Fraxel failed to work on my Acne Scars

Hi. I have a question regarding Acne Scars. I have undergone six sessions of Fraxel Refine to minimize or make my scars disappear, which did not happen. The practitioner who did the procedure suggested Fraxel Repair but couldn't assure me that it'll work on my face. I was wondering how good of an improvement can you get out of Fraxel Repair. Will I see a huge difference? Thank you.

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7 answers to “Fraxel failed to work on my Acne Scars”

A: The real story on acne scars

Joel Schlessinger, MD

Here's the deal with acne scars:  no laser is really going to do all that much for them.  Sorry, but acne scars are very difficult to treat and you are never going to go back to where you want with any laser alone.  Even with the best of treatments, you are going to have about 50% improvement... more

A: Fraxel laser and acne scars; Improvement of scars with fraxel pixelated laser.

Raffy Karamanoukian, MD

Acne scars cannot be eliminated by any means.  They can only be improved, regardless of the type of treatment. This discussion should take place with any consultation of acne scars.  The improvement of acne scars can be qualitative and quantitative but is never predictable. Fraxel laser works by... more

A: There are two kinds of lasers: Ablative: Removes top...

Usha Rajagopal, MD

There are two kinds of lasers: Ablative: Removes top layer of skin. Requires one treatment. Requires 3-4 weeks of downtime. Non-ablative (Fraxel): Doesn't remove the top layer and doesn't create a raw surface. Requires multiple treatments. Doesn't require downtime. Fraxel is a non-ablative laser that only... more

A: Fraxel re:fine not for acne scars

Michael A. Persky, MD

Hi Frank, Let's be frank Frank, Fraxel re:fine is the original Fraxel SR1500 but a much weaker version (limited energy and density).  It was marketed to be a safe laser for very superficial fine lines and brown spots, not deep acne scars.  Fraxel re:pair has been very successful... more

A: Fraxel has many names

Shawn Allen, MD

First beware that Fraxel is a name like Kleenex, they have many Fraxel lasers some good for acne scars some not so good.  For moderate to severe acne scars you need ablative lasers with downtime. Erbium yag lasers that go deep such as sciton profractional can get results almost all acne scars in most... more

A: Acnes scars are challenging

Steven H. Williams, MD

Dr. Schlessinger has hit it on the head. Fraxel (any generation) is great for fine wrinkles. Deep acne scars are more challenging. The key is improvement. Some ablative laser techniques can improve even deep acne scars but be prepared for significant downtime (think weeks at home with a hoodie and sunglasses)... more

A: Fraxel repair will have subtle improvements with each treatment

Philip Young, MD

Fractioned lasers will gradually improve your scars. It also depends on how your scars look. Some scars need to be excised first before they actually can get really better.  Other times require subcision techniques which require you to use different instruments, such as punch biopsies or needles to... more

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