1. Last Week
  2. Low Dose Accutane (10mg/day): Day 55

    •  Only one cystic acne that got popped during shower (still taking so long to get dried up). 
    •  Few small ones come out but they disappear in 1-2 days.
    • A lot of left over red/brown spots.
    • Got 2 new pitted scars from breakouts.. 
    •  I notice a lot of facial hairs grown up after I started Accutane (I am pretty sure I never had this much before)
    • Eczema developed around my eyes and nose and it made me extremely itchy... but after applying some moisturizing cream, they disappeared in a week.
    • Planning to take 20mg/week after I finish this pack (15 pills left)

    TCA Cross (Spot Treated): Day 42
    • Pretty much the same.. not much improvement..
    • One of the treated area got so much wider... but got like 10% improvement in depth. 

    My face got so much worse for past few months..meh.. but I am so glad that the initial breakout is near the end. 

    1.thumb.jpg.ce4e0a247dea45f2f481e9113401aa14.jpg2.jpg.da5a1a0eab6e1f595d69e8bceb3b1557.jpg3.jpg.8efd94356795c1065012d430d715b412.jpg4.jpg.cc5d048991a7384daf970bf58e6b2e55.jpg

     
  3. Last Month
  4. Low Dose Accutane (Day 45),10mg/day.
    - Still in initial break period but the severity is getting better slowly
    - 2~4 pimples every week
    - Dryness 
    - Itchiness (especially around eyes and nose)
    - Still getting extracted from spa bi-weekly
    - Skin texture got softer
    - Face with a lot of red/pinkish spots from breakouts and extractions. Some of them fade away within 2-4weeks but some of them are still very visible even after 3 months. 

    TCA Cross (Day 32)
    - TCA test-treated spots (yellow circled in the picture)are basically not improved much.. in my opinion.They certainly got wider and became more noticeable. In depth-wise, they became around 10% better. However, so far, I still think the scars actually got worse. Hopefully, they get better in time. 

    Within 2 months when my face become more stable, I am planning to visit clinic to consult about TCA Treatments. Probably 5 treatments every 1-2 months. 
    5.jpg.7acb1e3ad53bef3e3ddf18828eaf68d8.jpg1.jpg.a020f1d61db1071b94922fff650afc29.jpg3.jpg.f8dc749747310b4e3d07e94d7d9d23b5.jpg4.jpg.4cd6348edf88b988a1eb5e976d4060fc.jpg

  5. More Than a Month
  6. Day 28.

    Basically the same, more dryness. All pimples from last update still on my face with new pimples but I noticed they are being dried a bit faster. They still take forever to get dried up though. Going to go get extracted AGAIN tomorrow. I got extracted last Friday.. yet there so much more to extract tomorrow yoohoo!

    Few days ago, I woke up with extreme itchiness on both my hands (it literally woke me up at 12:30pm) and I could not sleep for a long time because of this extreme itchiness. 

    This side effect is quite harsh.. so I decided to even lower my dose to 20mg/week. I am going to take 20mg/week for at least a year and going to start treating my pitted scar with TCA Cross treatment within few months when my face become completely stable with low dose Accutane.Hopefully, the side effects and initial breakout are less severe for 20mg/week..

    - Not much difference on spots treated with TCA Cross. They still look pink/worse. 

    I will probably update weekly/monthly from now. 

    3.jpg.806d0f7db6e45d6b67571c4389c5f405.jpg4.jpg.937b67507d65ffb7ed90b1a56edc9f99.jpg

  7. I am currently on 2nd course of Accutane but I decided to take low dose this time, for a long time. It is been almost a month. I was taking 10mg/day but decided to switch to 20mg/week because this initial breakout is too much for me.

    Anyone here on low dose Accutane? experienced I.B while on low dose?

  8. Day 25 Low Dose Accutane:

    Taking 10mg/every day this week,
    - More noticeable dryness on face
    - Body getting itcy for no reason
    - Planning to get extracted/managed by Spa bi-weekly
    - Usually.. more like most of the time, 6-8 active acne on face, one very huge cystic acne on my left cheek beside the nose.. it will be huge.. :smileys_n_people_50: I can feel it
    - Going to start managing my diet too.. not very strictkly though..

