What is the best acne scar treatment for my particular scars? What cost range should I expect?

Doctor Answers 4

Fraxel

Fraxel is a laser skin rejuvenation treatment that resurfaces your outer skin, erasing imperfections. It also encourages the production of collagen, a protein found in connective tissue.The result is clearly visible lines, folds and wrinkles. Fraxel laser skin rejuvenation is a non-invasive technique that affects only about 20 percent of the facial skin exposed to it. The most common side effects of Fraxel laser treatment are swelling and skin redness, which should subside within a couple of days. Other temporary side effects may include minor itching, dry skin, peeling or flaking, and a bronzed skin appearance. The risk of infection or scarring is very limited. You should stay out of the sun 2-4 weeks.


New York Facial Plastic Surgeon
4.6 out of 5 stars 87 reviews

Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen

You need a cosmetic dermatologist who specializes in acne scarring/pigmentation and does a combination of treatments including: surgery, subcision, or TCA cross for deep or pitted "ice pick" scars; fillers like Bellafill or Sculptra or Radiesse for broad "boxcar" or "rolling" scars; Eclipse Micropen for all types of scars and improvement in texture and tone; lasers such as co2 laser resurfacing or Fraxel/Clear+Brilliant or radiofrequency such as Venus Viva to improve the scars and give long term collagen production. There are many options but you want someone who can customize a regimen for your short and long term goals based on your individual situation. Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 167 reviews

Rolling or Boxcar type acne scars can be best improved with fractionated resurfacing

You do not have ice-pick scars, but more subtle scars called rolling or boxcar-type scars.  I find the best results using fractionated resurfacing in a series of several treatments.  Best results are found with more than 3 treatments, because with fractionated resurfacing only a portion of the scar is actually treated.  That being said, our laser settings are such that the downtime isn't as significant as the sort of resurfacing we utilize in wrinkle-reduction rejuvenation with the CO2 laser.  

Good luck!

Michael Howard Swann, MD
Springfield Dermatologic Surgeon
5.0 out of 5 stars 12 reviews

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Best Acne

The best acne scar treatments depends on the type of scars that you have and your skin type.  eMatrix and Fraxel are two of the best lasers out there.  Please consult a board certified dermatologist with expertise with these lasers.  Best, Dr. Green

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.