1. Take warm water with some dissolved salt and soak it a few times a day. Another good thing you can do is put some lugols iodine with a q-tip and you paint it on a few times a day.
  2. derminator vs dermaroller

    Forums Scar treatments 3 replies

    What your saying is not logical. This is skin were talking about here. Do you want to blast it with dynamite as well. So you want more collateral damage? The point is fractional dermastamping like laser does not overly treat the area. Your body heals a portion at a time. Note you microneedle once a month so it's a repeated process. It's all about how you heal. I frankly don't care if you use whatever tool, ... you ask the difference. Dermarollers are old technology. They can never be 100% in the skin like a stamp because of how a roller works. A tire is never 100% on the road. So use a roller! Whatever will help you get your scar journey accomplished and what works for you. Most people don't want to damage their skin excessively to provide benefit. If it works, and with little side effects, then do it!!!! Apples and oranges are both fruit. Ba
  3. Yes they do. Look at side effects. Many cause acne or can cause scarring. They also can mess up the gut. Nothing we put in our body that is not natural does not have some sort of effect. Anti Depressants have a whole list of side effects many don't research prior to taking them. There are also hidden one's individual to each user and their health. All medicines can effect skin quality, healing ability, outcome, etc... For someone on any medication it would be best to discuss this with a practitioner. If they brush aside the possibility know there are connections between healing, treatment, and medication. I am not here to advise you on what to take or not take. You may also speak to a natural practitioner for alternatives with less side effects if you feel that could be beneficial.
  4. @Sirius Lee This is obviously photoshopped or the model in the pic is injected to heck (a lot) with Silicone and thus you cannot see anything. One can always find the exceptional case out of thousands. We really should not be discussing pics. Your response above was the correct one. To much BDD and perfectionism here. Acne scars are never similar, ... treated individually, ... we all heal differently. We have different expectations of when done is done. As such might as well look at beauty shots and Instagram selfies as this is not healthy (again I liked you prior above response about pics). IT's pointless to go off of one supposed perfect pic. This isn't even about the injector, nor skill. Give me a balloon and I will blow it up. Chipmunk cheeks are a thing. Most guys don't like this as it looks un-natural. The good thing about the excerpt above is the injector said what I have been saying for years. You do HA filler first, ... there are many other options before considering permanent. Look at real self (not the paid reviews by the 2 major silicone micro droplet doctors) and you see the horror stories of migrations, lumps, biofilms, please to get rid of it from the skin and they must cut and fish to extract. The filler does not age well. It was never meant for the body or large quantities like the above pic (even with microdroplet). Our body is not meant to have silicone and anyone selling it to you has a investment in it. Why do you think so few Drs offer it, because they know the lawsuits are not worth the bottom line $$$$$$$. Permanent Filler has permanent problems. Try HA first as a reminder and then if you really like filler Artefill is FDA approved (tht has issues as well but a safer choice). Be informed whoever reads this with research. IF anyone needs inspiration, read a post on acne.org of a REAL acne scar patient. Who got treatment and showed pics of improve. This is reality with no other purpose than to share their story. Drs will sell you anything to make a buck or pay off their machine. Anyone can find one beauty shot even if they have hundreds of cases of malpractice.
  5. @Sirius Lee: C.C. ^ @Frenchscar There is no reason for this! None... You know we have a FAQ, You were told many times to read it. You were told with your many questions all in new threads and never in the same thread to do a test spot first. You were told what to do for Ethnic skin. You have contacted me personally to ask many questions and I have guided you. You were made aware of the Acid Peel Mega Post and again told to read it fully. This means you have read nothing! You respond like you know better by saying things like 30% is a light peel and why did this happen to me (30% is NOT A LIGHT PEEL - This is not even how you do a test spot). If your not going to listen goto the Emergency Room. There is no excuse for this. You even were told in a separate post yesterday how to handle the freak out post and to read the acid mega thread where at the end several others are told how to deal with it and what to do. Now a warning from the MOD's: The content on Acne.org Site, such as text, graphics, images, and other materials are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment performed by a licensed board certified doctor.This can include all requests to obtain or use product materials that are illegal (to the public). Medical devices: scalpels, needles: subcision, excision, biopsies, exfoliation and ablation, acids, energy devices: lasers, body modification and manipulation, doctor based procedures (that are not public knowledge), requests for group support and cheer-leading to perform these surgeries on yourself or others. While we want to educate and empower members to make the best choices for treatments, we have members who are younger and uniformed of the possible consequences of using harmful information on themselves.Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on the Acne.org Site! If you think you may have a medical emergency, call your doctor or 911 immediately. Acne.org does not train, recommend, or endorse using any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site. Reliance on any information provided by Acne.org Moderators and Employees or other visitors to the Site is solely at your own risk.
  6. Advice on acne scars

