Good or Excellent Response
44%
Based on All Available Studies
Strength of Evidence
1
2
3
4
5
Moderate Response
82%
Based on All Available Studies
Strength of Evidence
1
2
3
4
5
Side Effects
Medium-High
How to Get It
Have a dermatologist or plastic surgeon? Make an appointment to get this procedure done. Don't have a dermatologist or a plastic surgeon? See The American Academy of Dermatology Physician Database to find a dermatologist or the American Society of Plastic Surgeons to find a plastic surgeon.
Read All About Ablative Fractional Lasers
Compare To Other Treatments
5
16.1%
4
22.3%
3
20.5%
2
8%
1
33%

Used Ablative Fractional Lasers? Rate It:

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March 8, 2008

Pros:

ACTIVE FX AND DEEP ACTIVE FX
Very little down time. Face looks great 3 days post. Price was good.

Cons:

Very bad sun burn feeling afterward. This last about 3 hrs stay in front of a fan. Itch face you can not scratch.

I would do this again.The pain was not bad on Deep fx but on Active fx it was pretty bad. I am healing good day 3 now skin color comeing back still alittle puffy. BOTTOM LINE IF YOU HAVE DEEP ANCE SCARS DO IT!!!!!!!!!!!!!!!!
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May 4, 2008

Pros:

Your apparence improves 10 fold

Cons:

Downtime, itch, dry skin.

On my first 2 treatments I followed the instructions for after care to the T....alas! expensive after care did not work, on my third one I was itching so bad I could not take it anymore and went to the pharmacy and bought a cheap remedy...I was able to go thru the 5 treatments after that......trick? olive oil for the dry skin (over and over after treatment and for the next 3 days; I went Fridays and resumed work on Monday nearly normal) take an antihistamine immediately after treatments.......cool your skin with either cold compresses or just a bag of frozen peas wrapped on a thin film..and keep the olive oil on and on........the antihistamine and ice will keep the swelling to a reasonable look, if you must, do it again the next 2 days.
December 14, 2007

Pros:

Really works; I tried Coolaser after having done everything ( including other lasers) Coolaser really really worked...I have no more scars. I do not get acne anymore either.

Cons:

it is a bit pricy but well worth it.

DO not do any other treatment...trust me I have paid over 20, 000 dollars over the years and got NO result,...Until I tried coolaser I know it sounds like an infomercial but I want to scream this from the top of the world to everyone. Just do it , and get rid of the acne and the acne scars for life while you are young...here is their website: [link removed]
August 28, 2009

Pros:

a bit resurfaced the skin, scarring is not as deep as before. pain is tolerable, as if you are just dumped in a pail full of friendly ants.

Cons:

very expensive, seeing your face swollen like that makes you anxious that it wouldn't come back to normal but after 4 days, it did came back to its original shape.

My Dr. said my scars are too deep, I could clearly see the twilight of the laser even my eyes were shut. I was thinking of an injured face after the treatment because I cannot believe a hightech laser is brushing my sensitive skin. My Dr. is talking to me while doing the treatment but I kept my mouth shut, couldn't afford to mumble a word, worried that the laser might accidentally slipped on my lips or my eyes so I just hmmm'd at what she's talking about. After the numerous passing, the Dr flashed a mirror right onto my face and commented "umangat sya oh"... and to my relief, it really did. Today is my 5th day after my 1st treatment and I haven't went outside to get a sunlight but still I am satisfied. It was a surprise to me reading here that the collagen will continue to rebuild 6 months after the treatment. My Dr didn't told me about that. Can anybody explain it briefly to me? Please send your ideas about that through my e-mail, lagreta168@[link removed] THANK YOU VERY MUCH
September 2, 2008

Pros:

Can't think of any at the moment

Cons:

Pain, expensive, itching, discoloration, sensitive skin, and swelling.

I have had moderate acne throughout my late teens which has left me with scaring now in my 30's. I have always wanted to improve my scars. When I heard about fraxel I was excited there was room for improvement. I have had my first treatment about 3 weeks ago. The first 3 days I had swollen up severely and had the appearance of extremely bad sunburn. It has now been 3 weeks later; I haven't noticed any improvements to my skin. I feel my skin is now more sensitive than ever. I seem to have a pinkish tone rather than an olive tone, which is my natural color. I was out in the sun yesterday for only about 4 hours and now have moderate sunburn. I had never been this sensitive in the sun before. I'm also feeling very dry and itchy all the time. I hope this one treatment has not damage my skin long-term. With all the discomfort and expenses I would not recommend this treatment. Please consider this posting before going through with the treatment; I would hate to see someone share the regret.
November 23, 2007

Pros:

none

Cons:

Skin looked worse afterwards with more scarring on cheeks that wasn't there before. Downtime was 10 days with intense swelling for 3 days.

