RF microneedling gave me crepey skin and uneven texture. How can I treat this? (Photo)

Question

Help. I have developed depression because of this. I got it over a month ago and I have developed very uneven texture, crepey skin when I smile. My skin doesn’t sting or burn if I use my epiduo or salicylic acid cleanser. I just need some guidance on what to do. Do I use retinoids or don’t use anything to let the barrier heal? Please help me. The only thing is my skin gets slightly dry sometimes in the middle of the day.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Luis A. Perez, DO · Answer

Did you get the RF in the entire face? I do see some irregularity on this picture, but perhaps the results are due to an unexperienced operator. I would recommend to go back to the person who did it and try to get it fixed. You can do a chemical peel, more RF or continue to use retinols. Hope this helps.

RF microneedling gave me crepey skin and uneven texture. How can I treat this? (Photo)

Answers (2)

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