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  • Does anyone know the cost of treating deep acne scars?

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    Old 05-20-2001, 11:33 PM   #1
    Danielle
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    Does anyone know the cost of treating deep acne scars?

    I'm going to a new dermatologist this Friday and I'm wondering if anyone has had treatment for crater-like, indented acne scars and knows the cost of laser surgery (or whatever treatment is best). Also, does anyone know how you can tell if your skin is clear enough to begin treating those deep scars? I still breakout, but not as much as I used to, and I'm afraid I'll just get more scars, but I don't know when my skin will be any clearer. Any help would be appreciated. Thanks.

     
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    Old 05-21-2001, 01:46 AM   #2
    ryan
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    Re: Does anyone know the cost of treating deep acne scars?

    for full face, in most markets, laser will run you about $3000. spot treating only certain areas though of course is much more manageable as far as cost is concerned. you may only require treatment of certain areas if scarring isn't extensive.

     
    Old 05-21-2001, 06:29 AM   #3
    Tina081168
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    Re: Does anyone know the cost of treating deep acne scars?

    Hi Ryan: Do you know if partial resurfacing is okay? I'd like to just have a limited area done, but have heard there can be dermarcation lines. Thanks for the info!

     
    Old 05-21-2001, 03:40 PM   #4
    ryan
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    Re: Does anyone know the cost of treating deep acne scars?

    lines of demarcation are usually a co2 laser trademark in most cases. erbium usually won't produce that effect, though the results with it may be less spectacular overall. then again, you may not require anything too spectacular for your purposes.

    how extensive is the scarring and area you wish to be treated, and, on what part of the face (it's the face, i assume, right?)? it depends. if the area is somewhat large and prominent, a full face treatment will likely be done even though it may not be necessary for other areas. this is to produce a more even tone in the skin. what you might be more worried about is the effect it could have on your skin's pigment, which in the hand's of a skilled physician is less of a risk though still present nonetheless. i believe that for treatments which go into the dermis, such as laser, you'll likely lose the ability to tan almost always. your skin's normal color won't likely be affected, but it's ability to pigment will, most likely.

    danielle, you aren't considering a dermatologist for the procedure, are you? i'd advise against it if so, for a number of reasons.

     
    Old 05-21-2001, 09:29 PM   #5
    Tina081168
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    Re: Does anyone know the cost of treating deep acne scars?

    Hi Ryan: Thanks very much for the info! I really appreciate all the time you take answer all of our questions.

    My scarring is of medium depth I believe. It's located on my lower cheek area (both sides) near my chin. I have been especially hesitant about full face resurfacing as I have rosacea (which currently is very mild). The rosacea affect my upper cheeks near my nose & my nose. I didn't want to have this area resurfaced, but thought that I might have demarcation if I only had the depressed scarring on the lower part of my face resurfaced.

    It's so confusing to know what to do . . . partial resurfacing, Nlite, Photofacials, etc. To boot, none of the doctors in my town seem to know anything about the new laser txs.

    Again, thanks for all of your help. Tina

     
    Old 05-21-2001, 10:31 PM   #6
    Danielle
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    Re: Does anyone know the cost of treating deep acne scars?

    Ryan,
    Why do you advise against a dermatologist for scar/laser treatment? Do you think my dermatologist will give me the proper guidance? Who should I see and who is the best to actually do a procedure? I think my old dermatologist from years ago had a skin surgeon nearby. Since insurance most likely won't cover any of this, I guess I could try contacting him. What are "demarcation" lines?

    I have crater like acne scars all over my cheeks. One is worse than the other and I was considering having just that one cheek resurfaced since the scars are much more noticeable there. Are there any products you know of that would be good to try before getting surgery that might smooth out my skin? One dermatologist told me my skin is almost clear enough to do something about my scars and he also mentioned that microdermabrasion would not be enough for me. How do I know what kind of treatment to get? I worry that my doctor will just try to get my money and not really care about what's best for me. Is there a chance my scars could appear worse after being treated? I know nothing will make my face like it used to be, but I definitely don't want to try something that will make it any worse. What about facial peels (any kind)? Should I try those before surgery? Thanks for all your help.

