Does Infini RF work for festoons?

Question

I read that infini helps treat festoons. Mine were caused by voluma (most of which i dissolved) and are only visible when I smile.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Warren Schutte, MD · Answer

A true festoon is inflammation at a deeper level and Infini would not correct this. 
Infini can, though, help with skin tightening. I would recommend consulting with an oculoplastic specialist to see which technique would be best for your.

Good luck on your journey

Robert M. Wald, Jr., MD · Answer

Thank you for your question. Infini treats the epidermis and dermis of the skin. Festoons are a swelling below the lower eyelid skin due to the underlying lymphatics or a filler. If the filler is dissolved, infini may help contract the skin in this area. I would consult with an expert before undergoing this procedure .

Steven F. Weiner, MD · Answer

Infini is one of the better ways to treat malar mounds. There is actually a paper that documents improvements by Roy Geronemus. You must make sure all the filler is removed prior to treatment. Festoons are more related to excessive skin in this area and probably not what you have.

Katherine Dee, MD · Answer

Infini-- and the newer version of the device, Genius, will work to tighten the skin. If using a deep setting (which I would NOT recommend around the eyes) you could conceivably dissolve some superficially placed filler, but I would not do this. Any residual filler contributing to puffiness should be dissolved with hyaluronidase. If there is herniated fat, only surgery will remove that.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Not recommended for this treatment, best see an occuloplastics for assessment. Microneedling RF is an extension of microneedling with ‘energy’. Generation one devices such as Dermapen/ Skin Pen etc. use needles without heat to remodel collagen. Generation Two devices are microneedles that are not insulated, hence heat is delivered along the length of needles. Examples include Secret RF and Intensif. Generation Three devices use insulated needles to deliver heat at the point of the needle. Examples include Infini RF, as well as Genius. 
Newer generation devices will generally give better outcomes, however with insulation, the safety of microneedling RF devices is usually better than generation two machines. With insulation the incidence of skin colour darkening and ‘grids’ secondary to ‘stamping’ is less, however it is largely technique dependent. 
Microneedling RF should be viewed as a tool to be incorporated in the suitable clinical context. As with most other ‘fractional technology’ 3-5 sessions spaced 3-6 weeks apart will give the best results. Be guided by your specialist.  All the best, 
Dr Davin Lim and the team at Clinic Cutis
Brisbane. Australia.

Does Infini RF work for festoons?

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