There are two kinds of lasers: Ablative: Removes top...

Usha Rajagopal, 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.


Usha Rajagopal, MD
14 months ago

There are two kinds of lasers:

Ablative:

  • Removes top layer of skin.
  • Requires one treatment.
  • Requires 3-4 weeks of downtime.

Non-ablative (Fraxel):

  • Doesn't remove the top layer and doesn't create a raw surface.
  • Requires multiple treatments.
  • Doesn't require downtime.

Fraxel is a non-ablative laser that only treats 20% of the area, and therefore requires 5 total treatments. Fraxel works by heating up tissue so the body can lay down collagen. You need to wait 2-3 weeks between treatments. And, because it is milder than an ablative treatment, you need to wait several month to see results.

Ablative CO2 laser resurfacing is considered the gold standard laser treatment. Ablative treatments tend to be cheaper, because they only require one treatment, but do require more downtime.

Ultimately, the patient needs to choose between faster results and more down time (ablative) or slower results and no downtime (non-ablative, Fraxel) 

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