Should I do CO2 laser or RF microneedling? (Photo)

Thanks for your question. Acne scars are treated most effectively with a combination of treatments including lasers, microneedling, fillers, chemical peels, subcision, punch excision, at home skin care, etc. Usually multiple treatment sessions are needed. It is an ongoing process and commitment is key. The goal should be improvement and not total elimination. We use the newer version of the Infini RF Microneedling device called the Genius which is more comfortable and more effective than the Infini. Combined with our Nano-Ray Laser, the results have been excellent. You are correct in that not all devices are created equal. You would need an in-person examination to determine which combination of treatments would be most appropriate for you. Make sure you find an experienced provider to minimize complications. Best wishes

Thank you for your question!  Acne scars need a combination approach for long-term improvement. Everyone has a unique pattern of acne scarring, and most people have various types of scars, so we create a tailored treatment plan for each patient. We often use:- Injectable fillers like Bellafill and Sculptra (with or without subcision) for atrophic, indented scars. - Subcision for depressed, tethered scars. - Vascular lasers like Yellow laser, Aerolase, excel V, or IPL for redness or thick acne scars. - Lasers such as Fraxel, Erbium, CO2 or fractional radiofrequency (Venus Viva, Skinfinity, Intensif microneedling RF) for textural issues and superficial scarring. - TCA CROSS and punch excision for deep ice pick scars and narrow box car scars.
All lasers are combined with microneedling/PRP to improve the results and accelerate your healing time. Keep in mind that a personalized combination treatment by an EXPERT physician will give you the improvement you're looking for. I recommend getting a formal evaluation with an experienced cosmetic dermatologist and acne scarring expert. Best, Dr. Emer.