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What is the best laser out there? Best results with minimal downtime.

MemberMember
100
(@isaac-j-dear)

Posted : 08/29/2021 8:36 pm

HI Acne Scar suffers,

Im planning to get surgical excision of the main big scars and then will be left with a lot of fresh wounds and surface scars with very shallow boxcars and linear scars. I was looking to get a laser soon after the excision in the winter months. I've been finding it really hard to decide what laser to peruse, money is not an issue however side-effects are. On the one hand you have Dr Hussein and the everclinic in the uk who offer fully ablative co2 and yag, however there are many horror stories with side effects lasting up to a year. Then there is non-ablative co2 which while they offer very little downtime and possible side ffects the drawback of this is little results. Therefore my mind currently is on fraxel repair which is a fractional ablative laser, which wont have such a high ceiling of results like the fully ablative option due to it only ablating a percentage of the skin surface the chances of patchy pigmentation is much less. Let me know what you think of this as this might just all be PR spin by the companyto sell their products and there is nothing better when reviewing a laser to hear from someone who has done it.

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(@Anonymous)

Posted : 08/29/2021 8:42 pm

As ive said before ive done both co2 fractional halo laser and also erbium laser for my acne scars...did absolutely nothing...save your money

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MemberMember
129
(@kay24)

Posted : 08/29/2021 8:49 pm

I would like to know as well. I wish I had feedback but I'm at the research process as well. I had halo laser and it's just too weak of a treatment.

I started to wonderif Rullan will still be working in 2 or 3 years for me to save up for a trip. I would love to just get his phenol peel and call it a day on acne scar treatments.

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790
(@harmlessboy1441)

Posted : 08/29/2021 8:50 pm

.

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(@Anonymous)

Posted : 08/29/2021 8:53 pm

maybe dermabrasion is better than a laser?

do you know anyone in australia who does dermabrasion? never done it before and searched alot too to find someone?

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MemberMember
790
(@harmlessboy1441)

Posted : 08/29/2021 9:11 pm

.

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(@Anonymous)

Posted : 08/30/2021 12:31 am

The best laser out there is the co2 EnCore by Lumenis(Active FX, Deep FX). It's the gold standard used by most reputable laser doctors. Dr Lim also uses mostly his co2 laser by Lumenis. It can be used in full ablation and in fractional ablation mode, fractional you will need 2-3 sessions for results but it's safer and less chance of side effects. Bear in mind even with fractional you might suffer prolonged redness or worsened texture for months depending on the aggressiveness and your own skin. Find a doctor who knows what they are doing to minimize the risk of something going wrong. Dr H has too many botched cases for my liking but everybody decides for themselves.

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MemberMember
67
(@samsadleir)

Posted : 08/30/2021 7:09 am

10 hours ago, harmlessboy1441 said:

I have no doubt you speak the truth and that's really unfortunate, but I have a hard time believing no lasers work at all for anyone. I only say that because I had dermabrasion 17 years ago and while it had some negatives like texture changes, changes with how my skin feels and so on, it did reduce the actual scarring by like 70-85% I'd say instantly afterward.

It's fallen back about 20% since then due to many failed things like microdermabrasion and tca then and just aging, so I am honestly just looking for a good laser but having reading mixed reviews for so long, like 10+ years, I'm wary in reversing anything else.

Yeah please disregard that guys posts, he is first post in every thread telling you you are doomed and nothing helps. This may be somehwat true for an unlucky few, but treatments wouldn't be so popular and prescribed if they had no effect on anyone.

The truth is , acne scars are as unique as your genetics are unique, so for some people, have got improvements with as little as vitamin a topicals and natural healing, others have had intensive treatments and got little to no results.

There are trends which seem to indicate the efficacy of laser treatments such as;

1. How recent scars are, scars, that are new (3months) are more responsive to treatment, scars that are still relatively young (Under a year), may be less responsive, but still likely highly responsive to treatment. Old scars (5 years +) may be more challenging to treat (more fibrotic tethering, less collagen induction response, and more likely to reform after treatment due to your body's 'memory'. )

2. the depth/severity of scars, lasers are known for being efficacious on shallow box car scars especially, with either minimal tethering or tethering already reduced through subcision. Also general texture can be improved by laser.

