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Messages - SarahVaughter

Using a dermastamp on hypertrophic scar is a very good idea.

If the scar is raised, perform the pressure massage that is described here:

The forum posting also has a link that explains why dermaneedling works on hypertrophic scars.

You can apply copper peptides every day but as thehalokid mentioned, do not apply them at the same time with vit. C  or retinoids.

Concerning hair loss, I think that good old Minoxidil is the best and numerous medical studies proved its efficacy:

However, even Minoxidli does not work in 100% of cases.

I am happy dermaneedling works for you. I remember you posted that it gave you clear, beautiful skin.

(I will delete this posting in a while because it is off-topic due to the fact that it is answered both elsewhere on this forum as well as in our instructions. Also, searching for "milton" would have given you an answer)

Disinfection with alcohol:

How to clean dermaneedling instruments (page 27):

Dermarolling / Microneedling / Re: Ret-A and Chloramine T
« on: March 14, 2013, 10:21:24 AM »
How to make a Chloramine-T solution is explained on page 28 of our instructions:

We are not selling Chloramine-T anymore because traces of it remain inside the roller head after soaking if the roller head is not well-rinsed. Also, we have concerns about possible corrosion on the needles of our upcoming batches of microneedling devices.

The 0.025% A-Ret is runny - that is normal. We made it by diluting 0.5% with equal parts water. It is a lotion, not a gel. We amended the sales description here:

A diabetic lancet is not suitable for dermaneedling. A lancet needle is a small knife. Their purpose is to cut the very tough skin of the finger to draw blood for glucose monitoring. And they are shaped to maximise bloodflow, cutting sideways through the skin. This shape is unsuitable for subtle microneedling. Needles for needling have a conic shape with a very long taper and their length does not exceed 2 mm.  Dermarollers also have conically shaped needles.

Have you been on Accutane?  Most bad outcomes I have heard about happened to those on Accutane.

No, I do not think that applying A-Ret right after rolling contributed to your bad experience. We even have a customer who improved his scars by microneedling and immediate application of A-Ret cream:

A 1.5 mm dermastamp is better choice in your case than a dermaroller.  Also, in your case, you must do a stamping test on one scar.  Stamp one scar only for several months to see what happens. Sometimes thousands of people get good results or at least no problems with certain method and one or two get bad results for unknown reasons.

For example this lady ended up with permanently dilated pores after an IPL treatment:

Tens of thousands of people had an IPL treatment without any effect on their pores but unfortunately not her.

I am sorry but Chloramine T will not be for sale for a while because we have to test it for possible electrolytic effects on our OWNDOC dermarollers.  The current batch has titanium-coated stainless steel needles and there is a concern. Later batches will have stainless needles and we will start selling Chloramine-T again when we are certain it will not corrode any later/upcoming type needles.

Where to buy alcohol:

You should only use the suction pump if it is likely that your scars are tethered – it means if you have the rolling type of acne scars.
Are you going to have Restylan injected into your indented scars as temporary filler or are you having just the "cheek bones enhancement"?
To be honest, I do not know whether the suction pump could theoretically slightly move the filler. Suctioning is a new method and I am not able to give you a definite answer. 
If they are going to inject it into your scars, it would be wiser to avoid suctioning. You can continue with microneedling.
If they are going to inject it just to your cheek bones area, you can suction the rest of the cheeks.
For acne scars, adding a 1.5 mm dermastamp with 35 needles to your dermarolling sessions (first stamp the scars then roll it) would be beneficial, especially if your scars are rather deep.

Here is a study on whether laser therapy, radiofrequency or IPL negatively affect dermal fillers and the result is that it does not:

Randomized Trial to Determine the Influence of Laser Therapy, Monopolar Radiofrequency Treatment, and Intense Pulsed Light Therapy Administered Immediately after Hyaluronic Acid Gel Implantation

BACKGROUND Hyaluronic acid-based dermal fillers, such as hyaluronic acid gel (Restylane, Q-Medical AB, Uppsala, Sweden), are widely used for tissue augmentation of the nasolabial folds. Additional dermatologic treatments using infrared light, radiofrequency (RF), and intense pulsed light (IPL) are also important tools for facial rejuvenation. This study was designed to evaluate whether these therapies could be safely administered immediately after hyaluronic acid gel treatment without compromising the effect of the dermal filler.

