Morpheus 8 vs Genius Rf for adult acne, acne scars, rosacea & aging skin/texture? (Photos)

You will need at home peels and skincare to start with dermarolling and then in office lasers over time for improvement. At home peels like cosmelan, enlighten and aerify along with dermarolling (Emerageskin roller with anteage MD AERIFY ampules weekly) should be started now (see link to emeragecosmetics). If you have post inflammatory hyperpigmentation/melasma/discoloration that needs cosmelan or enlighten peels at home which we can do virtually and send to your home along with aerify peels regularly, vivatia foam, restorsea 10x, faith essence serum, and cosmelan 2 cream. Acne scar treatment needs a combination approach for improvement. For the best results, one should target the acne scar type. As everyone has a unique pattern of acne scarring, the best solution is a tailored one. Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision. Subcision for depressed tethered scars. Vascular lasers like yellow laser, aerolase, excel V, BBL or IPL for redness or thick scars. And lasers such as fraxel, halo, moxi, pro fractional laser/erbium, co2 or fractional radiofrequency like venus viva, PiXel8, Morpheus, skinfinity, intensif or fractora microneedling RF for textural issues and superficial scarring. Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision. All lasers are combined with microneedling and PRP to get even better results and improve healing times. The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician. It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome. Scars cannot be cured and will need life-long treatments to maintain and build on the results. For those at high risk for hyperpigmentation (darker skin types or asian or hispanic or mixed ethnicities) we already pre-treat the skin with cosmelan or enlighten lightening peels to prevent complications from energy-based or chemical-based treatments. Best, Dr. Emer.

Hi and thank you for your question! There are many different types and brands of RF needling devices including the ones you mentioned and while there are certain difference between them, they more or less operate with similar principles and work very similarly (delivery radiofrequency energy to the target parts of skin at varying depths via small insulated or non-insulated needles). Hence, as long as the RF needling device is FDA-cleared and being operated by experienced clinicians, I won't be that much concerned about the exact brand and it often comes done to the clinician's preference and what systems they have available.
As for your skin conditions, RF-needling devices in general can help greatly with acne scarring and collagen stimulation to treat fine lines and rejuvenate skin and improve the skin tone and texture. They are not expected to help much with acne or rosacea, and you should consider other options for these issues. I hope it helps and good luck!

Morpheus can be used alongside a combination platform to help with your acne scars. I would include subcision, fillers, RF, fractional laser, and TCA Cross with Ematrix to help with your scars.

Best,
Dr. Karamanoukian
Realself100 Surgeon

First of all, it looks like you suffer from hormonal acne, not adult acne. this is a completely different animal to treat over regular acne. THe key first is to recognize that this type of acne is actually a naturally dry state. It only become oily because we try to over dry it and it fights back. For this you need a cleanser that is only .5% salicylic acid or less to use twice a day. A prime example would be paulas choice pore normalizing cleanser with the .5% salicylic acid. Second, you need to address the bacterial componont with topical clindamycin wipes twice per day. Third, you need to address the excess male hormone component, which you can do with either spironolactone or birth control. When the acne is cleared, the residual scars can be treated beautifully with either regular morpheus or morpheus resurfacing.

Hi there! I am a fan of Morpheus8 RF microneedling. I think it does an excellent job of toning the skin with minimal downtown. It is likely that you may need multiple treatments over several months to obtain an ideal outcome. If you haven't tried other treatments, usage of tretinoin and IPL can be very useful to rejuvenate the skin and lighten any coloration changes. Hope this helps you!