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  1. Hello everyone! I've had subcision + sculptra + cooltouch laser twice before (I just got my 2nd one a 6 days ago). I intend to get another scar treatment four weeks and I'm not sure what procedure to undergo. Please note, I still have one big lump and two small lumps on the subcised area. I am also using tazorac for acne & collagen renewal. Option A: Just subcision. I'm really leaning towards this since it's cheaper Option B: Get subcision + sculptra again Option C: TCA Cross for Ice pick scars Option D: TCA peel for general texture Thanks everyone!
  2. Always make sure that there is someone in the room to document the subcision to make sure you are actually getting the treatment you paid for!
  3. Hello all, I wanted to share the results I've obtained over the course of a year. This follows three rounds of Fraxel, followed by 5 rounds of subcision with Sculptra infusion. The last of these was November 2017. I think the icepick/boxcar scars are certainly shallower and less defined. It's difficult to capture rolling scars on camera, but there's definitely some improvement there too. I'm pleased so far, but hoping for a bit more of a targeted approach and looking into TCA Cross. Any advice would be much appreciated with regards TCA cross or other treatments for icepick scarring! Thanks in advance, Poole1989
  4. I have Fitzpatrick Skin Type V and had Erbium YAG laser resurfacing done 15 years ago on my cheeks, which didn’t do much for my scars and my cheeks ended up a shade lighter than my forehead/cheeks/under eye area. I did a zillion fractional laser treatments with no improvement at all and most dermatologists are scared to treat me due to my skin color. I spent years slathering my face with hydroquinone and gave up as I saw no change in the skin color, I regret not getting my whole face done but then again it did nothing for my acne scars either, so was a waste of money, time and made things worse with the discoloration - I should just never have had it done. Additionally, I am sick of wearing makeup all the time to camouflage the scars and the discoloration. When I first had the laser resurfacing done and was using makeup up, it clogged up my pores and made me breakout. Luckily there are now better brands in my skin color and I haven’t had acne in over 10 years after taking out dairy and starch from my diet. I live in Europe and Dr Lim recommended I see Chu or Henningsen. He mentioned I might need subcision and/or filler with light fractional co2 or RF Needling. This seems alright. I am not sure what the sequence is? You get subcision/filler done, then wait 3 months and get laser done and then 3 more months for next round of subcision/laser? Or is it done in one go? And does he treat you at the first visit? I can’t stomach the idea of PRP and after reading posts on here on Dr Chu’s procedure, I felt queasy enough to never want to attempt it. I think I will go to Dr Henningsen as he seems to be able to do fillers and laser as well.
  5. Hello! Its been a while since I posted on here so I wanted to post an update on my scaring. Today I went through my progression photos before starting any treatments, up until today where I have had a CO2 laser, 3 subcisions and several sessions of dermapen. Its always hard to get lighting the same each time, but I still think I have some good results. Looking at the first photo, on the right side the scars look very "sharp", I remember my plastic surgeon saying the laser would smooth the edges out. None of the photos have microswelling, as all photos are taken several months after treatments. Let me know what you think :).
  6. Hi guys, I am traveling to Korea and looking for doctors who perform subcision. It's difficult to find anything on the internet because I don't speak Korean. I'm not sure how to find the best doctors! Does anyone know where to start looking, or have any recommendations? Side note: I'm interested in one subcision treatment in order to replicate the results from this study on acne scars.
  7. V-Beam After Subcision?