3. Your skin type, if you are 1-2, the doctor can be more aggressive laser with lesser risks.

4. Your age and genetics, if you are young and have decent skin genetics in terms of healing, you are more likely to be a hyper responder to collagen induction therapy through tools like fractional laser, infini etc. Being older or having poorer genetics you will likely be less responsive and need to rely more on synthetic replacements such as filler, fat transfer.

At the end of the day, it is worth getting multiple consults including with Dr. H. If you are a suitable candidate, you can have good results an aggressive treatment. There is a lot of poopooing of literally every doctor here including H, Lim and all the world premiers in scar revision because of the huge diversity in genetic responses, so you are not guaranteed to get treatment. But there are countless testimonials of positive change and convincing b&a pics, so it is worth treating if your quality of life is increased.

 

BARE IN MIND, as I have, you have to take this forum with a grain of salt because of of a phenomena known as survivor bias (reversed in this case). People who respond poorly to treatment are therefore still psychologically dominated by acne scars and are more likely to post and complain on online forums, while people who make substantial improvements often move on with their lives and forget about the world of acne scars and less likely to constantly post about their positive experience. Consider if you had any other problem in the past that is now sorted, active acne, teeth problems, hair problems, whatever, do you still constantly read and post on these sites/forums? Probably not.

I would honestly recommend to get multiple assessments and go as aggressive as is safe for you to do so if you want the most dramatic results, yes it comes with risk, but that is life i'm afraid. Life is a huge dice roll at the end of the day, but you may be one of the lucky ones.

5 hours ago, KatinaBurks said:

I used to work in a skin and hair clinic. Almost all patients who came for acne scar treatment, got very good results with CO2 fractional laser.

yes I believe you, and most of them probably afterwards got on with their lives, the minority that didn't are far more like to cruise forums to poopoo laser and effectiveness of treatments.

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0
(@Anonymous)

Posted : 08/30/2021 7:28 am

19 minutes ago, JudgmentPuzzleheaded said:

Yeah please disregard that guys posts, he is first post in every thread telling you you are doomed and nothing helps. This may be somehwat true for an unlucky few, but treatments wouldn't be so popular and prescribed if they had no effect on anyone.

The truth is , acne scars are as unique as your genetics are unique, so for some people, have got improvements with as little as vitamin a topicals and natural healing, others have had intensive treatments and got little to no results.

There are trends which seem to indicate the efficacy of laser treatments such as;

1. How recent scars are, scars, that are new (3months) are more responsive to treatment, scars that are still relatively young (Under a year), may be less responsive, but still likely highly responsive to treatment. Old scars (5 years +) may be more challenging to treat (more fibrotic tethering, less collagen induction response, and more likely to reform after treatment due to your body's 'memory'. )

2. the depth/severity of scars, lasers are known for being efficacious on shallow box car scars especially, with either minimal tethering or tethering already reduced through subcision. Also general texture can be improved by laser.

3. Your skin type, if you are 1-2, the doctor can be more aggressive laser with lesser risks.

4. Your age and genetics, if you are young and have decent skin genetics in terms of healing, you are more likely to be a hyper responder to collagen induction therapy through tools like fractional laser, infini etc. Being older or having poorer genetics you will likely be less responsive and need to rely more on synthetic replacements such as filler, fat transfer.

At the end of the day, it is worth getting multiple consults including with Dr. H. If you are a suitable candidate, you can have good results an aggressive treatment. There is a lot of poopooing of literally every doctor here including H, Lim and all the world premiers in scar revision because of the huge diversity in genetic responses, so you are not guaranteed to get treatment. But there are countless testimonials of positive change and convincing b&a pics, so it is worth treating if your quality of life is increased.

 

BARE IN MIND, as I have, you have to take this forum with a grain of salt because of of a phenomena known as survivor bias (reversed in this case). People who respond poorly to treatment are therefore still psychologically dominated by acne scars and are more likely to post and complain on online forums, while people who make substantial improvements often move on with their lives and forget about the world of acne scars and less likely to constantly post about their positive experience. Consider if you had any other problem in the past that is now sorted, active acne, teeth problems, hair problems, whatever, do you still constantly read and post on these sites/forums? Probably not.

