ACNE SCAR TREATMENTS | In Ethnic Skin
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- เผยแพร่เมื่อ 29 ก.ย. 2024
- Special considerations need to be taken into account when treating darker skin types, namely the BIOLOGY & physiology of SOC (Skin of colour). Darker one is, the more vigorous the response to pigmentation as well as unwanted scarring (keloid, hypertrophic scars).
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Manual revision is the basis of acne scar management. Devices should only be used as tools, if & when necessary. For an average case of acne scar case, I spend over 90% of my time with manual methods such as subcision & peels, & only 10% of time on devices such as lasers - RF microneedling. Devices are relatively straightforward- step on a pedal or press a button, you just need to know what to use & when to use. Of course have the CORRECT equipment will make revision more efficient, & also safer.
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Science: All things being equal (procedure, skill level, equipment level) the end result in the context of scar revision is largely based upon one’s ability to remodel scar tissue & regenerate dermal matrix. Everyone lies on a bell curve. Subcision beaks attached scars in the dermis but mostly the hypodermis. Fillers give a helping hand to severe atrophy or those who lie to the left of the curve.
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Scar types: Superficial acne scars include boxcar scars, pick scars, isolated icepickscars, & mild rolling scars. These can be treated with the usual microneedling, lasers, RFmicroneedling, TCA, & phenol peels, those scars respond predictably to treatment. Applying the correct parameters will reduce but not eliminate PIH or paradoxical skin darkening.
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Deep Scars include rolling scars, atrophic scars & tethered acne scars. With significant atrophy, in some cases your immune system can not stimulate enough collagen (& or adipose tissue) to replace the divots & undulations, namely rolling + atrophic scars. We can use many techniques to ASSIST YOUR IMMUNE SYSTEM such as energy devices & manual methods
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Subcision is important, the needle technique is outdated, cannula, modified instrumentation subcision or NOKOR blades yield much better results. Pros & cons or each to be discussed with your #dermatologist or plastic surgeon
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Control of background acne: Is vital to good outcomes, ANY background inflammation can distract the immune system to repair scars, if one has 5 pimples per month & only ONE scar, over a course of 4 years there will be nearly 100 NEW SCARS. Control must be absolute in those who have the propensity to scar. This point is also the rate limiting factor in the majority of scar revision procedures. Even if one has a handful of active lesions, this can dramatically hamper the course of effective & efficient scar revision. Please have your acne in absolute remission prior to, or very very early in the course of scar revision.
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Dr Davin Lim
Brisbane
@cliniccutis @drdavinlim
#acnescars #acnescartreatments
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Thank you so much for acknowledging that all skin is not the same. I try to tell ppl in this Industry that all the time. 👍🏾
Thanks for viewing. Always appreciate feedback from the industry !! X
Very educational, thank you!
Cheers, DL
Please do more videos on recommendations for darker skin types
will do
*thank you*
@@drdavinlim thank you!
As an Indian with dark skin, I really appreciate this video. It’s so hard to talk about skin concerns, here in India doctors don’t consult their patients properly neither do they give clean instructions on post treatment care, they just hand out some creams and tell you to stay healthy. I’ve been suffering from deep acne scars for most of my adult life. I’ll take your suggestions into consideration and see if anything changes. Thank you
You have any change in your skin?
Also could you do a video on the best type of acids that are for darker skin and ones to avoid? Thank you.
Same question. Stay blessed 😇
@@Pushpalatha13 what is acid treatment? Never heard of this. Is that like TCA?
@@Better_Call_Raul They mean chemical exfoliation, where you use acids lile AHA'd and BHA's instead of scrubs, brushes, facecloths etc. As for which ones are best to use, this is what my dermatologist told me when I was dealing woth hyperpigmentation, if that's your concern.
Lactic acid - max 7%
Mandelic acid - max 10%
Glycolic acid - max 5% , not the best exfoliator though as its a bit weak but it is great for driving actives deep into skin but avoid this with retinol as it will cause irritation
Sailicylic acid - 2% generally
Please note that all the above was made with more sensitive skin in mind and was chosen with the hope of MINIMAL burns from chemical exfoliation as most acids can make it worse. These may take more time but do have less risk. Thanks
Thank you so much for acknowledging & teaching about skin of color. TH-cam tends to focus on one type. So thank you again for those of us with the blessed melanin.
