Is Fraxel Dual worth it for acne scarring?

Question

I did a series of three fraxel dual lasers each a month apart, the original plan was to do six treatments. I have rolling and boxcar acne scarring. After three treatments I haven’t seen even a slight improvement anywhere on my face. If anything I feel my pores are exaggerated and skin isn’t as soft as prior. Should I attempt to continue with another three sessions or does it seem like I am wasting my time with these treatments? I went to a dermatology practice for the treatments not a medspa

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

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