Fraxel laser and acne scars; Improvement of scars with fraxel pixelated laser.

Raffy Karamanoukian, MD answers: Fraxel failed to work on my Acne Scars

Hi. I have a question regarding Acne Scars. I have undergone six sessions of Fraxel Refine to minimize or make my scars disappear, which did not happen. The practitioner who did the procedure suggested Fraxel Repair but couldn't assure me that it'll work on my face. I was wondering how good of an improvement can you get out of Fraxel Repair. Will I see a huge difference? Thank you.


Raffy Karamanoukian, MD
11 months ago

Acne scars cannot be eliminated by any means.  They can only be improved, regardless of the type of treatment. This discussion should take place with any consultation of acne scars.  The improvement of acne scars can be qualitative and quantitative but is never predictable.

Fraxel laser works by subjecting the skin surface to pixelated beams of laser light.  The depth of treatment is within the dermis and the amount of skin surface treated at any given time is less than 25%.  Thus, four or five treatments can theoretically treat the whole skin surface.

Acne scars can be improved with Fraxel laser.  Chemical peels and acne surgery can also improve the quality of acne scars on the face. 

Discuss the nature and depth of your acne scars and more importantly, the quality of the surrounding skin with your doctor so as to form a practical goal for treatment.

9 of 9 found this helpful
Helpful?

A: Fraxel re:fine not for acne scars

Michael A. Persky, MD
14 months ago

Hi Frank,

Let's be frank Frank, Fraxel re:fine is the original Fraxel SR1500 but a much weaker version (limited energy and density).  It was marketed to be a safe laser for very superficial fine lines and brown spots, not deep acne scars.  Fraxel re:pair has been very successful with acne scarring, sometimes in a single treatment, but I always council patients that it may take 1 to 3 treatments depending upon the individual.  You should see a huge difference with the Fraxel re:pair.  Choose your treating physician carefully and be well.

Dr. P 

 

9 of 11 found this helpful
Helpful?
Post your question

Fraxel Laser: 297 reviews

55% said it was worth it

Fraxel Laser before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.