    Day 12 for TCA Cross (Test Spot Treated); indicated by yellow circles:

    - Scrab from 40% TCA fell off more quickly (could be because the scrab for 40% was a bit smaller)
    - All scrabs fell off by the 7-8 days.
    - They are quite red, and look worse, deep.. hopefully they get better over time
    - 40% treated spot does not really have significant difference


    1.jpg.fc683f77c0cf59651e405a22273973f0.jpg
    InkedInked2_LI.jpg.1a3c5dfde5ca03272a18bd4e768fdeeb.jpg
  9. This week, I took 10mg/every other day:

    - Most of extracted ones left me red scars (got extracted last week from clinic); my doctor said they won't be       scars.. but.. meh... most of them left me scars..:smileys_n_people_24: 
    - 1-2, 5-6 new active acne on right, left side respectively 
    - Little dry lip
    - Acnes taking forever to get dried up.. 

    I certainly experienced  more severe hair loss when I was taking normal dose (1st course) than low dose and  I  can definitely tell the side effects are reduced. Maybe its because its only been 21 days (I took 13 pills so far)

    3.jpg.d04f3956f7cf37832daf9b4981359eb6.jpg4.jpg.34eed398f1676127c4f68dcb8c46bd82.jpg5.jpg.4d4f648ceee5329b458dc49267b665e1.jpg

  10. So I finally met Dr. Ngai. It was actually very satisfying visit.

    I got every active acnes extracted by this device that makes some weird sound. I think over 30 acnes got extracted... :smileys_n_people_42:

    Dr. Ngai recommended me to continue take 10mg / everyday telling me initial break out happens regardless and it will be settled within 1-2 months. So I guess I will taking 10mg/ every other day and maybe increase it to everyday later on. 

    Dr. Ngai also spot treated me with 40% and 80% of TCA. I was expecting that the white scrab from TCA would at least stay on my face for few days but actually they were gone within one hour. They are rather dark brownish or grey now. 

    Dr. Ngai said that subcision won't do much for my scars, so I am planning to do 3-5 sessions of TCA Cross and then 1-3 sessions of INTRAcel RF + TCA Cross later on. When acnes are under control I plan to start treating my scars right away.

    I guess all can do now is to just wait at least one month to see how I react / heal to TCA Cross and low dose Accutane :smileys_n_people_24:..


    Yellow Circled = 80% TCA
    Red Circled = 40% TCA

    2.thumb.jpg.e5fab6ce3c92a96fdf27c6c409d84c9b.jpg
    3.thumb.jpg.183776730bda3326c4e29b76731b17f3.jpg
    4.thumb.jpg.59be080caa0e21aa3fe2afbb7e9273ca.jpg

  11. I think 10mg/day or every other day is definitely too much for me. For past 2 weeks, I got over 30 active acnes or more.. literally.. some got dried up and fell off, some just stay on my face and never come to the head, and I get at least 1-2 new acne every day. I am meeting my Dr this Thursday, until then, I think I should better stop taking Accutane. My new job starts next Monday so I must manage these active acnes first.. if these active ones got settled I am thinking about taking 10mg twice a week. 

    + my face got noticeably bumpy, I could tell right away when I was washing my face. A lot of small bumps over face. Face generally more dry. 
    SmartSelect_20180903-205203_Gallery.thumb.jpg.de5e09bc9898ca5f5e91fd8562018a60.jpgSmartSelect_20180903-205314_Gallery.thumb.jpg.1b492ce2ad8aa0ffbd83e7db4410252b.jpgSmartSelect_20180903-205327_Gallery.thumb.jpg.1c91ff879264af110b61bb58c9132422.jpg
    SmartSelect_20180903-205152_Gallery.thumb.jpg.e35af3d4feb04dd2581cd8aa1929f2d4.jpg

  12. Hi guys,

    I am writing this to help and to get helped by people who are suffering from acne (and scars) like me..

    I am 26 years old Asian guy and I live in Canada.

    I have taken a full regular dose Accutane course about 2 years ago. I was cleared up after taking Accutane for about 7months and stayed acne free for about 6 months but it left me a lot of severe acne scars.. After 6 months, it started breaking out again, nothing really serious though. Acne was pretty much moderate and under control but the major problem was severe acne scars left after the course of Accutane.

