One Mixto laser vs series of Clear + Brilliant or Fraxel duo for long-standing PIH?

Question

Can a series of clear and brilliant or fraxel dual give you the results of 1 ablative fractional laser done at more conservative settings for darker Fitzpatrick type IV skin tones? I would like to treat longstanding PIH from acne, and at home chemical peels. I have been told my shallow rolling acne scars need an ablative fractional laser and other derms say my scars are not severe enough to require the ablative laser.

Raffy Karamanoukian, MD, FACS · Answer

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

One Mixto laser vs series of Clear + Brilliant or Fraxel duo for long-standing PIH?

Answers (1)