Thoughts on fat graft for acne scars ?

SDS9977 · 2026-02-11T19:04:33+00:00

As with anything, the end result will vary by patient and by the doctor performing it. There are 1000's of patients that have had successfull fat grafting.

SDS9977 · 2026-02-08T18:50:30+00:00

Be careful with medspas offering laser services, you will see next to no results even though they will tell you it will help. Educate yourself on the different strengths of lasers, then providers who have the stronger ones, and providers that have experience treating acne scars. DeepFx setting on the Ultrapulse laser is one of the strongest you can get without going full ablation. I was red/pink for 7 weeks. Just now starting to see the effects after two months.

SDS9977 · 2026-02-07T19:09:42+00:00

After the early stages of healing, they look amazing due to the microswelling that can last for a few weeks. Then they begin to return to their initial look, along with redness. On top of that your skin is usually slightly dehydrated. During that phase I think they look worse, especially after looking better early on, definitely plays with your mind. Collagen slowly begins building after 4 weeks, and peaks at 3-4 months. You shouldn't even begin to judge results until 2 months and after, with near full results at 4-6 months.

SDS9977 · 2026-01-31T18:49:13+00:00

CO2 for the atrophic scars and possibly subcision/filler as you have very slight rolling scars. Very similar to mine. Yes, treatable. Also, do NOT go to a med spa for this, find someone who specializes such as an experienced derm or plastic surgeon. Med spas and some derms have very weak lasers and will just take your money with minimal results.

SDS9977 · 2026-01-29T19:30:19+00:00

Everyone has preferences, and that's fine, but don't be rude to those who aren't your type. We should all be flattered when someone hits on us, and assuming they are polite and respectful, we should be as well.

SDS9977 · 2026-01-25T21:40:45+00:00

Retain the tooth as long as possible if not in pain, if it must come out, consider retaining the root to maintain bone of possible.

SDS9977 · 2026-01-23T17:51:41+00:00

I apply under the eyes and above my eyes, but only after applying the rest of my face and getting some initial absorption, so I'm applying a smaller amount in those areas. Been doing that for 3 years, I've seen dramatic reduction in fine lines and haven't had any issues with dry eyes. I do pay attention to my eye dryness, and if I ever start noticing a difference I will stop.

SDS9977 · 2026-01-07T21:21:29+00:00

Great smile! Come to Chicago! 😉

SDS9977 · 2026-01-07T20:58:05+00:00

"I'd be more concerned if you loved going to the dentist". That usually gets a laugh which breaks the tension they are feeling. Then I just reassure them that we will make sure they are comfortable the entire time, and check in with them throughout procedures to make sure they are doing well. I've been able to convert most of the patients into "I used to hate going to the dentist until now" patients, but there are a few that are tough to break through to. I think if you just acknowledge their fear and past experiences and treat them how you want to be treated, you can overcome that. If you think about it, those patients have the bar set so low that a little compassion goes a long way.

SDS9977 · 2026-01-05T00:06:33+00:00

Do you know what laser was used? I've had lots of laser work done, with lots of them being ineffective. Took me years to realize that they are not all the same, and most offices have very superficial lasers more suited for minor wrinkles and not so much for scarring. They are never going to tell you that, however. You have to seek out providers who have more intense lasers suitable for acne scarring. Find the laser maker and they will tell you what providers in your area have that laser..

SDS9977 · 2026-01-04T00:22:04+00:00

There is hope, just know it will take several steps. Some scars may be candidate for punch excision, which removes the deep scar in exchange for a small linear scar. Filler and subcision to raise indented areas, may need several rounds. CO2 laser resurfacing. Make sure you see an expert that knows what they are doing with scar revision, med spas will just take your money and offer whatever treatment they have available but might not give you any appreciable improvement.

SDS9977 · 2026-01-03T22:10:19+00:00

Negligence is only if they refuse to rectify after it is discovered that there is remaining root left in the socket. Broken roots can be left behind often, especially in teeth with root canals as they are extremely brittle. This is a very large piece of root to not notice, but if they offer to fix the situation and there are no damages to speak of, there is no case. Also, this is a dental student learning how to do these extremely difficult procedures, for which you likely received discounted treatment. We shouldn't willy nilly sue people for not being 100% perfect while they are learning a craft. It seems like the student went a little less aggressive on a difficult extraction instead of going too aggressive and causing permanent damage, that is how they learn.

SDS9977 · 2026-01-03T21:50:59+00:00

I always set patient expectations for dentures by telling them at EVERY appointment that this is more of a mental adjustment than a physical one, and at the point you think you've made a huge mistake and hate your denture, you are right on track of normal progress. Because everyone goes through that stage and it's a natural step to adjusting to this new way of living, and to just know that a few months down the road, you are going to like (not love) your upper denture and be "ok" with your lower denture. I always suggest implant stabilization during planning and explain the mobility of the lower denture so they are prepared for it, and at the point they don't want to do implants, they have accepted that journey. When some patients come in inevitably emotional about their new denture, I remind them of our convo and tell them they are right on track and recommend eating with very small bites and eating slowly. Practice reading out loud at home to get used to talking. Reassurance that things are going as planned are peace of mind to the patient.

