After 3 courses of Accutane over a decade ago, I had 2 Fraxel restore treatments at the highest intensity. One month after the second treatment, I notice tiny pits all over my skin where the lasers were, which gives it a bumpy texture. My pores have shrunk minimally, but my scars almost seem deeper after the treatments.
I've noticed that my skin heals much more slowly after the Accutane treatments. My guess is that because of the drugs I've taken in the past, my skin does not respond to Fraxel laser trauma by healing itself. It just gets further damaged.
I'm going to visit my doctor before having a third treatment, because I read someone else's review stating that Fraxel after multiple Accutane courses also left them with damage.