Endymed Intensif (Radiofrequency +microneedling) vs Fraxel for acne scars (ice pick and box scars)? (photo)

Microneedling with radio frequency is, without a doubt, in our practice, the best way to treat acne scarring. Simply nothing compares to it.  The series of slim gold disposable needles go through the skin to a depth of up to 3mm and shoot a column of radio frequency from the needle, leaving a zone of injury, which forces the body to generate collagen and contract the skin, both stretching and diminishing the acne scar during the repair process. Since most of the injury occurs below the epidermis, the technique can be used on all skin types.  By placing either platelet rich plasma or DefenAge on the needles, the result is enhanced.  We have three different types of these devices, and each has their advantages.  

You can do Fraxel or Secret RF. Neither of these treatments should be used if you have active acne. I would consult with your doctor before going for either of the treatments to confirm that you no longer have active acne.

I have Fraxel, Microneedling, RF with eMatrix and many other treatments in my practice.  A combination of treatments and fillers are usually needed to best address these types of scars.  Please consult an expert in acne scar treatments for the best cosmetic results.  Best, Dr. Green

Radiofrequency is new and hasn't been shown to effectively treat acne scars. I don't think one modality will treat all acne scars. Ice pick and box car scars need some surface treatment not something that works in the deep layers. Ice pick scars are especially more responsive to surface treatments. co2 lasers and erbium lasers are important for this surface attack. You also seem to have some rolling scar type of quality from what I can tell. Deeper treatments work in this area as well. There are multiple modalities that can help especially when combined to shock the scars. We have a 5-7 step process that can treat all types of acne scars in about 2 hours in one treatment.

The go to device for me and several of the thought leaders is the Infini now. Although the Intensif is close, it still lacks all the features that the Infini has. Check out all the before and after pictures that Infini has with acne scarring. I have tried Fraxel with only mild success for acne scars.

Firstly device wise, Infini is better than Endymed, I agree with Dr Weiner.  Fraxel is outdated, and underpowered. The real answer is how to approach acne scar revision? It is to target the different scar types with different treatment modalities, including RF insulated microneedling, PRP, lasers, surgical techniques, fillers and many others including TCA CROSS for ice pick scars. The video explains in detail. All the best, Dr Davin Lim, Brisbane. Australia.