    Forums Scar treatments 4 replies

    Nearby: Yes, You rotate treatments. Meaning you treat some, ... let them heal, and then treat the others. But please spot test first. I get so many freak out posts. You will turn red (PIE) as the area heals. So makeup is good. It does take several treatments. Some of the areas may get wider as the floor of the scar raises. At the end you will spot peel the cheeks or get laser resurfacing. We are morphing the scar from icepick/ tiny boxcars to surface rolling scars. Then we work on texture. Please see a professional if it starts to get to complicated for you. Dr Emil is in Denmark. No you do not need triple antibiotic. Strataderm I believe comes from Switzerland which is pretty good, La Roche makes some products, or Biafine.
  7. Advice on acne scars

    Forums Scar treatments 4 replies

    You mainly have tiny box cars and icepicks that need tca cross. Checkout the FAQ, TCA section, click the link (mega post) and find tca cross. Note you have ethnic skin, please do a test on one or two of them and dilute the acid per the instructions first. Also they can stay red for months so you may need some concealer, .. let the scabs stay on as long as possible. Do not treat them if they are nearby or they will join (rotate). https://www.acne.org/messageboard/topic/361029-acne-scar-qa-faq-library-of-popular-threads/
  8. Can Infini cause scarring?

    Forums Scar treatments 3 replies

    This just sounds like grid marks. Again "Needless to say give it some time 3 months (it takes 6 months to fully heal). With Infini it gets worse before better. Tell us in 3 months time the outcome." If you wish you can post a picture here or on realself.com for free advice from a doctor. Start up your differin / retin a/ tretinorin a week after treatment at night. Have you ask your doctor or treating physician. BA
  9. Acne scars

    Forums Scar treatments 1 reply

    I cannot completely advise you how to do a medical procedure. Please read the faq, goto the tca section, then click on the mega link. There is instructions for cross there. You will dilute with water to a lower percentage (see mega post) and spot test on a few icepicks. Do not do all of them before you test. IF they are next to each other they will join so rotate. Please note you can hyperpigment (skin discoloration) with this procedure and you can take several months to heal. Put some makeup over it. Do not let the scabs come off till they do so naturally. BA https://www.acne.org/messageboard/topic/361029-acne-scar-qa-faq-library-of-popular-threads/
  10. Can Infini cause scarring?

    Forums Scar treatments 3 replies

    The good old Infini catch 20. Are you ethnic per chance? How do you heal normally? Do you have sensitive skin? Any medications? What was done before and after the treatment and when. What was the energy setting on Infini and how many passes. Some just don't do well with Infini because they heal poorly, or they take a exceptionally long time to heal. Some Drs who use it turn the energy up to high for your skin type or they fire as they retract the needles (this can cause what you have had) or pulse stacking the pulses in the same spot repeatedly. Some have thin skin or the needles are too long. Needless to say give it some time 3 months (it takes 6 months to fully heal). With Infini it gets worse before better. Tell us in 3 months time the outcome. Or are you simply referring to grids which are common, ... the skin is level with the rest but there is a grid pattern. This goes away with time, just like microneedling. Put some makeup over it. BA
  11. What type of scars do I have?

