Can fractional laser reduce the effects of these old scars? (Photo)

Hello Courageous. Yes, it's very probable that a deep fractional procedure would help with your scars, With the smaller round one and even the edges of the longer ones, it's also possible that TCA cross (acid) solution may soften these marks (see link below). Regardless of which treatment you choose, be prepared for post traumatic hyperpigmentation, which is a fancy word for darkening of the skin during the healing process. With our patients that have your skin type, we use hydroquinone bleaching products to get rid of the darkening that occurs in response to the injury from the TCA or laser. Best of luck.

Given the preponderance of social media and marketing hype for fraxel laser and other light and energy-based devices, it is hardly surprising that people are drawn to these expensive, supposedly "next big thing" devices. Unfortunately, the reality is that the hard science to support the use of these 'bells and whistles" lags woefully behind the marketing to hawk them. What's more, most especially in persons of skin of color, there runs the additional risk when using light and other energy-based devices for the subsequent development of post-inflammatory hyper or hypo pigmentation--problems that can be especially difficult to treat. On the other hand, subcision for elevating indented scars from all causes has been used safely and effectively for elevating and smoothing them since 1995, when I first started performing them. And professionally performed Dermastamp microneedlng, which I have been performing for over twenty-three years for helping the treated scars to blend better in color and texture with the surrounding normal skin, likewise has a proven track record for safety and efficacy in all skin types. It would seem wise to consult with a board certified cosmetic dermatologist and to consider these options before jumping into the use of one or another of the many here today and gone tomorrow gizmos being hawked out there. Hope this helps and best of luck.