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Each Doctor will have their preferred device. I prefer Intensif because the needles are non-insulated and it gives more robust results. I always combine microneedling with prp, Cosmelan and lasers to get the best outcomes. See an expert. Best, Dr. Emer
For the most part, the operator of the device is more important than the device itself. Choice of devices is dependent upon the type of scars that you have and the amount of dermal fibrosis. In my opinion, an expert practitioner will be able to use any of the devices appropriately.
Lasers and energy devices are like a good pair of Japanese steel scissors. Great instrument, but it is the person behind the device or instrument that will give you the best results. To generalise, a Specialist will usually understand the device to a better level, just like how a director stylist will usually have better experience than an apprentice. Exceptions do apply. I can get the same results with Infini or Intracel as Intensif and the converse applies. Just means more shots with non insulated and more shots with Intracel due to number of needles. Here in lies the paradox- Intensif has a stronger solenoid than Infini, so if you have sub dermal fibrosis, the former is better. Do not make your decision on the device, make your decision on the Dermatologist or Plastic surgeon who will guide you. Acne scar revision is a sub-specialised field. For the best results, one should target the acne scar type with ideal treatments and not just one device. The web reference below will take you to a resource to help you understand acne scar revision at a specialist level. I embedded all the videos in one page to help. For example deep ice pick scars, and narrow box car scars can be treated with TCA CROSS peels, mixed scars, rolling, and atrophic scars treated with fractional devices such as Fraxel, fractional lasers, PRP and INFINI radiofrequency. Atrophic scars (depressions) can be treated with either fat grafts, or with HA dermal fillers. Tethered and anchored scars are best treated with surgical techniques such as subcision. Other surgical techniques that we use include punch elevation, surgical elevation, punch excision and traditional excision of focal scars. The majority of patients will have a collection of different scar types, and hence a tailored treatment METHOD will be best. Careful examination, especially under angled lighting with scar mapping will give you an understanding of what are the best options for your scars. In the majority of patients its finding the correct combination that give you best results, and everyone is unique! All the best, Dr Davin Lim. Acne scar dermatologist specialist. Brisbane, Australia.
It isn't uncommon for acne prone patients to break out after Infini because it is a stimulating procedure. I would treat with topical and oral antibiotics and possibly retin A.
Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark...
Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong...