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Obi wan

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Obi wan last won the day on November 11 2019

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  1. Reading this thread I have a few comments- please do not find the statements insulting, as I am a third party observer. 1. In context of Chu, as BA has suggested he may not be the correct specialist for you. Prof got his title NOT for scar revision but for general dermatology and his work on histocytosis - he is well respected by his peers in Europe and overseas. Many Well known derms refer patients to him, and places trust that he will look after the majority of patients. He is not financ
  2. I agree with BAs management. It is good that you have some baseline pictures. Many people find it useful to conduct at home acne treatments. This forum, as advised by Lim is probably the best place to seek SAFE treatment that one can undertake at home. The use of DermaRoller to say 0.5 mm can be effective. As you are coming off ACCUTANE your skin will improve in the next 2-3 months. This is the only scenario that I would advice Pico lasers (Picosure). Pico lasers can improve your PIH and decrea
  3. The biggest mistake we see with TCA is that people treat the wrong scars. Heck, if normal dermatologist don't know how to treat scars, how do we expect someone who subjectively is in a bad place, to make objective decisions on their scar type then attempt to treat them effectively AND safely. Extremely hard to do for anyone- even the most motivated and educated. Making objective decisions in such as subjective topic is near impossible . The good news is that your scars are not hard to treat- one
  4. As BA has mentioned- at home stamping and or microneedling. If using at home roller - 0.5 mm will do. This will keep you motivated and thinking positively before you see Rullan. As for products in the CONTEXT or your scars? Save your money.
  5. Thank you for sharing. The measurement of success has to be quantitively measured - ie. objective photography, but the irony is that the greatest index is subjective improvement. Cannula subcision has much less collateral damage than Nokor. The reason why he did not give anaesthesia is that the plane of subcision is relative free of major nerves- hence it was bearable. Popping, release and snap can be sometimes heard, but most often felt. The use of filler is to act as a buffer, or to address t
  6. @baboonmute thank you for your post. I agree to disagree. Fraxel comes in 3 wavelengths - I assume you are talking about the Re:Pair - namely the big guns of the Fraxel family. This forum has one of the highest standing in the community due to hard working men and women like BA. This forum is designed as a place for constructive criticism and intellectual debate and provides hope in this cruel world of marketing, hype and confusion. It is not the realm of subjective hatred nor unfounded accusati
  7. This is a good question that needs to be addressed. Good specialists will always guide you as to the realistic expectations. Some guy once said 'acne scarring is more than skin deep'. This is so very true. The reason we primarily have our scars revised is for confidence - confidence in finding a life partner, confident on our job prospects and confidence around others. A good doctor will guide us to reach this point of self esteem. Can perfection be achieved? I would think the great scar revisio
  8. Your results and experiences with the two doctors has been invaluable for all. Excellent progress and documentation with all aspects of your journey. Keep fighting the good fight. Wishing you well .
  9. Agree that Rullan is the man to see in this area. Microneedling will help, along with at home devices. Your scars are predominately monomorphic box car scars- some narrow, some medium and some broad. Monomorphic scarring is a rare but good type to have. The reason is that with treatments such as TCA CROSS to narrow scars, angle co2 laser and RF microneedling, your scars will raise in height. Do this 2-3 times then fully ablative MAYBE an option. This type of scarring can yield a drastic improvem
  10. I have been absent for the past few months, but reviewing the pictures - here are my humble comments. 1. Regardless of the operator, the photos show textural changes- shallow scars, and in certain lighting deeper scars. The amount of tethering can ONLY be ascertained during the subcision procedure. 2. If atrophy is significant than the amount of filler MUST be substantial to correct. If tethering is minimal then subcision, especially applied in the traditional Nokor method or in one
  11. Rolling scars, box car scars- mixed narrow and broad, pick n ice pick scars, tethered scars - active acne with pustules and papules plus background oil production or seborrhoea. Possibly type 3 skin ???Usual recommendations - medical for consideration of OCP, Spiro, low dose isotret. for acne and oil. Then TCA CROSS, TCA paint, RF and energy microneedling. CO2 laser to walls of scar, and extensive subcision. 3-5 sessions the re-evaluate. Treat deep to superficial , respect your skin type . I wis
  12. Lim mentions he will be doing IG or YouTube live. I think this is good, because for all the patients with negative or positive results, the medical records can be shown online. This means a two sided viewpoint - balanced. As in his IG post, Lim is arrogant enough to say he discharges patients that don't get along with his personality type. Keep reinforcing BAs view point that patients should CHOOSE doctors they feel comfortable with, and not go with medial hype. In the scheme of skin treatments,
  13. The HARDEST thing about punch excision is not the procedure itself, its the aftercare. When the fine sutures are in, it looks great then and immediate after suture removal. You do need to tape the area for 4 weeks after, because a split scar looks awful. Just keep that in mind post operatively, as this will limit your activities, depending on how stick your surgeon is. Some surgeons/ dermatologist will refuse to do a punch IF they feel that compliance is an issue, as if the wound widens at say
  14. Guess its a good insight in regards to why dermatologist or plastic will not treat you, now we know. I still like BA suggestions, see a few dermatologist or plastics and stick to who think is best. Lim can be blunt as he is trying to cause a change in the Derm world. If you don't like his approach see someone you are more comfortable with. His presentations are always controversial as he challenges the mainstream though of scar revision by dermatologist and plastics. I guess you got to have som
  15. Maybe self limiting, if you can feel a lump- OK, if you can see the lump intervene. Massage, and time. Prof will use dilute A5 or A 10 injections, if mild -break down with saline injections. As habit I think all dermatologist should get haemostasis or no bleeding after subcsion. If bleed, vvvvvv easy to evacuate the clot. The good derms (not that Im saying Chu is not good, he's probably the master), will take their time to evacuate clots and re-check you don't bleed before you go. The bleed is u