Minor scarring - Fraxel 1550, Palomar 1540

I hear some complain of permanent holes and grid patterns following fraxel and palomar procedures. May it be on account of too high settings?I have some minor scarring ( not acne),thin skin. Is laser on low parameters safe and effective for me? Thank you.

Doctor Answers 5

Minor scarring - Fraxel 1550, Palomar 1540

Usually patients with oily skin are more prone to scarring with Fraxel laser treatment. I would advise you to chose experienced provider and share your concerns. Good luck!

Summit Emergency Medicine Physician
5.0 out of 5 stars 45 reviews

Minor scarring - Fraxel 1550, Palomar 1540

Thanks for your query. Mild scarring is normal after fraxel. It takes 2-3 weeks for full healing. You just need to wait for some while. Hope it helps.

All The Best

Ajaya Kashyap, MD
India Plastic Surgeon
4.9 out of 5 stars 163 reviews

Holes and grids are caused by treatment of severely oily skin with ablative fractional lasers.

If you have severe oily skin in addition to your scars, I would put you on istotretinoin (Accutane) for a few week before your treatment to decrease the oil.  If you are not severely oily, there is not much risk of leaving holes or a permanent grid.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon
4.2 out of 5 stars 18 reviews

Fraxel Laser Safe?/Acne Scarring-- Lasers (Fraxel, Co2/Erbium, VIVA, Intensif); Microneedling/PRP, Fillers (Bell

The Fraxel Laser is safe to use. For acne scarring I recommend a combination approach. You may need a combination approach with lasers, TCA cross, peels/skin care. I suggest a formal consultation with an acne scarring expert.   Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 191 reviews


The Fraxel Dual device is one of the safest lasers I offer in my clinic. It first came out in 2004 and has over 10 years of good data supporting. Just see an experienced provider. 

Shaun Patel, MD
Miami Physician
5.0 out of 5 stars 55 reviews

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.