Fraxel vs Photodynamic Therapy: Which is better for acne or acne scars?

I'm a 38-year-old Mexican female suffering from cystic acne since 2 years ago. I was given cortisone injections, but it left some wide pits. Doxycycline and spironalacton are currently keeping the cysts at bay, but I'm still getting occasional pimples and blackheads. Photodynamic Therapy and Fraxel were recommended to me; which of these will help me get rid of acne and get off the meds?

2 answers to “Fraxel vs Photodynamic Therapy:...”

A: Acne scar and acne treatment options at different stages

Mary Lupo, MD

I use a number of technologies for acne and acne scars. Of the two you asked about, I see Fraxel as best for acne scars because it targets collagen and is best when the active acne is controlled. I see PDT for active acne because it targets the bacteria. Another option is Cooltouch laser which uses laser... more

A: Photodynamic Therapy for Active Acne, Fraxel re:pair for acne scars

Michael A. Persky, MD

Hi Aunty, For active acne photodynamic therapy is best, and it will help with scarring. Fraxel re:pair is better for the treatment of acne scarring. Good luck and be well. Dr. P

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