    Recently, I was planning to do some scar revision treatments and have scheduled TCA CROSS + Subcision. At this time I had only few active acnes on my face, so my Dr prescribed me low dose Accutane to make my acne under control before the treatment (my Dr said it is okay to do TCA Cross and Subcision while on low dose Accutane). I am currently on 10mg/day, 8th day, but Initial Break out started I believe.. 

    Currently, I have few whiteheads, several small bumps on both side of my face.. 3 stubborn red acnes that stayed at least 2 weeks on my face which seems to be never come up to the head surface.

    Those new acnes basically become white heads > dry up > fall  off one day eventually > become brown spot. I have gotten at least 15 brown spots for past 2-3months..

    I decided to postpone  my scheduled treatment because I was certain that it is not a good idea to do any type of scar revision treatment with active acne on my face. I am going to take low dose Accutane for maybe few more weeks/months until my active acnes are fully under control and then going to start treating my acne scars. (I am planning to take low dose Accutane for at least one year btw).

    I am planning to update this thread until I finish treating my acne (low does Accutane) and acne scars (Subcision + TCA Cross + ETC)..I will keep it updated.. I am planning to upload pictures too. or 1-8 days 
    - Initial Break out is happening
    - No side effects are shown
    - Acnes are getting dried up a little bit faster
    - Few more little bumps appeared

    for 9-10 days
    - I skipped taking Accutane today, decided to take 10mg/ every other day
    - Few stubborn ones seem to finally come up to the head
    - 3-4 new acnes
    - Many brown Spots
    - Many small bumps on forehead and 2 new acnes in mian (I usually never break out on forehead/mian)
    - Definitely dry lip
    - Hair Thinning
    SmartSelect_20180902-011536_Gallery.thumb.jpg.475c07226b5187513a5238dd8f88c1db.jpg?SmartSelect_20180902-011515_Gallery.thumb.jpg.d266868e7688504e770b40bfdb4f2739.jpg
  13. for 1-8 days 
    - Initial Break out is happening
    - No side effects are shown
    - Acnes are getting dried up a little bit faster
    - Few more little bumps appeared

    for 9-10 days
    - I skipped taking Accutane today, decided to take 10mg/ every other day
    - Few stubborn ones seem to finally come up to the head
    - 3-4 new acnes
    - Many brown Spots
    - Many small bumps on forehead and 2 new acnes in mian (I usually never break out on forehead/mian)
    - Definitely dry lips
    - Hair Thinning?
    SmartSelect_20180902-011515_Gallery.thumb.jpg.d266868e7688504e770b40bfdb4f2739.jpgSmartSelect_20180902-011536_Gallery.thumb.jpg.475c07226b5187513a5238dd8f88c1db.jpg
     

  14. Hi guys,

    I am writing this to help and to get helped by people who are suffering from acne (and scars) like me..

    I am 26 years old Asian guy and I live in Canada.

    I have taken a full regular dose Accutane course about 2 years ago. I was cleared up after taking Accutane for about 7months and stayed acne free for about 6 months but it left me a lot of severe acne scars.. After 6 months, it started breaking out again, nothing really serious though. Acne was pretty much moderate and under control but the major problem was severe acne scars left after the course of Accutane.

    Recently, I was planning to do some scar revision treatments and have scheduled TCA CROSS + Subcision. At this time I had only few active acnes on my face, so my Dr prescribed me low dose Accutane to make my acne under control before the treatment (my Dr said it is okay to do TCA Cross and Subcision while on low dose Accutane). I am currently on 10mg/day, 8th day, but Initial Break out started I believe.. 

    Just wondering if anyone here experienced Initial Break out from low dose Accutane, when it started/ended, how severe it was.. and anybody here did some scar revision treatment while on (or after) low dose Accutane? 

    Currently, I have few whiteheads, several small bumps on both side of my face.. 3 stubborn red acnes that stayed at least 2 weeks on my face which seems to be never come up to the head surface.

