Fraxel Settings for Acne Scars

I have just receive my first Fraxel treatment today. I am 22 years old, and I am an Asian male with darker skin. I have asked my doctor if she can use higher settings, but she recommended that I start at 30 mj and see how my skin reacts.Is it enough for my acne scars? My doctor said that my scars are not that bad,but I have heard that acne scars need to be treated at higher settings like 50 mj and up. Thank you for any response or feedback!

Doctor Answers 2

The treatment density is also very important in darker skin

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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.

New Orleans Dermatologist
5.0 out of 5 stars 18 reviews

Acne scars and skin type

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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.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 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.