In the right light you will more likely have deficiency everywhere that there is scarring,its what this kind of scarring is,something missing while healing creates a small dink.

tca cross for ice pick type or smaller scars,that will lift and heal them in %.that should make your appearance better.tca peel at higher strengths will help with smoothening your skin out and reduce the smaller ice picks,scarred pores.you could bermastamp alternating,dont roll,monthly or every so often.

2 hours ago, scars_r_us said:

How severe are my scars and what would be the most effective way to treat them? Could I just do tca cross/peels at home?

I don't think you even need a subcision, which is more geared towards deeply pitted scars. From 1 to 10, I would say most of your scars are around 4.Hence, I suggest up to 3 sessions of Infini, spaced out at least 3 months apart. It's also ideal to inject Sculptra at least 4 weeks prior to Infini for added boost. Sculptra is a collagen-inducing filler, which takes about 4 weeks to kick in. Once the pits are filled in, you can then transition to sanding any surface irregularities using other modalities like laser or chemical peels.

Just now, Quadboy said:

In the right light you will more likely have deficiency everywhere that there is scarring,its what this kind of scarring is,something missing while healing creates a small dink.

tca cross for ice pick type or smaller scars,that will lift and heal them in %.that should make your appearance better.tca peel at higher strengths will help with smoothening your skin out and reduce the smaller ice picks,scarred pores.you could bermastamp alternating,dont roll,monthly or every so often.

also i think you either got folliculitus or had it in past,why you have poral appearance even in your hair and thinning.you need to get rid or control it by going dr and checking it checked and right treatment,usualy anti biotics.it breaks skin out in acne.

19 hours ago, Quadboy said:

19 hours ago, Quadboy said:

In the right light you will more likely have deficiency everywhere that there is scarring,its what this kind of scarring is,something missing while healing creates a small dink.

tca cross for ice pick type or smaller scars,that will lift and heal them in %.that should make your appearance better.tca peel at higher strengths will help with smoothening your skin out and reduce the smaller ice picks,scarred pores.you could bermastamp alternating,dont roll,monthly or every so often.

also i think you either got folliculitus or had it in past,why you have poral appearance even in your hair and thinning.you need to get rid or control it by going dr and checking it checked and right treatment,usualy anti biotics.it breaks skin out in acne.

Thank you. You're probably right about folliculitis, I do have red bumps on scalp which have bothered me for years. I have the same problem on my legs, which a Doctor diagnosed as a staph infection. I was prescribed antibiotics a number of times, which got rid of the problem for a couple of months, but it always came back. Weak immune system obviously, but I'm not sure what I can do about that. 

19 hours ago, Sirius Lee said:

I don't think you even need a subcision, which is more geared towards deeply pitted scars. From 1 to 10, I would say most of your scars are around 4. Hence, I suggest up to 3 sessions of Infini, spaced out at least 3 months apart. It's also ideal to inject Sculptra at least 4 weeks prior to Infini for added boost. Sculptra is a collagen-inducing filler, which takes about 4 weeks to kick in. Once the pits are filled in, you can then transition to sanding any surface irregularities using other modalities like laser or chemical peels.
 

Thank you. I will see someone about Sculptra / Infini. About subcision, I'm attaching a pic that better shows the dents I'm talking about. It's weird that it's on both sides of my face and in the same area.  I'm not even sure they're from acne. Maybe Sculptra could address this also? If I do need subcision/filler, I assume I could do that first, and then get Infini (this dent looks pretty deep to me, so I would think the filler would be well below the surface/textural issues). 

4 hours ago, scars_r_us said:

About subcision, I'm attaching a pic that better shows the dents I'm talking about. It's weird that it's on both sides of my face and in the same area. I'm not even sure they're from acne. Maybe Sculptra could address this also? If I do need subcision/filler, I assume I could do that first, and then get Infini (this dent looks pretty deep to me, so I would think the filler would be well below the surface/textural issues).

Edit: Now that I've looked at the scar more closely....

Injecting Voluma or Lyft would fix that immediately.

I think you can do more superficial subcision on some of the more atrophic scars.

On 4/27/2018 at 12:57 PM, Sirius Lee said:

Edit: Now that I've looked at the scar more closely....

Injecting Voluma or Lyft would fix that immediately.

Really? But it would need to be done every year or couple of years correct? Is subcision inappropriate for that scar?

On 4/27/2018 at 4:46 PM, Raster said:

I think you can do more superficial subcision on some of the more atrophic scars.

Maybe on some of the box cars on the right side. Have you had subcision done before?

3 hours ago, scars_r_us said:

Really? But it would need to be done every year or couple of years correct? Is subcision inappropriate for that scar?

You can, but subcision alone is not enough to fill the scar entirely. Filler will likely do the most heavy lifting, especially if the scar isn't tethered.