Acne Scars Treatment: Q&A

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Fraxel Repair Vs Pearl Laser for Acne Scars?

Which is better for acne scars, Fraxel Re:pair fractional CO2, or the new Pearl fractional laser?

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6 Doctor Answers | Asked by truckg in California
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Laser resurfacing for acne scarring

The treatment of acne scars will ultimately depend on the depth and type of scarring you have. More superficial scars may respond well to a series of chemical peels, although deeper scarring will require laser treatments. I have used the Pearl by Cutera, The newer Fraxel Dual by Solta as well as the Active and DeepFX by Lumenis. I have acne patients that have treated with both the Fraxel and the FX laser and feel that the fractionated CO2 laser treatments with the FX laser were... more
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Fractional CO2 will always give more collagen coagulation

While there are no definite answers that can be made regarding your specific case, in general, fractional CO2 using RePair, Lumenis Encore Active/Deep FX, and Ellipse Juvia can give more results with fewer treatments due to the better dermal protein coagulation. I have not used other fractional CO2 devices, but they may work as well. The wavelength of Pearl, while better than traditional erbium YAG lasers in this mid-infrared laser light range, still does not duplicate the results of CO2. I... more
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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... more

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The Fraxel Repair laser is the most power fractionated Co2 laser on the market

The Fraxel repair is the deepest penetrating coe laser system there is on the market. You can penetrate as deep as 1.5 mm deep into a scar. This means that you can treat deeper scars more successfully. Since it is fractionated the downtime is less compared to traditional co2 lasers. see video
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Pearl Laser not for acne scars

I use the Pearl laser but not on acne scars. The depth of treatment delivered simply has no effect on depressed scars which are caused by cystic acne. Although I don't use fractionated CO2, I have seen many patients who are dissatisfied with the results. I ocasionally use a conventional CO2, but only in carefully selected cases because of the collateral changes that are sometimes unwanted.
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Acne Scars, Is Fraxel re:pair or Pearl a Better Treatment?

Hi Truckg, Fractionated CO2 lasers are more effective on acne scarring than non-ablative, superficial lasers such as Pearl. Fraxel re:pair, Deep FX, mixto, and eCO2 are fractionated CO2 laser technologies. I have had very good experiences with using Fraxel re:pair on acne scarring. Good luck and happy holidays. Dr. P
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Comments (1)

I have small white scars between my ear lobes and jaw from a mini lift 18 months ago. I have quite a lot of pigmentation, and a CO2 treatment a couple of years ago made it worse, so I'm reluctant to try this to reduce my scars in case it make the whole thing even more contrasting in color. One dermatologist said that Pearl would be ideal for my white scars. Any advice very welcome! Thank you!
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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.

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