    Forums Scar treatments 5 replies

    @Byebyescars Dr. Rullan is in San Diego and good for CA, See the FAQ for contact details. He treats those with ethnic skin types as well. BA
  12. I'm sorry for your condition. Goto a Doctor ASAP! Get a few opinions by Drs. Print out information on your condition. No one can help with a medical condition here. Search in Google for your condition. There are not that many people here who suffer from it. This could be from bacteria, yeast / fungi, viral, .... a simple one is your gut has issues (probiotics, fungi, etc). Perhaps look into naturpathic health practitioners. Cut out dairy, cheese, sugars. Go on a restriction diet if needed and add things that do not cause you problems back. Organic fruits and veg are safest most of the time, unless additional allergies. Have you considered allergy testing & food allergy testing? We had one other person like this and they were put on very strong Prednisone to stop their body reacting and attacking itself. https://www.acne.org/messageboard/topic/259206-amvc-spontaneous-scarring/
  13. Boxcar scars edges

    Forums Scar treatments 2 replies

    @Lorzz Travel to where they can do ablative resurfacing or if you can do nothing better do the tca and dermabrasion to the individual scars only to smooth the walls. Also have you done RF microneedling, this can work well on boxcars, you do this before resurfacing.
  14. Forehead Scars

    Forums Scar treatments 2 replies

    I would not worry about it frankly as your skin is in better condition then most people here, ...forehead - is a high movement area with the forehead muscles and lots of veins / arteries, also very little fat. I don't see scars per say. I see tiny lines on your forehead, botox is for that. They can do subcision to the slight boxcars wile doing botox or you can do a light peel. You can also buy a dermastamp and try that at home I again would do nothing, it's not worth the cost or the side effects..
  15. what treatment works

    Forums Scar treatments 13 replies

    You don't work on icepicks with a rf microneedling device. TCA Cross or punch excision are the treatments for this. He will be another patient who says I have grids who will not go away, ... I have damage to my skin for months, my skin is worse. Especially Intensif. He is not Caucasian and even then ... rf needling is not for icepicks. You must be careful with ethnic skin. Again Dr. Lim's advice if for Caucasian's. Intensif is not indicated for ethnic skin types "especially" because it's un-insulated. Hence a no no. Infini is for "all" skin types. Even Black. Intensif Lim often mentions for thick scar tissue (little with penetrate - severe cases), why hurt his skin when his defects are minor. If we get the scars to a monomorphic state (similar) we do erbium yag to those areas. You can do tca cross, Picosure is made for ethnic skin types. Normal Microneedling with prp. You can spot peel (very dilute) until you fix the pits. Some areas look like they could be subcised (his scars). Cannula subcision (with prp) would help alot throughout the area of scarring (for texture, spot subcision for deep pits). @Obi wan Please take a look at this, want your prospective. I would go with a focused approach "only" to the scars in question. What is your main concern OP we will tailor treatment (boxcars, or icepicks and large pores)?
  16. @user54321 Low price is never good, .. the most famous clinics in South Korea are the same cost as treatments in the states. Places like Korea, .. a non-trained assistant /unskilled Dr can also do these treatments. 23G is not a Nokor, it's a standard needle. Have them use the blunt cannula and then individually go back and work on the pits, ... if they don't have Nokor then use a standard needle. Unless your going to Korea I would not consider it. The cost with travel expenses, etc... On the most famous clinics is again the same as the states. The study uses a standard needle. We reference this study many times here, ... It's a old one ;-) Anything is possible. Does not mean the Dr is good, ... he is cheap though. You need multiple subcisions. Not a single treatment. They also have Drs who do Nokor there look at Oracle, Dream, and Renewme they are famous for offering what we already do here and calling it something different.
  17. Acne Scar Consultation w/ Dr. Rapaport

