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Mixto Laser Vs Fraxel Restore or Repair for Dark Spots?

I have black spots, hyperpigmentation from acne. They haven't responded to peels or hydroquinone or Triluma. I am thinking of having laser treatments. Which between Mixto, Fraxel Repair, or Fraxel Restore can help best with these spots? Or would you instead recommend Medlite C6 or Ruby type lasers, which are for pigments, than going in for Mixto or Fraxel? I appreciate your help, thanks.

Asked 35 months ago by Mo_US in US
Sort 3 expert answers by:
+1

Nothing better for hyperpigmentation than the 1927 Fraxel Dual

I think that using CO2 for hyperpigmentation is overkill. The new 1927 laser of the Fraxel Dual is a very safe and effective laser for pigmentation. It is sort of a blend between ablative and non ablative. It is very superficial, about 0.2mm and creates a sort of biologic dressing as the skin heals. There is no dressing changes. Some peeling occurs about 2-5 days later and that takes off the pigment. You might need 2 or 3, but it's very easy to handle.
Steven F. Weiner, MD
Pensacola Facial Plastic Surgeon
+1

Laser Management of Pigmentation

I know this can be a frustrating issue, to have 'marks' once the acne itself has cleared. There are a number of ways this can be treated but you should probably begin slowly. The reason most people get the discoloration is because their pigment cells are highly activated during the healing process of the acne lesion. This most frequently occurs with darker complected people. Many of the laser treatments to resolve this are ablative and therefore, you are actually re-injuring the skin... more
Armando Soto, MD
Orlando Plastic Surgeon
+1

Hyperpigmentation from acne

 For this condition, I have found that using a combination of q-switched alexandrite with Fraxel repair or restore is best.  You may only need one treatment, depending on the severity of your condition.  Best, Dr. Groff
William Groff, DO
San Diego Dermatologist
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