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POSTED UNDER Infini RF REVIEWS

Regular Microneedling with Subcision or Infini (Again)? Unsure How to Proceed. Advice?

ORIGINAL POST

Hello, I am scheduled for a consultation with Dr....

Anonymous1429062
$1,000
Hello, I am scheduled for a consultation with Dr. Novick and a possible procedure for my acne scars. I am thinking about doing microneedling with him and possibly subcision, but I haven't had my in-person consultation yet. I did one Infini procedure back in January with another doctor in NJ. This picture is in March after my first procedure. I have seen slight improvements since then. Overall, I'd say that the Infini procedure has improved my scars gradually and slightly, but they are still very prominent and noticeable, especially because I have a small, thin face, and high cheekbones. The scars are mainly on my cheeks, undercutting my cheekbones. When I saw the first doctor for a follow-up, he recommended proceeding with subcision and microneedling with PRP. Another dermatologist I saw in Philly has recommended another Infini. I am seeing Dr. Novick for a third opinion. I am unsure how to proceed. I'm not worried about cost, just want the procedure that will make my scars the most invisible!! What should I do?

Anonymous1429062's provider

Nelson Lee Novick, MD

Nelson Lee Novick, MD

Dermatologic Surgeon, Board Certified in Dermatology

4.7 | 119 Reviews
PROFILE

Replies (38)

October 11, 2016
Abrasive and/or aggressive treatments can do more harm than good on your skin. Stick with microneedling + PRP and if your skin reacted well after the infin RF then continue that as well. Lasers and making cuts into the facial skin are not ideal and can cause scarring. Just make sure the derms you see are qualified and have plenty of before and after photos they can stand by.
October 12, 2016
Thanks for your response. I have basically ruled out doing lasers. I don't think they'd help my type of scars anyway. I am going to proceed with subcision, microneedling, fillers, and/or Infini again.
October 11, 2016
Who did you see I'm NJ? Dr Jeffrey Rappaport in NJ is very good. I saw him years ago for depressions from cystic acne and he did subcision and n-lite laser. I just recently started noticing my scars again which he said would happen as my skin ages but I got a good 10+ years out of the treatment. He's very good and has been treating all different kinds of acne scars for a long time. I totally trust him.
October 12, 2016
I did go to Dr. Rappaport back in Jan. for the Infini treatment. Wow, so how many treatments did you have? Any your scars disappeared for 10 years? That is amazing! Is N-Lite laser for acne or scars? My scars are still visible, but have improved slightly. I know that it takes a series of treatments to see a difference. Thanks.
October 12, 2016
Dr. Rappaport recommended proceeding with subcision an microneedling with PRP because he said my scars aren't all that deep. I'm going to see Dr. Novick next month for another opinion on what I should do.
October 12, 2016
Well I saw Dr rappaport recently to address my scars again and he doesn't do n lite anymore because there are things that work better. He recommended subscision and infini. 10 years ago he recommended 3 treatments buy after 2 I was so thrilled with the results that I didn't go back for the 3rd. I spent $1500 per treatment back then
October 12, 2016
I had fillers a year ago so I'm just waiting for those to dissipate so I can do something else. I'm either gonna go to rappaport or I may go to Dr sydney coleman for fat transfer. Only thing is that fat transfer is a minimum of $15k
October 12, 2016
Dr rappaport told me that I would likely need treatments every 5-10 years as the skin ages. I just want something permanent
October 12, 2016
Let me know when you find the Fountain of Youth!!! But seriously. though, I totally understand the desire for something permanent. In addition to the cost, it's a huge inconvenience to take time off from work, and time away form my kids to travel. But, I think 10 years is a great run for having your scars fixed!!! I would be happy with that. Do you have to wait for fillers to dissipate before doing something like microneedling? Please keep me updated and feel free to private message me anytime. No one in my real life understands what I'm going through. I don't know anyone with acne scars, and my husband and parents think it's ridiculous and a waste of time and money to try to get them fixed. I'm doing it anyway so I can gain some of my confidence back. I've lost all of my confidence during my 8-year battle with cystic acne and subsequent scarring.
October 12, 2016
Do you mind if I ask how old you are? I'm 35 now and my skin is still tight, not sagging. My mom is in her late 60's and his smooth skin, no wrinkles or sagging on her face, so I hope my face follows suit (besides the fact that my face will never be completely rid of acne scars...(just praying I can smooth them out).
October 12, 2016
I've seen people my age with much worse skin in terms of sagging and wrinkles. If only I didn't have these scars to battle with!!!
October 12, 2016
i'm 37 and i would describe my skin the same as you describe yours. My Mother is 62 and she has amazing skin as well. I hope I age like my mother too :)

