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30 Year Old - One Infini Treatment After 3 Picosure - Acne Scars - Was This a Mistake. Philadelphia, PA

ORIGINAL POST

I tried Picosure for 3 sessions to diminish acne...

nizera7
$1,600
I tried Picosure for 3 sessions to diminish acne scars from my cheeks and chin. The scars were a combinaison of ice picks and rolling, as a results of years suffering from acne.
The procedure was painful, even after the application of a numbing cream. I didn't have a watch so I don't know for sure how long the numbing cream was applied for, but it didn't feel like an hour for sure. Maybe 20mins. This might explain why for me the treatment was REALLY painful. Much more than Picosure.
She did 3 passes on the areas that needed treatment (not the whole face).
After the session, my face was very swollen especially around my eye. The redness was intense but I was expecting it.
What I was not expecting was for the swelling and redness to last so long.
I was told 24h to 32h. It's been 48h and I am still very swollen and it's getting closer to my eye which is very uncomfortable.
The redness I think is not going anywhere for a while, especially now that crusts are starting to form.
There are some conflicting informations online about post-procedure protocole, at least when it comes to icing.
At this point I have no choice but to ice as I want to reduce the swelling under my eye.
I don't know what to do as far as makeup to cover the redness. My dermatologist doesn't want me to put anything but I just can't go to work looking like this.... :-(
I don't know guys. I feel like this was way more invasive and much more downtime than what was described to me.

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Replies (25)

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January 28, 2016
At 48 hours, channels have closed. I allow make up. The grid marks tell me the needles heated the epidermis which isn't ideal. Ice at this point is not going to change a thing. Topical needs to be left on much longer. I see mild swelling, not severe. It penetrates much more than Picosure and can't be compared to that procedure. I should have much better results than that too.
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January 28, 2016
I meant "it", meaning the Infini should have better results than Picosure.
January 29, 2016
Thanks Doctor Weiner for your input!
At this point my dermatologist prescribed Fluocinonide to help with the swelling and redness. It seems to be pretty strong so I only applied twice in the last 24h and waiting to see if I should apply again.
When you say "the needles heated the epidermis which is not ideal" what do you mean by "not ideal". Is there a chance that this made more harm than good? Am I not going to have the full benefits of the procedure because it was not done properly?
Again thanks for your input!
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January 29, 2016
It may prolong the downtime but results will probably be better. No worries.
January 31, 2016
I was wondering about this too. I had INFINI done three days ago and I'm seeing the grid marks on my face. So the heating of the epidermis is not ideal because it prolongs downtime, but heating the epidermis gives better results? I don't care about more downtime as long as I see better results.
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February 1, 2016
The ideal skin after is without grid marks. It can be dry with slight crusts which are brown, not yellow. Whenever the grid is there it means that there is a risk of hyperpigmetation in darker skin and healing will take a bit longer. I have never seen these last more than about 3 weeks.
August 3, 2016
I have had Infini three times and have just a little bruising each time which goes away quickly. Results have been good. I feel this is a very easy procedure when compared to fractional lasers.
September 21, 2016
Dr. Weiner, I just had INFINI done to my face, straight after the procedure, Lycogel foundation was put on my face. Is this ideal for the skin? and healing? ( I don't wear foundation as I break out, I stopped wearing it in my teens as my skin had horrible reactions)
Ive woken up the next day and have white heads and large, red under the skin pimples on my cheeks. Is it just a norm from the procedure? or could it be from having the Lycogel foundation put on?

