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
February 17, 2009

Pros:

nothing!! PEARL CUTERA

Cons:

I'm on day #5 and my skin is rough and red STILL! I broke out all over my cheeks ( i never broke out there). My skin is the worst it has ever been.

I'm only 23 and I think I have ruined my skin :(. If anybody went through the same thing, and can give me some advice that would be great.
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November 26, 2008

Pros:

Can't find any yet

Cons:

Face swollen and sore
Skin feels irritated and rough
HORRIBLE acne breakout

It is nine days after my first treatment and I am distraught so far at the results. I had it done for minor acne scarring and chicken pox scars. The rest of my skin had been clear since coming off Roaccutane 11 months ago. Anyway, I expected the swelling, redness and dryness but not for this long and I certainy didn't expect the major acne breakout i am going through and for my cheeks to feel rough to touch still. I called my derm at day 7 and she gave me Bactrim to try and calm the breakout. I have a big social weekenc this weekend so I hope things improve by then as I can't even put makeup on at the moment as no matter how much Cetaphil I put on it still feels dry and makeup looks cakey. i have about 11 whiteheads on my chin and lots of red bumps and I can't go out as I don't want to pcick them so that they don't scar but I can't face people looking like this!! HOpefully when this horrible stage passes I still might be happy with the results but I don't see it yet!!
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August 26, 2008

Pros:

none

Cons:

Fraxel has left me with scars, hypo pigmentation and very rough skin. BE CAREFUL. If you would like to see the pictures email me at christine.hoene@[link removed]. It has been four months.

Fraxel has left me with scars, hypo pigmentation and very rough skin. BE CAREFUL. If you would like to see the pictures email me at christine.hoene@[link removed]. It has been four months.
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July 10, 2008

Pros:

None!!!

Cons:

cystic acne all over face even the places where i never broke out before.

My face ended up with more scars than I went in with because of all the cystic acne I got from the treatment.It took years for my face to scar up they way it was and it took the doctor only a couple of weeks to make it worse.I feel like my life is over.
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May 6, 2008

Pros:

Not much, might work but it will take few procedures

Cons:

Expensive, your face gonna look horrible for couple weeks (Forget the work or going out) and gonna be red for few months, almost no improvement

I got my skin resurfaced with an Active FX laser about a year ago. I thought that it will heal in 10 days, but it took way longer. There's almost no improvement in my skin and I wouldn't risk to do that again just because that it takes soooo long to heal and I don't want to have a red face again for few months. And it's very painful.
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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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September 6, 2007

Pros:

I just had a Profaxtional and a laser peel done. I am not sure of the results yet, I just fond this site. I am pretty much freeking out.

Cons:

I look like a monster..I don't know if I made the right decision, of course it is too late to
regret.

I was hoping this treatment help me to eliminate my acne and rosacea. At the time of the treatment I had little information about the laser peel , I just hope to heel enough to go back to work.
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May 12, 2007

Pros:

None

Cons:

Very expensive, long downtime, no lasting results, redness.

I've had Erbium laser resurfacing 3 times for pitted acne scarring around my lower face and before this 10 micro-dermabrasion treatments with no results at all. In fact i would say that the scarring in some areas is actually worse than before. The first laser consultation the doctor advised i would see a 50 - 60% improvement and actually had zero. I have also got slight melasma caused from going into the sun a few weeks after resurfacing. I wouldn't really recommend this treatment to anyone as I didn't even see improvment on the smallest and flattest scars let alone the deeper ones. Over $5000 dollars wasted and a bunch of false hopes from the Cosmetic surgeons. I have been advised from the surgeon that did my face that the Fraxel laser could possibly help however after seeing some of the posts submitted here, it doesn't appear to do anything either. I will try Scultra injections next to fill out the scars and lessen the apperance as nothing else seems to work.
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June 25, 2015
It works very well
I am very surprised with many of these negative comments. I work at a medical spa, where we have a CO2 laser, and we use it for many things, including acne scaring. We have had very little complaints, no matter what the doctor was using it for. The doctor I work for teaches other doctors how to perform these procedures, so maybe that is why he is so good. Anyway, best of luck!
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June 10, 2009

Pros:

Only a few days of downtime, texture and pigmentation improvements already after just one treatment, pain is tolerable

Cons:

Expensive, somewhat painful (but tolerable with meds and local anesthetic, in my opinion), swelling, downtime means not going out at all for a few days.

I'm getting a series of three Fraxel treatments for acne scarring (sloped, soft, but deep scars -- not pockmarks) and rosacea. Performed by an RN, but the doctor is always involved and often present. Staff is courteous and kind. RN who performed procedure gave me her personal cell # in case I had any problems. Just had my second procedure, which was more aggressive than the first. Took 2 doses each of percoset and valium. It was painful, but tolerable. I notified the RN whenever I needed a break. Two weeks after the 1st procedure, I could see dramatic improvement in my rosacea and pigmentation. Advice: Be sure to ask lots of questions and that your expectations are realistic. Choose a place that makes you feel comfortable with a staff that can answer your questions. Make sure you are a good candidate for this -- your skin should be fair or light, and you absolutely must follow their pre-and post- procedure instructions. I'll post more after my 3rd treatment.
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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.