What is the Best Laser to Use on Acne Scars (Pitted) on Light Olive, Hispanic Skin?

Doctor Answers 10

Spectra Laser Peel for Acne Scars

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Spectra Laser Peel is a safe, gentle, and effective minimally ablative 1064 wavelength laser peel that we have found to be very helpful for acne and acne scars, especially in patients with medium complexions who are more susceptible to post-inflammatory hyperpigmentation.  

Expect 1-2 days of downtime, if any.  3 - 5 treatments or more are usually recommended.  Good luck.

Las Vegas Dermatologist
4.3 out of 5 stars 9 reviews

Acne scars, lasers

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Fractional and profractional lasers work for shallow scars. If your scars have other components, other lasers may need to be used

Barry Lycka, MD - Account Suspended
Edmonton Dermatologic Surgeon

Fractional ablative laser should work well for your scars

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Fractional ablative laser should work well for your scars.

A CO2, Erbium-YAG, or YSGG laser could produce a good result.

My experience treating people like you with the YSGG [Cutera Pearl Fractional laser] has been good, and there have been no problems with pigmentation after treatment.

Regardless of which fractional ablative laser you are treated with, you should protect your skin from the sun for a month before treatment, and for about two - three months after treatment.

Kevin C. Smith, MD
Niagara Falls Dermatologic Surgeon


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For acne scars we have a few options for you. We have Profractional laser treatment and micro laser peel. If you are looking for wow results you can also do a mini face lift. Its sounds a little extreme but if you think about it, It is stretching your skin and helping with the deep scars that the laser’s do not touch.


Stuart B. Kincaid, MD, FACS (in memoriam)
Beverly Hills Plastic Surgeon

EMatrix: Less Invasive than Fraxel or CO2 for Skin Resurfacing

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Unfortunately, bouts of teen or adult acne leave a lasting legacy – open pores, pitting, discoloration and deep scars.  However, thanks to science and modern medicine, there are permanent fixes that can produce significantly softer, smoother and younger looking skin.  Danik Surgical & MedSpa sees many Hispanic patients with skin tones ranging from light olive to dark coffee, and eMatrix Sublative Skin Rejuvenation is one of our most popular procedures.  We have seen our greatest success using this non-photo-sensitive technique that is very effective on darker complexions, as opposed to light-based procedures such as Fraxel.

Here’s how eMatrix works:  fractional bi-polar, radio-frequency energy is directed at very specific problem areas.  The micro beams direct columns of energy into the affected area, destroying the deeper tissues of the dermis while leaving the upper epidermis untouched. The healing that follows via the stimulation of collagen production results in new, more evenly pigmented skin that looks brighter and suppler, while feeling dramatically softer and smoother. Better yet, patients start seeing results immediately. Typically, three treatments at four- to six-week intervals are prescribed, and the cost is modest relative to the excellent results you can expect.

Hal Michael Bass, MD
Miami Plastic Surgeon

Best Laser for acne scar treatment in darker skin types

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Given your skin type, you want to avoid aggressive resurfacing treatments which include dermabrasion, CO2 lasers of all kinds. Even erbium Yag based lasers can cause probl;ematict loss of pigments. Non CO2 based fractionated Fraxel Restore or Fraxel Dual lasers are safe for your skin type and can effectively improve your situation. A series of treatments is often required and more aggresive laser parameters is often required for acne scar tretament with these lasers.

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
4.6 out of 5 stars 33 reviews

Fractional ablative lasers

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Any fractional laser will improve the scars as long as the treatment is not too aggressive.  My favorite is the Deep Fx, which is a fractionated CO2 laser.  With your skin type, a lighter setting is used to improve the scars, although pitted scars tend to require a few treatments. 

In Good Health

Douglas M. Keel, DO
San Diego Dermatologic Surgeon

Laser for Acne scars

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The best laser  to use for acne scars is the Fraxel laser.  Given your skin typeI would choose the Fraxel restor laser.  This can take several treatments, but will improve it.  The laser works by heating the dermis part of the skin and stimulates your body to make collagen filling in the scars.- Dr. Halem

Monica Halem, MD
New York Dermatologic Surgeon

Acne scars and lasers

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Depending on the depth of your scarring, I would probably recommend an eMatrix series (Sublative) of 3-5 treatments. This laser doesn't have light associated with it, so it can be done on any skin tone. Check out the associated link to find a physician near you that offers this technology. I've used it on a number of patients with acne scarring and had really good results - the bonus is that it has very, very little downtime, unlike other fractional lasers.

Pitted acne scars what is the best treatment

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I think TCA Cross is the best method to treat this. You should be prepared for a long recovery sometimes because of the aggressive nature of this treatment.

Philip Young, MD
Bellevue Facial Plastic Surgeon

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.