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How to treat ACNE SCARS | Dermal Fillers
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- Опубліковано 6 тра 2020
- / 101.skin
For the science of dermatology & procedures with out the BS
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Acne scar revision at a medical level has a complex algorithm based upon physician approaches & patient factors. Patient’s understanding of the BIOLOGY of scar revision in the context of the level at which scars lie is important.
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Scar Types: Understanding the different scar types is the very first step. Scars can be broadly classified as ATROPHIC (hole) or Hypertrophic- Keloid - raised. They can be divided as to the colour- hypo, hyper, PIE (red) etc...
Atrophic scars include boxcar acne scars, icepick acne scars, rolling acne scars, & 'divots'. This broad classification can be further divided into others including narrow boxcar acne scars, broad, linear, deep, undifferentiated, mixed etc... same goes for icepick acne scars- pick, pits, deep pits, icepicks, deep icepicks. The algorithm of how to manage is then based upon one's skin type (1-6), as well as patient downtime.
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Skill sets: Revision specialists should be able to surgically operate as well as fill, laser, peel, & operate suitable devices. The order is flexible as there are many ways to the same destination. For example the use of RF #microneedling can be a substitute for lasers.
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Bell curve & biology. Patients sit on a bell curve. This applies to immune response, mental understanding, & other important factors. Some are fast responders, some are slow responders based upon physiology.
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Scar types : Deep vs superficial #acnescars. Rolling, tethered & atrophic scars are much harder to treat cf superficial scars. This video illustrates the concept of volumes, atrophy & thought processes for #dermalfillers
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Age related issues: Loss of volume both dermal, fat, bone CONTRIBUTES to the APPEARANCE of acne scars. Scars do not worsen (if inflammation is absent), you lose the SUPPORT for atrophic scars. No two ways around this- treat age related changes & scars will improve.See previous posts that emphasise this point
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In the majority of cases results are largely predictable. If skill sets & correct application of techniques are met, & if patients understand the concept of support, the vast majority of acne scars / traumatic scars can be improved
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Davin Lim @drdavinlim. Brisbane Dermatologist
Australia.
Gosh, how I wished you had your practice here in the U.S.! You’re AMAZING. I have a lot of acne scars and seen quite a few dermatologists but none as knowledgeable as you when it comes to acne and acne scars.
3 months ago I had no idea what this man was talking about.
Now I get it all and I am happy he is going even deeper in details.
I'm 64 now and I have had acne all my life. When I was younger people were far more careless about what they said to me about it, even strangers would joke about it to my face and call me 'pizza face' etc. At this age, I have finally grown to accept it and get on; I've lived my entire life with it now from being a teenager, and I'll likely die with it. I have terrible atrophic scars all over my cheeks, forehead and even my nose, with acne spots on top of them. People nowadays don't mention it. I know they're there and even spent my life as a young man not going out in the sunlight as that shows up every blemish,spot and scar i have (I live in England so it's gloomy most of the time luckily ha ha) but I have grown to accept it now. It is what it is.
Thanks for providing clinical based information on acne scarring. People that struggle with scarring may not be able to visit you, but at least they have accurate information about suitable treatments and achievable results, and will not waste money or time on ineffective products or treatments.
Thank you. DL
@@drdavinlim sir. Is there any branch of bellafill in philippines?
My atrophic scars make me so sad. Acne is such a horrible thing to go through.
Me too
Hi Dr Lim, I am 55years old and still have acne, looking forward to your next topic for our age group.
Yep not quite 50 yet but still get these damn things. I know how you feel
No joke. Im already 30 and they are still rampaging.
Im 32 and still dealing with acne. Not so much on my face, but mostly on my shoulders, back and chest :( I have scarring that make me wish I had never picked at them.
Same here, still have acne in 46 years old. And this age impacts to too lazy to treat it.
Have you looked at your diets? ... try Dr Bergs channel.
