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

Acne scars are usually characterized within the subtypes of atrophic, hypertrophic, pigmented, or inflammatory. These subtypes of acne scars can be visually discerning in ambient light and can cause significant cosmetic concerns. Indented and atrophic scars require a combination approach to stimulate collagen and elastin, thereby smoothing contour and uneven skin. These are usually combined with lasers and depigmentation protocols to reduce inflammatory hyperpigmentation (Melarase AM and Melarase PM). Our Hidef protocols for acne scars include fillers such as Sculptra, Juvederm, Radiesse, and Restylane to improve deep acne scars; Vascular lasers to reduce inflammation and post-inflammatory redness and erythema; Fractional lasers to smooth contour and collagen; and Fractional RF to stimulate production of collagen within atrophic scars. Textural improvement and superficial scarring can be improved with Cosmelan peels, TCA Cross for ice-pick scars, deep chemical peels, and fractional CO2. We offer a personalized approach to your combination of scars and a formal evaluation with consultation is recommended to help you achieve your final results. Our plastic surgery office offers subcision and combination TCA Cross to help reduce deeply pitted scars. In terms of pigmentation and skin resonance, we recommend daily use of Melarase AM and Melarase PM coupled with Retinoid creams to achieve brilliant skin.

Best,
Dr. Raffy Karamanoukian
Realself100 Surgeon

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.

Thank you for your question! 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. Best of luck!