    Those new acnes basically become white heads > dry up > fall  off one day eventually > become brown spot. I have gotten at least 15 brown spots for past 2-3months..

    I decided to postpone  my scheduled treatment because I was certain that it is not a good idea to do any type of scar revision treatment with active acne on my face. I am going to take low dose Accutane for maybe few more weeks/months until my active acnes are fully under control and then going to start treating my acne scars. (I am planning to take low dose Accutane for at least one year btw).

    I am planning to update this thread until I finish treating my acne (low does Accutane) and acne scars (Subcision + TCA Cross + ETC)..I will keep it updated.. I am planning to upload pictures too.

  15. Hey there,

    I am currently on 2nd course of Accutane..
     
    For the 1st course, I took enough cumulative dosage/weight. For me, the initial break out was really really severe too.. but it works.. I think Accutane always work.. give it more time.. I know it is really really hard to stay strong.. but it will work.. trust me :D

    I am currently on 2nd course of Accutane but this time, I am only taking very low dose (10mg/day or every otherday). 

    Anyways.. good luck to your journey!

  16. Woah.. it does certainly look different than other pictures I've seen online..
    How did it go?
    Did you heal well?

    Hope it went well...

  17. Hi guys,

    I am writing this to help and to get helped by people who are suffering from acne (and scars) like me..

    I have taken a full regular dose Accutane course about 2 years ago. I was cleared and stayed acne free for about 6 months but it left me a lot of severe acne scars.. After 6 months, it started breaking out again, nothing really serious though. Acne was pretty much moderate and under control but the major problem was severe acne scars left after the course of Accutane.

    I was planning to do some scar revision treatments and have scheduled TCA CROSS + Subcision. At this time I had few active acnes on my face, so my Dr prescribed me low dose Accutane to make my acne under control before the treatment (my Dr said it is okay to do TCA Cross and Subcision while on low dose Accutane). I am currently on 10mg/day, 8th day, but Initial Break out started I believe.. 

    Just wondering if anyone here experienced Initial Break out from low dose Accutane, when it started/ended, how severe it was.. and anybody here did some scar revision treatment while on (or after) low dose Accutane? 

    Currently, I have few whiteheads, several small bumps on both side of my face.. 3 stubborn red acnes that stayed at least 2 weeks on my face which seems to be never come up to the head surface.

    Those new acnes basically become white heads > dry up > fall  off one day eventually > become brown spot. I have gotten at least 15 brown spots for past 2-3months..

    I decided to postpone  my scheduled treatment because it is certain that it is not a good idea to do any type of scar revision treatment with active acne on my face. I am going to take low dose Accutane for maybe few more weeks/months until my active acnes are fully under control and then going to start treating my acne scars. (I am planning to take low dose Accutane for at least one year btw).

    So far for 8 days, 
    - Initial Break out is happening
    - No side effects are shown
    - Acnes are getting dried up a little bit faster
    - Few more little bumps appeared

    I will keep it updated.. I am planning to upload pictures soon too (before/after TCA Cross + subcision) treatment.
     

  18. Hey there, I live in Canada, Vancouver. 

    I suffer from acne scars just like you my brother. 

    Wish you lived in Vancouver as well so we could help each other :smileys_n_people_24:.

    Here in Vancouver, there are not really good Drs. At least, I haven't seen one yet..

    Hopefully in Toronto, there are many good Drs. I haven't researched any Drs in Toronto as I am not able to travel.. 

    I recommend you to do your own research, do many consultation with different Drs. If you are not flexible with time. You can do email consultation by sending your scar pictures, and get some advice, price quote, etc. If you feel comfortable with their reply, go have a consultation with them. Even If you have to pay. 

    I had a lot of consultation but I do not feel comfortable with these Drs. They are not trustworthy...

    I guess if you are rich enough, travel to other countries like States and Australia. Hopefully, there are good Drs in Toronto. Do a lot of research! 

    I wish you the best my friend... your scars and my scars  are very similar. If you research and find really really good Dr, recommend to me!  If its worth the travel, I would go :smileys_n_people_47:.

    Anyways, good luck with your research and have a great night!