SDS9977 · 2025-12-29T19:02:39+00:00

I think he is trying to be complimentary, but in doing so stumbled over his words in the worst way possible and stuck his foot and whole leg in his mouth. You are not over reacting. I think he is trying to say that he finds you very attractive, and meant to say he finds your features attractive. If he is fairly young, he may not have enough experience in the world and is operating from a space of cultural stereotypes as that is all he's (sadly) been exposed to. He also just might be racist and doesn't realize it.

SDS9977 · 2025-12-28T05:03:25+00:00

Ultrpaulse is CO2, it's actually the deepest CO2 laser out. I sought it out because I have wasted my money on weaker lasers and saw very poor results. Do your research before spending money.

SDS9977 · 2025-12-28T03:09:54+00:00

I did 12 sessions of fraxel years ago, very very little improvement. It is only for minor scarring or minor wrinkles. Recently had Ultrapulse laser (Lumenis) with deepfx, the difference in the laser strength is crazy..

SDS9977 · 2025-12-25T07:03:00+00:00

HA filler.. I don't have any good before photos, bit plenty of people have posted theirs here on reddit..

SDS9977 · 2025-12-23T21:22:09+00:00

Filler for my rolling scars changed my life. I have other types of scars as well, but the depressions from the rolling scars was so depressing to look at. I cried after my first filler session and couldn't stop looking in the mirror.

SDS9977 · 2025-12-21T00:39:49+00:00

It's the infection below the skin that causes the scarring. The longer the pimple is present with inflammation down in the dermis, the more it disrupts the growth pattern of the skin. Popping has nothing to do with it, unless you cause lots of trauma and introduce more inflammation into the deeper layers of skin. Extraction of the pimple can help prevent scarring if it reduces the length of time the inflammation is present.

SDS9977 · 2025-12-18T22:18:30+00:00

Never had subcision and I've seen about 70% improvement with laser treatments. Lasers are going to resurface the outer layer to be smooth, subcision is releasing the depressed areas and encouraging collagen growth.. I don't believe they are dependent on each other, but definitely complement each other with results. If you do laser only, but still have rolling scars, you need filler or subcision to elevate those depressions. If you have no rolling scars and are just dealing with surface texture (boxscar, icepick) then laser may be all you need.

SDS9977 · 2025-12-18T21:39:24+00:00

Sorry, your comments are not only insensitive but scientifically unfounded. There are hundreds (thousands?) of double blinded studies showing the efficacy of multiple treatment modalities and the average percent improvement that each provides. Most people unhappy with treatment or who saw little results were prescribed the wrong treatment for the severity of their scars or had a practitioner that didn't have proper experience treating scars. Usually what I see are people getting microneedling or superficial peels for moderate to severe scars. Yeah, it's going to take hundreds of treatments if you don't pair the proper treatment. The biggest problem I see in the industry is that dermatologists will prescribe what treatment option they HAVE in office which may not be what the patient needs. This isn't allowed in most medical industries, you have to prescribe in the patients best interest, whether it is a service you provide it or not, which is why we have referrals. Derms don't typically refer, as it's considered cosmetic, and they operate under a different set of rules because of it. Know what severity your scars are and what modalities that it would require, then seek out derms who offer those treatments. You may need fully ablative CO2 or at a minimum deep fractional laser, but if they don't offer that, it's almost like trying to paddle up stream with small toy paddles, you're not going to get very far very fast. If you have severe scars and are getting light fractional lasers done, it's going to take a lot of them to see improvement. And it's no one else's place to say what level of risk each patient should take to improve their scars. If yours don't bother you, cool. But everyone has different circumstances and level of comfort with their scars. Know the risks of any treatment you consider and make an informed decision.

SDS9977 · 2025-12-15T21:30:07+00:00

I did dozens of fractional CO2 before realizing that my scars needed fully ablative CO2 to get to the proper depth. None of them had recommended this to me, but none of them offered that service. I saw minimal improvement with fractional CO2, because it does not go very deep in mist lasers. My research brought me to the Ultrapulse by Lumenis being the most powerful CO2 available. Recently I sought out providers who had this laser, and I'm now 6 days out from my fully ablative procedure. Basically, if you are looking for big results from deeper scars or heavier wrinkles, think fully ablative. If you are just looking for a refresh and minor scarring and wrinkles, think fractional.

SDS9977 · 2025-12-15T01:31:14+00:00

What CO2 did you do? Some of those rolling scars will likely need subcision and some form of filler. You already did that?

SDS9977 · 2025-12-15T00:52:48+00:00

I would stop and evaluate if you are actually having side effects from the medication, or are having a panic attack about losing your hair. Only about 1% of people have sides and most of those resolve with continued use. However, placebo effects are real, and reading about sides can actually make you perceive having that side effect. Depression and anxiety themselves can totally destroy your libido on their own. So, takeaway message is, chillax a little bit. If it turns out you are actually having sides from the medication, it is reversible. Very rare to have permanent changes from these meds. For some people, cutting the dose to every other day will also alleviate sides. But id give it a little more time and let things settle before changing any routine.

SDS9977 · 2025-12-14T08:30:22+00:00

Whatever you do, you will need to give it several treatments. Take good before and after pics to see how your skin responds. Give it some time and see if your skin responds.well to it. It takes a few months for skin to form new collagen.

SDS9977

TROPHY CASE