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Sirius Lee

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Sirius Lee last won the day on May 28

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  1. I stepped up and did a TCA paint over the weekend. So far, I'm pretty impressed. I'm still red and the swelling is still present but what I notice to my excitement is that I see pink fresh skin popping up through the red spots. It still remains to be seen, but I like the way it's turning out. Below are the details on the TCA cocktail I've used and the pre- and aftercare. The procedure is rather simple TCA cross: ___% TCA (watered down) applied to the pits using a toothpick. TCA peel: ___% (diluting with water gets pretty dicey) applied over and around the pits using a cotton swab. I should note, it didn't hurt so much when I made the first application (cross), but it stung like hell with the latter. To address that, I applied salt and oil mixture to the wound site. Within an hour or so, the pain was pretty tolerable. I thought I put that out for those who might be interested. Pre- and aftercare For about the last 6 months, I've been on Serrapeptase, which helps to break down old scar tissues. Not sure how much that played into all this. For the aftercare, I've been applying a liberal amount of camellia oil around the clock. After all, the crucial point has always been and always will be to keep the wound moist at all times until it's healed. I guess only the time will tell. Hopefully, I'll have more to tell. But if I don't report back, you can safely assume the result sucked. .
  2. Sirius Lee


    If I'm not mistaken, wasn't he like THE poster child for laser?
  3. Sirius Lee

    Suggestions for acne scar treatments

    You have little bit of everything.The problem is that they are pretty deep. I suggest you forget everything and start with SUBCISION + FILLER. Your goal should be to fill those pits as much as possible, hopefully over 50%. Once you've achieved 50% improvement, then upgrade to INFINI + SCULPTRA.
  4. Sirius Lee

    fat grafting

    Very expensive and very unpredictable, considering that not all harvested fat will survive. Yeah, sounds like a oxymoron considering that your own fat is considered "permanent". Anyway, start out with temporary fillers to see how it turns out. If you like it, you can then upgrade to permanent fillers, including your own fat.
  5. Sirius Lee

    Don't know what to do about my skin.. Please help!

    First, it appears that what you need is not a skin booster, but a mood booster. If you're that obsessed about your skin, which looks hell of a lot better than most of us here, you should 0) Look on the bright side of life, knowing that scars are nothing compared to terminal illness like cancer 1) Uninstall Instagram and all other social media apps from your phone and computer 2) Quit looking at yourself in the mirror 3) Do not hang out with friends who can't lend moral support, eg. bitches and/or a-holes 4) Start telling yourself how special you are to your parents and others who genuinely care about you. 5) live your life as those who you have always wanted to imitate and emulate.
  6. Sirius Lee

    For mild acne scars, are treatments worth the risks?

    If the scars bother you that much, whether mild or severe, then get them fixed. As my old lady used to say, don't just sit around fretting and bitching...DO SOMETHING ABOUT IT!
  7. Sirius Lee

    Subsicion, PRP, Dermapen, TCA cross for acne scars

    1) It's quite obvious that you have tethered scars. The best course of action is subcision. You could ask for NOKOR on the cheeks and CANNULA on the temples. 2) PRP, in my estimation, is way overblown and not very effective when it comes to collagen stimulation. If it were me, I go for the cheaper alternative: Saline. 3) RF microneedling will come in handy later, but I would not mix and match with subcision. Moreover, RF is only good for mild to medium scars. It's better that you elevate the scars as much as possible with subcision (possibly more than 1 session). When the scars are sufficiently raised, only then should you consider RF. Lastly, I suggest you pair RF with Sculptra (dermal filler) for better collagen production (1 injection per RF). 4) Temples: Hardest to treat. Don't expect much improvement in the short run. Sculptra and RF will help. 5) TCA (and Erbium laser) will be useful for correcting any surface irregularities like boxcar edges. 6) WAIT AT LEAST 3 MONTHS BEFORE REPEATING TREATMENTS. Rushing treatments will only halt the collagen production.
  8. Sirius Lee

    Do you think Isotretinoin can improve scars too?

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4560536/ METHODS 20 female patients, aged 45-50 years, with phototypes II-VI, none of whom had experienced menopause, were treated with 20mg oral isotretinoin, 3 days a week, for 12 weeks. They underwent clinical analysis and skin biopsies in the pre-auricular region, while histologic cuts enabled assessment of the solar elastosis level and morphologic analysis.Go to: RESULTS Clinically, patients, as well as the researching and the assessor physicians, noticed improvement in skin quality. One patient presented severe solar elastosis, 11 manifested the moderate form, while 8 presented the discreet type. According to histological analysis, 65% of the patients revealed alteration in the distribution and thickness of the elastic fibers, which can be interpreted as a histological improvement, while 60% showed an increase in collagen density. We observed an increase in collagen density, from 51.2% to 57.4%, (p=0.004). At the end of the 12-week follow-up period, this density decreased to 54.7% (p=0.050). There was an increase in the density of elastic fibers, from 26.5% to 31.3%, (p=0.02), which had dropped to 27.5% at the end of the 12-week follow-up period.Go to: CONCLUSIONS The study confirmed the role of oral isotretinoin in remodeling the extracellular matrix against photoaging, as well as its durability after 12 weeks, especially when we consider collagen fibers.
  9. Sirius Lee