    Forums Scar treatments 4 replies

    Is it ok to get Vbeam 2-3 days after subcision? Subcision causes blood to pool under the skin so I'm wondering if vbeam will have negative affect on the subcision outcome. My derm think its ok to have vbeam afterwards. Wondering if anyone has done that or heard about it?
  8. Have a nodule from subcision, and had 1 round of kenalog. When I touch it, seems to have flattened the nodule, but visually kinda looks the same. Does kenalog actually treat the nodule or just flatten all the skin?
  9. Hi! I have been lurking on this forum for a long time. It's my first time to post here so I apologize if I violated any rules or anything. Let me know so I can edit this. I need advice on what procedures should I get next to treat my acne scars. Last year, I had a couple sessions of TCA cross, microneedling and AGNES. In January, I had microneedling and my first subcision ever. There were improvements as far as ice pick scars are concerned but for the other scars, not so much and I think they got worse but I have poor memory lol so I really can't tell. I like to believe that my scars did improve no matter how insignificant and I am just being too critical. I have Asian brown skin. I tend to have hyperpigmentation but they go away with hydroquinone. When I had subcision, I didn't have any hyperpigmentation at all and things healed after 4-5 days So next week, I am planning to have a subcision for some of my scars and microneedling or RF microneedling (if my derma has it). I'll do the suction method too. I didn't know about it the first time so I wasn't able to do it. I bought those cupping cups and also this pore cleanser/blackhead vacuum thingy and I think the pore cleanser is better so I'll use that one instead of the cups. After 3 weeks-ish, I'll have a peel. Not sure what peel but I am thinking TCA. I've never really had strong peels. My derma used TCA last year but I didn't peel that much. I didn't ask her the strength she used but I'm thinking it was on the milder side since she tends to play it safe and only used 80% for my TCA cross. I use hydroquinone for when I get hyperpigmentation. After the peel (I usually wait 3-4 weeks before having another procedure), I'd probably have another subcision/microneedling then peel again. Hopefully, after all these, I'd see some improvements and then I'll have the Fractional CO2 which my derma says the gold standard for acne scarring but of course, I read stuff online so I don't believe it will help me unless I try to raise my scars more first. I want to ask for any recommendations or advice. Will a Fractional CO2 help me? What procedures should be good for my scars and in what order? I'd appreciate any help/tips/advice, especially from beautifulambition. Thanks! Please see below for my scar pictures.
  10. Hello all, I'm back at my scars again. I was looking good for a few years after Fraxel Re:pair, subcision, and various IPL type lasers in 2012-14. However, my scars have now returned again..ughh.. (no new acne, just reappeared) I am currently taking a break from Microneedling RF treatments (non-insulated). I've had 3 so far and of course, my scarring looks worse than ever. My current doctor does not do subcision but she does fillers. I am taking a break from the Microneedling procedures because they are taking a toll on my sanity (Dr. went so aggressive I lost volume). Moreover, I believe that I should have Subcision done as a must needed scar revision modality. Previously, in 2012-14 I used Dr. Ting (San Ramone) and he's so expensive (per scar) for Subcision. I have scarring all over my face and would like a doctor that is good at subcision and is economical in the bay area. I'm looking to do the suction technique at home after the procedure. I read many posts and I think @beautifulambition mentioned trivalleylivewell for fillers but would they do just subcision? Like you mentioned in your posts, many professionals don't want to do just subcision because they make so much with their 'energy machines' as you put it. Thanks for reading! Chow!
  11. Acne Scar Treatment

    Forums Scar treatments 15 replies

    Hello everyone, Introduction: I am a 27 year old female. The first zit appeared on my face when I was eleven. Since then it has been a continuous battle. I have seen good and bad days. While a doctor had advised me to take Accutane to knock it out for good, I decided against it given the side effects. Retina - A (0.025%), Clindamycin and general avoidance of dairy products seems to be keeping things somewhat under control (touchwood, I am going to say that a lot). I have some acne scars that are ten years old (very few).I was pretty clear before 2014 with the use of the same medicines. I thought my skin will be fine and hence stopped using these. In 2015, due to stress and poor eating habits, I started breaking out again. I was able to control that with the same topical medicines in around January this year. Now, I want to work on the scars. I have been told by dermatologists that it is a good idea to use tretinoin all over the face for the rest of my life to help with age, texture and further incidents of acne. Doctor: I have an appointment with Dr. Morganroth soonish (I live in the bay area). I was supposed to have been done by now (February) but he was traveling (which I was not aware of, I had taken the appointment back in November) and I was not comfortable about getting it done by his substitute. Hopefully he will be there on my next appointment and I can be done with one round of treatment. He was a nice man and answered my questions. Treatment modalities: I think I have a mix of rolling, ice pick and box scars. I failed to ask this to Dr. Morganroth. He said he will do subcision but not TCA Cross. He said it can lead to bad complications and the results we see could be the best cases. I asked him if he would be able to subcise all the scars. He said no, some of my scars are linear in structure. I am not sure what that means. He added that I can expect 25% improvement but some have seen 65% or more. I plan to do about two rounds of subcision before June. Supplements: I take three capsules of Hair, Skin & Nails vitamins every night. Every morning I drink about 400 ml of kale leaves, 1 tbsp flaxseed, 1 tbsp Vit C powder, 1 scoop of collagen peptides, a squeeze of honey, a splash of apple cider vinegar and some water all blended together. I also drink about two cups of green tea everyday. Topical medicines and cosmetics: bp face wash, clindamycin, a gel moisturizer, sunscreen in the morning. Salicylic acid face wash, tretinoin at night. I don't use makeup at all, primarily because I have no idea how to use any neither do I know what will suit my skin type. I use some eye cream as the are around my eyes tends to get very dry. Pre-treatment: The substitute doctor advised me to stop using retin A for about two three days after the treatment to avoid possible sensitivity issues. Apart from that he said I can continue to live the way I do normally. Post-treatment steps: I have bough a Chinese cupping set and hope to suction once the insertion points have closed. Any advice or ideas are very welcome. In the attached photo you will see active acne. But this photo was taken in November last year. I have residual scars now. I would love to know your opinion on what kinds of treatments would help. I am particularly thankful to this forum for giving me hope, Thank you. and to @beautifulambition for always being so patient and answering questions. The following are more recent photos:
  12. Korean Subcision Progress