I would honestly recommend to get multiple assessments and go as aggressive as is safe for you to do so if you want the most dramatic results, yes it comes with risk, but that is life i'm afraid. Life is a huge dice roll at the end of the day, but you may be one of the lucky ones.

yes I believe you, and most of them probably afterwards got on with their lives, the minority that didn't are far more like to cruise forums to poopoo laser and effectiveness of treatments.

You mean people like Ernesto Ria, the pride example of a successful laser treatment, who never even came back as promised to update us on his progress? Did he really improve his scars or did he just acceptthem and moveon with his life despite the scars? I do wonder looking at his photos in Instagram where he pretty much still has all his scars,

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MemberMember
1353
(@getsmart121)

Posted : 08/30/2021 7:31 am

15 minutes ago, JudgmentPuzzleheaded said:

Yeah please disregard that guys posts, he is first post in every thread telling you you are doomed and nothing helps. This may be somehwat true for an unlucky few, but treatments wouldn't be so popular and prescribed if they had no effect on anyone.

The truth is , acne scars are as unique as your genetics are unique, so for some people, have got improvements with as little as vitamin a topicals and natural healing, others have had intensive treatments and got little to no results.

There are trends which seem to indicate the efficacy of laser treatments such as;

1. How recent scars are, scars, that are new (3months) are more responsive to treatment, scars that are still relatively young (Under a year), may be less responsive, but still likely highly responsive to treatment. Old scars (5 years +) may be more challenging to treat (more fibrotic tethering, less collagen induction response, and more likely to reform after treatment due to your body's 'memory'. )

2. the depth/severity of scars, lasers are known for being efficacious on shallow box car scars especially, with either minimal tethering or tethering already reduced through subcision. Also general texture can be improved by laser.

3. Your skin type, if you are 1-2, the doctor can be more aggressive laser with lesser risks.

4. Your age and genetics, if you are young and have decent skin genetics in terms of healing, you are more likely to be a hyper responder to collagen induction therapy through tools like fractional laser, infini etc. Being older or having poorer genetics you will likely be less responsive and need to rely more on synthetic replacements such as filler, fat transfer.

At the end of the day, it is worth getting multiple consults including with Dr. H. If you are a suitable candidate, you can have good results an aggressive treatment. There is a lot of poopooing of literally every doctor here including H, Lim and all the world premiers in scar revision because of the huge diversity in genetic responses, so you are not guaranteed to get treatment. But there are countless testimonials of positive change and convincing b&a pics, so it is worth treating if your quality of life is increased.

 

BARE IN MIND, as I have, you have to take this forum with a grain of salt because of of a phenomena known as survivor bias (reversed in this case). People who respond poorly to treatment are therefore still psychologically dominated by acne scars and are more likely to post and complain on online forums, while people who make substantial improvements often move on with their lives and forget about the world of acne scars and less likely to constantly post about their positive experience. Consider if you had any other problem in the past that is now sorted, active acne, teeth problems, hair problems, whatever, do you still constantly read and post on these sites/forums? Probably not.

I would honestly recommend to get multiple assessments and go as aggressive as is safe for you to do so if you want the most dramatic results, yes it comes with risk, but that is life i'm afraid. Life is a huge dice roll at the end of the day, but you may be one of the lucky ones.

yes I believe you, and most of them probably afterwards got on with their lives, the minority that didn't are far more like to cruise forums to poopoo laser and effectiveness of treatments.

Well written post, a lot of Factors do go into scar healing that is why I always say to keep odds in your favor as much as possible such as treating scars early. And this is where I disagreed to beautifulambition aboutinvest in your skin when you can. No you cant You are running against time as the body produces less collagen with age. Nobody knows on the genetics part but one thing can be sure as time goes your body is producing less collagen. So if you need to make money go and do it then start treating , of course with the right scar treatments.Its yourquality of life we are talking.