  19. I just got reply back from the Doctor who performs TCA (there are only 2 doctors who performs TCA in Canada) and she said I will respond to subcision better.. so she told me to go to different clinic.. I think doctors here kinda don't want to treat my scars as it is extremely severe.. maybe I should research more and find some more clinics.

    Thank you very much for cheering me up.

    Have a great day bro!

  20. Thank you very much for your advice. However, unfortunately, in my country, Canada, most of the clinics have very limited devices/methods/techniques.. I just can feel it right away by doing the consultation with doctors here. I just do not feel comfortable doing so much expensive treatments here... maybe if I was rich enough.. I guess I will most likely visit other great dermatologist like Dr. Lim if I was rich haha...

    I just do not think scar treatment system is not developed very well in my country. I wish there is at least one dermatologist who has the skills you mentioned.. who I can really trust.. who knows what he/she is doing professionally. I just hate myself .. my life.. so much haha..

    The methods you recommended, there is no TCA Cross. Does it mean you do not consider TCA Cross as not a proper scar revision treatment for my type of scar? 

    Thank you very much for your advice again

    Have a great day!

  21. 9 hours ago, beautifulambition said:
    Your Welcome!

    Yes please get to the bottom of  the acne (under control) before treatment. That could be a nightmare with spreading bacteria. 

    TCA Cross  + Infini RF +  + Picosure Laser (laser last)


    Machine does not matter. IT's the insulated needles that do (rf needling), some take more treatments.

    See what your derm says: " low dose Accutane.. again... probably with Benzagel Acne Gel I got from my friend for spot treatment.. and then TCA Cross...? maybe..? What do you think about Benzagel Acne Gel?"

    Sure try to spot treat acne and get it under control before treatments. Works for some and not for others. Try a few things. 

    You need tca cross and paint on (called also spot treating) tca method (3x paint a lower % inside of scar pit only) to your scars, lots of icepicks and boxcars. This will take several sessions. 

    ""Is it okay to do either a ) or b ) while on Accutane? "" -- Please check with your Dr - some won't treat at all. Just get the acne under control. Yes you can treat if they agree to Low Dose. You want to stop at least a week before. 

    ""what do you think about doing many Fractora sessions?"" - Not a fan, seen incredibly bad results.

    Many from Canada fly elsewhere for treatment, Ex. USA, Treat locally by dividing up treatments among various Drs and or searching for Drs, schools that teach dermatology, or Med Spa's, and doing some of the treatment at home using the faq acid peel guide mega post.


    BA ;-) 

     
    Thanks again for replying : )

    What do you mean by paint on TCA method? and what do you mean by 3x paint a lower %? 
    Did you mean for small Ice pick scars I should use 100% and for big boxcar scars I should use lower % to fill up pitted boxcar scars? what % should be ideal? 3x mean by I need to do 3 sessions?

    I also heard for TCA Cross, if the scars are close by and treated with 100% TCA, there are high chances of these scars being joined? Could the scars be bigger and larger by any chance?

    You said I am very prone to hyperpigmentation. Do you think it is better for me to wait out til summer is over to start treating my scars with TCA Cross? 

    What do you think about Laser Resurfacing? ablative? non-ablative? unfortunately there is no clinic doing the Full ablative laser I think. What do you think about Fractionated C02 Laser(such as Mixto or Fraxel Repair C02)? Doing maybe 3 sessions of fractoinated C02 would help?

    What do you think about Lux 1540 device? (compared to Fractionated C02)

    What about ProFractional Laser by Sciton? (compared to above 2 devices)

    and yes..... that Dr who performed microneedling spread bacteria over my face I guess.. he said it was totally fine doing the microneedilng on active acne.. total nightmare..

    I am so sorry for asking so much questions..

    Thank you again.. Hope you a  wonderful day!
  22. SmartSelect_20180730-211113_Gallery.thumb.jpg.caffebe80a8a9d3601a25510eff9ebe7.jpgSmartSelect_20180730-211124_Gallery.thumb.jpg.b138a90549505e5378c8d3fe17cabcd6.jpgSmartSelect_20180730-214436_Gallery.thumb.jpg.9e2adc49f5f0d4639abbd0ea9c5da1a5.jpgSmartSelect_20180730-214446_Gallery.thumb.jpg.525a17125ce9d12c736bc445bc195cf1.jpg
    4 hours ago, beautifulambition said:
    @Gimozzi 
    Worth a try tretinorin/retin-a and Acne protocol. Your spot treat the zits. Especially if being treated elsewhere. 