It has been 3 weeks since first treatment and once swelling completely healed my face looks much worse than before. I have orange peel skin everywhere and new poc marks on my cheeks that were smooth before. I did it for pigmentation from the sun and now I have little scars everywhere. I am outraged and wonder that they went too high but of course they deny and are unaccountable. I went to a dermatologist also and he has become defensive and in denial.
September 2, 2007

Pros:

Made my skin smoother, helped with sun damage, and fine lines

Cons:

I looked like a monster for about 3 or 4 days! It also hurt very bad at time of procedure

I am really confused! I know I live in small town Iowa, and I expect to pay a little less for these types of things, but come on! I am from Newport Beach Calif. so you can imagine how much I was expecting to pay for my deep erbrium laser resurfacing. To my complete surprise, it was only $300.00!!! The place I went to in Burlington Ia. was fantastic! They are up to date on everything and I was treated like a queen! Why is everyone else getting riped off? Think about it before you decide to spend thousands for the same thing I had done. I am due for my second of three treatments this month. Even though it hurts more than I thought, it was worth it. The results were extra good when I used PCA Skin phaze 16 cream after. Any questions you can email me at caligrl1113@[link removed]
September 2, 2007

Pros:

I had the Active Fx laser done in Feb. I recieved the treatment free. My derm was testing the laser to see if she wanted to but it. Its been 6 months and as time goes by I see more and more improvement.

Cons:

It hurts really bad afterwards!

Definitely worth it!
August 31, 2007

Pros:

It seems to have certain advantages over the older lasers, you're not left with an open wound, etc. I have had 4 so far (actually just had the 4th done 3 days ago still looks really red) I have tree to go, the results are progressive so it will take

Cons:

The cost, redness after treatment.

U have to pick the best treatment for your skin, not eveyone will have a wonderful outcome...I know it sucks, but it is true
February 13, 2007

Pros:

see some in provment

Cons:

had to take a week off of work

FEB. 3 2007 I had co2 lazer treatment. dont know what kind he said it was a 6000 dollar treatment i payed 2500. was in formed 1 of these treatment to remove scaring. had high expections. little inprovement. now was informend it will look alot better not gone want to do a second treatment i wished doctors would have to state only the facts. sever redness and burning

Finding a Doctor

The right dermatologist can make a big difference to your patient experience and the success of your acne treatment plan. Here are the steps to find a dermatologist who is a good fit:

  1. Use the search feature on the American Academy of Dermatology website to look for board-certified dermatologists in your area, and filter the search results for doctors with a special interest in treating acne.
  2. Read online patient reviews of any dermatologists you are considering and ask people you know whether they have any experience with these dermatologists.
  3. Do your research and go to your first appointment with questions prepared.
  4. Listen to what your gut feeling tells you once you see a dermatologist in person. If you are not completely comfortable, try a different dermatologist.

Finding a Doctor

Only a select few plastic surgeons specialize in acne scar revision surgery. Be certain to find a provider who specializes in acne scar repair and who is passionate and experienced in this area.

Be sure to:

  • Look at before and after photos, the more the better, especially patients with similar scarring to your own.
  • Be realistic about results. Look for improvement, not a cure.

Questions to ask a potential scar revision specialist:

  • Are you board certified? Be certain that they are board certified.
  • How long have you been performing these procedures? Normally, the more experience the better, however, some younger surgeons may be more on top of the latest procedures.
  • Can I speak to some of your other patients? Ask for references for several patients who had similar scarring and speak to them about the process and their satisfaction with results.

Red flags:

  • Their story changes: As you discuss different treatment options, if they tend to change their mind easily, or agree with whatever you say, consider this a red flag. A confident, experienced surgeon will possess strong, unwavering opinions.
  • Your gut tells you "no": Trust your gut. If you just don't feel that the doctor is the right fit, trust that and move on. On the other hand, if you feel they are the perfect specialist for you, trust that feeling.