You are welcome. DL
Can you do a video for Acne Scars from Cystic Acne (a few deep depressions), not terrible. I had fillers, botox, fat transplant (take the fat from my thigh, and put into my face, it came out great), two laser treatments and I did UltraTherapy (it puts collagen back into your face), and I did my neck too. I had acne marks at 21, I’m 57 and no one believe’s my age (I have to show my license). Keep the video’s coming, it’s a very hard situation to suffer from Acne. Stacey NYC
Hey who did that for you I have atrophic box scars in my neck and chin ! From electrolysis
Really interesting video! 😁 You can say ‘Black’, not every Black person is African American
Good point. Yes, infact most Black people are from Africa and other continents except America. It’s so weird people call us all AA. 😂😂😂
@@true4585 In that case African is more appropriate than black unless the dark skinned person is Asian.
I have hypopigmentation from full-face ablative CO2 in 1997. I wish there was treatment for the hypopigmentation.
I would LOVE to be dr davin’s patient. So professional and considerate!
Hi David please say what happen lip around darkening ? :/
Excellent video! The best explanation I have ever seen... Ethnic skin produces more melanin. That explains why I tan easily. But why is it that my tan eventually fades away whereas the pigment melanin changes from acne inflammation (from over 20 years ago) still remains?
For much more content & in depth explanations of cases goto Instagram @101.skin I update this IG account daily.
Video reviewing scar revision procedures pertaining to darker skin types. I have covered some new topics in this video, as a response to many FAQs. 1. The role of devices (how they are important in some cases, but how experienced specialists can work around limitations. 2. Variability of responses based upon biology & physiology 3. The role of dermal fillers. Thanks for watching. Davin Lim. Dermatologist, Brisbane. Australia.
Hi, I'm East Asian and have hypertrophic/papular scars on my nose. What would be the best option for that? Would silicon tape be effective?
Thank you so much for this video! I'm currently battling cystic acne, but I'm already planning my plan of action for scars, since I can't currently afford to see a specialist. Amazing doctors like you make it easy for people like me to treat their skin issues.
Hope you're enjoying your holidays, Dr. Lim!
@ I have been dairy free for about 3 months before (due to another unrelated issue) and it didn't seem to help... Do you know if it takes longer to see changes if that is the issue? I just love dairy, lol
Thanks for your comment, I really appreciate any help I can get.
@@TheSnakeh I do know if you have hormonal acne (like I do) dairy definitely makes it worse. To see results faster you’ll have to eat healthier overall and cut out all types of dairy. Even chips, whey protein and miscellaneous items that contain milk proteins, have to go.
@ Yup, chips definitely make it worse, I've found. I've improved my diet overall, but still include dairy. Gonna have to start getting plant milks now and the like...
Thanks!
If an Asian has really bad hyperpigmentation AND atrophic acne scarring, would phenol peels be a solution? I know it's against the norm but I read a study by Dr. Rullan that suggested there were no adverse effects if precautions were taken pre and post-op. Thank you, Dr . Lim!
Peter is the master or Phenol-Croton Oil
Sir please do rewiew for chicken pox old scars can gone by treatment
Any dermatologist in the U.S that you recommend? Specifically Florida. Also, could you make a video on pre and post care for microneedling in ethnic skin.
Thank you for this video! Please talk about stubborn post-eczema hyper-pigmentation or just eczema in general thank you!
Your range of knowledge is brilliant. So interesting to listen to. I really wish you were in my country, could really use a more professional opinion. Good work 👍🏾
Picking or squeezing acne can increase the risk for scarring👍
Hello Mr Dr Davin Lim i live in the USA i have skin type 4 do have any recomendations of top Dermatologist in the USA for darker skin type. You sound like you know your field quite well i want to make sure i get the right dermatologist to not mess up my skin just to fix some acne scars. BTW you earned a subscriber
Dr Lim what about face steaming for darker skin? Is it good or will it bring more pigmentation?
Heat triggers melanin production. It's best for skin prone to pigmentation to refrain from steaming and saunas.
Thank you for the informative video. Appreciate your efforts to educate darker skin. God bless you 😇
Cheers, DL
How do I get ahold of u ? I so want u to do my face ! Pleaseeeee haha ... I’ve had deep scars since I was 13 y.o. and I’m 34 now But live in the US lol ... this has always haunted me .... not many drs like u over here ... it seems like u know what the heck ur talking about ! And I would totally pay to come see u ... I hope u somehow someway respond to me so I can get some help .. I wear makeup to minimize the look of the scars but I want to remove the scars all together ! Please respond I’m so desperate !!! 😥😥😥😥😥😥
my favourite subject matter!
Question: I get pitted scars from acne. If I get subcision done, like I got all the 6-8 sessions done and I see 75 percent revision, can I get more sessions done again maybe a year later?
Wow- where are u located
Why aren't the results of micro-needling considered permanent? It looks like it's just temporary inflammation that puffs the scar up.