    Forums Scar treatments 10 replies

    I will save you $50 he is a energy based Dr. (some of you want this) Who now ($$$$$$) specializes in prp with hair transplant. He is on shows like The Doctors. Watch the videos below and you will see, without a consult. There are bad reviews for all the Drs we suggest on the site. People love to complain. If you didn't read every review we really have no idea why they complained. 9 times out of 10 it's the office wait is terrible, they are expensive, or they ignore a "overly" needy patient. The biggie is unrealistic expectations (managing them) and BDD (yes Drs can be terrible but so can patients). The top acne scar Drs worldwide have bad reviews, why do you suppose that is, haha. You goto realself to complain and on yelp to say how terrible it is, ... the truth is somewhere in the middle. Happy people do not post and live in contented bliss. Ever read a Amazon review (some silly stuff). One can goto a expert injector anywhere, ... the hardest thing to find is Nokor subcision. Many dermatological teaching hospitals offer this (schools that teach dermatology) otherwise call around and see who does it. We are not all the same. Our concerns are all different. We heal differently and can even have different experiences with the same DR. Take the plan we offer, find a Dr who will help to achieve that treatment goal, and stay in charge of your care. If you don't like the answers or they push something, ... walk away. They need to have a justification of why their way is better and often it's bullshit to push machines but not give a personalized answer (the laser is magical is not a good answer). Many ways to the same goal. Do you know plastics, derms, even general practitioners can now charge for online consults. Download the new derm apps and you pay for a consult. You find this many times for people who do not want to travel for the initial apt. Free is not always good. Novick and all of them charge for a initial consult, better to be in your own comfortable space. $50 is nothing, Most Drs are $125-$350 for a initial consult. Secondly we are not a referral service here, we are only offering a few suggestions. There are TONS of good drs. Do some research yourself and look up their reviews, photos, find someone nearby and not across the country that does the procedure you would like done. RESEARCH. The point is the prospective Dr listens to your concerns and work with you to fix those problems. Do they properly answer your questions and give you enough time to address concerns. How many times do they do nokor per month, If it's their first time well you have your answer. A good Dr is doing these things several times per month. There is a major difference between a cosmetic or aesthetics Dr and a general derm. While there is some cross over, and one must know surgery. A general derm typically prescribes things and does not address aesthetic improvements. Even these guys can do filler and botox but it does not mean they are good or devoted to artistry and cosmetic improvement, that is a major difference between freezing / biopsy of moles and creams for rashes and sculpting one's face. Even plastics can be clueless about defects and be all about their preferred facelift. Dr's can become myopic in their specialties and a certain treatment they offer. Do you want the boob lift guy who does hundreds a month working on the scars on your face,... Dr Rapaport I have had many from this site who are happy with what he does, ... so again find someone who meets your needs. We are not desperate here and do not have to goto the most talked about Drs on the website. Rapaport can be stubborn as he is well known pretty much like all derms who get a big head sometimes, and their fame gets to them.That being said there are posters who need a laser Dr who has infini and that is what he is, ... a energy device based Dr. That's what happens in this field, the more someone is known their prices go up, ... they have less time for patients, they give more talks and are sponsored by pharmaceuticals and medical device companies. They get comfortable and think they have figured it out. You pay a premium and you put up with some arrogance. If they will not do what you want look elsewhere. Sometimes compromises must be made depending on the circumstances. No one has to be desperate, walk away! Consult with a few people if the doctor is unknown and you would like a second opinion before you start treatment. I would personally contact people who have had the treatments done over reviews which can be paid. Do the Drs make youtube videos on the subject, or write white papers about it. 2-3 Consults before treatment are the smart way to go if they are nearby or you can video chat (you will be spending thousands over time. You can always goto a closer provider ( expert injector for filler - nurse/dr) if you find a subcision Dr. I have nothing to sell you, and nothing to gain. Endorsing no one, I am helping you for free with your research.
  18. Do whatever you have the time and $$$$ to do, ... you can always wait longer periods between treatments. Get a derminator if you don't have money for rf needling and start with that at home. Get some differin from Target OTC nightly. Etc. See the microneedling section of the faq. Sure you can start with suction. You need aggressive subcision, ... your scaring is over the forehead, cheeks, etc. Some of the scars may not be tethered and this is why you need filler with cannula for texture. If you cannot afford it ask about prp or saline as a alternative until you can. I also see rf needling helping you a lot, ... Do this when you can. Patient's healing capabilities and expectations. The portion of the doctors skill seems less of a thing to me. Perhaps not doing something ie. not doing filler will give less results or too much like these mega session Drs with no time to heal. But it all comes down to health/healing, you will see what works for you.
  19. You have both boxcars and rolling scars. Mainly pebbled textural issues. Regarding your comments on "pictures causing skin textural issues afterwards," one can always do nothing if they are content and afraid of any treatment. Most of these treatments rely on your ability to heal, if that is poor or you have other health issues which effect this, then yes you can have skin texture issues after treatment. The second group your referring to even from our site here had unrealistic expectations of outcome and as such nothing but perfection is what they expected. This is not how acne scar revision goes. It's a long process with it's ups and down, ... most of it psychological. Ok good your seeing Rullan. You need Nokor subcison for your biggest pits and filling with a cannula also known as cannula subcision throughout the cheeks where your scarring is with a spacer like filler, prp, etc... Sculptra can be a good choice in a case like this. You will need 3 or 4 treatments and you wait to top up till the filler runs out. You also will need RF microneedling. Rullan does not do this. I would goto a med spa or another Dr for this part after you have your initial subcision wait 3 months and then start. This will help especially with the box cars. 3-4 treatments are needed. Next Rullan is excellent at deep peels you can have this done for your surface texture (Even in ethnic patients) or you can go elsewhere for fully ablative erbium resurfacing. This is for the texture when your scars are more monomorphic or lessened and on the same shallow depth. Rullan is excellent and you could do all this with him. I know he does Subcsion, traditional microneedling, and he trains other Drs how to do peels. IF the scars remain stubborn after al that you can try co2 laser at 3-7% density and full power on the toughest spots to break up the scar tissue. This is fully optional. You can choose what you want to do and don't want to do, just make sure to do 3 months between treatments. IF you have ethnic skin you must use tretinorin / retin a/ or differin (OTC - Target) nightly with some bleaching cream that has konjic and albutin. This will prevent discoloration. Stop 1 week before any treatments. The forehead is notoriously stubborn, so time will tell what above works best for you in your plan. The skin is thin, has lots of muscle and very hardy compared to other parts of the face. More info is in the FAQ linked below (signature).
  20. Scars type and advice

