Secret RF for acne scarring & forehead lines 35F? (Photo)

Question

I've been looking at options for some light forehead lines and acne scarring and Secret RF was recommended to me. I've had several treatments of laser genesis but they never seems to do much and was wondering what the best option would be for me aside from fillers or botox. I want something I can do and then have touched up maybe annually or every 6 months as kind of preventative work. Thoughts? Suggestions? Ideas? Thanks in advance :)

Yolanda Marcos, MD · Answer

For light forehead lines and acne scarring, Secret RF is our recommended non-invasive treatment. It uses fractional radiofrequency microneedling to stimulate collagen production and rejuvenate the skin. Compared to laser genesis, Secret RF offers deeper penetration and usually better results. 
Another other option to consider (or even combined with Secret RF) would be a series of chemical peels. Chemical peels are great at targeting acne scars, fine lines and wrinkles.
Hopefully that helps :)

Connie Hiers, MD, FACS · Answer

Secret should do well for you and can be boosted every 6-12 months depending upon how you age and develop lines.

Dmitriy Schwarzburg, MD · Answer

Secret RF can definitely help with scars and fine lines. Usually I would combine Secret RF with Fraxel laser treatment, which will help with pigmentation, fine lines, and wrinkles. Botox would also help, and can be used as a preventative measure to avoid the lines getting deeper.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Probably OK with RFM- on this site, with the amount of scarring, I don't think there will be much difference between insulated vs non-insulated. I personal would opt for manual Microneedles over RFM. 
Your specialist will discuss the attachments & interplay of scars & the frontalis muscle in this area. 
The ideal treatment for acne scars will depend on the morphology of individual scars. For example, rolling scars are best treated with subcision, atrophic scars with fillers, pick-ice pick scars with TCA or Phenol CROSS/ Paint, box-scar scars with fractional laser/ modified TCA/ phenol chemical peels, hypertrophic scars with steroid injections/modulated fractional delivery.

Energy devices such as lasers, microneedling RF and bipolar radiofrequency are other methods to treat ‘general’ scar types. For example devices can improve rolling-tethered scars as well as ‘deep - superficial scars’ such as broad ice-pick scars and broad box-car scars. Devices should be viewed as a method of scar revision, and rarely as a sole modality. Exceptions do apply- for example in patients with predominantly shallow/broad box-car scars and or superficial pits.

Another factor that will determine the ideal combination of treatment is the skin type of patients. Skin typing used to determine the ‘skin colour’ of patients. Darker skin patients will require modifications to treatment parameters. This includes a lower percentage of chemical peels, conservative protocols for lasers and energy devices and in some cases pre and post treatment of skin to reduce but not eliminate the chances of PIH- post inflammatory hyperpigmentation- skin darkening.

The very first step in scar revision is to accurately determine the subset of scars you have. This is best done with a real time examination. Factors such as animation (rather than static photographs) are frequently used to determine the amount of ‘deep scarring’ /anchored scars or tethering. Palpation or touch is also extremely important to determine the presence of dermal and subdermal fibrosis. Scars that have altered ‘texture’ either hard or soft (atrophy) are more challenging to treat compared to scars with ‘normal’ texture. In some cases the use of angled lighting can be employed to accurately map scar types.

My answers given in the context of this question is a general plan given the limited information. For an accurate guide, one has to take into consideration factors such as animation, touch, feel, real time examination and most importantly subjective measures, namely patient expectations. A real time consult with a procedural dermatologist or plastic surgeon is required for the best accuracy- diagnosis.

All the best, Dr Davin S. Lim, Dermatologist. Brisbane. Australia.

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,

I would consider microneedling with Prp, Venus Viva with Sculptra.  Collagen induction therapy.
as always have a consultation with a certified physician to discuss the right treatment for you.
Best of luck...

Secret RF for acne scarring & forehead lines 35F? (Photo)

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