POSTED UNDER Subcision Reviews
Excision of Acne Scars Followed By Laser Treatment
UPDATED FROM DreamBigger
6 months post
5 Months
$3,200
Well, looking back now I feel like I’ve been overly vain and critical of myself. We really are our own worst critics. Honestly, I should have never gone through with this unless I was able to follow up with the laser treatment as well. At the time, I thought I would be able to afford it. But that wasn’t the case. And for once, I can say, I’m ok with that. It is what it is, I am who I am, freckles, sun spots, scars and all. Lol. Maybe one day, if I can afford it without breaking the bank, I’ll reconsider. In the meantime, I’ve forced myself to stop focusing so much on all the little imperfections and flaws, and instead, learn to embrace them. I actually feel a bit foolish for convincing myself that these scars were so hideous and awful to the point of having them surgically removed. I’ve seen much, much worse. And I truly feel for anyone that suffers from acne scarring. It’s hard not to let it define you. I’m grateful this is all I have to deal with and l no longer worry as much what others may think of it. When my 11-year old daughter came to me and begged me not to go through with this, I think that’s when the light bulb when off in my head. What kind of example was I setting for her? What expectations does she think I’ll be placing on her? What am I teaching her by caring so much about my outward appearance and stressing over every little imperfection? When I returned to work with the stitches still in my face and people were asking me what happened, I had never felt so vain and shallow. And the reaction was the same from everyone - “What scars? I never even noticed.” I had made this so much worse than it ever was. I don’t even try to cover them up anymore. It’s sad, really, that we live in a world today that puts such an emphasis on beauty and perfection. When, in reality, everything is filtered, photoshopped, airbrushed and edited to deceive, hide and mask the natural beauty (aka flaws) that exists within us all.
Soooo, lol, anyway...here is just my last update over the past several months. It’s been a little over 5 months now. I haven’t updated because I stopped obsessing. I stopped comparing and I stopped scrutinizing. I’ve just been living life and enjoying it. But for anyone interested, these are my final results. I also wanted to post pics of the products I was using. I do highly recommend the Tretinoin for preventing acne breakouts, clearing complexions, even skin tone and diminishing fine lines and wrinkles. I did have to apply a moisturizer beforehand to prevent peeling and drying out. My skin eventually became used to the Tretinoin and the peeling did stop. But just to be safe, I would apply the moisturizer, wait about 20 minutes, then apply the Tretinoin. Worked like a charm! The Obagi Skin Bleaching Cream started leaving white spots all over my face, my forehead and around my eyes especially. I stopped using it since I don’t plan on having the laser procedure done anyway. But I def noticed a difference in the diminishing of fine lines and wrinkles. I’ve been out in the sun all summer so I have even MORE freckles and sun spots now. And I’m sure future wrinkles to come. Ugh. I never learn. Lol. I am not wearing ANY makeup in these pictures (other than some mascara and a little eye shadow). But no face makeup, no foundation, no powder coverup or anything.
Soooo, lol, anyway...here is just my last update over the past several months. It’s been a little over 5 months now. I haven’t updated because I stopped obsessing. I stopped comparing and I stopped scrutinizing. I’ve just been living life and enjoying it. But for anyone interested, these are my final results. I also wanted to post pics of the products I was using. I do highly recommend the Tretinoin for preventing acne breakouts, clearing complexions, even skin tone and diminishing fine lines and wrinkles. I did have to apply a moisturizer beforehand to prevent peeling and drying out. My skin eventually became used to the Tretinoin and the peeling did stop. But just to be safe, I would apply the moisturizer, wait about 20 minutes, then apply the Tretinoin. Worked like a charm! The Obagi Skin Bleaching Cream started leaving white spots all over my face, my forehead and around my eyes especially. I stopped using it since I don’t plan on having the laser procedure done anyway. But I def noticed a difference in the diminishing of fine lines and wrinkles. I’ve been out in the sun all summer so I have even MORE freckles and sun spots now. And I’m sure future wrinkles to come. Ugh. I never learn. Lol. I am not wearing ANY makeup in these pictures (other than some mascara and a little eye shadow). But no face makeup, no foundation, no powder coverup or anything.
UPDATED FROM DreamBigger
2 months post
2 Months Post Excision
Well, not much has changed. I’m still hating these new scars and wish I never went through with this. The only thing keeping me optimistic is following up with the laser, if I can ever find a way to afford it. I know the laser will improve things significantly. At least, I hope so. I added Mederma Advanced to my nightly routine and have seen a slight improvement. I’ve only been using it for about a month and hope it continues to improve the appearance of these scars. They’re still very red and deep, super “indented.” It’s just so humiliating and embarrassing. I feel so vain for caring so much about it all, and I know there are people who have to endure so much worse. I truly feel for those who suffer from severe acne and scarring. It’s just so unfair. Acne SUCKS!
I will say, on a much more positive note, the Tretinoin/Obagi regimen has been AMAZING!! I’ve had an occasional zit/cyst but nothing compared to before. It’s def helped keep my skin clear.
I will say, on a much more positive note, the Tretinoin/Obagi regimen has been AMAZING!! I’ve had an occasional zit/cyst but nothing compared to before. It’s def helped keep my skin clear.
Replies (3)
September 3, 2019
Do you mean the zo obagi line plus a prescription tretnion as well? What obagi products do you use and is it prescription retin a or somthing from obagi?

