Laser Genesis and Microdermabrasion for Acne Scars Failed

I've had 7 Microdermabrasion treatments with Laser Genesis over a series of months recently, and my skin still is sunken in from cystic acne scars.I have done a plethora of other treatments through the years as well to no avail. My skin looks the same as it always did after years of all these treatments. Is there any hope left?

Doctor Answers 3

Laser Genesis and Microdermabrasion for Acne Scars Failed

Although Genesis can assist with scarring in some instances, if your scars are deeper you will most likely need to have a more aggressive treatment. We typically use Fraxel Dual in our office. It helps to exfoliate the top layers of the skin to make it more smooth but underneath the skin, it lays down heat that stimulates your skin to grow more collagen. This type of treatment will provide more results for your specific need. If there is deeper pitting, then you may even be more of a candidate for more ablative treatment. Also in-between treatments using prescription retinols, mineral based sun protection and barrier repair will also assist in making for best results.

Houston Plastic Surgeon
4.8 out of 5 stars 109 reviews

Treatment of sunken in skin and acne scars

Without looking at your skin, I am not sure that I can give you the correct advice, but I'll try.

You state that your skin is sunken in as a result of cystic acne.

If large areas (1 cm or more) are sunken in, you may need a subcision, to separate the adhesions between the skin and the subcutaneous fat.

Following this, if you have deep boxcar scars (1-4 mm), they can be elevated by using a biopsy punch and then sutured at a higher level (Punch elevation).

For ice pick scars, Chemical Reduction Of Scars (CROS) is very effective

You may need one or more of the above procedures before getting a Laser Resurfacing. Most patients prefer a series of 2 to 5 treatments with the new, Fractionated CO2 lasers (Minimal downtime -2-3 days- due to mild scabbing that can be covered with makeup) to the traditional CO2 Laser Resurfacing (7-9 days downtime, no makeup allowed. In addition to greatly improving the scars, the Fractionated (but not the traditional) Laser resurfacing may help you also with the enlarged pores.

Eugene Mandrea, MD
Chicago Dermatologist
4.6 out of 5 stars 5 reviews

Laser Genesis

Acne scars need a bigger gun than that.  You need Fractional.  Pearl Fractional, CO2 fractional, and eMatrix are all good and depend on your skin color for settings.

Vivek Bansal, MD
Danville Plastic Surgeon
4.9 out of 5 stars 26 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.