    I don't know what country you live in but it might be worth looking into a Chinese Herbalist, Naturapathic Dr, Functional Medicine, (these drs look at you as a whole - not a symptom to be treated) etc... To get at the root cause of the acne. Traditional medicine won't do this. It's most likely the gut, try some probiotics, try a elimination diet (dairy/cheese/sugar/overly processed) add back in things that don't cause you issue, or it could be a allergy to a product your using, .... use water and start slowly building back to products that are sensitive. Often it can be food, or environmental allergens. IF you had fungal acne, even "Cetapill" which is for sensitive skin could cause you to react, try to cut back on it and see how you do (adding things that cause you no issue slowly).

    You do not pick, this spreads bacteria and causes deeper infection - scarring. This is why we spot treat with items that dry out the spot. 

    Perhaps"try" charcoal facial masks.

    Hydropeels are very cheap and effective to clean out your pores, give it a try.
    I'm so lost.... this persistent cystic acne stayed on my face for about a month and I picked it... like few days ago.. and not it looks like this.. lol.. I put some duoderm bandage on it .. but.. I can already feel it that its going to be huge scar... hah
    I am so indecisive these days.. I cant make my mind.. I think about my scars all day.. How I look... I was almost acne free but after I tried microneedling 2 months ago it started break out so badly...

    Im so sorry for asking you so much questions.. but ... please understand me.....
    and thank you for helping me... really..


    What do you think about these combination treatments?
    a ) Infini RF + Picosure Laser + TCA Cross 
    b ) Duet RF + Scarlet RF +  Subcision

    Im so lost.... I guess I should just start low dose Accutane.. again... probably with Benzagel Acne Gel I got from my friend for spot treatment.. and then TCA Cross...? maybe..? What do you think about Benzagel Acne Gel?

    I live in Canada.. and there are no clinics I can trust.. these clinics who offered option a ) and b ).. I cant really trust them.. they dont seem like professional.. their methods are limited.. a ) doesnt  do subcision, b ) deosnt do TCA.. what would you pick between these two options for my scar types? 

    I researched that most of the people think Infini RF is much better than other RF devices like duet, scarlet, intracel.. what do you think about these RF devices?

    Is it okay to do either a ) or b ) while on Accutane?

    what do you think about doing many Fractora sessions?

    Thank you very much.... again..

    God bless you.

     

    SmartSelect_20180730-214446_Gallery.jpg

  23. 10 hours ago, beautifulambition said:

    It's up to your practitioner to monitor you as there can be liver damage. They must do the blood tests. I don't know that I would consider Accutane as a long term treatment with it's side effects. Yes your low dose but I don't see major break outs on your face in the pic. It's typically for emergencies, and huge cystic acne.

    Regardless discuss with your doctor.

    Yes that's low dose. You can stop and start any time, it's not a every day thing.

    This is not a forever solution. You need to get to the root of why this is happening. Is it fungal acne, folliculits, gut issues, hormone issues, other health concerns, food (sugars - grains-dairy) or environmental allergies,  sensitivities, other medications, live or kidneys. 

    Retin A can be effective, not overly harsh, topical, a forum of vit a like tane.  Give that a try first, see if it works.

    Have you tried washes Salicylic or Acne's (store) Zit creams, etc... 



     

    Yeah... my acnes are not severe anymore (maybe because I finished one normal Accutane course). However, I still have few cystic acnes on my face and they are staying on my face over a month now. Unfortunately, I picked them... and I know they will now be new scars... forever vicious cycle... :smileys_n_people_42:

    I totally agree that I need to get to the root of my acnes.. but its really hard.. I think it is why I tend to lean on other products like Accutane, retin-A.. If I could resolve my acne problem naturally.. it would be the best option actually.

    I am also thinking about trying Acne.org regimen.. other than trying Accutane/Retin-A since there are certainly less side effects.. What do you think about it? Is it possible to do Cross while on this regimen? 

