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toskinnapat,

My "needle job" really yielded no positive results. The last time she did this to me, I had a hard knot below the skin on my forehead. I dont think it was a cyst but more like infected blackhead below the skin. It did not drain at all as it had no fluid, just a solid knot. It literally had a little hole where she poked it that did not go away for at least a week. And the device that was used was no hi-tech gizmo. It was like one of those needles they use to prick your finger for a blood sample. After that she suggested I come back for an "acne extraction surgery" I dont know exactly what she meant by that but I didnt want to find out- so I never went back to that derm.
quote:
Originally posted by AnitaChiquita:
toskinnapat,

My "needle job" really yielded no positive results. The last time she did this to me, I had a hard knot below the skin on my forehead. I dont think it was a cyst but more like infected blackhead below the skin.

I have had so many of these sore, fat red things in my acneed lifetime and every one has driven me up a wall! Why? Because if left to "heal" on their own, the swelling would go away, but there would be a hard, tiny, stone-like knot below the surface. If I were to describe it's structure, it is built like a cyst: it has a thick, sac that holds the glop. Unless this entire sac and its contents is removed, the area around the sac was repeatedly destined to re-inflame and more often than not, rupture bigger and worse than in its initial Big Red soreness.

It did not drain at all as it had no fluid, just a solid knot.

Yes, precisely the kind of "knots" I would get (still get, but much less--still, old knots are hard to forgive or forget).

It literally had a little hole where she poked it that did not go away for at least a week.

But have you noticed if the hard knot in the center of the red bump is gone? Or is the area still a little swollen and the skin has not resumed its flatness?

And the device that was used was no hi-tech gizmo. It was like one of those needles they use to prick your finger for a blood sample.

Well, frankly (and grossly) this needling doesn't sound that much different from what I resorted to doing to myself. Yeah, I know, don't pick, but I'm a 30-year veteran. If the derm won't jab the sucker, I will. I know your derm may have hurt you, you should tell them, but you owe it to yourself to find out what was behind her madness.

Her method may have been to relieve pressure and to puncture the contents of the sac. The acne excision may be to get the sac out. It's the sac that, if left to remain, can attract all the bacteria and cause reinfection. Or so I have found out personally from my own "excision" methods. Mine aren't as scientific or sterile as hers, but I stand behind them. I'm going to have scarring if the sac attract bacteria and that crap ruptures--that I know. So I always believed in going "to the core" of the problem before it had a chance to fester. I know, it's gross, but if a derm isn't going to consider 'once a picker, always a picker" then it's them or me. Thanks for explaining it to me. I don't know if all derms are willing to practice active excision. At least not ones trained in the US. I don't know. Regards, pat

After that she suggested I come back for an "acne extraction surgery" I dont know exactly what she meant by that but I didnt want to find out- so I never went back to that derm.

quote:
Originally posted by AnitaChiquita:
toskinnapat,

>My "needle job" really yielded no positive results. >The last time she did this to me, I had a hard knot >below the skin on my forehead. I dont think it was a >cyst but more like infected blackhead below the skin.

I have had so many of these sore, fat red things in my acneed lifetime and every one has driven me up a wall! Why? Because if left to "heal" on their own, the swelling would go away, but there would be a hard, tiny, stone-like knot below the surface. If I were to describe it's structure, it is built like a cyst: it has a thick, sac that holds the glop. Unless this entire sac and its contents is removed, the area around the sac was repeatedly destined to re-inflame and more often than not, rupture bigger and worse than in its initial Big Red soreness.

>It did not drain at all as it had no fluid, just a >solid knot.

Yes, precisely the kind of "knots" I would get (still get, but much less--still, old knots are hard to forgive or forget).

>It literally had a little hole where she poked it >that did not go away for at least a week.

But have you noticed if the hard knot in the center of the red bump is gone? Or is the area still a little swollen and the skin has not resumed its flatness?

>And the device that was used was no hi-tech gizmo. It >was like one of those needles they use to prick your >finger for a blood sample.

Well, frankly (and grossly) this needling doesn't sound that much different from what I resorted to doing to myself. Yeah, I know, don't pick, but I'm a 30-year veteran. If the derm won't jab the sucker, I will. I know your derm may have hurt you, you should tell them, but you owe it to yourself to find out what was behind her madness.

Her method may have been to relieve pressure and to puncture the contents of the sac. The acne excision may be to get the sac out. It's the sac that, if left to remain, can attract all the bacteria and cause reinfection. Or so I have found out personally from my own "excision" methods. Mine aren't as scientific or sterile as hers, but I stand behind them. I'm going to have scarring if the sac attract bacteria and that crap ruptures--that I know. So I always believed in going "to the core" of the problem before it had a chance to fester. I know, it's gross, but if a derm isn't going to consider 'once a picker, always a picker" then it's them or me. Thanks for explaining it to me. I don't know if all derms are willing to practice active excision. At least not ones trained in the US. I don't know. Regards, pat

>After that she suggested I come back for an "acne >extraction surgery" I dont know exactly what she >meant by that but I didnt want to find out- so I >never went back to that derm.






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