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:

Choose from 1 to 5 stars
January 28, 2009
please dont do this . i used to be handsome man but had few scars . i have decied to try laser . after one month i really want to kill my self and the doctor did this to me i wish i could rewind the time .
April 24, 2008

Pros:

My first fraxel treatment my skin looked wonderful. So I decided to have a second treatment and what a nightmare,after the swelling and the redness went away my skin turned this horrible color and I look like Howdy doody with alot of brown spots.

What a mistake I made
November 3, 2007

Pros:

Helped my acne scarring. Fine lines better much gone. SKin kinda glows and looks alittle tighter.

Cons:

I break out in cold sores once or twice a yr., I was not warned that this procedure contains acid materials that will cause cold sores to break out. With some kind of warning, I would have taken acyclovin before hand. Peeled ALOT for 4-7 days.

I'm 44 yrs. old women that hated my acne scars on my chin for the last 25 years. I've only done once treatment and I can honestly say I do see an improvement. Two 2 weeks ago I went in for my first treatment. They offered meds but I needed to show that I had a driver to take me home. So, I told them no meds and slipped a vicodin on my way to the clinic. I live very close. The drive home was not unsafe. The treatment made me feel as though my face was on fire for 24 hrs.and then the peeling started! I did the treatment on a Friday afternoon and went into work on Monday..I pretty much look like a freak all week-peeling ALOT! My co-workers never said a thing. I kept this a secret but I bet they noticed! ugh! I was so self-conscience! PLUS I had a horrible cold sore to add! Today is exactly 2 weeks and I'm still a little red. My scars seem a tiny bit smoother. I have a 8X mirror that seems to be brutaly honest. My skin is kinda tight & glowy and my fine lines seem GO
October 7, 2008

Pros:

Saw immediate reduction of pores on 2nd treatment, 1st got rid of brown sun spots on face and chin. Skin has less congestion. Large brown spot on face has not come back.

Cons:

Hurts, but the results are worth it. 1st treatment, I was swollen for 3 days. Less the next treatments. Must use sunscreen on a daily basis in a sunny climate and I have olive skin that never used to burn.

Make sure a Board Certified M.D. performs the procedure, not a medi-spa. M.D.s have a lot of follow-up. I have gone to this M.D. many times in the last 20 years. Products given to me to use were great in moisturizing and helping skin heal.
October 3, 2011

Pros:

At this stage, after 8th day, none.

Cons:

Pain, swelling, terrible cold sores, Not enough info on side effects, pushing for more spending,

So far I see some grooves on my skin I did not have before, my face is still bit swollen and red. Sun spot did not fade, and few acne spots appeared. I am not impressed and upset that cold sores might leave scars? Very expensive, and pressure on more purchases made me feel used for money with empty promises and no improvements.
June 10, 2009

Pros:

--

Cons:

painful time consuming costly

never improved, felt ugly before and after
January 1, 2009

Pros:

the cost of this treatment in my country !

i have just afew acne scars and i wish i didnt do that . it left me with marks after 2 days . and still have a redness in place . but my pores have improved by 80 % . my freind had similar problem and it was really good for him . it depends on your skin and its diffrent for each person . its just a risk i recomend not take it .
November 2, 2008

Pros:

i have only had one so im not to sure yet

Cons:

it hurt really bad. My skin was red and super hot afterwards. I was really swollen and my lower part of my face blisted and oozed a liquid.

im not sure if the price and pain is worth it and all this swelling and blistering stuff is making me nervous but im going back in about 3 weeks so well see
January 7, 2009

Pros:

.

Cons:

.

I had Fraxel Laser yesterday. My skin looks so red but I can see it was good for my skin. Today when I woke up and during the day I got many acne "very small" but I got many in my face and I would like to know if it is normal or not??? How many days will my face keep red like now??? Thanks
May 3, 2011

Pros:

none

Cons:

Months of redness
My skin has become VERY SENSITIVE
Acne is back

This is my experience with fractional co2 laser (power 30W), I had the treatment in October (4 days with crusting 3 of peeling then redness), now it's May, and my skin is not completely healed... it's still a pink but the worst thing is that my skin has become VERY VERY sensitive, I can't use BP anymore cause my face literally burn (and my acne is coming back!! In the past I could put almost everything on it without any problem and now it's the opposite, I wouldn't do it again... maybe my scars (boxcar) are a little bit improved (5-10%??) but the price to pay is too high, 3-4 months of redness (maybe my treatment was to harsh but the doc told me 5-7 days of redness NOT months!!!!) I DO NOT recommend this laser at ALL!!

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.