Subcision- the best way to defeat acne scars

[AySab]

Yes accutane is of course the best treatment but it reduces igf-1 by 20-50%. Igf-1 is partly responsible for acne but it's also responsible for growth.

Hgh along with insulin,thyroid hormones and protein creates igf-1 which is responsible for bone growth related to height (the correlation between igf-1 and height was like 0.9 iirc) frame and your face.

Which is why i think reducing DHT is a better approach, the sexual sides affect 2-4% (from the original FDA approval studies) as long as you are tanner stage 5 you shouldn't experience any stunted development since DHT only works in the areas it is produced ( skin, hair and prostate) where it only does bad things and induce hair growth on your beard and body which i consider bad

Do you think taking anti histamines with treatments other than accutane is legit?

anti-histamines are always legit, there are a alot of histamine releases that affect acne and most over the counter histamine releases will cover majority of those.

 

[cyprian_tomaszewski]

B5 overdose was a interesting study, but there are other supplements that you can take instead, although B5 shouldn’t cause any insane health concerns.

Wdym other supps?

Yeah, the only side is hair loss which can be mitigated with l-cysteine or l-carnitine for more CoA production while taking less b5 and biotin/ b complex in the morning/evening

 

[AySab]

Wdym other supps?

Yeah, the only side is hair loss which can be mitigated with l-cysteine or l-carnitine for more CoA production while taking less b5 and biotin/ b complex in the morning/evening

Other supplements such as 50,000IU vd3, omega-3, vC, Magnesium, vA

 

[vinn98]

The keloid is on my nose tip do I put corticosteroids there?

View attachment 2873599

Stay far away from corticosteroids, nasty stuff.

 

[vinn98]

I got subcision on my cystic acne scars like ten years ago. It worked better than laser. Made a huge difference from a single treatment, I didn't even get filler. I took vitamin C and collagen after.

 

[Surgerymaxxer1998]

How long do I have to take dutasteride to shrink oil gland on nose? Is it permanent once I stop?

 

[piec]

In theory

Doesn't subcision cause facial sagging? This side effect was reported a lot on the forums. Also it is used for untethering scars, and they can retether after a few months so it isn't really permament unless you do a few treatments.

Once i'll get rid of all acne and PIE i'll try to find a better solution

yeah its pretty bad and what ends up happening very often is the surgeon just cuts the fibers of ur skin like a retard (usually not even the scar itself) which obviously causes sagging. 99% of results u see on the internet of subcision are combined with filler. the only thing i would do subcision for is if ur really desperate or u have a one specific spot that u want untethered and have a good precise derm to do it


just look at this, what do u think is gonna end up happening to ur face?

 

[cyprian_tomaszewski]

yeah its pretty bad and what ends up happening very often is the surgeon just cuts the fibers of ur skin like a retard (usually not even the scar itself) which obviously causes sagging. 99% of results u see on the internet of subcision are combined with filler. the only thing i would do subcision for is if ur really desperate or u have a one specific spot that u want untethered and have a good precise derm to do it


just look at this, what do u think is gonna end up happening to ur face?

So do you recommend other tretments for tethered scars or should we just treat them with the same treatments that non-tethered scars are treated with (MN, TCA etc.)

I've heard of some lasers that can supposedly untether scars and there is some talk in new studies about using new procedures to minimize the risk but idk how well it would work and whether derms would even do them. Subcision is done everywhere, while these new treatments would take a while to get adapted by derms.

@AySab

 

[AySab]

So do you recommend other tretments for tethered scars or should we just treat them with the same treatments that non-tethered scars are treated with (MN, TCA etc.)

I've heard of some lasers that can supposedly untether scars and there is some talk in new studies about using new procedures to minimize the risk but idk how well it would work and whether derms would even do them. Subcision is done everywhere, while these new treatments would take a while to get adapted by derms.

@AySab

go with the generic solution, subcision then co2 and whatever afterwards.
usually subcision and CO2 is enough to completely delete all scars.
Might take more sessions depending on severity though.

 

[AlexBrown84]

yes just ignore the fact that it can create new infliction scars

 

[cyprian_tomaszewski]

go with the generic solution, subcision then co2 and whatever afterwards.
usually subcision and CO2 is enough to completely delete all scars.
Might take more sessions depending on severity though.

yeah its pretty bad and what ends up happening very often is the surgeon just cuts the fibers of ur skin like a retard (usually not even the scar itself) which obviously causes sagging. the only thing i would do subcision for is if ur really desperate or u have a one specific spot that u want untethered and have a good precise derm to do it

So you think this isn't a risk?

 

[piec]

So do you recommend other tretments for tethered scars or should we just treat them with the same treatments that non-tethered scars are treated with (MN, TCA etc.)

I've heard of some lasers that can supposedly untether scars and there is some talk in new studies about using new procedures to minimize the risk but idk how well it would work and whether derms would even do them. Subcision is done everywhere, while these new treatments would take a while to get adapted by derms.

@AySab

likely i would just do co2 or peels. you could still obv do subcision its pretty good for scars, just not the face usually

lasers and peels do unthether your scars unless they are stuck really deep, it just takes a few sessions

 

[mnbvcxz]

havent done too much research on that, I had burn scars which were I tried a silicone gel which barely worked (guessing cause it wasnt raised).
Try silicone gels and if it doesn’t work, youll probably need some corticosteroid.

I have hydrocortisone cream 1%, would that work? Or do i need the corticosteroid injected by jew derms?

 

[AySab]

I have hydrocortisone cream 1%, would that work? Or do i need the corticosteroid injected by jew derms?

try botox and corticosteroids.

 

[kingofkings]

I wanted to bump this to share some additional info.

You'll see some amazing success stories from subcision, both with photos and without. Often not long after the treatment has been done.

The photos in particular look incredible in some cases.

Just be warned - micro-swelling from a properly performed subcision that went in hard takes 2 months to fully subside. This is important as the swelling makes the result look better than it really is for quite a while. I would quantify subcision as giving maybe 30% improvement. But in the immediate weeks afterwards it looks more like 75% improved due to the swelling.

So have your expectations aligned accordingly.

 

[garoupilled_]

Great thread bump

 

[Giant Haystacks]

Amazing thread very helpful, getting excel v+ for skin tone and PIE this year and booking in for consults for subcision and perhaps a collagen filler after for minor forhead scars. Perfect skin 2025