Good or Excellent Response
46%
Based on All Available Studies
Strength of Evidence
1
2
3
4
5
Moderate Response
81%
Based on All Available Studies
Strength of Evidence
1
2
3
4
5
Side Effects
Low-Medium
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 Non-ablative Fractional Lasers
Compare To Other Treatments
5
12.9%
4
22.3%
3
30.2%
2
17.3%
1
17.3%

Used Non-ablative Fractional Lasers? Rate It:

Choose from 1 to 5 stars
March 26, 2007

Pros:

My skin looked great about a week after but once the peeling and swelling subsided I saw the same exact scars. The center I went to recommended photofacial along with the fraxel, I had one spot that blistered, scabed and now I have new pock marks.

Cons:

I do not feel it is worth the cost and pain. Granted I have ice pick scars and I only did one but after the new scars I lost confidence and the research seems to indicate it doesn't do much for ice pick acne scars, by the way my scarring is mild.

Save you money, save your face. Maybe in a few years the technology will improve.
This Was Helpful

1 user(s) found this helpful

Report
January 20, 2007

Pros:

do not know yet

Cons:

the procedure is painful as far as it concerns me.

I had a fraxel laser treatment 2 dayes ago. my face is still red and swelling has subsided about 80 percent.doc said I need atleat 3-4 treatments. I am anxiously waiting to see the results. a pakage of 4 treatments cost me $3200 I will update you about my condition next week.
This Was Helpful

1 user(s) found this helpful

Report
June 6, 2018
Fraxel 1550 for acne scars
I have struggled with acne for at least the past 10 years. Cystic and constant. At least 10 pimples at all times. Deep under the skin and mostly on my cheeks. I am a 27 year old white female with a fair complexion. I have done every topical (prescription & OTC), oral antibiotics, & Accutane twice. The only thing that has ever worked for me is Spironolactone, a hormone antibiotic pill - I take 50mgs in the morning & 100mg at night. It has changed my life. I also use a prescription sulfur face wash. I have not broken out (literally at all, nothing) in about a year, so I decided it was time to treat my scars. They made me severely insecure. I have both pitted & rolling scars. At first, I tried temporary filler to fill the scars but that did nothing. - - - - - - - I am doing a package of 4 Fraxel 1550 laser treatments (done using the Fraxel Dual machine). The Fraxel 1550 is a non-ablative laser, which means less downtime and leaves you with no open wounds. The Fraxel 1927 (also done w the Fraxel Dual machine - get it, Fraxel dual, it can do both the 1927 and 1550) is an ablative laser with major downtime & open wounds. It is great for pigmentation issues, whereas the 1550 does best with resurfacing. I did a ton of research because the package of 4 was $4,000. I wanted to make sure I was spending my money well. The Fraxel 1550 made more sense for my lifestyle and symptoms. - - - - - - I spaced out each of the 4 laser treatments a month apart. I asked my doctor to use the strongest setting & do the maximum number of passes (aka, how many time he goes over the same spots). I am having my 4th laser treatment tomorrow. I have my laser treatments on a Wednesday, and then work from home on Thursday & Friday. The first day you are just a little red. Second day you are so beyond swollen - my face looked like a big red square and my eyes were so so puffed closed/being pulled in weird positions. Third day you are still very swollen, but not as swollen. Forth day your skin starts to slightly harden to a sandpaper-y feel. Same for the 5th day, & your skin crusts off to smoother skin underneath. The 6th day (the following Monday) I went back to work. I was able to put makeup on, but had to take it off mid-day and reapply because it got very cake-y looking and looked like it was sitting on top of my skin. Very obvious. I never make plans for that Monday evening, I just go home after work, take my makeup off and slather on moisturizer. MOISTURIZER is KEY during recovery. From day one I never let my skin get dry - I always kept my face wet with moisturizer. This is key to the healing process. I did not break out from the Fraxel, though because I was paranoid that I would I had a 7 oral antibiotic called Solodyn. - - - - - - - The pain is pretty severe, but the treatment is very quick - max 10 mins. I sat with a numbing cream for an hour, was given a percoset, a valium, and 4 tylenol an hour before the treatment. I was also given laughing gas during the treatment. And it totally totally toooottally still hurt prettttty badly. Once the laser goes off, your face is incredibly hot like you have the worse sunburn you could possibly imagine. I sit with a sheet mask and an ice pack mask for about 10 minutes and the hotness subsides. - - - - - - As far as results, it does take at least 3 months for results from the first laser treatment to show. So, I should be seeing results from my first laser treatment right now. My skin 100% is brighter and more even-toned. My less severe scars have diminished, but the worse scars have a long way to go. I am going to do 2 more treatments (for a total of 6) because if I've gone this far, I might as well go all the way. I believe that I will get the results I am looking for with the 6 treatments. I am very very very particular and a perfectionist when it comes to my skin. I will update here with more results. - - - - - - - - Also, skinceuticals CE Ferulic serum is a life changer. It is pricey but 100000% worth it. I am hooked for life. I bought it almost 4 months ago and am only about three-quarters of a way through. Makes u glow under ur makeup.
February 4, 2009

