Fraxel Restore and Repair can dramatically reduce acne scars

Ran Y. Rubinstein, MD answers: Does Fraxel give good results for removing scar?

I got 1cm scar and acne scar. Does Fraxel give good result for removing scars? I'm 16 and I have yellow skin (Asian). I don't have any acne left but still have lots of scar and some redness on my cheek. If you can see, 1cm scar is on my right cheek. If Fraxel not works on my skin what type of laser should I do? Thank you very much.


Ran Y. Rubinstein, MD
14 days ago

The scars on your face would respond well to either a series of 5 or more Fraxel re:store or 2 to 3 Fraxel re:pair laser treatments.   The reason more than 1 Fraxel re:pair is being recommended is due to the risk of post laser hyperpigmentation due to your Asian background.  Less aggressive treatments would be required to help prevent this. 

This would therefore require two to three treatments to achieve the same results as one aggressive treatment with the Fraxel re:pair.  It is for this reason that I would favor using the non invasive Fraxel re:store laser. 

The risk of hyperpigmenation is less and there is no downtime.  You will obtain equivalent results with both Fraxel lasers.  I have both Fraxel re:store and re:pair so that I can customize my laser treatments for all skin types and patients unique needs.

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A: Fraxel Re:store can improve acne scars

Ronald Shelton, MD
13 days ago

There is a very good chance that you will get improvement in the texture of your skin from multiple Fraxel Re:store treatments.

This laser causes a build up the collagen underneath the epidermis and above the indentation of the acne scar. There is no need to stay at home and take care of your skin for a week or more as  you would have to with invasive laser technology such as carbon dioxide laser, or the fractional carbon dioxide laser (Fraxel RE:pair). Furthermore, the more aggressive or invasive lasers have a higher risk of post inflammatory hyperpigmentation.  In other words, after you heal, a darkening of the skin can develop from the trauma of the laser and your bodies defense mechanisms. This darkening can look very dark and irregularly distributed. It can be extremely obvious to others and might be difficult to hide with normal makeup. You might need camouflage make up to hide the coloration. This can happen, too, with the Fraxel re:store but with less chance than with the more injurious lasers.

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