Fraxel 1550 or profractional laser for acne scars? Rolling scars and box car scars.

I was wondering which laser would treat acne scars better. I have been to two different consults and I'm wondering which on would be better. They both also want to combine a vbeam or bbl laser too for my redness. Any input would be great.

Doctor Answers 6

A single combination treatment for rolling acne scars works better than Fraxel 1550 or Sciton Profractional Laser alone.

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A single combination treatment of rolling acne scars with tumescent anesthesia, extensive subcision (using a new surgical instrument) and Fraxel Repair Laser works better than Fraxel 1550 or Sciton Profractional Lasers alone.

Salt Lake City Dermatologic Surgeon
4.2 out of 5 stars 18 reviews

Fraxel and scars

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It is hard to give you precise opinion without pictures provided. Patients usually have different types of scars therefore combination of treatments works the best. I prefer Fraxel laser in combination with chemical peels, microneedling, microdermabrasion, fillers, etc. Make an appointment to get personal treatment by an expert. Good luck!

Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

Never about the laser, always about the method for acne scars

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Its always matching the best METHOD for acne scar revision. Most patients will have multiple scar types including box car, ice pick, atrophic, hypertrophic, rolling acne scars etc... treatments will depend on the scar type, skin type and downtime. See video for a full explanation of acne scar revision conducted at a specialist level. All the very best, Dr Davin Lim. Brisbane. Australia. 

Combination of lasers

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V-Beam laser for redness and Fraxel or eMatrix for these scars combined with PRP and microneedling would be the best treatment.  I agree that a combination approach works best.  Please consult a board certified dermatologist with expertise with lasers.  Best, Dr. Green

The Best Approach Would Be a Combination Approach--Acne Scars Treatment with lasers, microneedling/prp and fillers

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A combination approach is needed for best results including: surgery, subcision, fillers like Bellafill, Sculptra or Radiesse for broad "boxcar" or "rolling" scars, microneedling/prp and lasers. I recommend getting a formal consultation with an acne scarring expert. Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Which laser for acne scars?

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Of the 2 lasers you pick, profractional is ablative and probably better. I agree with treating reds with another laser. I would also research the Infini for acne scars. There would be less downtime and better results in my opinion.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.9 out of 5 stars 75 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.