Potenza, Secret RF and Sylfirm X - What is the best RF microneedling procedure to treat my acne scars? (Photo)

Question

Hi What is the best rf micro needling procedure to treat acne scars on face? How do Potenza, secret rf and Sylfirm compare ?

Gregory S. Keller, MD, FACS · Answer

Most microneedling RF devices obtain similar results in experienced hands, particularly in the face, where capability to penetrate deeply is not important as it is on the abdomen or arms.  The person using the device is important (it is the archer, not the arrow), though there are some differences in both intensity and pain.  Having said that, the machines are more impressive for helping other than ice pick scars.

Giuseppe Fiore, MD · Answer

Hi, Thanks for your question and and pictures. There are several options including microneedling/ Radiogrequency and laser C02/Erbium. 
In our clinic we have a strong experience with Morpheus 8 that involves microneedling and Radiofrequency. 
This treatment could be quite discomfort at high level of energy for better results. For this reason, in our clinic Morpheus 8 is performed by a surgeon with experience in local anesthetic infiltration to reduce the discomfort. The combination of Morpheus 8 , TCA peeling and medical skin care treatment can improve reduce the acne scars and improve the texture of your skin. 
I would recommend to make an appointment with doctor expert in this technology and treatments for a face to face medical assessment in order to consider the best suitable treatment. 
Hope this helps, 
Dr Giuseppe Fiore

Jeff Rapaport, MD · Answer

In my opinion, most of the Microneedling RF systems work equally. It's the physician that is operating the device that is most important. I particularly like the Lutronic system ( Genius or Infini)  for milder cases and The Candella Profound for deeper cases. In your case pretreatment with TCA cross may be of some benefit. Find a scar expert.
Jeff Rapaport MD FAAD 
Real Self Hall of Fame

Nelson Lee Novick, MD · Answer

Admittedly, a bit difficult to determine from the photos provided, but there appear to be quite a few ice pick scars on both cheeks. If this is indeed so, then TCA CROSS, a relatively inexpensive technique that has a greater than two decades track record for safety and efficacy (in all skin types) for ice pick scars and dilated pores would be a very appropriate option. If necessary, following this, professionally performed manual or electric microneedling might be used should it be necessary to better blend with the surrounding normal skin any residual, superficial pigmentary or textural irregularities. The addition of RF has not been proven additionally useful by any truly hard science (despite the social media influencers and heavy device manufacturer marketing hype) to promote its use. You would be wise to consult with a board certified cosmetic dermatologist and be cautious about suggesting any particular treatments; you might just get what you ask for. Hope this helps, and best of luck.

Amir Mortazavi, MD · Answer

Great question. When it comes to microneedling RF the device can be a big factor in order to get the proper results. All the devices that you mentioned are great devices. We use Pixel8 which can be superior to many of the RF devices in our practice. With 3 to 4 treatment you should improve the scars tremendously.

Potenza, Secret RF and Sylfirm X - What is the best RF microneedling procedure to treat my acne scars? (Photo)

Answers (5)

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