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0
(@Anonymous)

Posted : 08/30/2021 7:31 am

nope not complaining just dont others to get ripped off and scammed...it is funny when u ask 99 percent of these cosmetic creeps to do a test spot (limited smaller cost) they wont do it lol to test the effectiveness of their phoney devices...lol (they will only do full face $$$$$$$$$$)

to pay off and profit from their crap

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MemberMember
100
(@isaac-j-dear)

Posted : 08/30/2021 7:46 am

30 minutes ago, JudgmentPuzzleheaded said:

Yeah please disregard that guys posts, he is first post in every thread telling you you are doomed and nothing helps. This may be somehwat true for an unlucky few, but treatments wouldn't be so popular and prescribed if they had no effect on anyone.

The truth is , acne scars are as unique as your genetics are unique, so for some people, have got improvements with as little as vitamin a topicals and natural healing, others have had intensive treatments and got little to no results.

There are trends which seem to indicate the efficacy of laser treatments such as;

1. How recent scars are, scars, that are new (3months) are more responsive to treatment, scars that are still relatively young (Under a year), may be less responsive, but still likely highly responsive to treatment. Old scars (5 years +) may be more challenging to treat (more fibrotic tethering, less collagen induction response, and more likely to reform after treatment due to your body's 'memory'. )

2. the depth/severity of scars, lasers are known for being efficacious on shallow box car scars especially, with either minimal tethering or tethering already reduced through subcision. Also general texture can be improved by laser.

3. Your skin type, if you are 1-2, the doctor can be more aggressive laser with lesser risks.

4. Your age and genetics, if you are young and have decent skin genetics in terms of healing, you are more likely to be a hyper responder to collagen induction therapy through tools like fractional laser, infini etc. Being older or having poorer genetics you will likely be less responsive and need to rely more on synthetic replacements such as filler, fat transfer.

At the end of the day, it is worth getting multiple consults including with Dr. H. If you are a suitable candidate, you can have good results an aggressive treatment. There is a lot of poopooing of literally every doctor here including H, Lim and all the world premiers in scar revision because of the huge diversity in genetic responses, so you are not guaranteed to get treatment. But there are countless testimonials of positive change and convincing b&a pics, so it is worth treating if your quality of life is increased.

 

BARE IN MIND, as I have, you have to take this forum with a grain of salt because of of a phenomena known as survivor bias (reversed in this case). People who respond poorly to treatment are therefore still psychologically dominated by acne scars and are more likely to post and complain on online forums, while people who make substantial improvements often move on with their lives and forget about the world of acne scars and less likely to constantly post about their positive experience. Consider if you had any other problem in the past that is now sorted, active acne, teeth problems, hair problems, whatever, do you still constantly read and post on these sites/forums? Probably not.

I would honestly recommend to get multiple assessments and go as aggressive as is safe for you to do so if you want the most dramatic results, yes it comes with risk, but that is life i'm afraid. Life is a huge dice roll at the end of the day, but you may be one of the lucky ones.

yes I believe you, and most of them probably afterwards got on with their lives, the minority that didn't are far more like to cruise forums to poopoo laser and effectiveness of treatments.

1. I plan on getting a excision a week prior so that scar will be extremely fresh everything else is extremely shallow and mainly surface damage.

2. Im 19 with a good record for healing , if Im honest I have very minimal scarring from severe acne however the 2 main scars on my cheek are from a mountain biking accident.

3. Im skin type 1 or 2 blue eyes ginger hair and dont tan.

I believe from what I have read that Im potentially the perfect candidate for laser. Which fills me with a lot of confidence I spoke to a specialist the other day and he was so confident he could get results he wanted to offer me a reduced cost in return for use of photos. Im unsure if this is ethical and I would like to discuss with him further if I want to go ahead and that I can get some sort of contract that he has to display the photos no matter what result he gets. I just wanted to know what is the gold standard of lasers as its still a few thousand pounds so dont just want to put it in the bin.

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MemberMember
67
(@samsadleir)

Posted : 08/30/2021 8:46 am

1 hour ago, Scarsmakemewanttodie said:

1. I plan on getting a excision a week prior so that scar will be extremely fresh everything else is extremely shallow and mainly surface damage.