But these acne scars are driving me crazy as well
October 12, 2016
So did you feel like the subcision and infini treatment from Dr. Rappaport helped you? Last time I was there he quoted me $1700 for both and I opted for filler instead for $700. Kinda wish i would have just done the subcision and infini
October 12, 2016
I chose to just do Infini without subcision. I really only have two deeper scars to subcise. I wish I had done that. I do feel like there has been improvement with Infini. He said the scars would improve for 6 months, but I've seen improvement after that time period. It is a very slow and gradual and small improvement. It looks as if the scars got shallower and a bit wider, sort of stretched out, if you know what I mean. I know that it takes a series of any treatment to see very noticeable improvement so I'm not upset about a small improvement after just one treatment. Honestly, when I was pregnant with my last son, and weighed 130 pounds, my skin looked SO much better! Since I've lost the pregnancy weight and then some (I've been avoiding just about all of my favorite foods as most dairy foods trigger acne) my scars looks so much worse because all of the volume in my face is gone. I want to share two article/studies with you that I keep going back to over and over. I'll PM you.
October 12, 2016
I paid $1,000.
October 12, 2016
ok, thanks. i'll check the message
October 12, 2016
Please let me know how it goes. I just contact him for a consult for subscison
October 12, 2016
I will let you know how my consultation goes. He might also be able to do a procedure the same day as well, since I'm traveling quite a ways to get to him.
October 12, 2016
Don't do anything radio frequency unless you want the risk of losing fat and gaining super dry skin. It's too risky. Google fat loss, fat transfers with radio frequency damage and you'll see what I mean! Prp is where it's at.
October 12, 2016
Some ppl don't notice damage til months or a yr later. So they do another treatment and worsens. Be glad you didn't get damage from the first and walk away. :)

Prp!!
October 12, 2016
I did do Infini which is microneedling with radio frequency. I haven't noticed super dry skin, even with all of my topical acne meds. I do have some fat loss in my face, but I've attributed that to aging (I'm 35 now) and also I've lost 20 pounds. My face is just think because I am 5'5" and weigh 97 pounds. I started to notice the fat loss in my face years ago, before the treatment.
April 7, 2017
Correct!
December 7, 2016
what did you decide to do? Your post is from October.
December 8, 2016
Hi. When I saw Dr. Novick, he put some fillers (Belotero and Lyft) in my cheeks and left temple which has improved my scars. The fillers last 1-2 years. However, some of the deeper ones are still bothering me. He said that if some still bothered me he can do subcision on my next visit. I have a large scar on my forehead that I was hoping that he would work on, but he said that it was still infected and I needed to wait until it was entirely healed to do anything with it. I see him again in January for subcision and filler on my forehead scar and subcision on some of the more persistent scars on my cheeks (4 on the left cheek and 2-3 on the right). I'll update after that procedure. It can't come soon enough because I got this forehead scar from a bad breakout over the summer and my life is completely on hold until I get it fixed. He said it could take 1-4 subcision sessions to make it acceptable. I have very high hopes for this. I'll updated after my January visit. I will probably pursue microneedling after the subcision sessions to get a more overall evenness to my skin.