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.
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.
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.
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