September 7, 2019
The Obagi line has a Tretinoin cream. So he had me using the Obagi Tretinoin Cream .05% and the Obagi 3 Clear Skin Bleaching and Corrector Cream. I’ve already gone through the entire tube of Tretinoin but stopped using the Corrector/Bleaching Cream because it’s left bleach spots on my forehead. Granted, I have been out in the sun this summer and I think it’s just made the spotting worse. I’ll have to do an update and I’ll post pics of the products he had me using. I would def like to get more of the Tretinoin Cream! I absolutely love that stuff, it worked wonderfully at preventing acne breakouts, clearing my complexion and diminishing fine lines and wrinkles. I did have about 3 awful cystic acne bumps while using it and the one was so bad it left yet another scar. But I imagine the breakouts would have been much worse if I hadn’t been using the Tretinoin. I still use the Mederma Advanced gel at night on my scars and I haven’t seen much of a change, honestly. It’s been 6 months now and I think they still look the same. I don’t know though, maybe there is a very slight improvement. It’s hard to notice when you look at yourself every day. Lol.
November 11, 2019
Are your scars worse than before you got the procedure? I cant tell by the pics
UPDATED FROM DreamBigger
21 days post
3 weeks After Surgery
I truly hate my face right now. I can’t stand looking in the mirror. I cry every night. It looks so much worse. The scar on the bottom, especially, is now about 5 times the size it was before. Instead of having 3 tiny boxcar scars, I now look like I have a combination of deep rolling scars and ice pick scars. I really regret doing this to myself. These scars are def not the “lines” I was told they would be. They’re deeper, indented, MUCH more noticeable scars! I try covering up the redness, at least, with makeup but it doesn’t make much difference. I’m only happy with the one scar closest to the middle of my chin. It’s the only one that’s healed nicely. But now I’m worried I won’t be able to do the laser treatment because I don’t have the additional $2,900 for it and Care Credit has denied me 3 times already.
I’ve been following all directions and keeping up with the whole Retin A/Obagi routine every night. It has dried my face out something fierce! So I use a moisturizer beforehand and afterward use Mederma. But now I’m getting lovely cystic acne, I’m guessing from the Retin A. I have a huge cyst on the other side of my chin now, the “good” side. And I’m pretty sure that’s gonna leave yet another scar. Seems self-defeating at this point. Ugh. If only I could go back in time.
I’ve been following all directions and keeping up with the whole Retin A/Obagi routine every night. It has dried my face out something fierce! So I use a moisturizer beforehand and afterward use Mederma. But now I’m getting lovely cystic acne, I’m guessing from the Retin A. I have a huge cyst on the other side of my chin now, the “good” side. And I’m pretty sure that’s gonna leave yet another scar. Seems self-defeating at this point. Ugh. If only I could go back in time.
Replies (5)
April 22, 2019
You can do subcision where they cut the tissue under the scar to bring the skin back up the the surface so it can be smoother. I'm not a doctor or anything, but ask about that. You look amazing either way. We all have flaws, I have severe acne scars and just had my first subcision done and received great results! I still have some scarring, but it looks way better. If you show confidence in yourself, people forget about the scar(s) and just see you. It took me a long time to get that. I used to go to work with 30 cystic pimples on my face. It sucked, but I persevered! You will too. Hang in there!

April 24, 2019
Thank you so much. I appreciate that. I just have major regrets. I would give anything to go back to the scars I had BEFORE this!
April 30, 2019
I think it looks bit better than original. Hard to tell from pics...
In any case, I believe the follow up laser goes hand-in-hand with excision; excise and then sand it down with laser. So this may not be the final result.
Most importantly, have you discussed the results with your Doctor?? You are obviously upset with the result. But noticed you rated the Doctor highly. What does the Doctor say about how it looks? It is hard for patient to self-judge.
Let the Doctor compare the before/after and give his opinion.
The $3200 for subcision plus another ~$3000 for Laser sounds high.
In any case, I believe the follow up laser goes hand-in-hand with excision; excise and then sand it down with laser. So this may not be the final result.
Most importantly, have you discussed the results with your Doctor?? You are obviously upset with the result. But noticed you rated the Doctor highly. What does the Doctor say about how it looks? It is hard for patient to self-judge.
Let the Doctor compare the before/after and give his opinion.
The $3200 for subcision plus another ~$3000 for Laser sounds high.

May 19, 2019
I’m sorry, may have been unclear. It was $300 for the excision then an additional $2900 for the laser. But I rated him high as he is very skilled at what he does. And this is not “supposed “ to be the final result, as the laser treatment should follow the excision. I just can’t afford it right now. So I’m stuck with this for now.
August 27, 2019
looks quite good to me. I have a scar in the same spot on my face that I caused from picking at a tiny zit with a 31 gauge needle, and I cant go back and undo it, its just didn't heal up how Id hoped. Ive had one restylane injection and Im about 2 weeks post right now and it does look better but in the back of my mind Im still a bit worried about maintaining it. Im going for a follow up. I wanna do something to even out texture with the surrounding skin. I asked about microneedle and my derm said laser might have less down time. Like you I feel vain about this. My girlfriend said what scar. I started to think am I imagining things. Im a 51 year old man by the way. It took a lot of courage just to call to make the appointments to start asking questions for me anyway

Replies (2)
I have to say that I can't find much problem with the earlier pictures on your skin. I believe it is because the lighting was very frontal and very soft. But these little holes on your chin looked pretty cool actually: quite natural and they gave you a little personality.
Then I saw the procedure pics and I was like "oh my god, these crazy stitches for that???"
And when I look at the result, with your pics on harsh light on a very bright day, I totally believe it was much much better before. Now it does look rough on your skin, like a cut, when before it was gentle hole.
Your latest latest pictures look good though. So I don't really know what to think. But I am very happy that you found yourself through this, and what you wrote in here was very eye opening. Thanks a lot to you.