Laser treatment does work?

I want to know, the treatment of scar does work or not. If it does then how mush the impact will, and I am also worried about the side effects. And what time it's take. My skin is dark. Thanks

Doctor Answers 5

Always find a METHOD to treat scars, never a 'laser'....

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Always treat the scar type, and never go for a 'laser' treatment. Sure, if you have rolling and atrophic scars, than lasers such as Fraxel 1550, Erbium or Co2 can work, however if you have ice pick scars - procedures such as TCA CROSS works better than laser. 

If you have dark skin, I would use an energy device. eMatrix is great for early scars, but for established scars energy RF Microneedling works best. 

See the video in the web reference for more information. 

All the best

Dr Davin Lim
Brisbane, Australia. 

Acne scar treatment

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Countless patients present to my clinic with acne scars, and fortunately, I have had a lot of success with treating this difficult condition. Although you cannot completely erase a scar, there are several available options to make scars much less noticeable. There are 4 important conditions associated with scars: 1.) Depth of the scar (whether it is elevated or depressed); depressed scars create shadowing which makes the scar more noticeable. 2.) Width (wide vs narrow), facial scars are ideally less than 1mm. 3.) Color of the scar (lighter vs darker) compared to surrounding skin. 4.) Direction or position of the scar (ideally within or parallel to a natural skin crease or fold). For depressed scars (such as chicken pox scars or some acne scars), there are surgical and nonsurgical options. A combination of excision/repair and then a resurfacing procedure to blend the area is ideal. When surgically removing a scar it is important to ensure proper skin alignment. About 6 weeks later, a resurfacing procedure is most commonly performed in my practice. Fractional laser resurfacing purposely injures the skin’s surface in and around the scar, and helps with blending. Lasers also stimulate collagen formation and improve the scar’s surface and texture. Fractional laser resurfacing may be used alone to lower the “shoulders” or elevated portions of a scar. Although individuals with darker skin can develop hyperpigmentation after laser resurfacing, this is never permanent, and easily treated with topical creams at our clinic. Another option is subcision using a needle to undermine or break apart the tether of the scar. Subcision results are variable and better when used in combination with fillers or laser resurfacing. Nonsurgical options include soft tissue fillers such as the hyaluronic acid fillers (Restylane, Restylane Lyft, Belotero) for temporary (usually about 1 year) improvement in scars. Prior to any intervention, however, a proper physical exam is necessary by a board certified facial plastic surgeon

Corey S. Maas, MD
San Francisco Facial Plastic Surgeon
4.3 out of 5 stars 14 reviews

Does Laser Work for Acne Scars?

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It does work but you have to know how to use it. Dark skin is riskier because your skin is made lighter and there can be some hyperpigmentation or hypopigmentation that can happen that is just part of the risk. Most of the time this doesn't happen but the mild changes in pigmentation can be something that you won't like. Most all people would rather have less scars though. Things can be done about the different pigmentation but there are limitations. I have treated many dark skin patients and patients with all types of skin tones with great success, but you have to be realistic.

Philip Young, MD
Bellevue Facial Plastic Surgeon

Dark Skin and laser treatments for scars

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Laser treatments for scars with patients with dark skin works very well. However, without photos it is not possible to say how many treatments or what other treatments such as injections may be needed. In general the EMatrix is the best laser for acne scars with patients with dark skin. Please consult an expert. Best, Dr. Green

Laser for acne scars? ENGLEWOOD Cliffs NJ

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In my opinion, acne scars are treated based upon the type of Scar. Without a picture it is difficult for me to assess whether a laser would work. Typically lasers work for moderately deep and superficial scars. Both ablative and non-ablative Lasers are successful in treating acne scars. Dark skin is typically treated with a bleaching cream before and after the procedure. You should see an acne scar expert. Ask to see photos. Good luck.

Jeffrey Rapaport, MD
Englewood Dermatologic Surgeon
4.7 out of 5 stars 41 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.