Is Mixto Fractional CO2 Laser Effective for Acne Scars?

Fractional CO2 laser such as Mixto, Total Fx, Fraxel Repair delivers CO2 laser energy via pixelated fashion where effective resurfacing and collagen remodeling can take place with typically one week of downtime. However, moderate to severe acne scarring may benefit from punch excision of ice-pick scarring ahead of time and multiple treatments may be necessary 4-6 months apart for severe acne scarring or for ethnic skin where the energy and penetration of the laser cannot be too aggressive to minimize post-treatment pigmentation.

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Mixtor Fractional Laser and Other Treatments for Deep Acne Scars

As severe acne scars, isolated or generalized, involve a deep scar process that extends to the deep dermis and sometimes even deeper it would be unusual to see dramatic differences after a single Fractional CO2 laser treatment. Realistic expectations are important and one should expect improvment but not total correction with each treatment. In my own experience I have not found a significant difference in results between a Fractional CO2 treatment and the Obagi Blue Peel. Dermabrasion and Ablative lasers including confluent CO2 lasers are more helpful but have the significant increased risk of permanent hypopigmentation and post inflammatory hyperpigmentation. It takes several months to see the full effects of collagen remodelling. Severe isolated acne scars can be improved at times with surgical undermining or even excision by a plastic surgeon.