    Forums Scar treatments 13 replies

    @One_day123 No you don't need the tretinorin / bleaching cream before filler (mainly energy or peels) but it would be good to start this at night as a practice because you will get some improvement-turn over just for this part of your treatment. Filler with subcision should not be much more than filler alone. Both use needles to enter the skin. IT will probably save you money. Nokor is hard to find and few derms do it. Filler with cannula is easier to find, any expert injector can cover the area agressively with a filler spacer over your scarred area. They need to go back and forth through the scarred areas and inject in a fan motion. Even Drs-nurses who are not acne scar specialists can do this.
  21. Scars type and advice

    Forums Scar treatments 13 replies

    @One_day123 I see you did one treatment of subcision with no filler and some microneedling. You have pretty severe rolling and box car scarring. I would get subcision this time with filler (you will need 3 or 4 treatments spaced out when the filler runs out you top up again). I see you needing both nokor for the largest pits and a cannula throughout the whole cheeks. As I think Sirius said sculptra would help you injected throughout the cheek with a cannula. This would act as subcision on a different plane for the more superficial scars. I would do between top ups for whatever filler you choose RF microneedling which is not microneedling. This treatment is safe for your skin type and would help break up some of the scar tissue. For further improvement you could do 3-7% density with the highest power setting co2 only to the thickest scar tissue areas. You could then choose to do erbium resurfacing but because of you skin color many Doctors will be conservative to avoid side effects. Also before any treatment you need to use hydroquinone or bleaching cream albutin or konjac and retin a / differin / tretinorin for 3 weeks before treatment with a one weak break. This will prevent possible discoloration.
  22. Acne scar help

    Forums Scar treatments 84 replies

    @Jollyhohnson Dr Chu does microneedling subcision and tca cross if needed and he is in London. BA Link is in here https://www.acne.org/messageboard/topic/361029-acne-scar-qa-faq-library-of-popular-threads/
  23. Use whatever you want. Stamping is rated better by many patients as it' treats the scar better (deeper depth, force, less damage). We recommend the Derminator because there is nothing better, it works well, is relatively cheap with the cost Drs charge for treatments, and can be done at home. No you don't want microtearing with a roller, which causes more damage to tissues. It makes ditches or long areas of tearing as apposed to needle penetrating in a column like anything else (laser, etc). The name of the game is minimal damage with enough to stimulate remodeling. Some cannot handle microneedling at all with the fragile and thin nature of their skin. Now if your asking how much micro tearing does a roller make, no idea, there have been microscopic images after treatment that do show this. For some I would imagine it does not make that much of a difference, relatively to the severity of scarring. If you have one use it, otherwise use a dermastamp. On the body rollers are better as it's thicker skin, more area to cover.
  24. Skin texture? Pic