The only realistic dermatologist in the world who talks about acne scars without selling ineffective procedures.. i Lost money for years doing lasers and everything to minimize the scars when only fat transfer would resolve This.. and nobody told me that.. thanks for the vídeo!!
Yes, pros and cons of fat, good to know you had correction with little reabsorption - DL
@@drdavinlim doctor can fat transfer be performed on deep ice pick scars on the nose?
Dr. Davin Lim, glad to see you back more regularly on UA-cam!
So informing, and different from what I have heard from other drs in North America . Thank you Dr. Lim 😊
How to understand if your scars are deep because in different angle lighting we see difference in scarring.
Informative video about 👐 Scar revision treatment 👐. check out the video 👇 if you want to know about the types of the scars . 😊👍
ua-cam.com/video/sEXnH_mgs6Y/v-deo.html
For keloid scarring do you find that steroids or other therapies can sufficiently help prevent their recurrence?
I have small hypertrophic scars I was wondering could wart remover work for them? maybe if dr had some kind of QnA i would ask...
I have hypertrophic scarring on my nose and I’m trying to figure out how to treat but everything seems so expense. ..it helpppp 😩
Thank you for this video. However, you never mentioned raised acne scars, papular acne scars? I heard you were writing a paper on this issue. Is there any way to permanently eliminate this type of acne scar?
Can you please make a video on white pigmentation scars I have white spots or scars from acne scars and almost every dermatologist I’ve bin to they haven’t really given me a direct answer to why they are there and told me there’s really nothing I can do to get rid of them
Realistic point of view
So can you have a laser resurfacing done, and filler in the same session or is it best to do the separately ?
Hello Dr. Lim! I am saving up so that I can afford to fly out to Australia to book an appointment with you. I can't wait...thank you for all your videos.
Bielka Bevillard , he won’t see you. He’s been fully booked and not taking on new patients. Please help me get him to refer others as good as him. It’s our only hope. Cheers. And please believe me I’m only a few hours away from him.
@@14mrn4mrs That's a bummer! I'm in Fort Myers, FL (USA). It would be awesome if he knew of doctors like himself that he could refer to all of us that can't go see him personally. I was seriously going to book an appointment 6 months-9 months in advance so that I could have enough time to purchase my ticket. I've a sister that lives there part time so I figured I would kill two birds with one stone. I'm very careful which doctors I go to because some Drs will push anything just to make money. I appreciate Dr. Lim for his honesty and passion. He is so informative...I hope he can help us with referrals.
@sameer s Thank you for the info!
M the first. Yayyy
Pls tell me how much energy should be used in fractional co2 laser for small ice pick scars. And also pls tell how to avoid hyperpigmentation or melasma as a side effect of fractional co2 laser? I work in aesthetic clinic. Need ur insight.
Love all ur vids. Really helpful for me. :) pls make video on fraxel and lactic and glycolic acid peels. And pls gv ur review on whitening injection like glutathione in Asians. Thanks Drdav
You help me understand about my face and skin so much. I wish you were in the states 😔
I'm not sure if I have any legit acne scars but I understand now that I should consult with a dermatologist for that specifically,
Even though I was already planning on consulting one for the difficulty I'm having in treating my acne.
Dear doctor, I am from India, have been watching your for so many years, Very helpful, my dermatologist here suggested me to go for nano fat transfer for my severe acne scars, do you advise to go for it? Thanks
Hi Dr. Lim, thank you as always for your posts. I have Loss of volume both dermal, fat, bone at 45 yrs old. contributing to the look of my rolling scars on cheek and cornes of mouth/chin.
Are Subcision and fillers the best treatment for treating age related changes & scars? Thank you, be well.
Hi Dr. Lim I wish you practiced in Southern California. Do you have any colleagues you would recommend in the Los Angeles area.
Hey DR Lim, can a derma roller / Pen be used on icepick and boxpick scars?
