In Terms of Acne Scars, What Are the Major Differences Between Peels and Laser Resurfacing?

Chemical peels and ablative laser resurfacing are surface treatment.s, they are good for wrinkles and some pigment, but lack the deep collagen building that is required to plump acne scars. In my experience non-ablative frasctional laser resurfacing is the only non surgcial treatment that I have seen that can plump acne sacrs. Fillers work but are temporary.

There is a great book about classification of acne scars and their treatment for anyone that is interested (I had the opportunity to edit it). Basically, there are a few different types of acne scars. The pitted ones and deep rolling ones are the most common. They can be treated with lasers but the laser needs to have the power to get to the bottom of the scar to have a meaningful difference (Fraxel or CO2 depending on the person). Some of the scars can be filled with Perlane or Juvederm... more

Unfortunately, there is no "one size fits all" treatment for acne scars. There are different types and depths, sometimes pigment changes, and sometimes redness. For most acne scars that are not red or pigmented, collagen must be remodeled. Only a limited amount of collagen remodeling takes place with superficial or medium depth chemical peels. These peels may shave down the shoulders of a scar, but dermal (subsurface) collagen remains the same. For this reason, I typically treat... more

Pixel laser is a type of fractional ablative laser. For patients with acne, fractional lasers can be a good option but for some with more severe acne, traditional CO2 lasers, deep chemical peels (such as phenol peels), or dermabrasion may be a better alternative. In addition, for some patients with deep 'ice pick' acne scars, additional procedures must be undertaken to elevate the scar and then smooth the skin. If you are not getting the results you desire with the pixel laser, I would... more