Does Fractional CO2 Work for Deep Acne Scars?

Question

Larry S. Nichter, MD, MS, FACS · Answer

Laser and Other Treatments for Deep Acne Scars
	
	As severe acne scars, isolated or generalized, involve a deep scar process that extends to the deep dermis and sometimes even deeper it would be unusual to see dramatic differences after a single Fractional CO2 laser treatment. Realistic expectations are important and one should expect improvment but not total correction with each treatment. In my own experience I have not found a significant difference in results between a Fractional CO2 treatment and the Obagi Blue Peel. Dermabrasion and Ablative lasers including confluent CO2 lasers are more helpful but have the significant increased risk of permanent hypopigmentation and post inflammatory hyperpigmentation. It takes several months to see the full effects of collagen remodelling.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Matthew Richardson, MD · Answer

Fractional CO2 lasers can work well on deep acne scars, but it is important to remember that acne scars are a very difficult problem and may require multiple treatments to achieve the best results. This may include scar excision, microneedling, filler injections, multiple laser treatment sessions, etc.Be sure to see an expert specializing in facial aesthetics to review all of the options in detail.All the best,

Sonia Badreshia-Bansal, MD · Answer

Thank you for your question. CO2 laser resurfacing helps with scars, lines, and tightens skin.  Results depend on the severity of the acne, and you may need more than one treatment.  I would recommend consulting under the supervision of a Board Certified Dermatologist or Plastic Surgeon for safest and best treatment option. I hope this helps.

Babak Azizzadeh, MD · Answer

Fractional CO2 laser treatments are very effective in minimizing the appearance of acne scars. Depending on the severity of the scarring, a few treatments may be needed to see optimal results. Be sure to visit a skin care and laser expert for any fractional CO2 resurfacing treatment.

Does Fractional CO2 Work for Deep Acne Scars?

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Answer: Does Fractional CO2 Work for Deep Acne Scars?

Answer: Does Fractional CO2 Work for Deep Acne Scars?

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Does Fractional CO2 Work for Deep Acne Scars?

Answers (10)

Answer: Does Fractional CO2 Work for Deep Acne Scars?

Answer: Does Fractional CO2 Work for Deep Acne Scars?

Answer: Fractional CO2 for Acne Scars

Answer: Fractional CO2 for Acne Scars

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Everything you need to know about Fractional Laser

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