2. Im 19 with a good record for healing , if Im honest I have very minimal scarring from severe acne however the 2 main scars on my cheek are from a mountain biking accident.

3. Im skin type 1 or 2 blue eyes ginger hair and dont tan.

I believe from what I have read that Im potentially the perfect candidate for laser. Which fills me with a lot of confidence I spoke to a specialist the other day and he was so confident he could get results he wanted to offer me a reduced cost in return for use of photos. Im unsure if this is ethical and I would like to discuss with him further if I want to go ahead and that I can get some sort of contract that he has to display the photos no matter what result he gets. I just wanted to know what is the gold standard of lasers as its still a few thousand pounds so dont just want to put it in the bin.

Yeah absolutely, I would be very surprised if you didn't get good results (enough to satisfy you, but not total reduction) with your age/race profile and if scars are 'relatively' fresh ~two years.

 

1 hour ago, getsmart121 said:

Well written post, a lot of Factors do go into scar healing that is why I always say to keep odds in your favor as much as possible such as treating scars early. And this is where I disagreed to beautifulambition aboutinvest in your skin when you can. No you cant You are running against time as the body produces less collagen with age. Nobody knows on the genetics part but one thing can be sure as time goes your body is producing less collagen. So if you need to make money go and do it then start treating , of course with the right scar treatments.Its yourquality of life we are talking.

Yeah for sure. It doesn't mean that we can be ridiculous with treatment and get lasers every week, of course it is possible to cause damage this way and you need to heal in between, just to treat consistently and effectively (with as much aggression as is realistically safe)as soon as you get your scars. The longer shit sits on your face, it seems the more coded it is into your physiology.

It's similar to other things, for example, if you get fat over the course of 1 year, it is easier to lose the weight if you start immediately, than if you wait 5 years and then start, your body's homeostasis readjusts to accept your new 'default' weight and is much more stingy about shedding fat than it would be otherwise. Same thing for adding/losing muscle mass. I don't expect it would be much different for skin.

It's true that unfortunately collagen building is boring slow watching paint dry, so no matter what it's probably going to take up to 2 years to get permanent full results, much more slowly than it takes to lose fat/build muscle, grow hair etc etc.

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MemberMember
790
(@harmlessboy1441)

Posted : 08/30/2021 9:48 pm

.

 

 

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MemberMember
6
(@perfectskin_dreamer)

Posted : 08/30/2021 9:56 pm

20 hours ago, KatinaBurks said:

I used to work in a skin and hair clinic. Almost all patients who came for acne scar treatment, got very good results with CO2 fractional laser.

This is what I am scheduled to do - the SmartXide Deka Dot CO2 profractional laser. Wishing myself luck on this...and trying to decide to do it on my worst side cheek or all over.

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MemberMember
129
(@kay24)

Posted : 08/30/2021 10:06 pm

9 minutes ago, harmlessboy1441 said:

I'm scared to heck with laser research because I'm so afraid of reversing any more but I'm also very unhappy with shallow scars due to the number of them and quite frankly the physiological discomfort of having the broken skin barrier and disfiguring look given any environmental changes or anything else. The physiology changes are unprecedented. Acne scarring is treated like cosmetic or self-esteem ailments, but the actual pain, discomfort and physiology is brutal. It makes traveling damn near impossible for example. I know many of you know what I mean. So I despise doctors who have no frame of reference and can't "get it" because they can't see it, like a flat earther basically.

 

 

This is the realest thing I've ever read here. I feel you, unfortunately. I have extensive shallow scarring.Hang in there. You're not alone.

I'm getting a resurfacing next year and I'll document it because we could usemore laser examples. I'm not decided on what kind I'll get. I did finda provider of the Co2 Encore.

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MemberMember
6
(@perfectskin_dreamer)

Posted : 09/06/2021 9:35 am

On 8/30/2021 at 1:14 AM, KatinaBurks said:

I used to work in a skin and hair clinic. Almost all patients who came for acne scar treatment, got very good results with CO2 fractional laser.

That is good to know...that is what I am doing in a couple of weeks.

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