How to address volume loss on my face and reduce acne scars? RF/Radiofrequency microneedling (Infini) or fat graft? (Photo)

Question

Mixed scars, i think mostly atrophic. Please advise how to make small improvements (I am realistic) with minimally invasive procedures on my face - add some volume and make scars look a bit less obvious especially under harsh lighting. My downtime is very limited and I am not looking into lasers.

Robert M. Wald, Jr., MD · Answer

Volume loss is best treated with fillers of fat. Atrophic scars are treated with microneedling(infini), subcision, TCA cross, and punch excisions. One must be realistic about all these treatments since multiple treatments are necessary and results vary. One can only expect a 50% improvement on average.

Jason Emer, MD · Answer

A combination approach will give the most improvement. These types of scars need a combination of lasers, microneedling/prp, TCA cross, Cosmelan, punch excision and fillers. It will take a series of treatments and need life-long treatments to maintain. I recommend getting a formal evaluation with an acne scarring expert. Best, Dr. Emer

Jeff Rapaport, MD · Answer

In my  opinion, you have deep depressed bound down scars with sharp borders and atrophy of the underlying support tissue. Treatment of the scars is usually performed first. Radio frequency RF ( infini), PRP, TCA cross, subcision and fractionated laser are helpful. Multiple sessions will be needed. Injections with fillers combined with PRP can be used to address the depressed Contours of the cheeks. Find an acne scar expert. Ask to see photos.Acne scar nj.com

Isobel Walker, MBBS · Answer

This type of acne scarring will respond well to Infini RF, however many sessions (2-4) are needed. I do feel that you will benefit from subcision and fillers, or fat grafting as well. Kind regards, Dr Isobel Walker. Brisbane. Australia.

Steven F. Weiner, MD · Answer

The volume lost with the scars must be replaced with filler. My preference is Bellafill for this which is FDA approved for rolling acne scars. PRP will not fill this in for long term correction. I would also to Infini, subcision, and maybe PRP. It will take multiple treatments to correct.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Dr Weiner has more experience than anyone with Infini in the US, and he is an expert in acne scar revision. Totally agree with his approach of multiple procedures, including fillers, subcsion and Infini RF. Realistically 70% improvement after 5-7 sessions. (depends on your skin type, and also if you have any subdermal fibrosis - this can only be felt, not seen). Davin Lim. Brisbane. Australia.

How to address volume loss on my face and reduce acne scars? RF/Radiofrequency microneedling (Infini) or fat graft? (Photo)

Answers (6)

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