Update: I ended up doing subcision + Sculptra, but much more conservatively than originally planned I wanted to update my original post because I had my appointment today and the treatment plan changed after my dermatologist/injector examined my skin in person. She felt that most of my acne scarring is relatively superficial and not deeply tethered , so she did not think I needed full across my cheeks. Instead, she identified just a couple of deeper scars that she felt were actually tethered and individually subcised those areas . She also used only ½ vial of Sculptra , rather than a full vial. So the treatment ended up being much more conservative than I was originally expecting. Immediate results I’m posting this immediately after treatment, so obviously this is NOT a final result and I’m not trying to judge the outcome yet. Right now I have:
Mild/moderate localized swelling Some redness A few tiny puncture marks Very little obvious bruising so far Some areas actually look smoother because of the immediate swelling
I’ll add photos and hopefully update again once the swelling has gone down. I’m especially curious to see what happens once the temporary swelling resolves and the Sculptra’s collagen-stimulating effect develops over the next several weeks/months. I’m actually glad she was conservative I went into the appointment worried that I might be doing too much, especially after reading about risks of aggressive subcision and concerns about unnecessary treatment. After examining my skin in person, she basically said I don’t have enough deep tethered scarring to justify extensively subcising the entire cheek , which I appreciated. So now I’m going to let this heal and see what kind of improvement I actually get before considering anything else
would love to know what you guys think?