    Forums Scar treatments 8 replies

    After going through highschool with a face full of horrible angry red pimples, I've been left with a bunch of tiny indents on my skin (all icepick/ boxcar scars). My acne scars have been bothering me for a couple years now so I thought I'd give subcision a try! I'll try to update this as often as possible so that others can see the results and consider if subcision will work for them or not. My scars a day before the procedure, with a cameo appearance of a nasty whitehead. The scars aren't huge but are scattered around my cheek areas, making them look rough instead of smooth. Day 1: A few hours after the subcision and extraction. The subcision was a bit painful at first because the doctor didn't wait for the local anesthesia to kick in. He just jabbed in a couple shots and went straight to the subcising. They put a bunch of hydrocolloid patches on the needled areas and instructed me to take them off tomorrow afternoon. As you can see, there is minor bruising and swelling as well as red marks from the extraction they did before the subcision.
  13. So this is Day 5 following a pretty aggressive subcision kind of procedure. Basically the doctor used a cannula to get under my skin all over and cut through scar tissue. She said it’s the worst scar tissue under the skin she has ever seen. It has caused previous fillers to be lumpy and make my skin worse. im convinces it is the reason my skin doesn’t heal anymore, why it’s so crinkly etc. as of now, my skin is too horrible to contemplate. I wanted some prp and I broke down and cried in the doctors sugery. She said this would help. I’m so desperate, and I kept crying and asking her if it would make my skin worse, after the disgusting effects of the procedures performed by a very ‘reputable’ doctor in Australia. My skin is a horrible atm. How is this level of unevenness and scars and just ....how is this possible?
  14. I just had a consultation today with a plastic surgeon regarding subcision and fillers. I live in Toronto so it was hard to find someone that offers this, and he was one of the few and pretty close to me with free consultation. Anyways his nurse looked at my face first and immediately suggested a variety of lasers which I knew I did not want. I specifically asked for subcision and she said that yes, it will improve but you won't get as ~amazing~ results as lasers (what a load of bs). She said that one round of subcision should be enough for me and also suggested Bellafill. Now from what I've read here it is suggested to go with HA fillers so I didn't want to do that. Anyways the doctor came in later and looked at my face for like...5 min and said yeah, you can do subcision but I really recommend fractora laser. I thought he would be more thorough but he didn't even take a close look at my scars or look at them under angled lighting He didn't even tell me what scars I had According to the clinic nokor subcision is a common procedure he does, and the price they quoted was about $800 CAD for the full face. Does that sound reasonable? They said that if I do the subcision, I can go back and do the filler later, and it costs about $500-600 for a HA filler. Do you think I should get a second opinion or go with this guy? It bothered me a bit that he didnt really look at my scars closely. He's mainly a rhinoplasty surgeon and doesn't have many reviews on acne scar revision. Here are some pics of my scars for reference...thanks for all your help!
  15. Starting A Self Diary