    Forums Scar treatments 3 replies

    I don't really see many scars, and the very slightest texture issue. You could not worry about it... When you are off of accutane wait 6 months and do a tca peel. Your skin will improve some with time as Accutane is still in your system.
  25. Icepicks can be some of the easiest scars to treat. Most doctors do TCA Cross and most derms are laser Drs. You will need several procedures, you will have redness after, they can widen (but this is taken care of with resurfacing), it depends on your bodies ability to heal. Some of the people who freak out over this have one little scar / icepick / chickenpox/ boxcar or they over treat their face with exfoliants, treatments, acids and wonder why they have large pores. The treatments done are not magic and will not fix everyone. Your only other choice is to do nothing. There is risk with anything done, ... if it's not broken then don't fix it. TCA cross is one option and the other for only a few small scars is punch excision then resurfacing. Now the confusion I have seen with some of the posters privately contacting me (some with one to a few scars), they do not have deep icepick scars but boxcars, chickenpox scars, or the wrong scar type. Hence it will widen before resurfacing is done. Secondly the comment on not treating the walls of a icepick is silly as Dr. Lim will laser them and resurface, ... he is a expert, ... are you posters attempting a medical procedure on yourself? Yes if that is the case you can screw up the face. Dr. Lim is saying if you have the right scar type for Cross it's unusual for them to widen (Under His Care!). Do you have the right scar type. Contact him and find out. Boxscar widen with TCA Cross. Period! Then you must resurface. You do not have a deep tiny diameter icepick if you have a boxcar. If you want to avoid widening as is the big topic here you do not treat the walls. Treating the walls widens them. This is basic stuff. It depends on scar type and application. Some want the walls widened, .... say you have a pit and want it softened with the surrounding skin. 1st TCA Cross, 4 weeks post-op. My scar is 20% worse, please advise. johngoodman1900 Los Angeles, CA I have a narrow boxcar scar/ ice pick. Post 4 weeks 1st TCA 75% treatment performed by professional. scar has widened n deepened by about 20% (more visible).if this is correct. How should I proceed ? I’m guessing wait at least 8 weeks before even considering a 2nd treatment. If still slightly worse at 8weeks can I try a 2nd treatment or leave alone ? As it’s slightly worsen post 4 weeks am I very unlikely to receive a successful result in the end. Many many thanks Answers (2) Pre and post op photos. 1 This would be very unusual given your description. For deep ice pick scars, the use of TCA CROSS has almost zero risk of widening the scar, providing the surrounding skin was not treated. Highly unusual for this to occur! If you could post some before and afters, including the concentration used, and the photos post op, this can guide us to the mystery of why this happened. Broad scars such as chicken pox or saucer shaped scars can WORSEN with TCA, but ice pick scar ... very usual indeed. Acne scar revision is a sub-specialised field. For the best results, one should target the acne scar type with ideal treatments and not just one device. The web reference below will take you to a resource to help you understand acne scar revision at a specialist level. I embedded all the videos in one page to help. For example deep ice pick scars, and narrow box car scars can be treated with TCA CROSS peels, mixed scars, rolling, and atrophic scars treated with fractional devices such as Fraxel, fractional lasers, PRP and INFINI radiofrequency. Atrophic scars (depressions) can be treated with either fat grafts, or with HA dermal fillers. Tethered and anchored scars are best treated with surgical techniques such as subcision. Other surgical techniques that we use include punch elevation, surgical elevation, punch excision and traditional excision of focal scars. The majority of patients will have a collection of different scar types, and hence a tailored treatment METHOD will be best. Careful examination, especially under angled lighting with scar mapping will give you an understanding of what are the best options for your scars. In the majority of patients its finding the correct combination that give you best results, and everyone is unique! All the best, Dr Davin Lim. Acne scar dermatologist specialist. Brisbane, Australia. SHOW LESS