My chin has become quite pock marked this year. Can Fraxel smooth out the appearance? (photo)

Question

I have acne scarring on my chin. It is very noticeable all of a sudden. I have been told Fraxel and laser skin peel MAY help. What is the difference between both and why do I need them both?

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

Monica Boen, MD · Answer

I appreciate your question. Fraxel may indeed be a good choice for treating the marks you have seen develop on your chin. This procedure creates micro-channels in the skin that stimulate the body’s healing process. As cells are regenerated and collagen is produced, the treatment area becomes smoother and firmer from the inside out. Another option in this same category is RF microneedling, which combines the benefits of needling with gentle heating from the radiofrequency energy. 
Treating skin concerns like yours requires expertise and experience to find the best device for your specific needs. In my office, we offer more than 50 laser devices that allow us to customize treatments with the precision necessary to produce an optimal outcome. Find a board-certified dermatologist with expertise in treating skin conditions like these. With the right treatment and an experienced provider, you should be able to see an excellent result.

Jason Emer, MD · Answer

Treatment for chin dimpling ("pebble chin" or "orange peel") is Botox injected into the mentalis muscle. This typically gives great improvement to the appearance of the chin. Results take about 1 to 2 weeks. I suggest getting a formal evaluation with a board-certified cosmetic dermatologist. Best, Dr. Emer

Erika Sato, MD, FACS · Answer

What you are describing with your chin is a common entity with aging. Many things can help correct this and may be best to mix it up. The Fraxel will absolutely help to smooth this skin out as the Fraxel treats fine line, wrinkles, overall texture, pores and pigment. You may also consider low does Botox or Botox equivalent to this area. Another option is Aquagold treatment. Like I said previously the most beautiful skin comes with a mixture of treatment modalities and also a good skincare regimen.

Manjula Jegasothy, MD · Answer

Different treatments help the skin at different levels. For a trusted customized result, please consult a board certified aesthetic dermatologist for a consultation.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Lasers such as Fraxel or devices such as Microneedling RF can improve your scars. Another option is the use of topicals and low dose Botox to relax the muscle causing scar contractors. Dr Davin S. Lim

My chin has become quite pock marked this year. Can Fraxel smooth out the appearance? (photo)

Answers (6)

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