Possibly on the latter, I will do another video on safe DIY treatments in the future, DL
@@drdavinlim Could wart remover ( the one that I have contains lactic and salicylic acid) be beneficial to hypertrophic scars? I'm really tempted to try this, but i don't want to make a mistake 😀
Great Info Doc. My question is can you use dermal fillers along with TCA cross same time? Thanks
Can you please help me find someone in the Sydney area? You never answer this question. I know you’re completely booked out. It would be nice if you could give some guidance. I’m obviously super desperate and after listening to you for many many months I don’t trust anyone will help me the way you can. Please help me find someone in the Sydney area PLEASE????
Thank you for the topic presentation and the dermal filler part information.
You are welcome. This topic on volume replacement in the context of atrophic scars is the hardest concept to understand, for both practitioners and patients. DL
😊❤ Thank you! Great info. 😊
I wish you could remove my bellafill filler in my cheeks. I had it injected in my tear troughs 10 years ago and for some reason now at 42 I’ve developed huge granulomas 😢 not sure if it’s because I just had my 2nd child a year ago? I’ve talked to plastic surgeons and none of them will touch my face one plastic surgeon who specializes in eyelid surgery said it’s common for filler to act weird after childbirth because honestly, I never had any bad results until a couple months after my son was born. I feel horribly self-conscious, and I’m terrified of getting hit in the face or heaven for bid getting into a car accident and having the airbag go off I don’t know what kind of damage that would do and I don’t wanna find out I wish I had the money to come and see you. I think you’ve removed filler with the lasers before, I wish there was a way you could work with me on the price maybe video the surgery to teach others what can go wrong by getting some of these permanent fillers because like my plastic surgeon said these granulomas and problems after surgery or only becoming more and more common oh, and I forgot to mention, the lady that injected me is no longer in business. Her company went bankrupt.
Does Dr Lim train other dermatologist? I would like to set up an appointment but only with someone with his skill. 😊
05tech , same! But I feel like we’ll never get those answers. Petition time!
I wish you had an online shop with at-home treatments that you deem safe to use on scarring. I'm too worried to buy dodgy stuff just off some random person's shop …….
hi doctor, can PRP filler be used for an atrophic scar?
Can you please recommend a good dermatologist near Toronto, Ontario?
I'd love a video on spironolactone to treat acne. I'm a 32 year old woman with deep cystic acne and i'm experiencing significant hair loss.
Please see your Gp or specialist. This sounds like symptoms of PCOS.
Hello Doc, may I ask if restylane vital can lessen acne rolling and box scars grade 1 to 2, bec we havenlimited restylane available in the Ph. Thanks
Yes! Im the 9th person to comment..... I really love ur accent doc 😍💖
Can we use PDO threads for support instead of going deeper to SMAS layer?
scars reappearing due to fat loss, volume, collagen loss need to be remedied thru structural support from underneath - by what procedure? you didn't elaborate. thanks
dermal fillers
Or actual plastic surgery as in a facelift, if one gets older. Not recommended to use fillers indefinitely when facelift is better.
Hi Dr Davin Lim! my problem is my face so many acne scar,I want to go treatment for my acne because I'm so shy about my face. but I have financial problem.how I wish someday I have an sponsor for me
Try Derma stamp with numbing cream, Be well sterilized before use in one go and desert used needle. Cost only 40-50 $ per session done by ownself. Rejuvenate with Vitamin E and B3 and Hyarulonic acid. This will heal with fews day. You can see tutorial of derma pen and stamp in youtube. This is the cost effective method of scar fixing.
I love all your videos, quick q Can I get Infini rf after getting restylane vital?
Several questions
1) is there anyone you can recommend in Sydney?
2) is this considered cosmetic surgery? Or medical?
3) does it take several treatments to treat scarring? Or it achieved in a single session?
4) ballpark figure on costs involved for this procedure?
5) are there any side effects or risks involved.