    TCA cross post treatment (pics)

    Why do you need an antibiotic for? Is the skin infected or are you sick? Never take antibiotics on a whim. Think of the consequence you might have to face in the future when you run out of ammunition because you've become resistant to all antibiotics. With regards to the craters, you're jumping the gun. You should wait at least 4 weeks before thinking about treatments. In the meantime, apply Propolis, which has been shown to help build type I and III collagen. Propolis Modifies Collagen Types I and III Accumulation in the Matrix of Burnt Tissue Same ariticle from NCBI: https://www.ncbi.nlm.nih.gov/pubmed/23781260
  10. Your scars look pretty shallow in the pre-op picture. I'm not sure if subcision was even necessary since it's not very effective for shallow scars. Anyway, even after 8 days, you're not completely out of the woods just yet. Microswelling and bruising will still be present. So give it another 3 weeks. Be that as it may, it's far too early to decide what you will be doing in the coming months. You might not need to do anything should you heal nicely. But I would wait 6 months, not so much because full collagen production takes that long but waiting 6 months actually helps give better result for your next treatment IMO.
  11. Sirius Lee

    Acne scar plan new post

    Basically, NOKOR is used to re-enter the same scar at different depth. Not everyone can do subcision. You'll want to go with someone who has a long history under one's belt. If you can afford to travel, I suggest you visit Dr Rullan in San Diego. Give his office a call or an email explaining your situation and the reply you got on RealSelf. I'm sure he'll lead you in the right direction.
  12. Did you get the sculptra injected on the same day you got the subcision? Just for reference, sculptra should be injected at least 4 weeks before subcision. It takes about 4 weeks for the PLL acid to kick in and start stimulating collagen production. Moreover, it takes approximately 6 months to see its full effect. So, in essence, if you were to get another subcision in 4 weeks, you will likely just screaw up the collagen renewal. Hence, as @BA suggested above, go with the flow and don't rush it. So if your doctor, who shoud know better, is suggesting you get subcision or laser every 4 weeks, it's in your best interest to fire the SOB and find someone else.
  13. Sirius Lee

    Need help determining proper treatment for my acne scars

    How scar revision should be approached is similar to road construction. You fill the potholes first and than repave the surface afterward, not the other way around. But with laser, you're essentially resurfacing the skin without first filling the pits. Not a good idea. I would definitely cancel the remaining treatments (for now). As already mentioned above, laser will come handy later. But concentrate on elevating the pits first. As @beautifulambition mentioned, there are reputable doctors abroad who specialize in acne scar revision. However, there really is no need if you plan to get the procedures that I suggested. Botox and fillers (both Hyaluronic and Sculptra) are injected everywhere in the world, including Norway. Cannula is already widely used to inject those fillers. Radiofrequency devices, including Infini, will most likely be available in medspas. First, I would ask your dermatologist whether he or she would be willing to do subcision using a blunt-tip microcannula while injecting fillers. Also call medspas around you for RF devices. There are many RF devices besides Infini. Will the results be permanent from Botox? No, Botox is used mainly to loosen up the years of sustained muscle contraction from the scars. This will, however, enhance the outcome from other treatment like subcision. How much collagen your body is able to produce will ultimately determine its sustainability.
  14. Sirius Lee

    Need help determining proper treatment for my acne scars

    The forehead and the temples are the hardest to treat. Your chance of improvement is very low. This is mainly due to low volume of collagen/fat. The more you have, like in the cheek, the better the outcome. So do keep that in mind and don't become too discouraged if you get less than expected. With all due respect to your derm, but the use of laser is a poor choice for the forehead and the temple region. I would suggest getting these treatments in the following order: 1) Botox 2) Subcision using a cannula 3) Combination of Sculptra (for the temples) and Infini (Note: 1 Sculptra injection suffices per Infini treatment. Sculptra needs to be injected 4 weeks prior to Infini. This is ony for the temples. HA filler should be used for the forehead.)
  15. Sirius Lee

    Subcision with Emil Henningsen

    This is not aimed at anyone in particular, but those with low self-esteem usually will manifest other BDD symptoms regardless of acne scars. They will always see themselves as inferior creatures, always casting doubt about themselves, always comparing themselves to others, and most likely will blame others for their problems. It's a vicious cycle that never ends. Please get a grip on yourself and know that you may not be able to save the world but you can save yourself.