     
    Old 05-23-2001, 09:16 PM   #7
    ryan
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    Re: Does anyone know the cost of treating deep acne scars?

    tina... i'd say they may go ahead and opt for full face resurfacing on you, even for just the lower half or so of your face. for moderate scarring, you should have great success. you may want to look into tca peels though. they're cheaper, and may provide fairly similar benefits.

    you may want to look into less aggressive treatments, such as nlite laser perhaps combined with a series of higher strength glycolic acid peels. it might work well enough for you. laser isn't exactly the first option you want to venture towards if others are available.

     
    Old 05-23-2001, 09:57 PM   #8
    ryan
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    Re: Does anyone know the cost of treating deep acne scars?

    your derm might be able to give you proper guidance, but no more so than a reputable plastic surgeon would. not only do most ps's deal with this kind of thing as much as do most derms, but they also tend to be more adept at treating it. a lot of derms use antiquated procedures (dermabrasion) and even older lasers (there are older versions of co2 still in use that you probably want to stay away from). some derms are quite good at certain procedures, but, they're few and far between. a plastic surgeon will likely have far more experience at it, and that can make quite a difference. actually, you might want to consider a few plastic surgeons for the procedure for differing opinions. they'll be able to address anything a dermatologist would though.

    lines of demarcation will be the potential areas of your face after the procedure which can easily be distinguished from other areas, but not necessarily limited to areas not touched by the laser.

    it's possible new scars could form, though little chance of that, or of current scars worsening, especially in the hands of a skilled surgeon. most new scarring comes after the procedure with skin that didn't heal properly. it's rare, but still a risk nonetheless. if you go for sugery, they'll likely have something for you to prep your skin, if that's what you meant. you may want to try facial, or chemical peels now and see what they do. they might give you the results you were looking for. there's a newer type of tca peel called the accupeel which, i believe has results similar to an erbium laser and is the safest on the market, i believe. i've been doing glycolic acid peels, but it doesn't sound like they'd be strong enough for what you need. hopefully though, if you get ahold of a good plastic surgeon, they'll be able to discuss all these things with you, and hopefully lead you in the proper direction. sometimes a good one isn't easy to find, but, that's true with almost every type of physician. that's why it's good to ask around maybe and see as many as you can.

     
    Old 05-23-2001, 10:00 PM   #9
    Tina081168
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    Re: Does anyone know the cost of treating deep acne scars?

    Hi Ryan: As always, thanks for your response. I consulted a derm today. He thinks I should have punch excision for ice pick scars. He said the suture stays in about a wk & healing is in 7 days. After the suture, makeup can be applied. He said 60 to 90% improvement can be expected from this procedure.

    For the shallower saucer shaped scars, he said dermasanding would help, that the downtime is about 10 days, & that 50-75% improvement can be seen.

    Right now, I am big chicken & just not sure what to do. I've done so much research on this, and think I almost know too much or of too many alternative treatments.

    Does what the doc said sound valid to you? Thanks for your help, Tina

     
    Old 05-24-2001, 12:01 AM   #10
    Danielle
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    Re: Does anyone know the cost of treating deep acne scars?

    Ryan,
    Thanks for your input <IMG SRC="http://www.healthboards.com/ubb/smile.gif"> What kind of doctor is doing your glycolic acid peels? Do you see improvement and what kind of scars did you have? How much does it cost each time you go? I will ask my dermatologist what he thinks I should do, but I know nothing will be covered under insurance so I guess seeing a plastic surgeon wouldn't make the cost go up too much(?). I've heard that with things like dermabrasion, there can be scars that are get deeper as you go deeper into the skin and they can show more. Do you know if this is true? Dermabrasion seems like too rough of a procedure to me. Do you have to avoid the sun after ALL types of treatment, even everyday sunlight? I live in a warm sunny climate so I'm worried about that, for whatever treatment I get done. I really appreciate all your help. Thanks again.

     
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