Sorry for all the questions. I would greatly appreciate it if you answer and address them all. I am very interested in getting my facial acne.scars.treated
Dr Shawn Richards. Very experienced dermatologist.
Dr Davin Lim , thank you!!!!!!!! Is he the only one you recommend?
Hope you enjoyed Mother's Day with the women in your life! :-)
is the dermal filler referred here is permanent? not the filler like restylane for tear troughs?
i stopped taking isotretinoin.Now 2 months gone ,when i can do scar treatment. how many days i want to wait after isotretinoin
Thank you!
On another note…you never discuss cerave products….why?
i Have a scar on my cheek just above my laugh line, goes in the same direction as my laugh line ,is just a lil above it, it becomes more deep when i smilee!! i was also wondering if dermal fillers will help ? if not in curing the depression, will they help in making my scar less deep when i am not smiling
Will I have to do dermal fillers for the rest of my life or will the fillers soften my atrophic scars overtime.
What is the cost for subsicion and derma fillers?
Hi. Is there anything that can be used to really treat dark patches on the face? I'm a woman of color early 30s. Nothing seems to work. Not sure if its melasma. Sigh. Thanks
You should get it evaluated first.
Hi doc,what's about Energet2.0?
How do we get rid of atrophied scars from kenalog/steroid injections? 😭
Hi Dr. Davin, my Dermatologist will perform subcision, tca cross, and Prfm at the same time to me this June. My question is it effective and safe undergoing those treatments at the same time? Thank and love from Manila, Philippines!
Yes, be guided by your dermatologist ,DL
great video doctor, i have a scar on my cheek which becomes very deep and noticeable when i smile. i want to have a smooth smile and hope fillers would be a good option after a subcision.
do the scars go back to normal after 6-9 months? or does the filler show significant improvement?
i have the same thing!! scar on my cheek just above my laugh line, goes in the same direction as my laugh line , becomes more deep when i smilee!! i was also wondering if dermal fillers will help
@@pragyachamoli6188 i did micronerdling and so far it didnt help a whole lot but it hasnt bren enough time. i might try filler
@@SS-hd5jx any good results? Have the same problem
How true is apple cider vinegar to treat acne?
I'm in W.A please covid go away so I can get you to fix my face
Ari Tawera , he’s not taking on new patients. I’ve been trying since before cov19. Help me get him to refer others like him. He doesn’t ever answer when I ask. Cheers!
doc is bellafill worth it? at acne scars
Any recommendations for a good Dr in the USA??
Dr Steve Weiner in FL, Dr Jeff Rapaport in the North
Dr Davin Lim , how about Sydney????? Please????
can someone who has a history of keloid received dermal filler?
Dr. Lim, what lasers are you using for acne scars on ethnic skin? (I am dark skin Latino) I wanted to go with the CO2 laser but my derm said I can not have that treatment because of my dark skin but she said that the Pico laser would be great. But then I saw your video on how the Pico laser clearly won't help for scaring so, what is out there in lasers that will work great for dark skin folk with acne scars? Thanks in advance! :-)
I want to know too
Andrew Check out “South Coast Medspa” they have two clinics in Southern California, supposedly they have a fraxel laser for dark skin patients, watch their videos here on UA-cam.
Can i do this filler while on my last month of 20mg accutane?
Doctor, where are you located at ?
Thank you
You are welcome. Good to see you on YT Fee, DL
I my cheeks i have a depression scar which is like my thumb finger size.which treatment is best for this scar.Also i have lots of acne scar
you need no pay for the query
I have to be very very diligent with my skincare routine from years and years of cystic and bacterial acne.
My skin now is clear and very healthy due to lifestyle and a good skincare regime.
I’ve found massaging in products like a flavonoid and retinol will help nourish the skin (it’s the only thing that’s I’ve found worked) and occasional laser treatments and microneedling.
I’m super interested in clear and brilliant, any thoughts on that? Can it be done on the neck to address neck lines?