Very informative. But African American is not an ethnicity. You can say black or better still African as all African Americans are of African origin
Thank for caring for darker skin to do a video..ot so hard to get even skin and back to the tone of your youth..naturally..bleaching creams r dangerous..it must be something that is natural to lighten the whole body 3 shade lighter that is naturally safe..tumeric and aloevera n apple cidar fixed my dark spots.and sunburn..i had..can u do a natural skin lightning video for darker tones..if u know any please..thank u.n your skin is perfect your amazing
Oof, gotta admit I cringed at 15:42 🤢 Eeek! But thank you for the informative video! I’m in the process of researching some derms in my area for consultations and what treatments they can offer/recommend.
Thank you so much for the information, I live in Melbourne and I really wanted to go at your clinic. My face is heavy with atrophic scarring and dreaming one day someone will give me the best treatment. Saving some money to visit your place soon. For now, I really enjoy watching your videos. Keep safe and be healthy always.
I have the same kind I need help 😢
I wonder is there any hope for skin atropy and waxy texture caused by topical steroid damage
P.s ethinic skin here
I had 3 erbium, 1 subcission, and 2 co2 laser treatments and my acne scars still aren't gone...
Will do a post on the end points of revision as well as objective & subjective improvements and aims. DL
How much % improvement do you think there is
Hi Dr Davin, I am doing PhD in UQ, and taking isotretinoin for nearly 4 months, my medical dermatologist told me after I take enough amount of isotretinoin based on my weight he will recommend me to your clinic for scar revision! I am very happy with the current acne treatment and I am sure that I will also get great results from yours! Thanks for your videos!
Thanks for all that Informations ‼️‼️‼️‼️‼️‼️‼️🇩🇪🫡👍🏾
Dr. Lim I like your methods. Might u happen to know anybody in Southern California that practices at your level?
I live in south Florida. Can you recommend a doctor who can treat my acne scars. Someone who understands black skin. I have boxcar, rolling and ice pick scars.
Can you do micro needling at home between picoway laser treatments for atrophic scars?
Please how can remove pigmantation ?
For DIY 19:52 treatment acne scar
But I ordered 1mm derma roller should I order 0.25 for safety uses?
*don’t use a roller*
Get a stamp, dr pen
The good Dr. used "African American" when he meant to say African or black.
Do you have any recommended/trusted doctors or clinics in Sydney? I don’t wanna waste money on useless or lazy consultations.
Can you please refer someone in India, I have all sorts of scars on cheecks and raised on nose. Please help
Can you recommend a UK dermatology colleague. I used to see Tony Chu, but he retired :(
Dr Anjali Mahto on Harley St does great work with acne scarring :)
James Pham I haven’t seen her comment specifically on scarring
@@blobbins17 I’ve studied under her in her practice, she knows her stuff. People need to realize what’s on social media is only a tiny slice of what doctors/derms actually know lol.
He retired? I used to see him too
@@putiner2039 yes he retired
Excellent video! Thank you!! I had no acne until I got on dialysis at 34 now it's horrific and I have dark spots. I'm wearing mask alone in my car due to embarrassment please help!!
Please tell something about scarlet treatment for acne red spots and large pores ???
Thank you. Do you have any videos on (lazer) hair removal for dark skin?
I live in a very white city I’m sacred to try out any scar treatments 😭
Dr Youn on one of his videos told that its bad to use hydroquinone on darker skin. What is your take on that one please let me know i wanna know.
Great great video!! Thank you for this!! very hard to find
Hi Dr Lim, I've asked this question on another video, but thought I'd try my luck here for a response. My beauty therapist sold me a dermal roller that is 0.3mm. Is this bad for me to use? I don't put much pressure at all when using it.
need a specialist like you in Nicaragua
Which precent of TCA / PH?
Hey Dr. Lim. Does ingrown hair scarring classify as acne scarring, or is it different? I had relatively smooth skin until my bread grew in, and now I have scarring in that area.
Thank you very much for this information dr. Lim. Helps alot🌹
So all my Vitamin Cs, retonils & BHAs are useless?!!! 😬
I wonder too
Depends what you’re treating
Sukh atrophic scars
weezy baby so shallow scars on the surface is of the skin?
Sukh yes with some depth, like icepicks, box scars
I have atrophic scars😔
Good stuff David, thanks for sharing your knowledge and expertise!
Tel us more about dark skin
I have dermal and subdermal atrophy not as much as showing in your picture. But would u suggest me to do VIVACI ? 3 sessions I’d have to pay 1950$ it’s a lot of money for me if it want work.. or just tca cross ?
