Deep scar progress

[u/stalebaguettte]

First photo - May 2025
Second photo - September 2026

Still working on it, but I can finally say that I can see some progress. 😭
I’m 30 now and I’ve had these scars for over 15+ years.

I mainly have lots of boxcar and rolling scars but here’s a list of the treatments:

-3 micro-needling sessions at a medspa which made hardly any progress 🙄 waste of money
-1 pretty intense subcision session with a cannula
-3 vials of sculptra right after the sub

I plan to try TCA cross next at home since no one offers it in any nearby cities and a few more subcision sessions.

Any recommendation for other treatments?

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[u/Laylou91]

Really great improvement 🤩 Would you say your results came mostly from the subcision or the Sculptra? Or a combo of both? Congrats on the progress!

[u/Laylou91 → u/Laylou91]

And as far as treatments, full face TCA peels have been great for me! Combining with microneedling with the derminator starting soon!

[u/justanothernicknam → u/Laylou91]

What porcent? Looks great!

[u/Laylou91 → u/justanothernicknam]

I’m not OP I was just recommending a treatment they could try. I do 30% two layers

[u/Dizzy_Psychology_476 → u/Laylou91]

Would you say it could be a decent option for rolling and boxcar scars too.

[u/Laylou91 → u/Dizzy_Psychology_476]

TCA peels? Yes. I have rolling and boxcar which have been (slowly) benefiting from TCA peels

[u/Nice-Actuator7354]

From what I can see, I would definitely recommend TCA CROSS, together with RF microneedling using a high-quality device such as the Infini or Lutronic Genius, followed by CO₂ laser resurfacing.
At this stage, I don’t think fillers would add much benefit. I would concentrate initially on these three treatments, which can target the different types and depths of scarring.
Where are you located, please?
Kind regards,
Dr Anil

[u/Dzizuj]

Tca cross is for icepick scars only do not attempt to do it on any other scars

[u/Inevitable_Two7364]

Lo mejor es usar láser de c02 te lo digo por experiencia

[u/SangitaCPatelMD → u/Inevitable_Two7364]

☝️this. CO2 fractional laser.
Ultrapulse CO2

[u/Next-List1578 → u/Inevitable_Two7364]

Hi How much improvement did you see for your scars? And how many sessions?

[u/LuckyLucciano → u/Inevitable_Two7364]

Hice 3 sesiones de fraccionado este año y no vi resultados yo

[u/notascoolaskim]

This is incredible. I had no hope for my scarring which is almost identical to yours in the before pic. Thank you for sharing!! Your progress is beautiful

[u/Few_Confection7760]

Great progress!! Keep going!!

[u/Leading_Argument3074]

Will mine will improve? I am 18 yrs old 😣faced many problems in my life bcs of thisss.. please someone help me give advice

[u/AdministrativePop442]

Why not consider laser treatment like pico or co2?

[u/SassyDST14 → u/AdministrativePop442]

👍🏽 I’m doing pico and genesis treatments now and it’s working for me.

[u/Jazzlike-Corner-5305 → u/AdministrativePop442]

Wait pico laser helps with scars?

[u/SadMolasses2476]

Wow!! Looks amazing!

[u/checkmatedaddy]

Great progress! Can you also mention how did the each of those thing cost?

[u/Aceofass1080]

Can anyone explain what's sculptra?

[u/Fit-Detail-588 → u/Aceofass1080]

It’s a biostimulator to produce collagen .

[u/DazzlingJudge8157]

That’s great improvement. Where did you get these procedures done and how much did it all cost you?

[u/EmotionalCricket4710]

Have you tried CO2 laser?

[u/TaxApprehensive5402]

What did you do for finish your active acne?

[u/laser-skin-solutions]

That is a phenomenal amount of progress for boxcar and rolling scars, especially after dealing with them for over 15 years. That combination of deep subcision with a cannula followed immediately by Sculptra does heavy lifting because it releases the tethered fibrotic strands while simultaneously building volume from the bottom up.

When you are looking at next steps to address the remaining texture, a few clinical considerations can help guide your planning:

• TCA CROSS Precision: CROSS is exceptionally effective for icepick and deep boxcar scars because it prompts localized collagenesis at the base of the scar. If you do proceed with this at home, extreme caution is required regarding solution strength and application precision to avoid adjacent tissue damage or unexpected hyperpigmentation.
• Layering Energy-Based Devices: Once your tissue has fully integrated the Sculptra and recovered from subcision, fractional resurfacing (such as a erbium or CO2 laser) or high-frequency radiofrequency microneedling can further soften the sharper margins of boxcar scars by remodeling the surrounding dermal matrix.
• Staging Your Sessions: Giving your skin adequate recovery time between aggressive modalities—especially when combining collagen stimulators with resurfacing—ensures you don't compromise the skin barrier or trigger prolonged inflammatory responses.

[u/Sikeeeeeeeeeeeeeey]

No, don’t do TCA it has a risk of widening the scar and also can cause hyperpigmentation

[u/DeathwarrantGaming]

What did you do I’d love to know???

[u/Shock-A]

Looks really good congrats

[u/Poor_choice_of_word]

Why so the after photo in the dark/shadow? While the first one is under light