Infini RF or Halo Laser Treatment?

Question

Trying to decide between the two treatments for acne scar removal and got quoted for both. Halo is more expensive and one of the doctors I asked said it goes deeper than Infini but everything I see online says the opposite, which is my biggest question. Also, have a brown skin tone so wondering if I would have any hyperpigmentation issues with the Infini and which treatment would be best in my case to get rid of the scars.

Raffy Karamanoukian, MD, FACS · Answer

Acne scars are usually characterized within the subtypes of atrophic, hypertrophic, pigmented, or inflammatory. These subtypes of acne scars can be visually discerning in ambient light and can cause significant cosmetic concerns. Indented and atrophic scars require a combination approach to stimulate collagen and elastin, thereby smoothing contour and uneven skin. These are usually combined with lasers and depigmentation protocols to reduce inflammatory hyperpigmentation (Melarase AM and Melarase PM). Our Hidef protocols for acne scars include fillers such as Sculptra, Juvederm, Radiesse, and Restylane to improve deep acne scars; Vascular lasers to reduce inflammation and post-inflammatory redness and erythema; Fractional lasers to smooth contour and collagen; and Fractional RF to stimulate production of collagen within atrophic scars. Textural improvement and superficial scarring can be improved with Cosmelan peels, TCA Cross for ice-pick scars, deep chemical peels, and fractional CO2. We offer a personalized approach to your combination of scars and a formal evaluation with consultation is recommended to help you achieve your final results. Our plastic surgery office offers subcision and combination TCA Cross to help reduce deeply pitted scars. In terms of pigmentation and skin resonance, we recommend daily use of Melarase AM and Melarase PM coupled with Retinoid creams to achieve brilliant skin.

Best,
Dr. Raffy Karamanoukian
Realself100 Surgeon

Best, 
Dr. Raffy Karamanoukian
Realself100 Surgeon

Nelson Lee Novick, MD · Answer

The power of marketing to promote the latest fads never ceases to amaze, and, especially when it comes to aesthetic medicine, not every new and a trending fad is necessarily better or even as good. You didn't specify what kinds of acne scars you have, but subcision, for elevating and smoothing boxcar and rolling scars is a relatively inexpensive technique that has a nearly three decades long track record of efficacy and safety in all skin types.  TCA CROSS, for treating ice pick scars is likewise a relatively inexpensive with more than twenty years of safety and efficacy in all skin types. None of the flashy gadgets out there can say the same. And, think about it, if each of these devices were truly the "next big thing" to come along, why would one need to develop the next big thing seemingly the following day. The truth is that the hard science to back up these energy-based devices lags woefully behind the marketing to promote them. You would be wise to consult with a board certified cosmetic dermatologist. Hope this helps. Best of luck.

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