Hey dr Davin - could you say what are your treatment options for hyperpigmentation on the phototype for Indian , Bangladeshi, Pakistani and Middle East
Many in-depth options covered in previous video, cheers, Davin Lim
Dr Davin , is DIY vit c serum using orange peel powder n etc safe to be used as Dr Vivxk Joshx youtube video shared? Pls comment.
I would love to hear your take on facial yoga/workouts.
Dr Lim, Any Acne Scar derms you could recommend in NY area? You give me so much hope, but Australia is a bit far lol
Dr Lim knows his stuff!
I can’t wait to see him in the future about my skin
Late 2021 I got acne and it got rlly bad and it made it insecure and I popped my pimples and it left acne scars what can I do to get rid of them?
Very informative. I have a lot of scarring plus sebaceous hyperplasia and was considering laser treatment. Thank you for all your videos and Merry Christmas to you and your family! :)
You are welcome. DL
Thank you, do you have some video about the hypertrophic acne scars on nose? And how will it treat them thank you
Hi Dr, can you recommend me a dermatoligist in melbourne that can treat acne scars for mature skin?
3:00 that's what I have, fs
Doctor, you’ve said in a previously video, you don’t Like that much the 1064 picoway head. I’ve melasma and dark spots from acne, wich head of picoway should I need?
Does this mean that east asian skin should be treated like .. let's say, south Asian skin?
Do you know any doctors in Utah who expertise ok acne scars? I’ve had trouble finding someone. I know you mentioned Dr Phillip Young in Seattle.
Hi! How about follicular macular atrophy? Please enlighten. Thank you!!!
Are retinoids really effective to remove acne scars?
Covered in the video
is that possible to contact you for more info about asthetic procedures? kindly reply
What could be a rash that has made your face red and irritated (sun makes it worse) so does any type of heat or sweating??!! And Spread to your hands on the knuckles and web of your fingers, and make your eyes red in the inner corners??!!! I’ve had this for a month now. I’ve never had a problem like this everrr!!
Hi What laser is best for acne scar in darker skin like middle east skin ?
Dr davin lim great example your good experience.. ethnic groups... 👌👌👌
I need this laser treatment-__- they spots stay so long and ice pick scars don’t like going away
Is micro needling RF (genius laser) safe for latin ethnic skin?
I’m Asian and I have a surgical scar on the body. So if I do a laser scar remover will if the scar wound up being darker instead of lighting? I’m scared now.
Dr can you please review Morpheus8 vs microneedling with prp for acne scars.
Would you recommend bleaching cream prior to fractional layering for dark skin type?
doctor, but what changes subcision, laser, prp detached from each other rather than combined at the same time?
thanks if you answer ... it will be useful to understand this for me.
Scar can be BOTH contour and color issue, correct? Video says it is EITHER one of the other. But I see many scars that are both pitted/depressed AND hyperpigmented.
Thanks so much for making this video. It’s so informative and helpful!
Hi Dr Davin! First of all than u for all the informative vids! Am wondering if I can do a 15% tca peel prior to a MMN?
Amy doctor recommends for removal of Cafe au lait spots
Morpheus8 RF microneedling @ 3 treatments, 2 VI chem peels, and 5 treatments of picoway is what my derm has recommended for me. With just 1 peel and currently just did my 2nd Morpheus treatment and my god what a big difference already.
How are your scars looking now? Are they indented scars?
With acne scars ?
This was extremely helpful! Thank you so much for sharing your knowledge!
Hello Doc. What anesthetic are you using? Is it just topical anesthetic?
I really enjoyed this video. Thank YOU
Hello dr Davin, can you please recommend a dermatologist in Canada (British Columbia preferably) for black skin; Atrophy scars and hormonal acne.
Hi doc. I'm from India. My skin tone is fair ( whole body) but my face is one shade darker than my body. How to match my face tone with the tone of my body? Can you pls help me with that?
HELLO, WRITING FROM SCOTLAND SEARCH ALTERNATIVE HERBAL CURE FOR FACIAL HAIR GROWTH AND ACNE REMOVER IT REALLY WORKED
Hello doctor i want to ask you is it superficial scar and deep scar is the same meaning?
Mosi bites
I used some medical cream for brown spots and the result was the spot remains and the area of skin around get white can you help on that thank you
Thank you for the information. I have been researching this brand Banish 2.0, which uses a 0.5 MM Needle stamp and Vitamin C Oil/Cream for Acne scars. I have indented scars and terrible texture, it is confusing and scary. I will go for 0.25 now, I had one question - do I need to apply Vitamin C serum after that? I don't react well to most of the products out there, planning to do a small test first. Can micro roller alone sufficient?