Can RF treatments such as Venus Viva, Tixel and microneedling RF result in permanent holes in the skin?

Question

I've had 1 RF microneedling treatment, 1 venus viva and 2 tixel spaced 5-7 weeks apart. My most recent treatment was Tixel one week ago, and the redness and crusting has subsided however when i look closely to my skin it appears there are tiny tiny holes/dots across my skin where the tiny scabs were. These holes are not rough anymore and so i assume they have healed and are now tiny scars in my skin? Should I be worried, or will these little dots close over? Thank you

Davin Lim, MBBS, FACD - Account Suspended · Answer

Yes, any fractional or stamping procedure can lead to this. 80% will settle in 6 months, the 20% that do not can be treated with small diameter lasers such as 1927 Thullium or Diode overpass. 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.

Can RF treatments such as Venus Viva, Tixel and microneedling RF result in permanent holes in the skin?

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Can RF treatments such as Venus Viva, Tixel and microneedling RF result in permanent holes in the skin?

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Everything you need to know about Microneedling RF

Our mission is to create a world where every investment in modern beauty is Worth It.