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19 Yrs Old, Cystic Acne and Pretty Bad Scarring - Cooltouch Laser, Los Angeles, CA

UPDATED FROM page25
7 months post

Before and After (Acne)

page25
WORTH IT$400
Cystic acne gone. Hyperpigmentation as well. Just the scarring that needs rresurfacing, which you can see on the side and is worse under harsher lighting.But feeling good with the progress so far

page25's provider

A. David Rahimi, MD

A. David Rahimi, MD

Board Certified Dermatologist

4.8 | 85 Reviews
PROFILE

page25 rating for Dr. Rahimi:

Overall rating
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Replies (4)

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August 15, 2015

Oh my gosh, incredible results so far! I thought you might find this video helpful: 

http://www.realself.com/video/how-to-treat-acne-sc...: <rs-video-player video='{"id":"8441","external_id":"4278095943001","uri":"video\/how-to-treat-acne-scars-your-options-explained-in-under-4-minutes"}'></rs-video-player>

August 15, 2015
Thanks Eva! The video was great, very informative and to the point :-) so many options...
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August 15, 2015

You're welcome, glad it was helpful. Enjoy your weekend :)

August 18, 2015
Hi,i am really fed up with acne n acne scars .i hd been through no.f treatments ,tried every possible treatment which are available but everythn worked fr some time period.now when my marriage is on the cards..n really tensed coz my skin condition is in wordt condition.i have active lesions,scars,pits n dull skin n i m worried whether i ll gt flawless skin till my marriage mnth or not.please suggest me sir as i am in india n i m not finding any permanent solution for it.
August 19, 2015
I know how you feel, heres what i did:
1)I found a doctor i could trust, he suggested a laser that didnt require downtime. But in your case, you might not even need that. My face was terrible. There are other ways of getting clear skin, that arent so drastic
2) Face wash routine (dont over wash though) - exfoliate every night, get all the dirt out (gently). I use a rotating cleanser brush I got at a local pharmacy, nothing fancy.
3) Eating SSUPER clean! - Before graduation I wanted to make sure I didbt have a random breakout, so I ate all the greens : broccoli, spinach, kale, celery, chard, etc. All day everyday.
4) No dairy - this may not help everyone but it helps me. And NO JUNK FOOD.
5) Sleep - get some rest:-)
Dont stress, everything will.work out! Youll see ;) All the best you! Greetings from California
June 30, 2016
You look amazing!!!!! Congrats on the beautiful results!! I am doing the cool touch next week!!
November 17, 2016
How'd it go with your cool touch treatment?
November 17, 2016
Forgive me for the super late reply!
December 3, 2017
Hi your results are amazing. Is your skin still acne free?
UPDATED FROM page25
3 months post

Still Clear After 2 Cooltouch Treatments

page25
Im still acne free which I am extremely grateful for!!! ;) the hyperpigmentation has been fading slowly but surely. My face is healthier than it has been in years, and my family and friends have taken notice ;) however, my scarring is still present  which becomes more evident under certain harsh lighting . it makes me want to do.more in the near future (Mixto CO2 Laser) for the betterment of the texture of my skin , but for now I am super happy with how smooth it feels and how my skin tone keeps evening out!

Replies (2)

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July 9, 2015

Hey there, your skin looks great -- how are you doing, still clear of any breakouts? Has the hyper-pigmentation faded more?

July 10, 2015
Yeah, my face is pretty clear. The bright red and dark brown scars I used.to have have faded inmensely; they have become a lot more subtle. I do have scarring that would require resurfacing but Im super happy with how far my skin has come.
July 10, 2015
IEver since I was 13-14 Ihave always had at least 5 huge cystic pimples on my face at all times. There were times when there.was A LOT more! It was painful and frustrating. Now that im clear i feel liberated. And if i have a breakout its minor and manageable and no longer frustrating or disheartening
August 14, 2015
How has the oil production of your skin reacted to the cool touch laser? I also had cystic acne but now have it under control and I'm looking to do the procedure for oil control purposes.
August 14, 2015
Yes! I used to have extremely oily skin and it just aggravated my acne like crazy. And that's what the Cooltouch does: it shrinks the oil glsnds, and from the first treatment i felt a huge difference. My face is not nearly as oily as it was before and because of that, my face has stayed clear from cystic acne. But it's not too dry either, id say for me its just rright. I have only had two treatments but my skin is better than i could have ever imagined. It even helped smooth out some of my acne scars. It promotes collagen ggrowth and makes your face feel fresh. For my more severe scarring though Id have to have more Cooltouch treatments or a more aggressive laser like Mixto. But hey, im glad to hear your acne is under control, for me that was the hardest part. Until i had the cooltouch done and sticking to the right facial care routine at home helped too. Careful with makeup products especially if you wear foundation. And Cetaphil face wash, its brilliant. Neutrogena scrub has helped tons too. Good on you for continuing to look out for the good of your skin now that your acne free. All the best to you
UPDATED FROM page25
2 months post

