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
March 3, 2009

Pros:

It's only been a week, very happy so far! I didn't take any anti-inflammatory meds on purpose. Swollen for 4 days, every AM eyes swollen shut, but that resolved after drinking and a few hours up.

Cons:

NOT for dark skin. Expect to not look presentable for almost a week. Don't take anti-inflammatory drugs, aspirin, advil, motrin, steriods, etc.before or after.No help for headache! Try to stay indoors, moisturize,sunblock, do not scratch.

Very happy w/ 1st treatment. Think my face different than most. I'm 39, hardly ever in sun. Tons blotchy freckles,some green + some Rosacea. Pores so large, small amounts makeup look caked. Cheeks w/white-puffy scars+cottage-cheese skin texture, no clue?(Had mild/mod acne,BUTusually NOT that area) After 1 treat: 4 days dry/swollen/itchy.Looked like Miss Piggy or the Mumps) Daily small puss filled pimples, mostly on chin, popped, neosporin applied. (Think were future pimples on the way) Day 5, rubbed about half of the freckles off w/ dead skin ! White puffy scars look half as noticable. Day 6, cottage-cheese skin almost looks normal and smooth! Don't have any eye wrinkles... so, no info there. 4 forehead wrinkles & laugh lines about the same.Hoping next 3 treatments will help + , remove the remaining freckles + totally fix cottage cheese area. VERY HAPPY - BUT: no life all week - feel run-down, tired. 4 days skin looked scary, super itchy. $2600 sale price 4 treatmen
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February 19, 2009

Pros:

my treatment was for fine lines(from sun worshipping) and I couldn't believe how great the finally results were although I noticed improvement immediately (after a week)but my face got better as time went on..i love it love it love it!!!! 44yrs. old

Cons:

looking like a sun-burned chipmonk on steroids(puffy cheeks and eyes) but thank God that was only for a few days

even though its concidered expensive, I think in the long run, I probably saved money becus I was spending a fortune on expensive cosmetics and so called miracle creams for fine line. This was a sure deal for me and I got three other people loving it.I do it once a year for a fresh up. I used alot of ice on the face the first two days, benadryl for swelling and itchiness and vitamin c and e daily for healing. Sleep w/ your head elevated the first 2 nights for it really does help w/ the swelling. One of my four treatments was intense and I did blister, crack, to put it bluntly I looked God-aweful scary so if you get a very intence treatm't you may want a back up "perscription" ointment. It works like a miracle only wish I knew that at the time. But of course discuss this w/ ur Doctor. Best of luck to all :)
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January 28, 2009

Pros:

Smoother skin, smaller pores, people have noticed! :)

Cons:

Swollen for 2-3 days after treatment, red face like a bad sunburn, skin peels and flakes for about 4-5 days...but not really bad like a chemical peel

I LOVE fraxel...and I plan to go back to get my neck done next. I have had 6 treatments on my face for moderate acne scarring. The swelling is worth the end result. Ice packs will definitely help with swelling and I used neosporin for the flakiness...because it got a little raw around my mouth an chin after a few days...I would put the neosporin on at night. It is expensive but worth it.
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January 7, 2009

Pros:

skin is smoother. furrows gone. pore size minimized. deep pitted acne scars less noticable.

Cons:

i can't really say there are any. compared to the physical and psychological scarring i've lived with my entire life, 2 weeks of redness and scaliness is worth it.thankfully, i did not experience oozing or blistering.

as i approach 50, the skin around my around my mouth,chin and lower cheeks began to sag much to my dismay.because of the severe acne scarring these areas looked worse than they would on a person with smooth skin. i had deep furrows,and pitted skin. i had 4 treatments,and it has taken 10-15 years of my face and the provider only charged me for the area treated, not for the entire face.
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January 7, 2009

Pros:

Excellent Results

Cons:

Pain, end of story. I tend to be a little wimpy anyway but I did find the recovery to be a bit painful. It was short lived - about 3 days of pain and then a few weeks of flaky and redness.

I had a moderate to severe amount of acne scars on my face and tried everything & everything would make me break out then continue the cycle. The fraxel laser is by far a blessing. I have had 6 treatments and I am very happy with the result. My MD told me that 3-4 months after your last fraxel is your final result and I have found that to be true I did see improvement sooner but the final result is awesome.They are not totally gone but way better. My face was swollen beyond belief, it cracked,bruised and bled-I was UGLY for a few days after each treatment but it was worth it. USE ICE, it helps so does the RX burn cream called Silvadene.The best cover up for dry and red Bare Essentials mineral foundaton the minerals actually help it feel better. Have a MD do it, you will get a better result. I had a tech do one and I did not get the same result I did with MD.ztyedi@[link removed] if you want to "talk" more.I am happy to share. Dr. Stewart/Denver Dr. DeLatorre/Fort Collins ROCK the fraxel!
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October 27, 2008

Pros:

Mild pain, little down time, worth the money.

Cons:

None so far.

I just had my first Fraxel treatment 5 days ago. The first 2 days my face was swollen, and I peeled for 2 days. And after 4 days you couldn't tell that I had anything done. It is a great treatment. I have already began to see results. I had moderate acne scarring. And the results are fantastic. My skin is tighter, softer to the touch, and my scars are starting to fade. Love the Fraxel!!
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December 15, 2007

Pros:

90% better

Cons:

none.

Coolaser for ance scars and acne. The best acne and acne scar treatment I have ever done...and I spend a lot on other so called treatments and remedies. 100% recommended
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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]

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.