Dermabrasion vs. Laser treatment for atrophic scars

I ended up canceling Fraxel for my atrophic surgical scar because I was not convinced it was the best treatment for me. The anecdotal evidence of the efficacy and long-term results of Fraxel are very mixed (RealSelf lists a satisfaction rate of only 52%!) and many of the clinical studies were funded by the manufacturer, so I question the objectivity.

The scar is on my forehead is about 2 inches long, perpendicular to the RSTL, thin, red, and slightly atrophic. My plastic surgeon did a scar revision surgery. He used Botox after the revision to immobilize the scar, and we have decided on a few sessions of subcision to stimulate collagen growth under the scar, followed by a resurfacing procedure which will be done elsewhere. It will either be Laser or rotary wheel Dermabrasion. Which between the two is best for my scar? If Laser, which type?

1 answer to “Dermabrasion vs. Laser treatment for...”

A: Options for scar revision

Otto Joseph Placik, MD

There are some studies to suggest that dermabrasion 6-8 weeks after surgical correction may provide enahncements in the ultimate appearance of the scar. This may be an option you want to consider. Skin needling is another option for stimulating collagen formation. Use of fillers, temporary or permanent,... more

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