1. Yesterday
  2. years of acne scar

    Forums Scar treatments 30 replies

    This is one of the best improvements I can remember on this forum for "textural" type scars.   This is where there are no deep or big scars, but numerous ones so close together.   Pat yourself on the back, this is incredible work you've put into this.  

  3. You're a good candidate for subcision and fillers.  What you have working for you is that your skin texture is mostly smooth.   The skin overlying the scars is not rough or jagged, which make them ideal for filling / subcision.   There is some volume loss in the cheek area.   If you fill this out, it will look immediately better because the shadowing will be reduced.

  4. Last Week
  5. Acne scar help

    Forums Scar treatments 103 replies

    Just quickly read through this, but awesome progress.   I'm not sure what you are deciding with filler, but if they truly are very superficial now, I would probably do a finer filler than Sculptra.   Sculptra is more for revolumizing wide areas of volume loss  / sunken cheeks.  It might be too unpredictable if used superficially since who knows how aggressive of a immune response your body mounts to the sculptra.  You don't want lumps.   Btout perhaps Dr. Rullan knows how to fine tune it so you avoid those lumps.  

    Reading all the great stories about Rullan makes me wish I could go back in time and started my journey with him.  Top notch guy all around.

  6. I think what is important is that the bands are severed, and if he can do that more safely with a blunt instrument and minimize collateral damage, thats a GOOD thing.  I also like that he's only making one entry point now, which will minimize the potential for incision site scarring. 

    Also, I think the use of cannulas will allow for more superficial subcision, something you can't do with a sharp scalpel-like instrument.   This is good for people with more textural scarring and widespread, but not deep pits.  

     To be frank, I think the incidents we've seen documented on here about his subcisions in the past causing too much hematomas prompted him to switch things up.   I think it's a positive development.  



    Thanks for this info.

  7. He seems willing to work with patients.  Just tell him you want to do a test spot.  A test spot is always a good idea.  Give it a shot, the worst he can do is say no, but you have a legit and logical reason why you want to do one. 

    This is why you should be careful with permanent fillers..

    https://www.realself.com/question/fort-lauderdale-fl-desperate-silicone-microdroplets-removed-face#

  8. Since they're superficial you can try Belotero, Restylane Silk, Juvederm Vollure (apparently new).  Voluma is too thick and hard to be used that superficially.  

    If you eventually want to do permanent, I would try Bellafill.   It's permanent and has the same risks as Silikon 1000 but at least it's FDA approved specifically for scars.   Also, I have read studies that show that lumps from Bellafill respond well to cortisone injections to flatten them, whereas Silikon 1000 lumps are very hard to treat once they form.  

    Spend the money and be safe rather than sorry.  Money you can always make back  

  9. For your scarring, I would be VERY wary of permanent fillers.   Your scars are widespread, but not very deep.  In these borderline cases, you may end up overcorrected and get bumps.  If you decide to do it, do it only on your deepest scars and WAIT and OBSERVE.     

    Remember, the volumizing from Silikon 1000 is only partly from the material, the other part of it is the collagen that your body produces to encapsulate / wall off the foreign substance.  That is why you have to wait 1-2 months to ascertain your immune response.  Also, while Rullan is a top notch doctor, there have been reports of people who were overcorrected or got lumps from temporary filler from him.

    At least in those situations you can dissolve the filler.   Being overcorrected with permanent fillers will cause a life long headache.   

    Do not do permanent fillers for your first time.  You have to KNOW first if your scar type even responds to filler.  Rullan can do an amazing job of filling your scars, but the unknown variable is your body's immune response.  Better safe than sorry.

  10. Last Month
  11. Yeah, I specifically suggested this doctor to the OP because they have the right scars - discrete, deep, soft shoulders, normal texture overlying the scars...If you have sharp jagged, small, but widespread scars it would not be ideal.  First, you'll more than likely get permanent lumps which are just as bad as pits.   

    Personally I think rolling scars are one of the easier but certainly NOT cheap types of scars to fix.  

