Which Fraxel Laser is best to treat post inflammatory hyperpigmented marks from picking at acne ?

Doctor Answers 6

Fraxel DUAL for Acne Scars

That's a great question.Both traditional Fraxel and Fraxel DUAL can give you the results you want. Fraxel DUAL uses 2 distinct wavelengths to treat a wider breadth of skincare issues — namely pigmentation and texture irregularities. These types of scars can be tricky to treat with other lasers, but in my experience both Fraxel and Fraxel DUAL can create impressive results. As always, an in-person consultation with a board-certified dermatologist is the best way to get the most effective care. Good luck to you!


San Diego Dermatologist
5.0 out of 5 stars 2 reviews

Lasers for Pigmentation and scars

The Fraxel laser is the gold standard for treating acne scars and hyperpigmentation.  The pigmentation from scars may also be treated with topical bleaching creams and chemical peels.  It is best to consult a board certified dermatologist with expertise with Fraxel and other cosmetic treatments.

Which Fraxel Laser is best to treat post inflammatory hyperpigmented marks from picking at acne

If the active acne and the "picking" has resolved, then pigmented acne scars can be treated by light chemical peels (done under the supervision of a board-certified dermatologist knowledgeable in skin pigmentation issues), Nd: Yag laser, Fraxel® laser, or a combination of any 2 or all 3 may be most appropriate. Please consult a board certified aesthetic dermatologist for a consultation. 

Manjula Jegasothy, MD
Miami Dermatologist
5.0 out of 5 stars 8 reviews

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The Fraxel Dual Laser is good. I also like the PicoSure laser to do this treatment.

Post inflammatory hyperpigmentation following acne is sometime difficult to remove.  The Fraxel Dual and the PicoSure or Q-Swtiched alexandrite lasers can work well for this problem.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon
4.1 out of 5 stars 17 reviews

Fraxel DUAL 1927/1550

The Fraxel DUAL laser would offer the best overall treatment for your concern.  As the name implies the Fraxel DUAL laser offer two different wavelengths.  The 1927 wavelength is the best for treating hyperpigmentation concerns.  And if you have any concerns with acne scarring then the 1550 wavelength will do a great job at softening unwanted texture in the skin.  The Fraxel DUAL is safe for all skin types and usually a combination of wavelength treatments works best. Patients often experience optimal results with a series of 4-6 treatments. 

Seek treatment by an experienced board-certified facial plastic surgeon, general plastic surgeon, or dermatologist.

William Numa, MD, FACS
Boston Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Hyper-Pigmentation Fraxel / Fractora

We have extensive experience with several lasers and other technologies in our office including the Fraxel, Clear and Brilliant and also Sciton and Fractora. I believe the Fractora would be the best of all the above but the decision needs to be made in person after you have had a complete evaluation by your Facial Plastic Surgeon and also once you see all the "in-office" *  before and after pictures of each modality and pick the one you like the best and that suits your life style with regards to available downtime, sun exposure and past medical history.* Many patients allow use of their photos "in-office" but hesitate to be on websites. The Fractora is also "color blind" that means it can be used for dark skins too unlike many lasers.  

Anna Petropoulos, MD, FRCS
Boston Facial Plastic Surgeon
4.6 out of 5 stars 19 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.