    Forums Scar treatments 8 replies

    I'm making this post to track my future progress with my acne scars. I've posted here a few years ago and eventually just stopped trying altogether, but recently felt a few kicks in my self-confidence so I am back and going to try a few things. This will likely be a post that I come back to update on over a long period of time since results never come instantly. In high school I had terrible cystic acne resulting in many different types of scars on my cheeks, and some on forehead but I am not too worried about those. Since I have many types of scars I am looking into doing a few things, reading this article I grew a little hope that I could see some improvement. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3996784/ Any input would be awesome, but I have purchased a derminator to begin dermaneedling, as well as some tca 20% for a few peels like the article. Will also be looking into subcision because I think that was a major part of the study that shouldn't be ignored. When i receive my derminator I will probably be posting the intial day I do it, then post a follow-up a few weeks out after micro-swelling has gone down. I would like to try what they did in the study and do the TCA peel 2 weeks later (not sure what % I will do it at). I may actually spread it out to 3 weeks after because I don't want to add more harm and impact collagen production.
  16. How does one Dermastamp under a scar
  17. i had a subcision many years ago with excellent results. However recently I had a few rounds of subcision around my smile line for a couple scars and it seemed to just make things worse. The area where the needle was inserted created a tethered area and itcaused additional wrinkles and crooked smile lines. It basically looked like the skin was stapled along the three points the doctor insterted the needle, causing a brand new fold/wrinkle. I tried to get it fixed, and went to a new doc, who suggested further subcision. This resulted in nodules and further tethering around the smile line. I saw the doctor again a month later, and he went ahead and subcised under the same nodule! He seemed to be wanting to promote more scar tissue (which I understand is a goal in some acne scar subcicions). It's been 2 months now, and nodules haven't gone down much. I know kenolog is the popular choice for nodules, but I'm worried it would make the wrinkes worse? I may be crazy but I'm thinking a subcision with a very fine needle might do the trick in terms of untethering all the scaring I've developed. The nodule isn't too high and is only noticeable because it stays in place when I smile. Anybody have any advice and experience on nodules and additional scar tethering caused by subcision? Kicking myself because the original acne scars were really not that significant. Edited to add pictures: the top arrow is a straight up needle hole/divot (no nodule, don't care about the hole, do care about the crescent wrinkle it creates), second arrow the nodule is about 1 month old, 3rd arrow is about 2 months old. The red marks in the first picture are holes from the insertion of the needle.
  18. i had a subcision many years ago with excellent results. However recently I had a few rounds of subcision around my smile line for a couple scars and it seemed to just make things worse. The area where the needle was inserted created a tethered area and itcaused additional wrinkles and crooked smile lines. It basically looked like the skin was stapled along the three points the doctor insterted the needle, causing a brand new fold/wrinkle. I tried to get it fixed, and went to a new doc, who suggested further subcision. This resulted in nodules and further tethering around the smile line. I saw the doctor again a month later, and he went ahead and subcised under the same nodule! It's been 2 months now, and nodules haven't gone down much. I know kenolog is the popular choice for nodules, but I'm worried it would make the wrinkes worse? I may be crazy but I'm thinking a subcision with a very fine needle might do the trick in terms of untethering all the scaring I've developed. The nodule isn't too high and is only noticeable because it stays in place when I smile. Anybody have any advice and experience on nodules and additional scar tethering caused by subcision? Kicking myself because the original acne scars were really not that significant.
  19. Hey guys, I'm planning to do a subcision procedure soon. I also am planning to do suctioning. I just have a few questions to ask regarding the suctioning. I'm asking these questions mainly cuz i havent bought the cupping set and thus i do not know how to use them. I have read many forum posts on suctioning and i do not get it. For example, 2-3 pumps on each scar for 4-6 seconds, 4-8 passes. What does this mean? I place the cup on my face, pump it a few times for 4-6 seconds and do this 4-8 times? What does it mean by passes? Also how would i know that i have suctioned enough?
  20. Dear all, After a couple of years of silently observing (and learning so much) around here, I have finally decided to join in and share my story/upcoming journey of acne scars revision. First of all, let me share the pictures of my scars. As you can see, I have them both on the cheeks (mostly around the mouth, quite untypically) and forehead. The mouth area worries me the most as the dense scarring creates wrinkly, saggy, uneven and aged appearance. My acne scars treatments history: - Biostimulation laser (red light therapy) – hardly did anything but I was new to this and this was what my aesthetician recommended so I went with it - Countless sessions of dermarolling ( 0.75-1mm roller) - Several sessions of dermapen (1-2mm) in the last ½ year – I believe effects of which are really visible over time! I have been avoiding lasers so far – after reading experiences of fellow acne scarring sufferers it really doesn´t seem to me as an effective treatment. I am also scared of volume loss as a negative side effect. I am already starting to lose volume in my cheeks (sunken cheeks run in my family) and I have read that sometimes fat loss is a side effect of laser treatments. But I am certainly gonna research and educate myself more on this complex topic in the future. ___ SUBCISION Now, I have read a lot around here on subcision and decided I want to give it a shot since it is a treatment that really makes sense to me (releasing the scars) and since I have seen some amazing results. Unfortunately, I live in a country where no one performs it (actually there is no one specializing in acne scars in the whole country) but since I live in Europe, I saved up money and am travelling to Denmark in 2 weeks. Obviously, I haven´t had a consultation with the doctor yet (mid-January) as he doesnt do them via Skype but I am really hoping he will find me a suitable candidate for subcision and will perform the treatment right away. Also might combine it with TCA cross. If I do get subcision, I plan to do suction afterwards. Already ordered suction devices from owndoc and also a cupping set. Apart from documenting and sharing my journey here after I am done with the treatment (pictures), I would also like to ask you a few questions regarding your opininon about my scars (what types, what treatments you think might help me) and about subcision in general. Subcision–related questions: 1) Is there something I should/could do prior to subcision - with regards to skin care routine, dietary supplements - to prepare my skin and improve the results? 2) Is there something I should definitely avoid? (i.e. what ingredients in skin care, what supplements) 3) What can I do after the treatment to improve the results? I am planning to take collagen + HA supplements + enzymes that improve healing (they are recommended after surgeries but also illnesses in general to help the organism to jump start immune system and healing) 4) I am also planning to do practically the same routine as I do after dermapen – treat the skin with HA serum, peptide serums, or growth factor serums (not at the same time :)) maybe one thing in the morning, another in the evening) – to stimulate the repair process and collagen production. Is this desirable after subcision too, or it works differently? 5) Is dermapen session helpful like a week before and maybe 2-3 weeks after subcision? Im even thinking I might do PRP. 6) Will suction still be safe even if I do TCA cross along with subcision? I am sorry that this post is SO LONG – I actually really tried to be concise and structured since there are so many topics and questions and thoughts I have around acne scars. Thanks so much to anyone who is willing to share their comments and ideas.
  21. Waiting for treatment

