Recommendations for Deep Acne Scars?

I have attached my left side pic I used to have severe acne for 10 years until it cleared up recently. As seen from the pic, it has left severe deep scars. I have seen a dermatologist in toronto and I was recommended fraxel laser. DO you think it would improve my very severe deep acne scars? What procedures would you recommend for best results? Thanks fro all your help!

Doctor Answers 8

Deep acne scarring

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You have a very advanced degree of acne scarring. Improvement can be made with Active FX and Deep FX (Total FX) ablative fractionated CO2 (carbon dioxide) laser. You will require multiple treatments. There will be improvement. From El Paso.

Deep acne scarring of the cheeks

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I would strongly encourage you to read the article I published on the CO2 laser for acne scarring as it is by far the best method for improvement. That being said, a lot of your scarring is ice pick scarring and should be excised first and then followed by resurfacing with the CO2 laser. You will not get enough improvement in my opinion with the Fraxel laser as you would with the traditional CO2 laser. I hope this information helps.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 20 reviews

Erbium and CO2 Fractional

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Yes, I do agree that you have severe scars, Fraxel laser (Repair over 1550) can be effective, you may need upto 5 sessions for a 30-50% improvement. 

I personally would do full resurfacing with an erbium laser, followed by either a CO2 CORE or Deep FX in the one session. This would give you a downtime of approximately 10 days, but 60-70% of your scars can be rectified. Its a big call to have this done, but I think this combination will work well for you. 


Dr Davin S. Lim  
Cosmetic and Laser Dermatologist
Brisbane and Gold Coast


Acne scarring

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Treatment options for acne scarring include laser resurfacing (e.g. profractional laser, Fraxel, CO2 laser, etc), Cross trichloracetic acid treatment method, subcision, filler injections amongst others.  Best is to get a consultation with a dermatologist experienced with acne scar treatment 

Anatoli Freiman, MD
Toronto Dermatologist

Treatment for advanced acne scarring

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

While lasers do play an important role in the treatment of acne scars (and all of the devices mentioned by the other respondants to this question are reasonable) I strongly believe that surgical treatment of these scars is the most important first (and maybe second).  I usually perform excisions, subcision, dermal grafting,etc. followed by laser treatment several weeks later.  I find that this produces far better results than when I only use laser treatment on  moderate to severe acne scarring.

Brian Biesman, MD
Nashville Oculoplastic Surgeon
4.8 out of 5 stars 43 reviews

Deep Acne Scar Treatment - Total FX

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for the question.

My recommendation would be to undergo a Lumenis Total FX laser resurfacing. You may require 2-3 sessions for optimal results. Additionally you may consider collagen induction therapy, again requiring 2-3 treatments. This, combined with a sound skin regimen should give you a marked improvement in your skin texture.

Best of luck,

Glenn Vallecillos, M.D., F.A.C.S. 

Glenn Vallecillos, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 30 reviews

Deep acne scars

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
I feel that with the Fraxel repair (with is the co2 Fraxel laser) excellent results can be obtained. It may require two treatments but I have seen on average about a 70% improvement in acne scarring.

Kari L. Colen, MD
New York Plastic Surgeon
4.5 out of 5 stars 8 reviews

Fraxel is an option

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Please have realistic expectations. I think both Fraxel Restore (5-6 sessions with aggressive settings) or 2-3 sessions with either Fraxel Repair or Lumenis Active/Deep FX will give you significant improvement. Nothing will fix this level of scarring 100%.

Mary P. Lupo, MD
New Orleans Dermatologist
5.0 out of 5 stars 18 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.