No Improvement After Subcision and Fraxel Laser?

My most gratifying results for treatment of acne scars have been a combination of Subcision, Filler(my favorite is your own fat with stem cell concentration mixed with PRP), and CO2 Fractional Laser Resurfacing.

As other physicians have reported this is a work in progress, the problem is a scar formation at multiple layers of your skin, therefore one must either work slowly from the outside using only Laserabrasion, Dermabrasion, or Chemabrasion or add additional steps.This method works slowly and must be repeated each 3 to 6 months in my experience to help prevent complications of hyperpigmentation & scar formtion from the treatment.

When one adds subcision with the "Abrasions" there is an added benefit of releasing the scar and allowing your own blood to help form collagen.

When this release is performed  at multiple layers of the skin, and the deep dermal or subcutaneous layers have a filler added, there is a synergistic effect. The results that one would usually see after 2 to 3 fractional CO2 Laser treatments, can be obtained after only one treatment with CO2, Subcision, and Filler. I hope this information helps. M.Lyons,MD

There are many different treatments for acne scarring, some more effective than others. The treatment(s) used typically depends on the type of acne scarring being treated.  I genuinely think lasers are overrated for acne scarring. Subcision gives mediocre results at best and is often not necessary.  Most types of acne scars can be corrected with injectable fillers, electrosurgery and punch excision.  Click on the link below to review before and after photos of acne scars treated mostly with injectable filler (silicone) and some electrosurgery. 

Treating acne scars is always going to be a "work in progress".  What ever treatment you settle on, you will need multiple treatments to see appreciable results.  Fraxel laser for acne scars is usually going to require 3-6 treatments.  I am assuming that you mean a CO2 fractionated laser as the alternative.  The results will come faster with that laser at the cost of greater down time.  Still, I would expect more than one treatment to be necessary.  I hope that is helpful.  Good luck.