I have tried the regular Fraxel and the results are good, but I heard of this new invention, Fraxel Repair, where you undergo the treatment once and get amazing results. My main concern is finding out which would be better for acne scars--the regular Fraxel or Fraxel Repair? Thanks.
Fraxel Repair or Restore for Acne Scars?
Doctor Answers (8)
Fraxel for acne scars depends on the patient
Fraxel re:store has been used for the past 4 years in the treatment of acne scars. It usually takes anywhere from 4 to 8 treatments separated by 2 to 3 weeks each. The downtime is minimal and the skin remains intact. It is a gentler, less involved treatment that the new Fraxel re:pair. Fraxel re:pair has amazed me with it's affect on acne scarring in a single treatment. I do inform all acne scar patients that they may need between 1 to 3 Fraxel re:pair treatments for the best result.
Yes, the downtime is greater, but the end result is beautiful. To answer your question, Fraxel re:pair is better for acne scarring as long as the patient is aware of what is involved, and is willing to go through the process. For those who do not wish to go through the more aggressive re:pair treatment, Fraxel re:store is an excellent treatment option. Be well and good luck.
Treating acne scars with Fraxel laser
Your choice of Fraxel lasers (re:store or re:pair) for treating acne scars depends on what your scars look like and what your tolerance is for downtime after the treatment. Fraxel re:pair is the more aggressive of the two, and will smooth acne scars, but requires 7-10 days of downtime. You may only need 1 or 2 treatments with the re:pair. The re:store also can give amazing results but as it is more gentle it only causes 2 to 3 days of downtime. However, you are trading less downtime and less risk for more treatments--you may need 6 or more treatments for your scars. The deeper your scars the more treatments you will need. Talk to your physician so she or he can evaluate your skin and the type of scars you have, and you can discuss your options.
Fraxel Repair vs Fraxel Restore for acne
Both lasers can improve acne scarring. You are correct that you need fewer treatments with Fraxel Repair. However, to expect just one session to give you complete results may be incorrect. It can require up to 3 sessions with Fraxel Repair. A new treatment that appears to be terrific for acne scars is known as the e-Matrix. This is actually not a laser but a radiofrequency device, and early results have been terrific in the treatment of acne scars. Many dermatologists, including our practice, have this device.
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Preventing future acne is key to preventing acne scars
I have used laser skin tightening with the Candela Gentlelase Laser with great success for acne scar reduction or removal and skin tightening. In other cases I may actually cut very deep scars out and sew together. Other acne scars can be treated very effectively by fat grafting.
The most important factor to to prevent future acne, otherwise the treatments will likely not last. Not all acne resonds the same way. By pulling on the skin we can generally determine if Laser skin tightening could work. If a scar does not budge after being stretched, that scar likely requires excision followed by lasers to heal the area quickly.
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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.