What problems could I potentially encounter with the Infini by Lutronic?

Question

I am considering getting Infini by Lutronic to help with pitting (indentations into skin as a result from co2 laser) and mildly lined and loose skin around my mouth. I am 59 years old. I used to have evenly pigmented skin but now suffer from hypopigmentation and mild hyperpigmentation. This is a result of co2 ablative laser resurfacing I had 4 years ago. My new doctor is suggesting is the infini to help tighten some areas as well as help with collagen building. I'm concerned of further pitting.

Germán Newall, MD, FACS, FICS · Answer

Thanks for your question. Initially, you will feel slight pressure when the needles are inserted. 
Your provider will work with you to maximize your comfort level. 
Tolerance level varies per patient. In comparison to other devices, many
 patients find the INFINI more comfortable.The initial redness following the treatment will subside within an hour.
 It can take 24 to 36 hours for the redness and/or swelling to 
dissipate. You are able to resume your daily activities immediately 
after the treatment with no exercise or sun restrictions.

Robert M. Wald, Jr., MD · Answer

When you consider a treatment with any device, one should always look into the potential side effects. Having done many of these procedure, I have seen no long term problems. Initially, there will be some crusting and bruising and small needle marks present for 24 hours. The advantage of this device is that you can use it on all skin types. Now with numbing cream and the mesoram local anesthesia, there is minimal if any discomfort. It can tighten skin up to 25 percent with essentially no downtime.

Jeff Rapaport, MD · Answer

In my opinion, Infini has a minimal amount of side effects when used by a knowledgeable physician . The most common are swelling after the procedure, small crusts in the area of the needle penetration, and potential for small raised "brail" like bumps on the neck. I have not seen any fat atrophy from Infini. It is excellent for treating depressed acne scars as well as tightening the face. My only concern with your history, is that Infini will not improve the hypopigmented patches. For this I would probably recommend a fractionated erbium laser  (Fraxel Restore)  or eximer UVB  laser in addition  to the Infini.Seek a physician who has extensive experience with the infinii. Ask to see pictures of patients with similar type of scars.Hope this helps. Good luck.

Steven F. Weiner, MD · Answer

I've done about a thousand treatments and am the largest user of this device in the US. It is a very safe procedure. The fact that the needles are insulated protects the surface from pitting. The energy in concentrated in the deep dermis to stimulate collagen and tissue contraction. It won't affect the pigmentation issues you have unfortunately. Stay with needle depths which are 1mm or deeper and the surface of your skin remains protected. The exposed tip is 0.3mm, so the energy can't travel to the epidermis at 1mm. Also, since it is bipolar, with the adjacent needle tips being opposite polarity, the energy just travels between the needle tips, not up to the skin surface as does the Fractora.

Davin Lim, MBBS, FACD - Account Suspended · Answer

As you know Infini is a RF device that is unique. The insulated needles and delivery system makes this a well tolerate, safe, yet effective procedure. Side effects are rare, redness subsides within 1-3 days depending on your skin type and setting. Like any other stamping device, Infini is a form or fractional delivery- namely it stamps 49 needles with each pass. In theory you do have a chance of pitting- grids- lines- squares. Have I seen it before with Infini? Yes, however this usually resolves within a few weeks. Due to the small footprint of the needle (200 microns), the chances of stamping is slim. All the best, Dr Davin Lim Laser DermatologistBrisbane, Australia.

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