Can Several Mixto Laser Treatments Completely Smooth out Acne Scars?

Mixto fractional laser resurfacing works beautifully to help reduce scarring caused by acne. This CO2 (carbon dioxide) laser helps to deliver a precise matrix of Microspots that penetrate to the dermis and stimulate the formation of new collagen. At the same time, immediate shrinkage of damaged tissue is achieved.
The Mixto improves pigmentation problems, reduces pore size appearance, wrinkles, acne scars, and other textural irregularities. The laser has an additive effect and many patients will notice greater improvement when they have multiple sessions.
Compared to traditional skin resurfacing, clients experience less downtime and are more comfortable during the procedure. It is unlikely that any one procedure will completely smooth the skin from acne scars, but my patients have noticed an improvement ranging from 30-60%.
When you compare it to Fraxel, make sure you are comparing it to the Fraxel Re:pair, which is based on the same CO2 laser technology as Mixto. The older Fraxel model is based upon erbium and may not give the same improvement.

It’s possible to improve acne scar however it’s important to understand that deeper pitted scars may require other treatment modalities. For most people who have significant acne scars, the Mixto SX microfractional CO2 laser can help improve the appearance of the scars but the patient has to be properly examined before making this choice.

It is not realistic to assume Fractional CO2 laser resurfacing using Mixto, Total Fx, Fraxel Repair will bring about a porcelain smooth skin even after multiple treatments. Each treatment in the hands of an experienced board-certified dermatologist or plastic surgeon should result in 35-55% improvement of existing acne scarring each time. The clinical improvement may be more modest for ethnic skin as the parameters used in laser resurfacing would have to be more conservative to minimize risk of post-inflammatory pigmentation.