Fraxel and other options for acne scars

Ran Y. Rubinstein, MD answers: Is Fraxel the only option for indented scars?

I have tons of indented acne scars, enlarged pores and a fairly large chicken pox scar on my eyebrow. Every skin laser office I go to recommends Fraxel. But I hear it is painful and the side effects are bad. Is Fraxel really my only option left? And if it is, is it worth it? I feel hopeless. Thank you.

 


Ran Y. Rubinstein, MD
17 days ago

Acne scars are best treated with combination therapy. The combination depends on the shape and depth of the scar. I would have to see a photo to tell you which treatments would work best. The following are your options- one or all in combination.

  1. Fraxel laser resurfacing
  2. Fillers i.e. Restylane, Juvederm for more superficial scars.
  3. Sculptra to treat fat loss from acne which can accentuate the scars.
  4. Surgical excision for ice pick scars.
  5. Subcision for retracted scars due to scar tissue pulling them inward.
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