Thank You
February 2, 2016
Yes, finally enough people are getting Infini to give accounts of the REALITY of this procedure. It is invasive, leaves marks and mottling, can result in major swelling and redness of the face that lasts weeks. The presentation of a 24-48 hour turnaround time with just a bit of sunscreen and tint for cover is not at all what I've experienced. I read about this for a long time before choosing to purchase treatments; unfortunately most of my information came from Dr Weiner's sites and since he is a very involved proponent not very balanced. I was part of a long thread about Infini late last year worth checking out: has words San Jose Concerned Eye Hollows in it. It is now closed but still available to read. Dr W and this patient had lively debates, and you will learn a LOT about finer points of Infini.
February 2, 2016
this "results will probably be better" doesn't gibe at all with the central claim that the effectiveness of Infini comes from the fact that needles reach all the way down to dermis to deliver heat
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February 3, 2016
The prior treatments for acne scars included ablative resurfacing lasers and dermabrasion which gave more downtime and higher risks. The reported benefits of Infini is less downtime and more safety than these technologies but with outcome which are close. There are several technologies on market currently with uninsulated needles like Profound, Fractora, eTwo, ePrime, Venus has one, and a couple others where this type of healing is the norm or even worse. Most of the time these other technologies work with no side effects. So even poor technique with Infini will be forgiven by the skin most of time. I will sometimes go superficial in acne scars to get better results after going deeper. Keep in mind it's several passes.
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February 3, 2016
Venus Viva and Voluderm from Pollagen are other uninsulated needle technologies.
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February 3, 2016
One last comment, Profound is insulated. Intensif is another non insulated technology and its from Endymed.
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February 3, 2016
A general statement about devices: It seems Realselfers seem to blame devices or brands of injectables for concerns or undesired outcomes. For example, Botox caused my brow to drop or Juvederm caused my lips to be bumpy. In actuality, it is the provider that caused the problem, not the product. The same is true with devices. Despite safeguards and training, operators don't always adhere to the recommendations as per the company's guidelines or want to customize it for their patient's. Sometimes these changes are for the better, sometimes not. The point is that the device is only one piece of the puzzle which determines the final outcomes in patients. The fact is that microneedles with radiofrequency is being offered by several companies now (Infini being one of the first) because of its safety and efficacy. The Infini stands apart from the others because it can be adjusted to variable depths, has insulated needles, and creates a fractional coagulation zone. Devices are only as good as the operator as far as safety and outcomes. A patient's response will be variable, of course, but if protocols are adhered too, outcomes should be more consistent. Very intelligent and highly respected docs in this field have this device.
February 5, 2016
Thanks Dr Weiner. I believe you when you say that the device is only as good as the operator, especially based on what I read from other patients.
I think in my case, the devise was not properly used.
February 7, 2016
thank you for posting pictures I think it will heal in time. I know it's upsetting but time will tell. be gentle with your skin and the products you put on. I will follow your link because I have a few scars I would like to be rid of too and I live in Philly. a friend just went to
She went to a doctor in Jersey who does this too. I only knew of him and Dr Buckly who had the machine. So far it seems she's liking it. i'll look up Dr Weiner too and would love you to keep us all posted on your results as much as you can so I would know what to expect should I go through with it. thanks Hon
UPDATED FROM nizera7
3 days post

72h post treatment - I'm itchy

nizera7
Today, the swelling is way down. Maybe the steroids I was prescribed have a lot to do with this!
The warnings are pretty scary so I'm trying not apply too often. Only twice for new (vs. 3times a day).
I'm really upset with the state of my skin. It's really dry and itchy because of the crusts that have formed everywhere the needles went in. I'm trying not to touch but the product I'm using doesn't seem to be moisturizing enough (using Biogel). I hope I didn't make things worse by having this treatment.
I hear results start to show after 12 to 14 days. At this point I just can't wait to get my face back without all the burns and crusts. ..
I'll post pictures again soon

Replies (2)

January 31, 2016
Hi! I'm three days out from INFINI as well and my face was a little but dry and crusty in the morning, but after I applied moisturizer it was fine. The doctor says to moisturize at least three times a day. I'm sure your face will look great after the redness clears. How are you doing today?
February 1, 2016
I had my second infini treatment done last Tuesday. I moisturize throughout the day and this time my doctor prescribed an antibiotic ointment because I had such an extreme break out the first time. Bad this time as well but hopefully it will clear faster. It was close to 4 weeks last time. I experienced itchiness for the first 3 days both times. I didn't scratch but would place a cool wet rag over my face for a few minutes and the apply moisturizer. Your first time sounds very similar to mine. I went in and spoke with the doctor at length at the 3 week mark and some adjustments were made to the settings for the second time. This seem to have reduced the swelling this time. I had very bad swelling for several days following the first treatment, but redness for a couple of weeks with reduced swelling. I also did some facial massage this time that seemed to help reduce some of the swelling.
UPDATED FROM nizera7
10 days post

Day 10 - Not happy

nizera7
Here is my skin after 10 days. I'm really upset.
I'm actually lost for words. This is so much worse than what my skin looked like before the treatment.

Replies (4)

February 5, 2016
put aloe vera gel from the plant for 7 days. several times a day. it will help to heal.
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February 5, 2016
Give it time. Results are not seen this early. Collagen takes a few weeks to start to kick in. Full results are a few months. Growth factors, retin A are my recs.
February 5, 2016
I think your skin is still healing. Don't be upset yet.
April 3, 2017
It is the same for me. I did infini Rf treatment. It really sucks coz the skin is terribly worse than my original skin condition.