I want my acne scars less noticeable. Is the Infini RF microneedling a good treatment for my acne scars?

Question

Or should I try a different treatment? I am looking for a doctor that does infini RF microneedling.

Jason Emer, MD · Answer

Acne scar treatment needs a combination approach for improvement.  For the best results, one should target the acne scar type.  As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision.  Subcision for depressed tethered scars.  Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif or fractora microneedling RF for textural issues and superficial scarring.  Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision.  All lasers are combined with microneedling and PRP to get even better results and improve healing times.   The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician.  It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome.  Scars cannot be cured and will need life-long treatments to maintain and build on the results.  Best, Dr. Emer.

Jeff Rapaport, MD · Answer

Your saucer shaped and superficial boxcars should respond to infini RF. However, there is also a marked decrease in volume in the area that may need contouring with a filler. Find an expert. Good luck.

Scott Gerrish, DO · Answer

michaelcuevas,
Thank you so much for your question and for the attached picture. There are multiple treatments that can help your acne scars. Infini or a Fractional Laser are great options that can help reduce their appearance. You will need multiple treatments spread out, so be patient with yourself, as scars can be stubborn and it may take a long time to see the results you are expecting. Finding a provider who is skilled at working with scars and whose goals align with your own will be best!
Be well. Hillary Ching, PA-CGerrish MedEsthetics

Katherine Dee, MD · Answer

From that image it looks like your scars would be improved with Infini. The results take a long time to achieve-- I usually tell patients to give me a year. The process of building collagen and evening out the skin evolves over at least 6 months after each treatment. After that, you likely would benefit from laser resurfacing to further smooth the skin surface.

Steven F. Weiner, MD · Answer

I think Infini is a great choice for you. I would combine with subcision, possibly fillers and PRP. Laser resurfacing can be used as well but would save for later. There is an upgraded version going to be FDA approved soon called the Genius which has impedance feedback, sharper needles, better motor, and more ergonomic handpiece. I've been doing the FDA trials and our patients are recovering faster and enjoying their results.

Jason Pozner, MD · Answer

Based on your photos you should see a nice improvement with infini or other microneedle rf devices. As you will need multiple treatments call around your area and try to find someone with experience

Davin Lim, MBBS, FACD - Account Suspended · Answer

Yes, Infini can help this area. I prefer to COMBINE treatments, low density Co2 as well as Infini and saline subcision- especially in this area. You will require 3-4 sessions. Fairly easy job, 10-20 minutes per session. Acne scar revision comprises of many specialised procedures. For the best results, one should target the acne scar type with appropriate treatments METHODS. Using one or two devices is not optimal. As everyone has a unique pattern of acne scarring, the best solution is a tailored one. Remember, scar revision is a medical procedure that is technical to perform. It is not dependent on the clinic, branch, machine, or laser but by the skill of your dermatologist of plastic surgeon.

Take for example deep ice pick scars, and narrow box car scars. These are best treated with TCA CROSS and focused angled Co2 fractional laser in low density. Deep narrow scars respond better to this treatment than even the most expensive lasers. On the flip side, rolling, and atrophic acne scars can improve with fractional devices such as Fraxel, fractional lasers, ProFractional erbium lasers, Infiini –Intensif –Intracel radiofrequency microneedling. Atrophic scars (depressions) can be treated with either fat graft, PRP or dermal fillers. Tethered and anchored scars are best treated with surgical techniques such as subcision. Other surgical techniques that I use include punch elevation, surgical elevation, punch excision and traditional excision for focal scars. Early and very mild acne scars respond well to eMatrix and non-energy microneedling, as well as vascular lasers. Skin colour changes such as PIH or dark marks respond best to sun protection, creams, and Q switch lasers in the nano and pico pulse durations.

In the vast majority of patients, different patterns of acne scars will be present. Monomorphic acne scarring (scars of the safe subtype) are extremely rare. Careful examination, especially under angled lighting with scar mapping will give you an understanding of what are the best options for your scars. Additionally tactile examination namely touch will give me an understanding of the amount of subdermal fibrosis, as special equipment is needed for this sub-set of acne scars.  In the majority of patients its finding the correct combinations that yields the best results. It is never about the device, it is about the specialist behind the equipment that will deliver the best outcomes.

Global leaders in acne scar revision will always use manual methods to revise scars, and employ lasers and energy devices as instruments to assist. All the best, Dr Davin Lim. Acne scar dermatologist specialist. Brisbane, Australia.

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