    If I stick to this regimen, will it be enough to deal with my moderate and persistent acne? would other products / topical be needed with Acne.org regimen? or will it be enough?
    I read some of the reviews on acne.org regimen reviews, and some people were saying their ance got worse.. should I just stick with my regimen (I use cetapill cleanser/moisturizer) and apply spot treatment product?SmartSelect_20180730-115621_Gallery.thumb.jpg.c5c016da44cdc997a70620fbb72bf7a9.jpg

    One last question is, my cystic acnes they become like fester (they turn whitish? fester? really easy to pick), then is it okay to pick them? or should I not pick any acne in any circumstances?

    Thank you very much, I will be waiting patiently again :3

    Hope you have a great day


     
  24. On 7/27/2018 at 8:51 PM, beautifulambition said:
    @Gimozzi
    Thank you for your patience, I often help 20 severe acne scar cases a day, and try to get back to you the best I can.

    Yes you can low dose Accutane and cross, again stop a week before treatment, let the Dr know about accutane before booking. Mino can be taken through treatment if you let the Dr know and they ar e comfortable. Mino has less side effects, look at drugs.com for side effects.

    You can use any topical that works for you for sport treating zits, including Acne protocol sold here, or sulfur cream.

    No retin-a/tretinorin is related to accutane, do not use both, one or the other. Konjac and Albutin can be used as it's for pigmentation, please check with your Dr concerning this prior to application. Hydroquinone is the medical equivalent. 

    Sun treatment is always necessary.

    Sure do TCA Cross, RF microneedling and picosure / ipl if that works for your plan. Space out treatments - not to often, goto someone with experience in your skin type. I cannot give you a % if improvement, we all heal differently, see what works and does not. You will get improvement unless you heal poorly. 

    Treat as you have time and money, no rush.

    Your very welcome.

     
    Thank you very much for your reply again.

    So 10-20mg/day or 10-20mg/2days would be good enough right?
    I remember there was a general cumulative dosage for Accutane, which is about 120-150mg/kg. 
    If I take low dose Accutane, should I take it for more than a year?  to reach the required cumulative dosage I must take it more than a year.. or.. is it okay to take extremely low dose Accutane forever?

    Is taking low dose Accutane have less side effects than taking normal dosage?
    Is it okay to apply topical for spot treatment while on Accutane?
    Do I still have to take monthly blood test even If i take very low dose Accutane?
    Which one do you think is  more effective between low dose Accutane and Retin-A?

    Thank you very much again I really really appreciate it.

    I will be waiting for your response patiently :>

    Hope you have a great day.


     
  25. 7 hours ago, beautifulambition said:

    Hi There, ... this is very common with Canada. Because of the health care system, I have seen many travel to other countries for treatment after poor outcomes.

    Regarding your acne, you can take low dose and treat (tane) or Mino does not have these issues. Please let whatever Dr who treats you know about your acne and the medications. You must stop 1 week before treatment and wait for healing. You can spot treat any zits with a topical. 

    You are right your scars are all surface textural issues, no major fat loss. 

    I think you need 3-4 sessions of cannular subcision. With PRP.

    As you know lots of tca cross work needs to be done, some scars need paint on or spot peels with tca. Several sessions.

    RF microneedling could help you, it's insulated so it works for your skin type. Or CO2 3-7% low density with the highest power. Especially on some of those boxcars. This is optional depending on the results from the cross and subcision.


    A resurfacing textural procedure like erbium laser would benefit you once you improve the texture more.

    Because of your skin type you need to be using retin-a/tretinorin/differin nightly and a konjac albutin cream. Your skin type is prone to hyperpigmentation with treatment. You can use a concealer like dermablend while you treat. Picosure is very effective for discoloration for your skintype.

    If you wish you can start with your plan of tca cross first before sub as well.
     

    Thank you very much for your reply. I really appreciate it ;D but I have more questions to ask :smileys_n_people_24:..

    1) So is it okay to take very low dose Accutane and do the TCA Cross? (only if I stop taking Accutane 1 week prior to the treatment)

    2) You said Mino "does not have these issues" what do you mean by this? what issues are you talking about?

    3) What would be the best topicals to use for spot treating any zits?

