My horrible subcision experience with Dr. Sadove in Gainesville FL
I had been searching for a viable remedy for rolling acne scars and through recommendation on this website i landed on dr sadove in Gainesville fl. I contacted him and sent him photos for a virtual consultation. He concluded that subcision with fat grafting would be the best option at a price of 4000. He said I was a perfect candidate and believed that I would see a huge improvement. Feeling excited by his confidence I made the appointment. Day of procedure everything was fine. I came out looking incredibly smooth but like a chipmunk as anticipated. Saw dr. Sadove the morning after. He was very happy how it looked and said "you're looking like a 90% improvement". Looking back now I'm thinking how could you have possibly known the results fresh off a fat transfer and a ton of swelling. I mentioned a dent on my left cheek that I never had before, where it looked like the fat didn't go. I asked him about that and he tried to massage it into place. 6 months after the procedure I am looking very uneven on each side. Right side looks okay, tolerable. Left side is larger and uneven, looks wavy and lumpy in spots. Dent is still there from day after treatment. Both sides considerably larger in size than they used to be. Feeling very displeased with my results, I make an appt to see him to address my overfilled face. Couple days before I call to confirm the appointment. They're like what?! You're coming in tomorrow? I said yeah I made the appointment like 2 months ago. Receptionist looks through her files about 10 mins and comes back and says, oh we don't have you on the schedule we must have got you mixed up with our other patient who has the same name. I'm like well I made the appointment, took off work, and am driving down 4 hours away. She says okay we'll make it work. I'm thinking to myself, wow your whole filing system crashes if you've got a duplicate first name.wtf. Before I hang up I confirm again everything at the appointment will be complimentary since I am coming back to fix what I was unhappy with. She assures me absolutely. I also expressed my discontent to the doctor and he assured me everything would be complimentary. Anyways I show up two days later right on time. Doctor is nowhere to be found. Receptionist/nurse is running around and making calls trying to find him. 45 mins later he walks through the door with a new keurig. Finally brings me in his office. I begin illustrating to him how upset I am about how my face looks.....still puffy, very uneven, dent on my left side, and overall way larger than I used to be. He begins shuffling through my before and afters, and kind of chuckles, "I think I see a big improvement". Again I articulate why I am upset and the lumpy spots I don't like. He kind of laughs and says, "you know how many girls pay a lot of money for that fullness." I just looked down feeling depressed and broken. I said, "well I'm not a girl and I don't want that fullness, what can be done to reduce the fat and remedy the unevenness?" His response was unhelpful and rushed. Basically told me no, just give it more time, maybe it will go down. I pressed him a little more and he decided to inject a bit of cortisone in my cheeks to dissolve some of the fat. All in all he basically laughed at me the whole time, didn't take my concerns seriously, and gave me an attitude when I told him I wasn't happy. He said oh we can inject a little juvederm in that dent on the left side to help that. I say okay I guess. He takes me to the back room and goes okay this syringe will be 650. I'm like wtf I thought you told me it was complimentary. He says oh it's not free but I'll give it to you at cost. I said no and we left. My wife said that was the worst experience she's ever had with a doctor, you are not going back there ever.....Now 14 months later no improvement, still uneven, lumpy, and unhappy with my results. It's completely wrecked my self esteem and confidence. I've been seeing a couple surgeons locally trying to find a remedy. Would post pictures but I'm too embarrassed. Stay away from this doctor. Horrible experience.
I've had two treatments for boxcar scarring. Diferrent doctors, different techniques. The first PS used a nokor needle followed by Juvederm the day of (which leaked out) and Restalyne a month later. I had tons of bruising and swelling and heard the popping sounds (from the scar bands 'breaking') but saw no improvement after the swelling subsided. The filler didn't even make a difference. The second PS used the needle from the filler and then injected Perlane. Very little bruising and swelling. No pain...froze my face with an ice pack vs. local injection. Despite being very happy for the first week or so, I don't see much improvement as of right now. It's only been a month so I suppose you could argue that result are still to come but as of right now, I'm not impressed. You'd think the filler would have done most of the heavy lifting anyway...and still only about 10% better. This might not be the best treatment for boxcars.
Shallower scars Not as noticeable scars More self confidence 2 days down time. With bandage on I'm having excellent results and glad I did it. I was so scared and waited 1 year to make sure I needed this treatment. I researched on acne.org and found dr. Mamalak and dr Hansen in austin Texas!!!!iExcellent doctors , reduced the anxiety I was having and did an excellent job. Will post pictures so far if I can figure out how. It has now been 3 weeks and I'm still happy with the results. I know the collagen is still growing and is getting better and I'm more able to cover with makeup. I was surprised that it didn't hurt more I was mildly uncomfortable for about 2 days then I took off bandage and washed with nutogena extra mild liquid soap and covered with aquaphor . The brusing lasted about 7 - 10 days but it wasn't so bad that I couldn't go out. Sanova dermatology is the best I've found in austin Texas. I highly recommend these dermatologists as they know what their doing and are very honest with you. I had rolling scar. And 3 big acne scars done at once. It has been 1 month now and the results are so good. I will give it 6 months and then decide if I need anything more.
Works amazingly well on rolling and dented scars. Does not work on boxcar scars. I have a couple of dented rolling scars from acne and boxcar scars from chicken pox. I had just one subcision on both these scars. Rolling scars responded really well. I'd say about 80% improvement. Don't expect to see the results immediately. It takes time for the skin to level up. Give it about 2 months time to work. Downtime is 2-3 days. For working folks, you could return to work on Monday if you have the procedure on Friday. There are several positive and negative reviews about subcision in this forum which are posted under a week after the procedure. Anything under a month is too early. Scars could look better or worse during this period due to swelling. Boxcar scars, IMO, showed 0% improvement. But I'm still giving this procedure 5 rating as I was fully aware that boxcar scars wouldn't respond. The $700 that I paid included consultation fee from an earlier visit and excision of ice pick scars. This combo was way cheaper than the price my doctor quoted for lasers ($3K+).
I seems to have lifted the depressed scar. Not painful and only took about 15 minutes. Some mild bruising and swelling. I had this done late in the afternoon and was able to easily cover with make up and go to work the next day I'm giving this a 4 even though it's only been 6 days. The swelling is gone and it does seem to have lifted the depressed scar. My doctor only wanted to do one to see how well it would work. Also, she did not charge for this one, so I have no idea how much she will charge to have this procedure for other scars.
Works very well on some scars. I got over 50% improvement for some of the scars. Can be combined with laser or filler for additional improvement. Works best on rolling scars that do not flatten when stretched. I highly recommend this treatment if you have rolling scars. Long downtime (7-10 days) Possible lumpy area at treatment spot (though rare) Does not work on ice picks Doctors tend to miss some scars so make sure you point them all out or mark them with a pen before Overall it is a great scar treatment for rolling scars. It is not perfect though but I think this is the best treatment for rolling scars at the moment. Make sure you do your homework on it and find an experienced doctor. The price I paid if for the entire face. If you have the downtime, money and rolling scars, I highly recommend it.