Hey I'm glad your acne improved! Out of curiosity may I please know your skin care regime and healthy lifestyle changes? Thanks! :D
@@gabriellanoelle1606 Hi Eddie! It took a long time, but I cut out dairy, refined white sugar, wheat/gluten, and animal products for a while (I'm eating eggs, chicken & bone broth now). I also use Nerida Joy's skin care line called Educate you skin...she has a ton of videos and her line is really great.
Just remember, good skin starts within..if you have some skin issues that's a sign something internal is going on:)
Dairy is a big cause of acne, but if you're suffering from scarring a good skincare regime will help tremendously. If you email the team at Educate your skin they can assist you with the right products! Good luck!
@@Dakkibaby20 Hello Megs, has Retinol worked well for you? And do you recommend it? I'm thinking of buying some as I've heard that it boosts collagen in the skin. Thanks, Dale.
Hi Dr Lim, is TCA cross the only way to remove box scars combined w ice pick scars around the nose?
Depends on the depth and morphology- be guided by your dermatologist. DL
Dr Davin Lim thanks doc
@@drdavinlim doctor please help I had six sessions of TCA and fraxel and still the ice pick scars on my nose are still there, I am losing hope and getting frustrated, I have oily skin and still have acne due to hormonal imbalance so I decided to take acnetrex, Is there a way to treat acne scars on the nose, how many sessions of TCA should I need to have?
@@rolansanchez7046 same here ..
2 co2
2 tca
2 rf treatments
N 3 derma pen with prp
In 2 years
But 10 prcnt improvement only ..
Really disappointed n wasted so much money ...
@@sadaftahir5285 Hi! I want to give an update of what I am doing since November when I stopped my treatment on the clinic,I do some DIY stuff at home and surprisingly it did helped on my scars how I wish I knew all this before so I didn't spend a lot of money, so here I do TCA, derma pen, once a month then apply rosehip oil, MSM cream and mederma I've seen dramatic improvement on my skin as compared. going to some clinic. Hope it will help you.
Well, Will we be able to see you do the procedure? Treatment of acne scars.
Jodie Richardson , nope. He’s not talking new clients. Please help me get him to refer others as good as him. Been asking for months. I’m thinking I’m going to need to start a petition soon. 😭
💖TQVM 💖
Doc, I wish I could afford your services I'm in Las Vegas and I have culinary insurance they don't cover Aesthetics!
Eric Castle , doesn’t matter. He won’t see anyone anymore. He’s not taking new clients but I heard acne.org is a great place to find a local good derm and it’s not bias. Only people who have had real experiences. No derma are even allowed in the site. Hope this helps. Cheers!
@@14mrn4mrs thank you
sadly im not wolverine
👍
👍🏻❤
Hi! I have an appointment next month to do this. I am a perfect candidate, as you say, my cystic acne scars are getting worse with age and are very deep. I was just wondering what is your experience with the longevity and product used for this kind of procedure? They will use Juvaderm Ultra and said it could last up to 2 years in the scars as opposed to 9-12months in normal situations. Thanks for the great videos! Xo
if ur sill have acne esp cystic, you need to get on the Vitamin A derivative Acutane, it will dry up the acne for sure.
Hi did ya end up doing it? Howd it go
@@christinac4818 I did. Best 600€ spent of my life. Its been more than a year and it did go down a bit but its still not noticable. I did it with an experienced prominent plastic surgeon in Paris, I wouldn't trust my face to someone even if it's for cheaper.. The procedure itself is unpleasant but not painful. I think in combination with laser for more superficial scars it can make your face almost flawless. I just don't have the budget so I am happy just with that also! Hope it helps.
@@mskatmil what's the name of the plastic surgeon in Paris? Thanks 😊
I have spend a lot money but everyone make just money not to remove my chicken pox vscar
Hi guy
Pl help me
Tomato song plastic surgery
I can't English from Hindi Mere Chehre par jhaiya hai iska Koi Ilaaj