Does Fraxel Work on Scars?

if so, what type of scarring would it treat best?

Doctor Answers 11

Fraxel and scars

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Thanks for the question. Fraxel laser can be beneficial for scar improvement but there are many factors that come into play in determining where this type of technology will help your particular scar, including Fitzpatrick skin type, the character of the scar ( flat versus raised), age of the scar, and more. In our hands, scars that tend to fare the best with Fraxel Re:Store treatments are mature, thin scars in lighter skinned individuals. I recommend you followup with a board certified plastic surgeon who is experience in Fraxel Laser Therapy and have he/she evaluate your particular situation to see if you would benefit from such a treatment. Best of luck.

Beverly Hills Plastic Surgeon
4.9 out of 5 stars 30 reviews

Most acne scars as well as tramatic scars respond well.

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Fraxel 1550 "Restore" is my workhorse for most atrophic and/or discolored scars from acne, surgery, or trauma.  Occasionally I also use the 1927 also, making it a "Dual" treatment. For pitted scars, I pre-treat with TCA cross prior to doing the Fraxel. Acne scars usually need more than one session. Seek out a dermatologist who has experience with this excellent and versitile device.

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

Fraxel for scars

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First question is what type of scar you have.  Keloid scars - large overgrown thick red-brown scars - generally require injections of steroid and/or fluorouracil to soften and flatten before considering fraxel laser therapy.  At that point, some may be fine without laser, some may be helped with VBeam laser therapy and some may improve with Fraxel.  

Acne scars and white thin scars are commonly treated with Fraxel laser, either the Fraxel Repair carbon dioxide laser or Fraxel Dual in erbium mode.   Whichever laser is used, multiple treatments will be necessary usually at 4 - 6 week intervals.  You should start to see improvement about a month after the third treatment and then results will build from there.  Shallow rolling acne scars tend to respond faster than deeper icepick scars.

Another thing to remember about acne or other thin scars is that become more noticeable as your face loses volume.  So correcting volume depletion in your cheeks, temples, chin and jawlines is helpful.

I hope this answer was helpful. Best wishes.

Heidi A. Waldorf, MD
New York Dermatologist
5.0 out of 5 stars 10 reviews

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Fraxel for scars

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Fractional ablative laser resurfacing is a great treatment for scars. At our office we use an advanced hybrid fractional laser called the HALO manufactured by Sciton. This state of the art device combines simultaneous fractional ablative laser resurfacing with a full-field erbium laser in a synchronized handpiece. It’s a customizable treatment that precisely targets skin damage, improves tone, texture, fine lines & wrinkles, and reduces pore size along with treating acne scars. The hybrid technology allows us to combine the benefits of fractional and full field ablative laser therapy while dramatically reducing down time and recovery. I would recommend 2-3 treatments to get the best results.

Neil Fine, MD
Chicago Plastic Surgeon

Fraxel Can Reduce Some Scars

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Men and women interested in treating scars at the dermatologist's office have no shortage of options. While Fraxel is certainly effective on some types of scars, it's not a "one-size-fits-all" option. Other considerations that determine which treatment is best for you include what caused the scar (acne, injury, surgery, or something else), how old it is, and what your skin type is. I recommend consulting with a board-certified dermatologist to learn more about the best options for treating your specific scar. Good luck!

Susan M. Stuart, MD
San Diego Dermatologist

Fraxel works on scars

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Yes, Fraxel does work on scars. There are several different types of scars, and Fraxel will help improve most of them to varying degrees.There are also many other therapies that can be tailored to your particular type of scar. See your physician about what treatments would be best for you.

Joshua L. Fox, MD
Long Island Dermatologic Surgeon
5.0 out of 5 stars 22 reviews

Fraxel Works Well on Scars

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Thank you for your question. Fraxel treatment eliminates irregular skin discoloration, and stimulates new collagen production, tightening the skin without prolonged recovery. After a series of 2 to 4 Fraxel treatments, the cumulative cosmetic improvement is near more aggressive lasers, but unlike more aggressive lasers, redness and swelling eliminated within 2 to 4 days after each treatment. Fraxel is outstanding for fine wrinkles, mild skin laxity, irregular pigmentation, acne scars, surgical scars, enlarged pores, stretch marks, age spots and Rosacea. It can be used safely on the face, neck, hands, arms, and chest.

Fraxel treatment for scars

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The results that you can expect to see after Fraxel treatment for scars depends in large part on the type of scars that you have. For example, a thin scar such as a surgical scar usually responds very well to Fraxel and may end up being invisible. As the size and thickness (or depth in the case of acne scars) and age of the scar increases, the more treatments will be necessary for improvement and the more gradually you will see results.

Jordana S. Gilman, MD
Washington Dermatologic Surgeon

Fraxel for scars

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The answer depends upon the scar. If the scar is flat, red and atrophic (thinned) then Fraxel re:store can provide some improvement. There are other situations when Fraxel may be appropriate, but there are many that it is not. It would be best to consult with a qualified surgeon who can determine which options would be best.

Fraxel Laser Treatment

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Fraxel lasers can treat acne scarring very well. A series of Fraxel treatments can improve acne scars by 50 to 80%. Fraxel will soften and smooth your skin reducing scarring to a noticeable degree. In order to achieve this, I tend to recommend 3-4 treatments to achieve the optimal results. In addition, there is no down time for healing.   Avoid tanning after any laser procedure.

Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

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.