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Will Fractora RF help my acne scars? Are there laser treatments that will work for Asians with Fiztpatrick Type IV skin? (Photo)

John.WickipediaJul 27, 2017
I have Fiztpatrick Type IV skin. I want to treat my acne scars and it seems that more ablative treatments are better for deeper boxcar scars. One derm surgeon recommended subcision with 5-6 Fraxel Re:store treatments because of the shorter downtime (4-5 days). A derm PA said that Fractora RF was best because of my Type IV skin and that I was not a good candidate for lasers. Are there any good lasers for my scars and skin type? (Is Fractional CO2 good for me? "1 session [$4k] = 50-70% improved")

Answers (5)

From board-certified doctors and trusted medical professionals
Anil R. Shah, MD profile photo
Dr. Anil R. Shah, MD
Board Certified Facial Plastic Surgeon
4.6 | 374 Reviews
Answered on Nov 9, 2017
Answer
1 person found this helpful
Georges Kaado, MD profile photo
Dr. Georges Kaado, MD
Physician
4.4 | 58 Reviews
Answered on Sep 19, 2017
Answer
Dr. Kristina Tansavatdi, MD
Board Certified Facial Plastic Surgeon
Answered on Aug 27, 2017
Answer
Dr. Richard E. Moore, MD
Physician
Answered on Aug 7, 2017
Answer
Dr. Davin Lim, MBBS, FACD - Account Suspended
Specialist Dermatologist
Answered on Sep 27, 2017
Answer
1 person found this helpful

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Richard E. Moore, MD

Thank you for your question. Fractora is a radio-frequency (RF) micro-needling device that puts the energy deeper into the dermis and sub-dermis of the skin. It is best for improving acne scars, skin tightening, and wrinkle reduction. Forma is an RF device used to heat the skin from the surface...

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Jason Emer, MD

"Injecting soft fillers like Belotero in this area can reduce lines, wrinkles and folds as well as improve skin texture with long-term collagen production. Fillers are being used more frequently to contour and lift rather than solely line fill. Of course, fillers are best used in combination...

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Mario J. Imola, MD, DDS

The first thing I would do when evaluating your scarring is to address the type of scarring you have.  Ice pick scarring is not going to show much if any change after treatment.  Rolling scars on the other hand can be softened with the FractoraRF.  However, you might need to talk to someone wh...

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Richard E. Moore, MD

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Steven F. Weiner, MD

Of all the microneedling RF devices, I think this is the most risky. If the footplate is not flush with the skin or there is fluid between the handpiece and the skin, there is a chance for arcing and burn. I would start retin a and hydroquinone. Possibly PRP as well.

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Joseph Cerni, DO

Fractora is a great treatment for under the eyes. I typically use the 60 tip in this area, which is great for superficial lines. As others have stated, a series of treatments is recommended (usually 3 treatments-but depends on severity of lines) and it is best to...

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