like erbium to deal with the texture. Treat as you have time and money and stop at any time. Scar work takes a long time and the body is slow to heal. Because of your skin type you could have hyperpigmentation. Start on retin-a/tretinorin/differin and a konjac albutin cream nightly. Stop one week before treatments.
  12. 2 - Month gap for Phenol Cross can be ok. They are not going to treat all the scars at once anyways and you rotate through treating them. If they are nearby they can join. 2 months fit's your schedule, ... next time you can do three. See how you heal, that is a important factor. The nose is a hard area to heal. It can look worse before better. The scars can widen (and one needs a few sessions). The end game is resurfacing after Cross.
  13. @kman101 This is a very tough area to treat. The forehead has lots of muscles, little fat, and is highly vascular (veins and arteries). ""What bothers me most is that there are kind of "scar lines" "" -- This typically is a job for botox, as everyone get's lines on their forehead. Botox will soften this up. That being said you can do botox as you don't want your forhead or area between your nose to move. Few Drs will put filler in your forehead as it's potentially dangerous to do so. You can try subcision with a normal needle, no filler, ... prp or saline can be used. RF microneedling is great for these types of scars 3-4 treatments are needed. You do these 3 months apart between your subcision sessions. You can use a dermastamp to smash the scars at home as well. I would do erbium resurfacing and or tca peels for the texture once you work on the scars a bit. Treat when you have time and money. BA Dr Treacy is good in Ireland.
  14. Cosmetics / Products are a individual thing, ... you can try those if you want. Aftercare for miconeedling you can just do HA serum or nothing at all. I am not a big fan of copper peptides, but some people are. Retin-A/ tretinorin is fine. If you have a concern patch test it on a area of your face. Yes once a month peels are good, ... Build up to higher levels that are safe for your skin. You can alternate with microneedling.
  15. It takes months to heal, ... keep the wound moist. IT's all up to your healing capabilities. Nothing much we can do at this phase until we see what happens.
  16. Subcision(with pics)

    Forums Scar treatments 11 replies

    Note From MOD: Please do not post illegal medical procedures. Forum Rules: Potentially dangerous content. Any medical procedure must be performed by a qualified board-certified doctor. Do not post advice or how-tos on at-home, do-it-yourself, and/or illegal medical procedures or treatments that could be dangerous.
  17. If it's painful, Ice first, ... turn up the speed, ... most people a the fast setting cannot feel it. Buy some over the counter lidocaine cream for pain and aches or tattoos. This really isn't PRP because of the concentration of the growth factor's through that process but it does help. Your skin does not need to peel to have a good outcome. These are "micro" spots of healing.. Peeling can also be bad for the treatment. Do ""LIGHT - diluted water for lower %"" peels the next month if you need to peel. The point of microneedling is micro injury and healing to the skin. It does not take away scars, but helps the body heal itself. Think about retin-a, tretinorin, differin and AHA-BHA, serums. If you need to bump up treatments go get rf microneedling. You can still do derminator at home between treatments. BA
  18. This is completely normal. Pink is the skin regenerating the layers of tissue. Put some cream on it if you wish to keep it moist. It's very slow to heal. Swelling and Infection are things that effect the final outcome. The rest will change over months. BA
  19. While one pic, cannot help with the best recommendation (need a few and to see shadows)... Another Can poster, ... we get a lot. They all complain about the Dr selection and the treatment not being very good ;-) No you do not want to do fraxel treatments, ... that is a standard treatment for a Dr who knows nothing about scars and uses a name brand to sell you. No you probably need a combination of cannular subcision for the pits w/ HA filler, space it out 3 months appart, ... rf mironeedling 3 months apart and you have this in Can, ... Then do another subcision after the 3 rf needling, looks like you might need tca cross work for icepicks, ... can't tell for sure, several are needed, then a resurfacing procedure like erbium laser or peels
  20. You can buy a dermastamp or derminator yourself and do that at home and not pay a derm hundreds of dollars. A better med spa or Dr treatment is rf microneelding. Dermatology yes in Canda isn't great I hear this all the time. Picosure is good for ethnic patients but will do nothing for scars. It's good for discoloration and some collagen stimulation. I cannot tell all the scar types you have, ... could you take a better picture I need to see shadows to properly evaluate (flashlight). It looks like rolling scars but I am not sure without a proper pic. You most likely need both treatments but I would start with cannular subcision, ... the hardest thing to find in Canada, then we move to the rf microneedling. Results are based on how you heal, skin type, operator skill, etc.
  21. @Katski84 I would not be doing other appointments if your issue is hematomas or bumps. Resolve the issues and allow healing time. IF you want to microneedle. Just avoid the bumps and microneedle the face, .. .that is fine as you can avoid the areas;-) Sure you can do cannular subcision next time with Emil. I cannot recommend a specific blood thinner as every country is different. Asprin is effective. Please note if used you can "bleed" easier during surgery's and such so discontinue as needed.
  22. dermaneedling & blood loss

    Forums Scar treatments 2 replies

    There is no "blood" extraction with at home procedures, ... just office visits with prp and injections by a DR I suppose. You cannot goto the gym after you do microneedling. So plan on not doing it that way, ... goto the gym and do it after. You need healing time, and putting the machines against your face is not good directly after.
  23. They can resolve on their own, it can take months, ... you massage them daily, ... try warm compresses. Your local derms can inject them with steriod or hyaluronidase. This is completely normal, some are more prone to them. Again if they don't show it's natural filler and many want that benefit. You can take Anticoagulant or topical blood thinners to the areas. This is not one step back as many ares improved. It's just how your body responded and we learned you need a softer treatment. BA
  24. Retin a / differin, yes I reccomend this all the time nightly. (This is a lighter, topical form) Accutane, NO - who would treat with thinned out skin, side effects, and months to get the skin back to normal. Retin A helps many regardless of having treatments. Accutane is for emergency acne. cysts, and facial irruption conditions. Please Google the differences so you can see what they are between topical and the medication. The medication is NOT used for scar treatment. The Topical is!
  25. Hi there, thanks for posting. You seem to have textural scarring, no major fat loss or deep pits. Cannot tell "for sure"...with the single pic. They are box cars, a few rolling scars, and some icepicks. You have ethnic skin. I would do some cannular subcision on your with saline. Rf microneedling which is great for boxcars - you have intreacel/Infini in Canada. You major work needs to come from tca cross and paint on or spot peel for the larger pits where they pain the acid inside the scar. Several sessions are needed of this. I would then consider a resurfacing with erbium. Because of ethnic skin please use tretinorin/differin/retin-a nightly and some konjac albutin cream, or you will hyper pigment. Stop one week before treatment. Sadly Canada ... I do not know any good Acne Scar Drs. You can try getting this done by a general derm, med spa would have the rf microneedling, or travel elsewhere. Treat as you have time and money 3-months between. You will need picosure laser for discoloration towards the end.