Is Infini with PRP good enough for my scars? I can't find one doctor in MN, that will offer just Infini with PRP (Photo)

Question

I circled the areas of my scarring. I have mostly rolling scars, and some ice pick ones. Infinii Radio Frequency needling/PRP/Subsicion? Looked for solutions for 22 years, scars are about 22 years old. Spent 10,000 dollars over all the years with: Fraxel Laser on cheeks - 3 treatments, Restylane fillers in right side check and both side jowel area. TCA peel, PRP, Selphyl w/Restylane two cc's on my lower left and right corners of mouth jowl. Selphyl was the most significant change for me.

Robert M. Wald, Jr., MD · Answer

Acne scars are very difficult to treat and expectations of the patient is of utmost importance. Infini is a very good device in improving these scars. If the scars are tethered, subcision is necessary to release the tethering. PRP will enhance the healing. Combination therapy using lasers and fillers also help. Multiple treatments may be necessary.

Ron Shelton, MD · Answer

Not all rolling scars need subcision. I examine the scars not just visually, but manually and determine if the scars are bound down. If they are not tethered to the base of the dermis underneath the scar, then fractional laser or Infini microneedling with radiofrequency would be satisfactory. Fractional erbium requires more numerous and more frequent treatments than fractional carbon dioxide (CO2) laser resurfacing. Hybrid fractional diode and erbium laser with Halo resurfacing requires multiple treatments and even ProFractional treatments and Contour laser, may require more than one treatment.PRP may improve the results but I am still not convinced that I have read a convincing scientific peer-reviewed journal article showing scientifically it's contribution to scar improvement.
The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

Jeff Rapaport, MD · Answer

In my opinion, rolling scars respond well to subcision, infini and PRP. Some may want to add a fractionated laser to smooth the edges. You may want to add a micro needle roller  with 2.3 to 2.5 length needles.Find an acne scar expert. Ask to see photos.Acne scar nj.com

Isobel Walker, MBBS · Answer

INFINI is one of the better microneedling RF treatment out there, however as Dr Liim has suggested, other treatments are needed for optional results. Do not underestimate the power of filler in this context, revolumization of your cheeks can 'inflate' depressed scars. As always, combination treatments work best. Regarding PRP, yes this can speed up healing . Dr Isobel Walker, Brisbane. Australia.

Steven F. Weiner, MD · Answer

I do think that Infini and PRP are a good combination for you. Make sure that the PRP is high concentration. Selphyl is low concentration and won't offer all the benefits of the higher concentration PRP. Deeper atrophic scars require filler. Bellafill is the filler of choice for these. Ice pick scars will need TCA cross for best results too. Several treatments are needed of each.

Davin Lim, MBBS, FACD - Account Suspended · Answer

You will require manual subcsion, along with INFINI. PRP gives a marginal improvement, but significantly speeds up healing times. You do have tethered scars, and I agree with Dr Rapaport that subcsion is integral to your scar treatment process. You will require between 2-4 sessions for good results. Acne scarring should always be targeted. All the best, Dr Davin Lim. Brisbane. Australia.

Is Infini with PRP good enough for my scars? I can't find one doctor in MN, that will offer just Infini with PRP (Photo)

Answers (6)

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