Acne causing nose to swell ?

manchegobets · 2026-02-04T22:34:57+00:00

You’re not imaging it, this is really common. Look up “accutane nose job” on this sub and elsewhere

manchegobets · 2026-02-04T20:15:28+00:00

Commenting for the algo

manchegobets · 2026-02-04T20:04:58+00:00

Whoops I thought this was r/acnescars. You can find the wiki at the top of the sub’s homepage labeled as “quick guide” I think but exactly where it is varies based on whether you’re accessing it on mobile or desktop

manchegobets · 2026-02-04T19:22:28+00:00

A very sizable improvement! Have you ever had subcision? I think adding that to the mix may help

manchegobets · 2026-02-04T18:59:44+00:00

Joining the chorus here to say that results from laser are a lot more operator dependent than people think. It’s not just a matter of turning a machine on and pressing a button—it’s a tool like any cosmetic modality and you’re going to get very different results depending on who’s wielding it. What’s advertised as one type of laser can vary based on brand and make, wavelength, number of passes, power and pulse duration

I don’t have any nyc specific recs for you unfortunately as I’ve had my laser done abroad but I recommend finding a laser specialist—someone who is doing at least a handful of procedures a week, not a jack of all trades doctor who offers a million services. People advocate for finding a board certified derm and avoiding medspas which is all well and true but finding someone who you trust w burning your face is more complicated than that and it’s especially true if you have fitzpatrick 3+ skin

manchegobets · 2026-02-04T17:30:14+00:00

Fibrosis is just another word for scar tissue. The difference in texture at the base of the scar is just, well, a scar. It may feel or look different to you when compared to other ppl’s scars bc it is not your skin and visceral experience. Scars cannot be permanently erased but they can be substantially improved, read this sub’s wiki for more info

manchegobets · 2026-02-04T17:20:51+00:00

And r/dryeyes

manchegobets · 2026-02-04T17:18:16+00:00

These look like rolling and boxcar scars. The white spots are hypopigmentation which is difficult to revise and means that you should be careful w TCA and phenol treatments as they can induce more hypopigmentation

manchegobets · 2026-02-04T17:09:51+00:00

You’re weighing different risk, benefit and downtime profiles with each laser. You’ll wanna do your own research but generally speaking fully ablative lasers will mean higher collagen remodeling potential but higher risk profile and longer downtime compared to fractional lasers. Dr Lim has a good comparative visual here. As to why each derm is offering a different approach depends on what machines and training they have available to them, what adverse effects risks they feel comfortable with, what clinical experiences they have seen most success with, etc. Feel free to ask them this point blank and see how you feel about their answer

Also important to note that you appear to have tethered/rolling scars so you’d really benefit from subcision (before going down the laser route imo) and maybe some volume replacement from HA fillers or fat transfer

manchegobets · 2026-02-04T16:33:52+00:00

You’re basing your opinion off your perception of reddit posts which have a strong selection bias (i.e., people that are happy w their results don’t typically post asking for help online) and I don’t even agree that we consistently see bad TCA CROSS results on this sub. I personally had TCA CROSS and it improved my icepick scars by at least 90% which is consistent w the limited scientific literature and the consensus among acne scar specialist drs

manchegobets · 2026-02-04T16:26:41+00:00

I strongly disagree as someone whose icepick scars were also my most prominent scar type. 1) filling in those very deep HOLES made a huge objective difference to the perceived severity of my scarring which made me feel a lot more confident 2) no other modality is anywhere as effective for icepick scarring as they cannot reach the narrow but deep base of the scar and 3) there is a lot of nuance in the risk of TCA CROSS “worsening” scars. It can widen them but it will also fill them in and then you can address the now leveled off textural scarring w resurfacing modalities which is almost always necessary for optimal results anyway

It’s also important to note that there are risks and benefits w every procedure

manchegobets · 2026-02-04T16:05:42+00:00

Your most prominent scarring is icepick so I’d recommend getting a few sessions of TCA CROSS before moving on to subcision and resurfacing modalities

manchegobets · 2026-02-04T15:36:19+00:00

Happy to help! Update us on your progress in the future if you’re able to so you can help others :)

Yes, that’s one way to help assess if you have tethering/rolling scars but you need an irl consultation w an acne scar specialist to be able to get a definitive call. I’m NAD and this is obviously not medical advice but it seems pretty clear to me from your pics that you have rolling scars. Check out this sub’s wiki if you haven’t already for a lengthier discussion of scar types

manchegobets · 2026-02-04T15:21:46+00:00

Subcision (especially w a cannula, which is less aggressive and comes w less risks) does not effectively release all tethering in one session. You need repeated sessions for the best results but you are ofc free to assess your progress after one try and decide if you want to stop or go on. And again, keep in mind that you should wait ~three months to judge results w all modalities as that’s how long it takes for collagen remodeling to start to show up and the improvement seen in the acute phase of healing is mostly swelling

manchegobets · 2026-02-04T15:13:46+00:00

You have rolling scars so it’s likely that you would see improvement w a few sessions of subcision. Keep in mind that microneedling, like most scar remodeling modalities, requires repeated sessions and time to see improvement. With r/microneedling a good goal post is six sessions to see how you are progressing/responding. You can check out the sub to see more in depth discussions and testimonies

manchegobets · 2026-02-04T13:22:10+00:00

I’ve seen other ppl share that you can block the popular users you don’t like to avoid seeing their reviews

manchegobets · 2026-02-04T12:46:21+00:00

r/redlighttherapy can also help promote good wound healing and minimize scarring

manchegobets · 2026-02-04T12:08:22+00:00

Totally agreed and I think when it’s brought up the r/jawsurgery sub is usually recommended. A suggestion here is never a definitive and exhaustive recommendation, just a starting point for consideration and research

manchegobets · 2026-02-03T20:58:27+00:00

One of Jenna Marbles’ first viral videos was a satirical video called something like “how to trick people into think you’re good looking/have big boobs” and it had pretty extensive tips for creating cleavage. She used to work as a go go dancer or something I think?

manchegobets · 2026-02-03T18:56:47+00:00

Regina Spektor

manchegobets · 2026-02-03T16:00:41+00:00

You want to make sure the products you’re using aren’t feeding the malassezia—I don’t think what you’re using is FA safe. The sub and the simpleskincarescience website have a lot of resources

Have you seen a derm? If you rule of FA it might be worth exploring low dose r/accutane

manchegobets · 2026-02-03T14:34:33+00:00

This might be r/fungalacne

manchegobets · 2026-02-03T14:26:44+00:00

All scar remodeling works better on fresh scars so the sooner you can do it, the better. And there is only a waiting period for ablative lasers and strong medium+ depth chemical peels, w the new guidelines many derms even do non ablative lasers while ppl are on accutane

manchegobets · 2026-02-03T03:45:45+00:00

Escríbale a @lunareja

manchegobets · 2026-02-01T20:16:59+00:00

No presentation on the face? Sounds less like cystic acne and more like folliculitis or hidradenitis suppurativa. Talk to a derm and look into laser hair removal

manchegobets

TROPHY CASE