    4) You said I need to use retin-a/tretinorin/differin nightly and a konjac albutin cream. Is it okay to use these items while on taking low dose Accutane or Mino? I thought if you use Retin-A you become more sensitive so more chance to get sun burn or hyperpigmentation..

    Since there are no good clinics in Canada, my plan is to aim for scar improvement (I sadly know I cannot be 100% fixed) with comparatively affordable price. I am planning on doing only TCA Cross (6 or more sessions) and deal with hyperpigmentation later on with Picosure or IPL Lasers. Do you think it is a good plan? How much improvement will I see approximately? 



    Thank you very much for your help... I really really appreciate it..

    Internet is the only source I can trust right now....

    Sincerely 

    -Danny.
  26. Thank you very much for your reply. I really appreciate it ;D but I have more questions to ask :smileys_n_people_24:..

    1) So is it okay to take very low dose Accutane and do the TCA Cross? (only if I stop taking Accutane 1 week prior to the treatment)

    2) You said Mino "does not have these issues" what do you mean by this? what issues are you talking about?

    3) What would be the best topicals to use for spot treating any zits?

    4) You said I need to use retin-a/tretinorin/differin nightly and a konjac albutin cream. Is it okay to use these items while on taking low dose Accutane or Mino? I thought if you use Retin-A you become more sensitive so more chance to get sun burn or hyperpigmentation..

    Since there are no good clinics in Canada, my plan is to aim for scar improvement (I sadly know I cannot be 100% fixed) with comparatively affordable price. I am planning on doing only TCA Cross (6 or more sessions) and deal with hyperpigmentation later on with Picosure or IPL Lasers. Do you think it is a good plan? How much improvement will I see approximately? 



    Thank you very much for your help... I really really appreciate it..

    Internet is the only source I can trust right now....

    Sincerely 

    -Danny.

  27. I know this will be quite long to read, but please read this all and give me some serious advice.....

    I took Accutane 1-2 years ago and left with severe acne scars: ice picks, boxcar and rolling scars. I have finally decided to spend some money for treating my scars and started researching so much about best clinics in my area (I live in Canada). However, unfortunately, there are no trustworthy dermatologists in Canada. They do not have enough knowledge, they do not even show me proper before/after pictures, all they want is just money from me (most of them asked over $4500 dollars for combination treatments for 3 sessions)

    I absolutely understand it takes several combination treatments and I am definitely willing to pay if there are reliable doctors near me. However, I cannot really trust them, they do not care about me, all they want is money. I researched so much about treatments: Infini, duet, subcision, TCA Cross, CO2 (Ablatibe/non-ablative), Fractora, excision, Lux 1540, eMatrix, Picosure Laser, etc.. 

    I have done a lot of consultation and none of them seem to be professional and trustworthy.. when I asked that I wanted to see some before/after pictures, they showed me some of the patients from other clinics that I saw online..

    For this reason, I gave up on these clinics.. I really did not want to spend this much money for who I really cannot trust. So I decided to perform 6 treatments of TCA Cross. Although the effect wont be as good as other expensive combination treatments, the risk is low and the price is very affordable. Unfortunately, there is only one doctor who performs TCA Cross in my area.. lol..

    Anyways, before I do TCA Cross I want to deal with my cystic acnes (they do not seem to go away), would it okay to take Minocycline or very low dose Accutane and do the TCA Cross? 

    Do u guys think TCA Cross is good treatment choice for my types of scars? I have attached my photos.

    Please... help me and save me.. Thank you
    1.thumb.png.b29918ef2522320b1b2b6fa14f842826.png2.thumb.jpg.9b25957fc188ee5567e34984d04824f2.jpg3.thumb.jpg.825136a7bdb95c91d8c3d55b94ba00a7.jpgSmartSelect_20180726-174906_Gallery.thumb.jpg.7b0e95f0164ff833fbe781251a903d99.jpgSmartSelect_20180726-174945_Gallery.thumb.jpg.4b21d61a664ac95d436db7904c3a76cb.jpgSmartSelect_20180726-174953_Gallery.thumb.jpg.2444b8b5621d7a4dd11d01f563a20f79.jpg


     

1 Follower