    Forums Scar treatments 1 reply

    How long do people wait with subcision on new scars? Mine is 2 months old and am wondering if waiting 6 months is the right thing to do. Thanks.
  22. it's the fifth day after my subcision.... but my cheeks are turning green.... now the swelling is almost gone. should I start suctioning? does turning green seem right? I did subcision twice with another doctor, but I didn't see my cheeks turning green. I saw that this part of my face was going down like several days ago, but since other parts were still swollen, I didn't suction. is it too late?
  23. I have been considering TCA CROSS for a few icepick scars and one fairly wide boxcar scar that I have. I've been looking all over the internet trying to find some good examples of what I can expect my face to look like for the weeks following the treatment but I can't really find much documentation of what it will look like (btw I am a one on the fitzpatrick scale). Does anyone have a few good pictures or video of what this will look like? I was going to see a plastic surgeon to have it applied, but I am a bit apprehensive about any risks. As far as I can tell it seems like a fairly safe procedure, but I was just hoping for some reassurance on here... Also, I was wondering how the boxcar scar would be treated. If it is wide, long and shallow could TCA be used or would they use subcision on it? Thanks!
  24. Any thoughts on this?

    Forums Scar treatments 1 reply

    I have found a study on subcision, proving that subcision with suction can help it level the surface. Is there anyone here that has done this before? The study also states that it can cause raised scars from this surgery due needling closer to the epidermis. I'm wondering if anyone has experienced this themselves? Here is the study: http://owndoc.com/pdf/therapy-in-treatment-of-atrophic-acne-scars.pdf
  25. Scarring from Subcision?

    Forums Scar treatments 6 replies

    Hello all, Hopefully some of you can help! I just subcision today and am worried that the entry points of the needle may scar. I had a 1cm by 1 cm area subcised and he entered from TWO points. He switched between the entry points, re-entering them multiple times, around 2-3 each. Is it common during a subcision to re-enter the needle into same entry points, like my doctor had done? Thanks,