1 week post Infini RF. Advice? (Photos)

Having grid marks after Infini is not uncommon, and they do resolve. This may take another week or two. This is not hyperpigmentation. I recommend that you stay on your hydroquinone and retin-A for the next few weeks to prevent any possible hyperpigmentation. This is rare with Infini, but I have seen a few cases of transient hyperpigmentation in Asian skin.

Depending on the setting this is normal, if a superficial setting was dialled in, PIH can occur- despite the marketing of INFINI - this will happen if 1. Treatment is superficial 2. You have ethnic skin type 3. Pulse duration is long 4. Incorrect pulsing 5. Insulation failure 6. Multiple passes i.e. over laps. What you see can ether be a normal reaction, or a accident, depending on what your Specialist dialled in. Your doctor can guide you through the healing process, as your grids will go within 6 -12 weeks. Every good scar revision Dermatologist or Plastics will warn you and consent you about grids, lines, dots, and PIH before the acne scar revision procedure. 
Acne scar revision comprises of specialised procedures. For the best results, one should target the acne scar type with ideal treatments METHODS. Using one device is not optimal. As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  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.

 As an example deep ice pick scars, and narrow box car scars are best treated with TCA CROSS. Deep narrow scars respond better to this treatment than even the most expensive lasers. On the flip side, rolling, and atrophic acne scars can improve with fractional devices such as Fraxel, fractional lasers, ProFractional erbium lasers, Infiini –Intensif –Intracel radiofrequency microneedling. Atrophic scars (depressions) can be treated with either fat grafts, PRP or dermal fillers. Tethered and anchored scars are best treated with surgical techniques such as subcision. Other surgical techniques that I use include punch elevation, surgical elevation, punch excision and traditional excision for focal scars. Early and very mild acne scars respond well to eMatrix and non-energy microneedling, as well as vascular lasers. Skin colour changes such as PIH or dark marks respond best to sun protection, creams, and Q switch lasers in the nano and pico pulse durations.
 

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. Additionally tactile examination namely touch will give me an understanding of the amount of subdermal fibrosis, as special equipment is needed for this sub-set of acne scars.  In the majority of patients its finding the correct combination that give you best results, and everyone is unique! It is never about the device, its about the specialist behind the equipment that will deliver the best outcomes. All the best, Dr Davin Lim. Acne scar dermatologist specialist. Brisbane, Australia.