Fraxel Repair Settings for Acne Scars

I have several rolling acne scars on my temple & forehead and I have olive skin (between 3 & 4 in the Fitzpatrick scale). My local doctor recommended me Treatment Level 8 with 15mjs and 4 passes.

I have 3 questions:

1. Will these settings be enough to see improvements?

2. Is the risk of hyperpigmentation lower with these settings?

3. Are the skin areas on temple and forehead meant to be treated at lower settings because they are thinner?

Doctor Answers 2

I'm not a big fan of lasers for acne scars and certainly not on olive skin

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Olive colored skin is not all that good for laser treatment as it can frequently be plagued with dark coloration after the procedure. Additionally, scarring in general isn't all that much improved by lasers, whatever the setting! I'd look into having a restylane or filler injection for this to see how it goes first. If it works (and you have to go to an expert for this), that may be your very best option.

Good luck!

Omaha Dermatologic Surgeon
4.9 out of 5 stars 50 reviews

Fraxel Rpair Settings for Acne Scars on Olive Colored Skin

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When treating acne scars, it is important for the laser to penetrate relatively deeply into the skin. In my judgment, 15 mJ will not penetrate deeply enough. Depending on the depth of the scars, in our practice we would treat the acne scarring on olive colored skin at up to 40 mJ. However, we would lower the intensity level on Fitzpatrick type IV skin to level 7.

If there is concern about hyperpigmentation, then pretreatment with hydroquinone for a few weeks prior to Fraxel Repair treatment may reduce the risk of this happening.

Good luck to you and I hope you stay well.

George Anterasian, MD
Santa Monica Facial Plastic Surgeon
5.0 out of 5 stars 2 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.