Fraxel Settings for Acne Scars

Acne scars do respond better to higher fluences (or energies). The density should be adjusted accordingly as a greater density will risk more complications in darker skin types, and possibly risk greater complications in coloration than the energy settings in mJ.

I typically use 40-70mJ (this is the fluence) for acne scars. 30 mJ is an OK 1st treatment setting for ethnic skin. It is better to be conservative and gradually increase, since we typically do 3-6 sessions for scars. In general, however,  I will try to decrease the density (coverage or "treatment" level) and try to use the higher fluences possible for all patients with acne scars.