Fraxel Repair or Restore for Acne Scars?

Hi Frank,
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.
Dr. P

Our office uses a combination of procedures for acne scars. We believe in the combination protocol of fractional laser for skin resurfacing and ematrix for deep collagen stimulation. Best, Dr. Karamanoukian 

Fraxel Repair uses a carbon dioxide wavelength and being fractional, creates less aggressive resurfacing than the first type of laser resurfacing that was fully ablative.  The Fraxel Repair usually produces a better result in one treatment than one Fraxel Restore, which is of an erbium wavelength.  The Fraxel  Restore is not designed to only deliver one treatment, but rather, a series of monthly treatments, for 5 or 6, or more sessions.  There is no rawness but redness, slight to moderate swelling for a few days and barely any flaking.  Most people are able to maintain their normal activities but people will notice what looks like a bad sunburn.  This is no comparison to the post operative recovery period of the Fraxel Repair laser that induces rawness that must be treated with special emollients and people are told not to leave the house for at least several days.  There is much involved with the recovery to make it go well.  Many patients in NYC find this recovery not conducive to their lifestyle as they can't afford downtime, even the redness and slight swelling of the Fraxel Restore can set a few people back, but it is more of an appealing treatment regimen for those that don't want to take days off work. The Fraxel Repair can be redone but many doctors wait for six months or more, but the Fraxel Restore can be done every three to four weeks. Both induce good changes in acne scars but neither can erase the scars completely.

Fraxel repair is a CO2 based laser which is much more aggressive than the Fraxel restore. Most patients prefer the Fraxel restore since there is not much down time and the results improve with each session. I typically will do 5 sessions for acne scars and find the collagen is still building with new collagen formation several months later. For the best results please consult a board certified dermatologist with a great deal of experience with Fraxel. 

Thank you for your question. At my practice, I have gotten excellent results for scarring with Fraxel Repair. 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.