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Advice on treatment -- Microneedling vs Infini

MemberMember
6
(@npbm)

Posted : 11/13/2017 11:49 pm

Looking for advise on treatment, specifically microneedling versus Infini. I have mostly boxcar scaring, and what looks like some fat loss (photos below). It seems like there has been a higher preference towards Infini over microneedling on this forum. Is microneedling no longer viewed as a decent treatment option/one that does not offer much results? I have asian skin and I struggle a lot with post inflammatory erythema (ex. some stubborn red marks that are over 6 months old) which makes me think that my skin does not heal well. I keep reading horror stories of persistent redness and issues from the Infini on realself which makes me very nervous to do this treatment. I have had a couple of laser treatments done that helped with minor hyperpigmentation, and inquired about subcision but the dermatologist suggested that it would not help my type of scarring.

The issues I want to treat are mostly the shallower boxcars and the erythema of my old scars. I don't have hope for the deeper boxcars and the areas of fat loss don't really bother me. That being said I don't want additional areas of fat loss which seem to be a concern with the Infini.

Help! 

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IMG_3670.JPGIMG_3669.JPGIMG_3671.JPG

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MemberMember
47
(@ailaeshiz)

Posted : 11/14/2017 12:30 am

Microneedling is for more shallow scarring/orange peel texture. @Sirius Lee Is big on Infini, and will probably stop in later to give some advice.

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MemberMember
11
(@coconutrough)

Posted : 11/14/2017 1:17 am

your scars look alot like mine. (i don't have pics online)

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I don't have hope for the deeper boxcars and the areas of fat loss don't really bother me

are you talking about the shadowed areas under your cheekbones? it looks more like rolling scars to me.
in theory they should respond well to nokor subcision +filler.
to me, this type of scarring is really bothersome & disfiguring in certain lighting as your photos show. i would try out something!

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MemberMember
456
(@sirius-lee)

Posted : 11/14/2017 4:38 am

...

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MemberMember
12
(@motherofms)

Posted : 11/14/2017 6:30 am

1 hour ago, Sirius Lee said:
Personally speaking, I've had two infini thus far and both were very aggressive by what I'm told by the doc. Nevertheless, I couldn't be more happier. Most of the shallow scars are nearly gone and the deep ones have filled in (subjectively speaking) over 50%.

Congratulations on your great improvement! Have you posted photos?

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MemberMember
456
(@sirius-lee)

Posted : 11/14/2017 6:00 pm

....

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MemberMember
12
(@motherofms)

Posted : 11/16/2017 2:25 am

On 11/15/2017 at 0:00 AM, Sirius Lee said:
I posted one last week. But can't recall where. Feel free to dig through my posts. ;) Sorry. 

You're such a prolific poster, that may be a challenging search. (: I'll just wait and see if it pops up again.  Thanks! 

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MemberMember
84
(@noa27)

Posted : 11/16/2017 11:22 am

@Sirius Leewhat were the settings?

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MemberMember
456
(@sirius-lee)

Posted : 11/16/2017 4:07 pm

...

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MemberMember
84
(@noa27)

Posted : 11/18/2017 10:04 am

Cool, thanks :) Downtime?

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MemberMember
424
(@obi-wan)

Posted : 11/18/2017 8:48 pm

Infni RF is a good device, and like @Sirius Leesaid, you can get good results. Its 20% device dependent, and 80% operator dependent. Namely if you have a good device like Infini, one still needs to know how to dial it in. To give you an idea of the complexity one has to know what type of scars, know the approximate depth in the skin, then dial the device in. The device is very powerful, measured in watts, treatment level needs to be matched with the depth - up to 3.5 mm, and pulse duration 0- 1000 ms, and power 1-20, and most importantly passes. This then has to be matched to the carbon build up with the insulated tip, and also the strength of the motor (solenoid driven spring). A good operator will always adjust on the run, as different areas of your skin will have different resistance. In the correct hands, good device, in the wrong hands- side effects such as fat atrophy ( deep 3.5 mm long PD, triple stacking), infection (if p. acne present), and superficial burns (withdrawal as pulse delivered), or it may not work as planned- not enough shots, carbon on the tip, or weak spring rate can't penetrate the fibrosis (spring back effect). Much like every device, improvements can be made. To date it probably is the microneedling RF device of choice, however in 2018, will bring about another round of devices, as each new generation should improve on the last.

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MemberMember
1750
(@beautifulambition)

Posted : 11/19/2017 8:38 am

Obi wan posted more about this here with photos, please see the bottom of the post. This is what happens when one maxes out the device and goes full length, they can really mess up the patient. Infini is a hard device to use unless the doctor knows 100% what they are doing, the same can be said with laser, they must know anatomy, patient history, settings, reactions, and have a multi level plan for the patient. See the link below for a supplement to what Obi Wan said above concerning Infini.

https://www.acne.org/messageboard/topic/365237-case-study-95-improvement-with-infini-is-this-real/

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MemberMember
204
(@dazzed)

Posted : 01/27/2018 8:40 pm

This is a few months old, and I haven't read all the details but I can say without hesitation that this needs subcision and filler, or filler alone. Filler alone with revolumize that sunken area and make things look A LOT better. That will give you an almost instant cosmetic benefit in terms of how people perceive your scars. It's the large shadowing that draws the eye, not the tiny scars. Given your skin type, I would pursue fillers first before doing devices that may worsen the texture or give you complications. Build up slowly to more intensive treatments, don't go all in right away.

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