Professional opinion on Infini or (Subcision + Intracel) for acne scarring? 2 doctors with different treatment plans. (photos)

Question

Doc #1: 3 Sessions of Infini or 1 session of Profound, then Volbella Doc #2: 3-4 Sessions of Subcision each a month apart, then sessions with Intracel, ending with fillers. I have read that Infini can go deeper than intracel and has more power, but I have read into the benefits of subcision for tethered & rolling scars. So I am unsure on which route to take. or Would it be okay to have Doc 2 perform the subcision then have Doc 1 perform treatments with infini? Much Thanks for the help

Jason Emer, MD · Answer

Acne scars need 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 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

I agree with dr. Lim, the doctor is more important than the devices. You have deep tethered acne scars with dermal fibrosis and we would recommend subcision with PRP, using external and internal technique (Taylor instrument) and infini and a low density CO2 at one session. The process will need to be repeated and modified based upon your response. Find an acne scar expert. Ask to see photos.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Its not the device- I use Intracel, Infini, and Intensif RF, both insulated and non insulted. These DEVICES only act as tools. Intracel can be as effective as Infini - IF USED OFF LABEL. The biggest difference is your specialist. The biggest gain you will have is with Cannular subcision. See Dr Steve Weiner who will use Cannular and Infini. Your difference from one doctor to a Plastic Surgeon trained in scar revision will be marked. 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.

Professional opinion on Infini or (Subcision + Intracel) for acne scarring? 2 doctors with different treatment plans. (photos)

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Professional opinion on Infini or (Subcision + Intracel) for acne scarring? 2 doctors with different treatment plans. (photos)

Answers (3)

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Everything you need to know about Infini RF

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