Does the more you do fraxel laser sessions improve scar with each time?

Question

For linear surgical atrophic scars. Sure, just once would not be enough. But does doing it multiple times keep helping each time? Or does the scar hit a certain point where it can't be improved anymore with laser?

Elliot M. Heller, MD · Answer

Yes.Fraxel laser skin resurfacing tricks your skin into creating new skin to replace the damaged, or targeted areas, resulting in natural skin rejuvenation. It is a safe, non-invasive laser skin treatment without the risks of major side effects or prolonged downtime of other procedures.The Fraxel Laser treats mild to moderate acne scarring, sun spots/damage and fine wrinkles. Many people notice results within a week after their first treatment. Their skin feels smoother, looks less blotchy, and has a glow. Some people notice a difference after one treatment, but the recommended Fraxel treatments are usually done in a set of 3, about 4 weeks apart.

R. Stephen Mulholland, MD (retired) · Answer

Dear eyelid123,

Post surgical scars that are spread, silvery and “atrophic”
in nature can do very well with fractional CO2, fractional radio frequency and
“Fraxel type lasers.”  These fraction or
proportional laser injury devices create small, fractional injuries in to the
scar tissue and force the body to produce more normal collagen elastin and
ground substances.  This fractional laser
treatment improves the texture and appearance of most atrophic surgical
scars.  The same technique is used for
acne scars, natural lines and wrinkles and skin texture in general. Multiple fractional ablative treatments
either Fraxel Infrared type lasers, fractionated carbon dioxide lasers or
fractional radio frequency devices.  I
found a combination of these treatments at the same time will diminish the
number of treatments that are required. 
You are absolutely right that eventually there is the “law” diminish and
returns and subsequent fractioned ablative treatments provide very little scar
improvement.  Other techniques such as
the inner jet, which is jet propulsion injury, as well as sub-dermal heating
techniques can also add to the overall appearance and improvement in surgical
and non-surgical scars.

I have been performing laser aesthetic skin treatments for
over 20 years and have accumulated a large number of lasers that allow us to
create the best possible surgical scar improvements with use of combined
technologies.

I hope this information has been of some assistance.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto

Does the more you do fraxel laser sessions improve scar with each time?

Answers (2)

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