OBJECTIVE The objective of this study was to confirm or refute any possible subtractive effects of augmentation of the nasolabial folds when followed by 1,320-nm Nd:YAG laser, 1,450-nm diode laser, monopolar RF, and/or IPL treatments.

METHODS Thirty-six patients with prominent nasolabial folds were treated with hyaluronic acid gel implantation on one side of the face and hyaluronic acid gel followed by one of the nonablative laser/RF/IPL therapies on the contralateral side of the face.

RESULTS There were no statistically significant differences between wrinkle severity or global aesthetic scores for hyaluronic acid gel implantation alone and hyaluronic acid gel with laser/RF/IPL treatment at any time point. In a small sample, histologic changes were not apparent after laser/RF/IPL treatment.

CONCLUSIONS Based on this small pilot study, laser, RF, and IPL treatments can safely be administered immediately after hyaluronic acid gel implantation without reduction in overall clinical effect.

Dermarolling / Microneedling / Re: Can I add water to the A-Ret Cream?
« on: March 09, 2013, 03:06:44 PM »
You can add water and you can also mix it with another cream.

And of course, if you dilute it significantly, the "strength" will be less.

You disinfect the skin before mcironeedling and the instrument after microneedling.

How to clean the dermaneedling instruments is on page 28 of our instructions:

When you are done needling, you can clean your skin with just tap water but the microneedling instrument has to be cleaned and disinfected.

Dermarolling / Microneedling / Re: Needling and AHA/BHA
« on: March 06, 2013, 05:39:32 PM »
5% Salicylic acid is mild. You can even apply it in the morning on the day that you neede. Do not apply it after needling and if possible do not apply it a day after needling.  After that it is OK (provided the skin is not still completely "raw" from needling). If you get scabs from needling, do not forcibly remove them because it could leave a scar.

You should first have the Glycolic peel and only then needling.

Some more info:

Dermarolling / Microneedling / Re: expiry date dermaroller never used
« on: March 06, 2013, 10:03:18 AM »
Perhaps after 100 years or so, the plastic may become somewhat brittle.

Dermarolling / Microneedling / Re: Dermarolling and skin tightening.
« on: March 06, 2013, 01:53:12 AM »
Sorry - No. I refer to forum rule #12:

"This forum is intended as a resource for others. If you upload pictures, everyone, including we, know what the skin issue is about. If you later remove the picture, the thread loses important information, sometimes to the point of meaninglessness. If you are concerned about privacy, omit or mask your eyes, mouth etc. We can also do that for you after you posted the pictures to ensure your anonymity. Regular forum users do not have image modification/removal privileges. Please do not to link to pictures posted elsewhere but post them here. Linking to pictures posted elsewhere nearly guarantees they will soon disappear. This forum is a symbiosis between you and us. You get expert advice, we get your picture so that this forum remains the internet's #1 skin improvement resource. If you disagree with this policy, please do not post pictures - but then again, without picture it is very hard to give the best advice."

Dermarolling / Microneedling / Re: Dermarolling and skin tightening.
« on: March 05, 2013, 05:18:34 PM »
Congratulations with your weight loss and with your strong will to keep up an intensive exercising regime! It is not easy.

Dermaneedling can be used on raised scars but not on keloids.  Actually, I have heard about cases of keloids being improved by dermarolling. However, keloids react unpredictably and dermaneedling, excision, laser treatment or any other serious disruption can trigger the keloid to grow even more. Steroids (e.g. Kenalog) cause skin atrophy and are therefore used to reduce keloids.

Try a 1.5 mm dermastamp with 35 needles on a very small part of your keloid and you will see what happens (it may help). There is no other way to find out than trying it.

If your keloid reacts OK to dermastamping, apply the pressure massage described here:

Use the 1.5 mm dermastamp on your other scar as well. It is not a keloid so there is no problem. Stamp it densely every three weeks.  Our 0.5 % Tretinoin cream can also help with diminishing the redness of your scar but it is not completely necessary. You can buy just the dermastamp.

