Deep non-ablative fractional laser resurfacing plus ablative fractional is best for deep acne scars

Brooke R. Seckel, MD answers: Laser resurfacing and microdermabrasion for acne scars?

I have ice pick scars on my cheeks. I've done 5 laser resurfacing and 5 microdermabrasion treatments, but I don't see any significant improvement on my scars yet. I was told I still have 3 treatments left. Can I expect the scars to look better after 3 more treatments, or are there any other options I should be better off trying?


Brooke R. Seckel, MD
9 months ago

Dear SEEBRUCH,

Deep ice pick acne scars are very difficult to treat. Surface laser resurfacing and microdermabrasion do not go deep enough into the dermis (deep layer) of the skin to promote new collagen to plump the scars.

Newer fractional non ablative resurfacing (Satrlux 1540) for 4 treatments followed by a deep ablative fractional laser resurfacing (Starlux 2940) produces the best laser results for acne scars.

It is important that an experieced laser doctor supervise or do your treatments. For effective results the laser power needs to be set at high. Many new laser users are not comfortable using the higher power settings required to effectively treat acne scars.

While microdrmabrasion is helpful for acne control, microdermabrasion alone will have no effect on deep acne scars.

Another very effective treatment is surgical. The ice pick scar is loosened with a surgical punch, which allows the scar to elevate and protude above the skin. Two to three weeks later, the laser is used to plane down the protruding skin and smooth the surface.

This technique unequivocally produces the best results for removal of ice pick scars.

 

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