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I Have Psoriasis - Can I Still Get Laser Tx for Acne Scars?

I have mild plaque psoriasis (on elbows and back of calfs primarily). I also have old acne scars from cystic acne on my cheeks. I would like to get Deepfx treatment but am concerned about psoriasis flare-up on my face. Do you recommend laser treatment if I also have psoriasis? If not, is there another treatment recommended for scar reduction/removal? Thank you Jenni

Doctor Answers (3)

Some thing called Koebner- learn more...

Dr Osman is correct, you will need a test patch first. Our laser dermatologists always conduct test patches on conditions that may worsen with laser- examples include psoriasis, vitiligo, and lichen planus.

Koebner is the name when trauma (whether  it be a burn, graze, scratch, or laser ) worsens the condition. Hence a test patch is needed.

I have performed fractional laser, including CO2 and Fraxel on many patients with controlled psoriasis with no problems, however I consent all patients that Koebner may occur.

I hope this helps you.


Dr Davin S. Lim
Laser and cosmetic dermatologist
Brisbane and Gold Coast,

Brisbane Dermatologist
5.0 out of 5 stars 1 review

Psoriasis and Laser Treatment

Thank you for your question. You will first need a clearance from your Dermatologist managing the psoriasis, then you can have the treatment. I hope this helps.

Vivek Bansal, MD
Danville Plastic Surgeon
5.0 out of 5 stars 10 reviews

Flare unlikely but do a test area to be sure



Localized psoriasis is very common, and it is well known that trauma to the skin such as a sunburn can trigger a flare.  However, I am not aware of any reports of fractional laser resurfacing triggering a flare on the face.  However, you can always treat just a small test area with a few pulses with the Deep FX to see how you respond to be safe.

Lawrence A. Osman, MD
Woodland Hills Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

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