Acne on cheeks and foreheads which left shallow red scars: Fraxel or IPL?
Doctor Answers 5
Acne scars and redness
Fraxel is a fabulous laser for acne scars. If the redness of the scar is your predominant concern than I would definitely recommend the V-Beam laser to you. I have too many patients whom I have consulted on after IPL with your pigmentation and were hyper-pigmented after treatment. For the best results please consult a board certified dermatologist with experience in Asian skin and laser treatments.
Treating red scars from acne - options
Lasers per se are a bit of a challenge with ethnic skins because there is such potential for post treatment pigmentation caused by the laser passing through the melanin producing cells.
Beyond the Vbeam for your red marks, you might look into eMatrix as this is a fractional resurfacing device that uses radio frequency instead of laser. The RF energy bypasses the melanin cells and this reduces the risks of discoloration.
If you do decide to have Fraxel for the scars, your doctor will likely pretreat your skin for a period of time to try to prevent the pigment problems.
Laser Treatments on Asian Skin
Fraxel would help improve your depressed scars but again there is a high possibility for hyperpigmentation for your skin type. I would recommend Ematrix, the Ematrix system uses Sublative RF- fractioned bi-polar radio frequency technology to effectively place heat energy into the dermis with less possibility of hyperpigmentation. Though I have done Fraxel treatments on Asian skin, I now prefer the Ematrix. Best results come with a series of treatments and Ematrix can be combined with the Vbeam to improve both your concerns.If you still choose to go forward with either IPL or Fraxel it would be best for you to use a bleaching type cream to help minimize the risk of hyperpigmentation and make sure to use SPF 50 daily.
Consult with a Board Certified Dermatologist to see which treatments are best for your skin type.