Infini RF or Scarlet RF better (pros/cons) for improving acne scarring and stimulating collagen?

Question

Infini RF vs Scarlet RF microneedling, which is better (pros/cons) for improving acne scarring and stimulating collagen? I’ve had consultation between two dermatology clinics and one of them uses Infini while the other uses Scarlet. I have asked this question to their aestheticians but of course they would answer a variation of– both would produce good results. I just wanted to know your objective answers re. comparison of those two RF microneedling treatments. Thank you.

Jason Emer, MD · Answer

lasers are better for scars than microneedling RF. the best MNRF is fractora.

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 or IPL for redness or thick scars. And lasers such as fraxel, halo, maxi, pro fractional laser/erbium, co2 or fractional radiofrequency like venus viva, 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.

Nelson Lee Novick, MD · Answer

I have been performing microneedling for over twenty-two years now. Although I know that microneedling these days, especially RF microneedling, is heavily promoted as a primarty treatment of acne scarring, it is best reserved for achieving better blending in both color and texture of treated acne scars with the surrounding normal skin. Subcision is a proven technique for elevating and smoothing indented boxcar and rolling scars. TCA CROSS, another simple and tried and true technique, works well for ice pick scars and dilated pores. Once your scars are treated appropriately, then professional standard microneedling (and not necessarily performed with RF machine being hawked by this or that venue) can be performed to do the final "polishing" step, i.e. the blending of the treated areas with the surrounding normal skin. Just keep in mind that the hard science to support the bells and whistles devices being hawked out there lags far behind the heavy marketing for their use. Hope this helps. Best of luck.

Dmitriy Schwarzburg, MD · Answer

The treatments are essentially the same. You can also try Secret RF which delivers more energy than either of the two treatments. Consult with your doctor to see which option is right for you!

Infini RF or Scarlet RF better (pros/cons) for improving acne scarring and stimulating collagen?

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Infini RF or Scarlet RF better (pros/cons) for improving acne scarring and stimulating collagen?

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