Halo laser for acne scars?

I find that the best results come from combination therapy.  I use some/ all of the following treatments:RF microneedling, subcision with PRP, HALO, Fractional CO2, and bellafill for filling.I customize this for each patient depending on the scar type and skin type.  If you are darker skin toned, you might be better served with RF microneedling as a mainstay of treatment.

Thank you for your question.  On darker skin types we prefer the use of RF microneedling.   Halo can be done, but it's difficult to treat darker skin types with aggressive settings so you need to do it many times.   Best of luck to you. 

halo + pro fractional is great for deeper scars and can be combined with TCA cross and fillers. you really need a formal evaluation.  numerous laser treatments are needed for the best results with scars.
Acne scar treatment needs a combination approach for improvement.  For the best results, one should target the acne scar type.  As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision.  Subcision for depressed tethered scars.  Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif or fractora microneedling RF for textural issues and superficial scarring.  Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision.  All lasers are combined with microneedling and PRP to get even better results and improve healing times.   The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician.  It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome.  Scars cannot be cured and will need life-long treatments to maintain and build on the results.  For those at high risk for hyperpigmentation (darker skin types or asian or hispanic or mixed ethnicities) we alreayd pre-treat the skin with cosmelan or enlighten lightening peels to prevent complications from energy-based or chemical-based treatments.  Best, Dr. Emer. 

Thanks for posting. HALO would not be a go to laser for acne scarring. It can help with some texture issues, but it was designed for sun damage and skin discoloration. The pro fractional laser (as made by Sciton) is safe on darker skin tones and can be useful with acne scarring. Best of luck, Dr. M

Acne scarring was one of the few areas where we still performed dermabrasion in recent years (the other was scar treatment).  Our experience with the CO2 lasers for acne scarring was not as positive primarily because we couldn't focus on the individual anatomy. Acne scars are deep and one must treat deeply to effect them.  Halo can help with overall skin tone and superficial texture.  Profractional is our "go to" laser for acne now and we have ceased doing dermabrasion for acne.  Profractional is sometimes combined with Halo or bipolar radiofrequency needling (Profound in our center).  It is important to consult with someone who has experience with multiple devices and skin types so you can get the best recommendation.

The Halo laser is safer for dark skin types but the the best thing is to have an in office evaluation with a laser expert to discuss expectations and treatment plan. Treatments for acne scarring normally takes more than one treatment. 

Best is to post some photos. Fractional lasers (like profractional) and hybrid fractional lasers (like halo) can be used for acne scarring but cause some epidermal injury which may not be best in patients with darker skin color as a side effect may be hyperpigmentation. I prefer microneedle radiofrequency devices in patients with acne scarring and especially in darker skin acne patients as there is minimal to no epidermal injury. The newest of the microneedle rf devices is the lutronic genius and has some nice upgrades to previous devices. Many offices have limited devices and dont have experience with multiple devices and will try to sell you what they have. Do your homework as hyperpigmentation is sometimes not easy to treat. We have all of these devices and pick and choose technology based on patients problems

HALO can help with mild and early scarring. The downside of HALO is the depth of the ablative component of the laser. As a guide using the PROFRACTIONAL laser, erbium goes to 1500 microns, or 15 times the depth of HALO. This however is not the argument, as acne scars should be treated based upon the clinical findings, and not just laser itself - video attached explains. All the best, Dr Davin S. Lim. Brisbane. Australia.