Infini RF while on the Obagi system (tretinoin 0.1% + hydroquinone 4%)

I do not restrict any topical skin care before radiofreuqency treatments but with peels it would be a good idea.  Acne scarring needs a combination apporach so please see an expert.  Best, Dr. Emer.

We have a slightly different approach to preoperative instructions with Infini. We like to stop for one week any exfoliating treatment including tretinoin, salicylic acid, azelaic acid tazarotene,Etc prior to performing the treatment. We encourage one week of preoperative bleaching in  patients who have darker skin. We will also post-operatively include the bleaching cream. Most recently we have been adding PRP and gentlewaves to our postoperative regimen. Hope this helps. Please seek an infini expert. Good luck.

Infini RF is safe for darker skin types but it is highly recommended that you do prep your skin with Tretinoin and 4% HQ for AT LEAST 6-8 weeks prior to the procedure to reduce the risk of post inflammatory hyperpigmentation. Because you have been using the products for several years all that I would recommend would be discontinuing use of tretinoin and HQ 5 days prior to your procedure. I would explore an option to gradually reduce and then discontinue use of HQ after your series of Infini RF treatments to reduce the risk of rebound pigment caused by overuse of HQ. Dr Obagi’s more recent recommendations are to limit the use of hydroquinone to 4-5 months at a time and then substitute non-HQ pigment suppressants which can be found in his new ZO Skin Health products in order to avoid complications associated with long term hydroquinone use such as dependency and rebound pigmentation.