I had infini microneedling to help me with hyperpigmentation and acne scars. Two weeks post procedure I have rectangular hyperpigmentation marks all over my face. I had to prepay for three procedures and I have two left. I have tried to using bleaching products on my face but they are irritating my skin and not helping. Will this hyperpigmentation ever fade? What lightening products should I use given that my skin is sensitive? Is it a bad idea to go through the two remaining infini procedures?
Answer: This can be treated by doing a resurfacing laser and a melapeel. Combine with melarase creams for best results Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
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Answer: This can be treated by doing a resurfacing laser and a melapeel. Combine with melarase creams for best results Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
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August 28, 2018
Answer: Extra Caution Needed With Radiofrequency & Other Light & Energy-Based Devices, Particularly In Skin Of Color I am really sorry that you are experiencing this problem. As you probably have already learned by now, there are unfortunately other similar posts to yours, particularly by individuals with skin of color, regarding the same problem that you describe after treatment with radiofrequency devices (as well from other light and energy-based devices). For more than a half-dozen years already I have been consistently warning readers to do their "due diligence" before undergoing treatment with these relatively expensive supposedly "next big thing" "bells and whistles" devices that have come along for whose benefits serious, hard science is unfortunately still lacking. There are however relatively inexpensive methods for treating acne scars, which include subcision +/- biostimulatory fillers for sunken boxcar and rolling scars, TCA CROSS for ice pick scars, microneedling (accompanied by the appropriate topical application of skin lightening or skin repigmenting agents--depending upon the specific circumstances) for post inflammatory hyperpigmentation problems, as well as superficial peels for lightening postinflammatory hyperpigmentation, such as you apparently are experiencing right now, along with an at-home regimen of prescription strength bleaching agents. For more information on any of the above, you can check out the archives of RealSelf.com. Before proceeding, you would be wise to seek consultation with a board certified aesthetic physician. Best of luck.
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August 28, 2018
Answer: Extra Caution Needed With Radiofrequency & Other Light & Energy-Based Devices, Particularly In Skin Of Color I am really sorry that you are experiencing this problem. As you probably have already learned by now, there are unfortunately other similar posts to yours, particularly by individuals with skin of color, regarding the same problem that you describe after treatment with radiofrequency devices (as well from other light and energy-based devices). For more than a half-dozen years already I have been consistently warning readers to do their "due diligence" before undergoing treatment with these relatively expensive supposedly "next big thing" "bells and whistles" devices that have come along for whose benefits serious, hard science is unfortunately still lacking. There are however relatively inexpensive methods for treating acne scars, which include subcision +/- biostimulatory fillers for sunken boxcar and rolling scars, TCA CROSS for ice pick scars, microneedling (accompanied by the appropriate topical application of skin lightening or skin repigmenting agents--depending upon the specific circumstances) for post inflammatory hyperpigmentation problems, as well as superficial peels for lightening postinflammatory hyperpigmentation, such as you apparently are experiencing right now, along with an at-home regimen of prescription strength bleaching agents. For more information on any of the above, you can check out the archives of RealSelf.com. Before proceeding, you would be wise to seek consultation with a board certified aesthetic physician. Best of luck.
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August 28, 2018
Answer: Infini Pre- and post-treatment with skin lighteners for Asian and darker skin types Hi there-- there is occasionally some transient hyperpigmentation after Infini. This can be prevented or mitigated against with skin lighteners that should be used for at least 4 weeks before the treatment and after the treatment until all treatments are done and any hyperpigmentation resolves. There are many options, so you will need to find one (or more) that does not irritate your skin. We use a prescription topical with hydroquinone, tretinoin, azelaic acid as active ingredients. We also have a non-hydroquinone option with kojic acid in it. You could also use SkinMedica Lytera, Vitamin C and Retinols. The pigment will resolve, but it can cake weeks to months. Ask your doc to help determine what options will best work for your skin.
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August 28, 2018
Answer: Infini Pre- and post-treatment with skin lighteners for Asian and darker skin types Hi there-- there is occasionally some transient hyperpigmentation after Infini. This can be prevented or mitigated against with skin lighteners that should be used for at least 4 weeks before the treatment and after the treatment until all treatments are done and any hyperpigmentation resolves. There are many options, so you will need to find one (or more) that does not irritate your skin. We use a prescription topical with hydroquinone, tretinoin, azelaic acid as active ingredients. We also have a non-hydroquinone option with kojic acid in it. You could also use SkinMedica Lytera, Vitamin C and Retinols. The pigment will resolve, but it can cake weeks to months. Ask your doc to help determine what options will best work for your skin.
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June 6, 2019
Answer: HQ, Meladerm, sun protection, low dose laser (if needed) This will fade in time. I know the company says that PIH will not occur, but this can occur if 1. Pulse of RF was delivered as the needles are retracting 2. Too superficial with too many passes 3. PD or energy levels are too high for the depth 4. Combination of above 5. If you have darker skin type or underlying conditions like melasma or prone to PIH. Solution as Dr Novick suggest is that one starts with sun protection, add SPF, HQ, and if needed healing lasers. Your dermatologist or plastics who performed this procedure will assist you. This is duty of care. Dr Davin Lim. Brisbane. Australia.
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June 6, 2019
Answer: HQ, Meladerm, sun protection, low dose laser (if needed) This will fade in time. I know the company says that PIH will not occur, but this can occur if 1. Pulse of RF was delivered as the needles are retracting 2. Too superficial with too many passes 3. PD or energy levels are too high for the depth 4. Combination of above 5. If you have darker skin type or underlying conditions like melasma or prone to PIH. Solution as Dr Novick suggest is that one starts with sun protection, add SPF, HQ, and if needed healing lasers. Your dermatologist or plastics who performed this procedure will assist you. This is duty of care. Dr Davin Lim. Brisbane. Australia.
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