Acne: Gone, now its time to focus on the scars

page25
The Cooltouch laser treatment performed by Dr Rahimi was a success! My acne is finally gone! Here are some before and after pics....The before is the worst it ever got. So beware.
But as you can see, 5 years of cystic acne has left its mark. But i have hope that in the near future all of that will all be in the past and I can finally have great looking skin. With DrRahimi and his team I know i am in the best of hands.

Just got my second Cooltouch laser treatment today. Im feeling good. We'll see in a couple of weeks how my skin doe . ;)

Replies (4)

March 29, 2015
Have you ever had a complete endocrine work-up? Have you ever considered Spiranolactone to treat the acne?
April 3, 2015
I haven't actually, but I want to. Dr. Rahimi gave me a list of options to treat my acne, one of them being oral medication and I dont know why it kind of scares me. But the laser has been a success so far: 4 months acne free! But next time I see my primary doctor, I'll have to ask about that.
April 7, 2015
Understanding the nature of your acne outbreaks is critical to long term management of this problem. Such things as an endocrine problems can be at the root of stubborn acne. A problem such as PCOS (poly cystic ovarian syndrome) can result in acne issues through out the life of an afflicted female. The acne comes about owing to an abundance of androgen production, which is very irritating and at the vortex of cystic acne. your doctor, preferably an endocrinologist, can determine if your androgen levels are too high through a blood test. If so, Spiranolactone can be difficult to adjust to initially, but once this occurs, your acne is greatly relieved. Fortunately, unlike Accutane, it is well tolerated over a very long period. It wouldn't seem something like acne would be so complicated, but it actually is. This is because there frequently are complex underlying issues. Good luck & stay clear!
April 11, 2015
You're absolutely right. The topical treatments have worked wonders and I have stayed clear but I definitely feel that I must look deeper for the root of the problem and verify whether there is a hormonal issue or not.
April 11, 2015
Im looking for something safe that can be used long term and its great to know there are other options that have worked for others. Like Spiranolactone. My fear is that once I'm off the meds (if i choose to start) the acne will return full force
April 13, 2015
It might. However, Spiranolactone is well tolerated by most patients and can be safely taken over many years. The initial phase, while the body adjusts, can be a little tricky.
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April 3, 2015

Your skin is looking really great. Thank you for keeping us updated.

April 30, 2015
You can start by doing some of your own detective work. I understand your aversion to drug therapy, but if something is amiss, you are better off concluding this early on. Underlying hormonal issues are very complex. Some cases of "hormonal related acne" are owing to poly cystic ovarian syndrome (PCOS). If you experience irregular periods, mild to severe hirsuitism, acne and weight management issues you may have PCOS. Such women may experience problems with glucose management as well. There are several androgenic/testosterone related hormones that are evaluated in a blood test: DHEA and DHEA-S are among them. While acne can have many causes, it is often a symptom of an underlying problem. i'd urge you to examine whether the acne is a symptom of something broader. I don't mean to scare you, actually the reverse. If you do have an underlying endocrine disorder treatment will allow you to resolve the acne issue for the rest of your life.
July 5, 2015
Youre absolutely right. I hadnt taken any steps to find out whether what was affecting my skin was a hormonal issue or due to an endocrine disorder because I felt that there were things that I was not doing (AND things I was doingg) that I could change to better my skin (e.g. diet, exercise, sleep, stress, etc.) All.of those lifestyle changes helped enormously. The topical treaments and lasers have sped up the process iimmensely and made my skin healthier than it has been in years but I want this to last. to have healthy skin and to resolve my acne ptoblem once and for all I need to be healthy and balanced on the inside
July 5, 2015
Im actually waiting for the test. But the ddifference now is that Im not frustrated anymore. I know theres room for improvement and I'm optimistic. I have come very far and I hope to continue to better my overall health. Thank you truly for your insight and tips , it helped me take that step I once hesitated to take
September 29, 2015
your skin looks amazing , keep up the good work
October 23, 2015
Thanks, that means a lot!