Acne Scars Treatment Q&A
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I Have Acne Scars on my Face. What is the Best Way to Remove Them? Does Fraxel Work?
asked 8 months ago by Christina_m in China
Latest answer by Sanusi Umar, MD
Question viewed 721 times
Tags: cheeks, Asian, options, orange peel, pock mark
I heard that fraxel is effective to acne scars. Here is my photo. Will fraxel work to me?
9 answers to I Have Acne Scars on my Face. What is the Best Way to Remove Them? Does Fraxel Work?
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Re: Fraxel laser for Acne Scars
While there are different types of Fraxel lasers, patients of ethnic descent can benefit from Fraxel Dual for acne scars.
Acne scars are the result of inflammation, which is a type of trauma to your skin. Scar tissue is produced as the skin's attempt to heal itself. This is made of the same collagen fibers as the rest of your skin, but they are arranged differently.
Fraxel Dual's 1550/1927nm wavelengths heat the skin below the surface to produce new collagen fibers that fade...
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Profractional laser resurfacing for acne scars
Profractional laser resurfacing is an effective way to treat acne scarring. Usually 3-4 sessions are required about a month apart.
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Lasers for acne scars
Fraxel laser treatments will work for treating acne scars to make them less visible. However, I prefer using Active/Deep FX laser resurfacing treatments for acne scars. The Active/Deep FX works to improve your skin texture by targeting deep scars.
Mitchel Goldman, MD
San Diego Dermatologic Surgeon
San Diego Dermatologic Surgeon
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Acne scarring and Fraxel
For me, I believe Fraxel doesn't work well enough and has an excessive amount of downtime. I've tried it several times and investigated the device, but I have never seen a good enough result to recommend it or purchase it.
In my office we use the Matrix RF which helps with the redness and scarring, with significantly less downtime and pain than Fraxel. I have treated patients with your type of scarring and usually do 4-6 treatments (in one month increments) and then also fill the...
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Best way to treat acne scars
Acne scars are a difficult problem. Expect improvement, but not complete eradication.
For moderate to severe acne scars:
I recommend several sessions (usually, 3-6 or more at 2-4 week intervals) of needle elevation with sterile saline to stimulate new collagen growth. Some scars will respond better than others.
Some ice pick scars that do not respond are excised and sutured or filled with a punch graft.
After achieving as much improvement as is possible with these...
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Robert Strimling, MD
Las Vegas Dermatologist
Las Vegas Dermatologist
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Fractional erbium laser resurfacing for acne scars
Fractional laser resurfacing is an excellent modality for atrophic acne scars, like the type of scars seen in your photograph. Fractional lasers work by vaporizing tiny columns of skin. The skin around those vaporized columns tightens and new collagen is deposited in these areas to repair the "wounds" caused by the laser. That decreases the surface area of the scars.
Usually several treatments are required to achieve significant results. These are...
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Fraxel for acne scars
Yes, Fraxel would help your acne scars. I use the less aggressive Fraxel but it means you can do it on Friday and back to your life on Monday. This Fraxel is less invasive so it will take several treatments but the healing process is very quick. You will look like you have a little sunburn for 3 days. Also, we can just do the affected areas and not full face with this laser. This Laser is very safe and patients tolerate it very well and there is very little down time.Even teen age...
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Esta Kronberg, MD
Houston Dermatologic Surgeon
Houston Dermatologic Surgeon
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Fractional CO2 for acne scars
We have found that the fractional CO2 laser does well on acne scars. For scarring like yours you will probably need more than one treatment but the down time is much less than the old CO2 laser. My patients usually do theirs on Friday and plan to stay in for the weekend. By monday they are red but somewhat presentable.
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A Fractional Laser is a Good Option
Thank you for the photo! In your case, I think one of the fractional lasers is a good option. The fractional CO2 laser, such as Total Fx works very well. Since your skin is not dark, you could tolerate a more aggressive setting, so the results will be better. For acne scarring, such as what you have, I would expect you need 2 treatments, about 4-6 months apart. Our patients are very pleased with this regimen. You do have some downtime with this laser, so...
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Lisa Benest, MD
Burbank Dermatologist
Burbank Dermatologist
