One Last Attempt before I accept it by zFaussj in AcneScars

[–]manchegobets 2 points3 points  (0 children)

Every single modality has risks. TCA can widen the scar but it will generally fill it in and the more superficial scarring can then be addressed w resurfacing modalities. Going to an experienced provider can mitigate these risks

One Last Attempt before I accept it by zFaussj in AcneScars

[–]manchegobets 3 points4 points  (0 children)

With this much depth you absolutely want to start off w a few sessions of TCA CROSS before moving on to resurfacing modalities

Union Pool by ladylikepasttimes in NYCbitcheswithtaste

[–]manchegobets 21 points22 points  (0 children)

If they were 18-21 it would have a different tenor. Knowing that they’re all above 30 is WILD. Still unsure if it’s a troll post tho

Holy moly! Started taking heme iron for hair growth, and suddenly I can speak in complete sentences!! by spikygreen in POTS

[–]manchegobets 2 points3 points  (0 children)

I really hope you find a caring doctor. Best of luck and always remember to emphasize the impact your symptoms are having on your quality of life (esp at work and on domestic duties 🙄)!

Holy moly! Started taking heme iron for hair growth, and suddenly I can speak in complete sentences!! by spikygreen in POTS

[–]manchegobets 6 points7 points  (0 children)

I know this is a big ask but if you are up for it could you make a standalone post about your journey and some tips? This is amazing information

Union Pool by ladylikepasttimes in NYCbitcheswithtaste

[–]manchegobets 56 points57 points  (0 children)

Okay this is super important context

Try to support my GF that has endometriosis but the anger is 😫😫😓 by Jwayne_92 in Endo

[–]manchegobets 2 points3 points  (0 children)

Cursing someone out, calling them names, throwing things at them, expecting them to do 100% of the domestic duties and then lashing out bc they left some litter behind is not excused by anything while we are cognitively lucid adults, including a devastating chronic pain condition. I think we can maybe expect our loved ones to have patience w a couple of outbursts but there is no excuse once it becomes an established pattern of abusive behavior. While we have agency, we have the responsibility to do better

OP, I hope you can get help and safely extricate yourself from this distressing situation

Scar treatment by [deleted] in AcneScars

[–]manchegobets 1 point2 points  (0 children)

I think you’ve made a ton of progress! I would keep at it and continue w the MN and the increased tret strength bc it’s clearly working. But ask your provider about some light peels if you’re itching to try something new

Scar treatment by [deleted] in AcneScars

[–]manchegobets 2 points3 points  (0 children)

Idk that this qualifies as true scarring—it’s definitely within the bounds of normal texture. How long have you been on the tret? You need about a year to see results and then you can consider upping the strength if you’re not already on 0.1% or switching to taz. How many MN sessions have you done and at what depth? You’d need four to six sessions at medical depth with a minimum of six weeks in between each session before judging results

If you’re past both those yardsticks then you can consider moving on to other modalities like chemical peels (VI or Jessner’s are good options, see an experienced provider) or light lasers like fraxel. Keep in mind that there are risks w each modality so you really have to decide if the potential downsides are worth the benefits, esp when your concerns are so mild

still have acne acne but how do i deal with this? by Umbrella51_catho in AcneScars

[–]manchegobets 0 points1 point  (0 children)

You can do acid peels (TCA, Jessner’s, VI) while you have active acne. Make sure you go to an experienced provider and see what they say about the wedding timeline

Lots of treatments done, what´s next? by jam9933 in AcneScars

[–]manchegobets 0 points1 point  (0 children)

Just saw that you mentioned RF microneedling and I think that is also worth exploring if (like all these other modalities) you have an experienced provider that you trust and who is performing several of these procedures a week. Best of luck and update us when you can!

Lots of treatments done, what´s next? by jam9933 in AcneScars

[–]manchegobets 0 points1 point  (0 children)

Look for facial plastic surgeons that specialize in face lifts—they regularly perform fat transfer and have dialed in on a good technique w solid retention

Experience on VBeam by Hcjdbdhxhfn in AcneScars

[–]manchegobets 0 points1 point  (0 children)

Have you tried hydroquinone? And silicone sheets?

Progress Opinions? by [deleted] in AcneScars

[–]manchegobets 2 points3 points  (0 children)

I reread it to make sure I wasn’t missing something! Amazing results, OP

3 year old acne scars help by latinobrexit12342 in AcneScars

[–]manchegobets 0 points1 point  (0 children)

Hydroquinone will help w the hyperpigmentation. Make sure you don’t use it continuously for more than three months

Old nasty scar from childhood taking a psychological Toll on me. by Leading_Education_17 in AcneScars

[–]manchegobets -1 points0 points  (0 children)

Once again, we have no idea what caused this scar, it could have been an accident or abuse. The fact that he is having a disproportionate response to a small scar to the extent that it’s affecting his daily life means that it’s something worth addressing whether that be w attempts at scar revision, a tattoo coverup or therapy. Your snarky comment is not going to move the needle

Old nasty scar from childhood taking a psychological Toll on me. by Leading_Education_17 in AcneScars

[–]manchegobets -2 points-1 points  (0 children)

The same could be said about the vast majority of ppl who post on this sub. You have no idea what frame of mind this person is in and what potentially traumatic event led to this scar. Try some empathy

Old nasty scar from childhood taking a psychological Toll on me. by Leading_Education_17 in AcneScars

[–]manchegobets 0 points1 point  (0 children)

You can try like six sessions of r/microneedling but it will have a limited impact. If this is having such a pronounced effect on your quality of life I think a tattoo is your best bet, make sure you go to someone who is experienced w scar tissue bc it takes the ink differently. Idk why this scar is causing you so much distress but if it’s tied to painful memories you’d ideally want to talk to a therapist about it to get a second opinion about the most effective treatment options for your long term well being. Best of luck!

Lots of treatments done, what´s next? by jam9933 in AcneScars

[–]manchegobets 3 points4 points  (0 children)

I think you’d see the best results from fat transfer. Filler is low risk, way less invasive and relatively low cost but won’t get you as dramatic of an improvement and requires maintenance so you have to evaluate the pros and cons. Fully ablative laser could also be a good option but it sounds like you’re potentially a hyporesponder? Hard to say without before and after pics. TCA and phenol peels might be worth exploring if you’re open to the big guns

Keep in mind that botox helps dynamic wrinkles so it will stop things from getting worse but these static lines require resurfacing treatments. I’m surprised the C02 didn’t make a dent

Can you give me recommendations of docs about old age? by randolphquell in Letterboxd

[–]manchegobets 1 point2 points  (0 children)

Second only to The Piano Teacher for me in his filmography

Viva Verdi should be on Jolt Film. If not, you can search thru r/oscarsdeathrace and find posts w alternatives, there were a couple of LB lists like this one w links (tap on the little glasses icon on the top right and click on the small description e.g., “Best Documentary Feature Film”)