First let me say how sorry I am that you are having this difficulty. Frankly, I am not much of a fan of lasers, IPL, as well as a number of other energy-based devices, having been disappointed with the results of these treatments. Unfortunately, to date, there seems to be a great deal more manufacturer-based hype than hard science behind many of the devices currrently out there, including the fraxel lasers.Since no photo has been provided, I can only state in general terms that medical microneedling (aka skin needling, dermal rolling, fractional microperforation therapy) has proven (over the more than ten years of my experience with this method) to be a reliable technique for improving surface textural irregularities, uneven skin pigmentation, as well as all kinds of atrophic scars, including stitch tracks. In general, a relatively inexpensive series of two to four treatments spaced at four to six week intervals helps to smooth skin and promote new, native collagen synthesis (neocollagenesis). Medical microneedle therapy may be done with a manual or a motor-driven device. Consultation with a core aesthetic physician with experience.A series of chemical peels and manual dermabrasion are of course other tried and true approaches to improving textural problems that have stood the test of time. You would be well advised to seek consultation and treatment by a board certified aesthetic physician with expertise and experience with all available treatments for skin surface irregularities.
