Can Several Mixto Laser Treatments Completely Smooth out Acne Scars?

Mixto fractional laser resurfacing works beautifully to help reduce scarring caused by acne. This CO2 (carbon dioxide) laser helps to deliver a precise matrix of Microspots that penetrate to the dermis and stimulate the formation of new collagen. At the same time, immediate shrinkage of damaged tissue is achieved.
The Mixto improves pigmentation problems, reduces pore size appearance, wrinkles, acne scars, and other textural irregularities. The laser has an additive effect and many patients will notice greater improvement when they have multiple sessions.
Compared to traditional skin resurfacing, clients experience less downtime and are more comfortable during the procedure. It is unlikely that any one procedure will completely smooth the skin from acne scars, but my patients have noticed an improvement ranging from 30-60%.
When you compare it to Fraxel, make sure you are comparing it to the Fraxel Re:pair, which is based on the same CO2 laser technology as Mixto. The older Fraxel model is based upon erbium and may not give the same improvement.

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

It’s possible to improve acne scar however it’s important to understand that deeper pitted scars may require other treatment modalities. For most people who have significant acne scars, the Mixto SX microfractional CO2 laser can help improve the appearance of the scars but the patient has to be properly examined before making this choice.