What would cause bad results from Infini RF microneedling (bumpy, rough texture with visible holes)?

Thank you for your question. The problem you described is not something I see in my practice. If this would occur, improper technique or settings could be the reason. Please search out a qualified doctor who performs Rf frequently.

The bottom line these side effects can occur from over treating the areas, using too high an energy intensity or retreating the same areas too frequently. Unfortunately, some of the heat that escapes to the surrounding skin may cause permanent damage that is not easily reversible. Like any medical treatment, great care should be used and appropriate training is helpful.

Personally, I am a huge fan of the Halo laser. The combination of a non-ablative and ablative laser gives amazing results while truly minimizing any downtime. We've treated hundreds of patients and haven't had any complications.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa

Side effects from Infini are almost always user error. Blaming the device is like blaming a car manufacturer for a car accident. Errors that can be lead to side effects are:Too high an energy at too shallow a depthToo much energyToo deep with the needlesMoving too fast and not allowing the needles to perform their full cycleNot perpendicular with the handpieceDouble pulsingToo many pulses in too small an area leading to bulk heatingThere are many safeguards built into the upgraded version of Infini - Now called the Genius. The Genius gives feedback about proper or improper pulses and uses impedance feedback to create a more predictable energy delivery. 

How many times will people continue to believe the marketing of snake oil?Buyer beware

It matters who is doing your procedure, how they were trained and how much experience they have. I did Infini for 4 years before upgrading to the new Genius-- which I would highly recommend you seek out rather than Infini. I have read these accounts as well, though I have not seen this in practice. I believe it is related to poor technique, with pulling the handpiece out of the skin too early, causing the treatment to be centered on the epidermis instead of the dermis. I love the Genius procedure-- it is by far the best treatment out there for skin tightening and for axcne scarring. Find someone you trust.

Like any other device, it is the provider that will govern the end result. In the context of your question, there are many factors that govern side effects including idiosyncratic reactions, device error, wrong parameters, poor technique ( pulsing as needle is retracted is probably the number one cause of patterning), loss of RF insulation, wrong depth (eg not adjusting needle delivery on bony areas - forehead), associated inflammatory skin conditions (rosacea, irritant dermatitis, allergic dermatitis), etc.etc.etc...all these factors can lead to short, intermediate and long term adverse outcomes. Be guide by your dermatologist or plastic surgeon. In FL, Dr Steve Weiner is an expert on both Inifini, and Genius RF. All the best, Dr Davin S. Lim Brisbane. Australia.