How effective is Laser resurfacing for clearing acne scars? I don't really care about the downtime, but the cosmetic results are very important. What number of treatments do you recommend? I'd prefer if I only have to get it done once.
Laser Resurfacing for Acne Scars
Doctor Answers (17)
Depends on scars
The type of scar treatment that BEST SUITS YOU will depend on 3 factors only-
1. Acne scar type
3. You skin type or colour.
Hope this helps.
Dr Davin Lim
Brisbane, Gold Coast
Laser Resurfacing for Acne Scars
- Acne scarring can vary substantially in severity, and laser resurfacing will generally improve acne scarring however not offer a complete cure
- Laser resurfacing is only suitable for lighter skin pigmentation, darker ethnicities are not suited to laser resurfacing as there is an increased risk of scarring and darker pigmentation after treatment
- Additional treatments may be required to improve acne scarring including the use of volumetric fillers to elevate deep scars. In addition deep scars may require undermining, subcision, punch excision or other surgical techniques to give the best results.
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Lasers for acne scarring
Lasers can be used very effectively for acne scarring, in particular ablative lasers. Patients have told me that I have transformed their lives with acne scar treatments using some of these lasers. Not everyone will always get life changing results but with time and the right procedures almost all scars can be improved and frequently significantly. Some techniques such as fillers / chemical peels/ lasers/ surgery can be used synergistically to create an optimal result.
Laser resurfacing for acne scars
We are treating acne scars with different modalities,
For regular, boxcar acne scars, we use either the traditional CO2 Laser (7-9 days downtime) or the fractionated CO2 laser (2-3 days downtime). Usually 2-3 treatments with the fractionated laser are equivalent to one traditional laser treatment.
For large, deep boxcar scars, we use punch elevation followed by CO2 laser resurfacing (traditional or fractionated).
For ice pick scars, we use Chemical Reduction Of Scars (CROS) with Trichloracetic acid.
For rolling scars we use subcision followed by injection of Sculptra.
In some cases we use a permanent filler such as Artefill
Often we use a combination of these modalities in the same patient.
It is important that you be treated by a Board Certified Dermatologist or Plastic Surgeon.
Acne scars require customized approach for best results
Fraxel For Acne Scars
Thank you for your question. At my practice, I have gotten excellent results for scarring with Fraxel. This treatment eliminates irregular skin discoloration, and stimulates new collagen production, tightening the skin without prolonged recovery. After a series of 2 to 4 Fraxel treatments, the cumulative cosmetic improvement is near more aggressive lasers, but unlike more aggressive lasers, redness and swelling eliminated within 2 to 4 days after each treatment. Fraxel is outstanding for fine wrinkles, mild skin laxity, irregular pigmentation, acne scars, surgical scars, enlarged pores, stretch marks, age spots and Rosacea. It can be used safely on the face, neck, hands, arms, and chest.
Laser Resurfacing effective for Acne Scars
The number of recommended treatments is completely dependent on the severity of your acne scars. We recommend anywhere from 1-6 treatments of Pixel, which is a resurfacing laser that targets skin texture.
Resurfacing is effective for acne scars, but one treatment is sometimes not enough. Be cautious about trying to do too much with one treatment. Unless you are very light in skin color, your risks will climb rapidly and you will risk skin discoloration, and either loss of color or increase in pigment color, especially if you have an ethnic background.*
Acne Scar Treatments
The Most effective treatment that we use is Microfractional Plus. This combines the ability of an Erbium laser to sand down the ridges on the edge of the scars and and the tightening, smoothing and pigment reduction of the Micro fractional Carbon dioxide laser. This can ruduce the appearance of scars up to 90%. We then follow up by raising the remaining depresions with Fillers, such as Restylane
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.