     

  12. Damn $1100 for one syringe....

  13. Since you are willing to travel, this Dr Shah in Vancouver seems to be pretty good at filling scars.  This patient in the link had bellafill, but you could certainly ask him to use something non-permanent.   The results are quite impressive given the severity before she started treatment.  

    https://www.realself.com/review/vancouver-bc-bellafill-25-years-treating-deep-acne-scars#

  14. I don't think you should do any more lasers because they won't do much for this type of scarring.  You don't have much sharp edged scars that need planing down.  You really just need volumizing and subcision mostly.

  15. I'd consider switching strategy and go with Rullan.   That is way too much to pay for poor results.

    Your scars are discrete with soft edges, and suited for subcision and filling.  This should be a straightforward case.   I would not be happy with this either. 

  16. Struggling

    Forums Scar treatments 13 replies


    When you say your mom had the worst acne scars, are you saying that hers was comparable or worse than some of the examples we've seen here?  Maybe the root of your obsession is seeing how your mom suffered from it and you developed a complex.    What does your therapist tell you about your scars?   You admitted that they are mild so your therapist must have leveled with you and told you from an objective point of view.  Honestly, if it really is mild, then the only thing that will help is intense therapy and medication.   
     
  17. Even in the US any licensed doctor can open an aesthetic clinic.   Tons of doctors have left their specialities to open med spas offering filler and Botox and other aesthetic procedures.  They take a weekend course and then call themselves cosmetic surgeons.    They know that the real money is in aesthetics because cosmetic procedures  is 100% out of pocket for  patients.

    Aesthetic / cosmetic medicine is the least regulated among all medical specialties.  It's totally the wild West.  Near zero oversight.   

  18. Uh okay.   That was..... Interesting.   The difference between a $125 in person consult vs the phone is that they can actually see you in real life.  The difference is more than obvious.   You're telling it's acceptable to charge $50 for a phone call and then $200 for an in person consultation?

    Honest question, what is your relationship to some of these doctors?  Why do you defend certain doctors so vociferously?

  19. How do you feel about your treatments so far?

  20. Knowing the right things to say and actually having a good aesthetic sense are two different things. Anyone can recite stuff from a textbook. 

    Realself has not been a reliable resource for a while.  Most of their reviews are completely fake (zero pictures, 1 or 2 sentences).

  21. This doctor needs to be put in the "Do Not Even Bother" bin.   He charges ridiculous prices for what he offers and frankly I have yet to see any decent results from him.  I have had personal conversations with people who have gone to him and they are not positive.  

    A phone call for $50? That's a new one.  

  22. I absolutely agree with your point.   Most doctors just know what they were told in a book, very few actually have an aesthetically astute eye.   Most of them are by-the-numbers and don't approach acne scarring with a thoughtful mind.  

    You're looking good so far and here's to hoping you retain most of the improvement once the swelling dissipates.

  23. years of acne scar

    Forums Scar treatments 30 replies

    Damn you accomplished a lot in a year.   This is excellent improvement and I bet you are thrilled. 

    Which treatment do you think gave you the most improvement?  

     

  24. More Than a Month
  25. How would you rate your improvement so far?

  26. On 5/11/2018 at 1:16 PM, Amp2695 said:

    what about dr rullan?? 

    ok question: usually erbium laser is the final step in a scar revision plan, are you at that stage w your scars??



    I have thought about it, but only for select scars with sharp, jagged edges.   For those, no amount of filling or subcision will get rid of the sharp demarcation.  
  27. He wasn't lying.   The reality is that his scars are minimal - moderate to begin with.  It's pretty incredible given how severe his case of acne was.   I honestly think he didn't even have cystic acne, but Acne Conglobota which is one of the most severe forms of acne.   He really walked away practically unscarthed.   On the other hand we have peopel here who scarred from even less severe cases of acne.   Its really genetics and your ability to heal.

  28. This was pretty recent right?  I'm assuming it's still swelling.   Please continue to update us on your progress!

  29. I like him, but he's just not that well versed at all.   He described in the video that Dermabrasion is a lighter treatment.   That had me cringing because he doesn't seem to know the difference between microdermabrasion and legit Dermabrasion.   One is spa treatment and the other involves taking something that looks like a Dremel to your face and sanding your skin down.  

    It's very basic, and he gets that wrong too.   And for someone who's only done microneedling, he's not in a position to give advice about more complex treatments.  Many people on here have had several different types of treatments.  

    I didn't know about the sponsorship thing, but if he did refuse it then at least he has ethics.