Concerning your other question:

Dermarolling can improve mild skin laxity, provided there is not too much excessive skin. Dermarolling cannot get rid of excessive skin after major weight loss. Skin folds can only be fixed by plastic surgery. We do have customers who successfully tighten their post pregnancy mild laxity of abdominal skin.
From our experience, the best results for sagging skin is the combination of a short-needled dermaroller (to speed up the turnover of the skin) and a long-needled dermaroller (to trigger the formation of new collagen and elastin). We recommend using a regular 0.5 mm dermaroller (roll up to three times a week) and a regular 1.5 mm dermaroller (roll very densely every three weeks).

Significant weight fluctuations are really bad for skin laxity. You are young and if you stabilize your weight, your skin will very likely tighten by itself with time. It can take a year or more. Your weight loss was significant but not so much that it needs surgery.

Minoxidil was originally used orally to treat high blood pressure (it is a vasodilatator) and hair growth appeared as a beneficial, unexpected side effect.  That is why caution must be taken not to get too much of it into the bloodstream. Dermarolling very significantly increases the absorption of any skin products applied directly afterwards so you must be very careful and start slowly (do not apply too much after dermarolling at the beginning). If everything is fine, you can slowly increase it.

I suggest a regular 0.5 mm dermaroller in combination with 5% Minoxidil. Remember that I am not a MD and this is not medical advice. Minoxidil is a substance that can kill, when too much enters your body.

Related subject:

Topical minoxidil: cardiac effects in bald man.

F H Leenen, D L Smith, and W P Unger

Systemic cardiovascular effects during chronic treatment with topical minoxidil vs placebo were evaluated using a double-blind, randomized design for two parallel groups (n = 20 for minoxidil, n = 15 for placebo). During 6 months of follow-up, blood pressure did not change, whereas minoxidil increased heart rate by 3-5 beats min-1. Compared with placebo, topical minoxidil caused significant increases in LV end-diastolic volume, in cardiac output (by 0.751 min-1) and in LV mass (by 5 g m-2). We conclude that in healthy subjects short-term use of topical minoxidil is likely not to be detrimental. However, safety needs to be established regarding ischaemic symptoms in patients with coronary artery disease as well as for the possible development of LV hypertrophy in healthy subjects during years of therapy.

J Am Acad Dermatol. 1987 Mar;16(3 Pt 2):677-85.
Safety and efficacy of topical minoxidil in the management of androgenetic alopecia.
Rietschel RL, Duncan SH.

Of 149 subjects with androgenetic alopecia, 102 completed 1 year of a double-blind, randomized study comparing 2% minoxidil and 3% minoxidil solutions for safety and efficacy. One third of the subjects used a vehicle placebo for the first 4 months and then switched to 3% minoxidil. At 12 months the 2% minoxidil group switched to a 3% solution. During months 5 to 12 a steady increase in terminal hair counts occurred to an equal degree within the 2% and 3% minoxidil groups and the 3% treatment group switched from placebo. Total hair counts at 12 months increased from a baseline mean of 63.5 to 180.6 in the 2% treatment group, from 61.0 to 179.9 in the 3% group, and from 65.0 to 191.1 in the placebo to 3% crossover group. Although all 102 subjects completing 12 months of the study thought that visible hair growth had resulted, 89 were considered by the investigators to have visible growth. Dense hair growth, defined as hair long enough to cut or comb, was present in 48 subjects by their own evaluation and in 33 subjects by investigator evaluation. There were no serious side effects. Two instances of allergic contact dermatitis and four of pruritus were attributed to use of the drug. Two individuals complained of impotence, which disappeared within a few days of discontinuation of topical minoxidil. This effect has not been reported during the use of minoxidil in its oral form (Loniten) for the treatment of hypertension.

Dermarolling / Microneedling / Re: Why don't you sell 2.5 mm needles?
« on: March 05, 2013, 02:28:52 PM »
It is very unlikely that the skin thickness on the face even for males with thick skin exceeds 2 mm. The needles of a dermastamp penetrate fully into the entire depth of the skin. Under the skin there is mainly fat but there also reside larger blood vessels, nerves, connective tissue, lymphatic vessels, sweat glands, hair follicles etc.

I really do not think you need longer needles. Aren't you getting results at all with your 2 mm dermastamp?