Atrophic Lesions After Infini Radiofra from Lutronic Company,earliest Fat Transfer? Roacutane Help?

Like any aetshetic device, there are risks to microneedling with radiofrequency. This risk in my experience is very low, but there are certain factors that can help mitigate the risk:1. The safe  suggested guidelines for number of passes, needle depth, energy delivery should be followed for the skin type. 2. In areas of the face prone to volume loss like the temples, extra care should be exercised to not over ablate the tissue. In some areas like the jowls, one has more flexibility in settings.3. Newer devices that use better circuit boards (chevron circuits), micromotor driven needles, gold guarding down to the last 400 microns, and allow for frequency control (1 versus 2 Mhz) will provide larger margins of safety for practitioner doing these procedures. The latest form of this technology is called the Vivace and we like it providing more options on all these fronts.4. Finally, if fat atrophy does occur, fat transfer is a safe and effective correction. In my experience, fat squeezing technologies like the Lipokit work a little better for device complication induced fat loss. 

Would be interesting to have seen you skin in the first week or 2 after the treatment.  Were there any side effects in the first week or 2 in the sense of crusts or small bumps? Did the skin heal uneventfully initially and now he feels like the skin is waxy and yellow? Oftentimes it is best to return to the initial treating physician as was mentioned earlier, particularly to review photographs and determine what the next best course of action is.  Tincture  of time is helpful in many of these cases.

I'm sorry you seem to have had a difficult experience.  Fat grafting, as well as other modalities can help with all of the issues you describe.  Your next move should be to see a board certified plastic surgeon for an evaluation- without a physical exam, you are unlikely to get too much accurate information.  Ask about fat and fillers, skin treatments and ultrasound therapy.  I think you will be happy in the end.