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

Question

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.

Raffy Karamanoukian, MD, FACS · Answer

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

Jason Emer, MD · Answer

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.

Monika Soni, MD · Answer

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!

Hardik Soni, MD · Answer

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!

Michele S. Green, MD · Answer

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

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

Answers (8)

Answer: Fraxel and scars

Answer: Fraxel and scars

Answer: Combination of lasers

Answer: Combination of lasers

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

Answers (8)

Answer: Fraxel and scars

Answer: Fraxel and scars

Answer: Combination of lasers

Answer: Combination of lasers

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Recommended reading

Everything you need to know about Fraxel Laser

Our mission is to create a world where every investment in modern beauty is Worth It.