Received a Dual Fraxel laser treatment without substantial results. Is another treatment best or a chemical peel?
Doctor Answers 6
Fraxel Dual and Acne Scars and Treatment
You asked an excellent question and perhaps they never explained the Fraxel process to you. Fraxel is the gold standard for treating these acne scars but it takes many treatments, depending on the depth of the scars and your skin type. In addition, the hyperpigmentation or redness from acne scars may require a different course of treatment such as V-Beam for the redness or hydroquinones for the dark spots from old acne scars. Please consult a board certified dermatologist with a great deal of experience with Fraxel and lasers.
Acne Scars – Combination or Multiple Treatments Needed
The best treatment for acne scars depends upon an individual’s skin type, age, ethnicity, sun exposure, overall health and most importantly, the type of acne scars present (ice pick scars, boxcar scars, rolling scars, hypertrophic scars and variable degrees of hyperpigmentation). In order to give you an accurate treatment plan, a consultation is required to properly assess your skin.
An important step for all skin types is sun protection including the use of daily sunscreen, sun hats and sunglasses, all of which help prevent aging and sunburns.
When it comes to acne scar treatments, a combination of treatments are available including cosmeceuticals (medical grade skin care products specific for acne including ZO® Skin Health or ZO® Medical, Skinceuticals® or Glo-Minerals®), advanced laser resurfacing procedures (CO2 laser, Er:YAG laser, Fraxel DUAL®, PicoSure® FOCUS Lens Array), chemical peels (light, medium, deep including the blue peel), dermabrasion, augmentation/fillers, excision and/or subcision, punch techniques, microneedling/rolling, injections (corticosteroids, interferon, 5-FU), cryosurgery, electrodesiccation and microdermabrasion.
These are advanced techniques so be sure to get an experienced dermatologist or plastic surgeon consultation for recommendations and treatment options.
Multiple Fraxel Treatments Necessary
Depending on each patient’s skin and severity of their concerns, I generally recommend at least a series of three treatments 4-6 weeks apart. I would suggest you try at the very least one more treatment; you will likely be able to note a more significant change in your skin.
Although there are some deeper chemical peels that may have the potential to produce similar results to laser, there are several reasons why laser may be a better option: 1) Deep chemical peels will come with prolonged periods of downtime, 2) It is much harder to control and/or predict outcome with peels, 3) It will not result in nearly as much as collagen production as laser.
Consult with a board certified Dermatologist to see what option may be best for you. Best of luck!
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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.