Pros:

Like the fact that it is non-ablative.

Cons:

If you think fraxel is bad, try a C02 recovery.
All laser treatments are so overpriced! Painful too!

HAD TO MENTION- fraxel truly truly takes time. A year AFTER my second fraxel, I've noticed that the cheek scarring appears less severe. My face has more of a face shape, instead of a plump thick mass of scar tissue. It just takes time. BECAUSE I see results, I am going in for a third. I'm not looking forward to the procedure or cost, but I want to look like the normal pretty girl I am, so here I go again.
January 26, 2009

Pros:

less noticeable scars, have had 8 but still not where
I want to be...after the first 5 derm kept offering more for half price....gonna go back in a month or so once i save up more money

Cons:

have had 8 at very high levels...smth was set at 75 my last one and still have pretty noticeable scars-but mine were very severe to start out with

I would research all the possible treatments before jumping in to this if you have severe acne scarring. I have paid for a lot of treatments and am still doing it and do not have smooth skin yet. I wish I had researched more treatments out there that are more invasive but riskier....at least then I might have gotten the results I wanted. I would recommend for mild to moderate acne scarring though.
January 3, 2009

Pros:

Hardly any downtime

I had the treatment done yesterday evening. It was very painful but so far worth it. I have severe acne scars and at this point I think this is the best thing out there, I woke up this morning very swollen wih 1 eye almost shut. I dont feel any pain or itchines. My skin feels smoother already but I know its because I'm still swollen. I'll have to keep you updated on my progress. I paid $2,150.00 for 3 treatments.I would defenitely recommend it.
December 20, 2008

Pros:

best resurfacing ever without a lot of downtime - it must be done 3 weeks apart for 4-5 treatments for best results

Cons:

very expensive and hurts a bit

I will do it once a year as I can afford it to keep my smooth skin but you have to do dan's regimen or you're face will break out and cause scarring or spots right back where you started.
September 11, 2008

Pros:

Acne scars treatment by Fraxel Laser

Cons:

No More Acne scars(Pitted) on my face

Hello, I had 5 sessions of Fraxel Laser(Fractional) from my city Lahore Pakistan by Dr.Ahmad Chaudhry and want to share my experience with other people.There is two days down time,slighly pinkish skin which clears after 2 days.Initially i did not had visible results but after 3rd session every one noticed that i have improvement.I continue my remaining two sessions.It is almost five months that i have completed my treatment and there is no more pitted ugly scars on my face.
July 27, 2008

Pros:

None--or so thought --hoped for some improvement

Cons:

4 Treatments-had every possible skin problem-none of which were serious or believed to be impossible to treat but together my face looked awful-at time before Fraxel- any improvement on any level would have been great

Wasted money --went thru everything everyone else did but didn't complain just awaited the outcome--was nothing weeks per month lost and tons of money and not even the shallowist brown sun spot was even lightened at all not to name all the other problems remained exactly unchanged-I think people are imagining their results or thinking their swelling is their improvement-thus you never see them post 4 weeks later to tell you their wrinkles really did not go away and this was the ideal that the swelling and redness faded their problem for a few weeks only to learn everything returned--am I right?
July 6, 2008

Pros:

10% smoother skin but no improvement on the acne scars. I have done 3 treatments

Cons:

have spent 3800 for the treatments but have not seen results. keep telling the doctor to go high on the intensity to get money's worth, but she only goes 5 increments of energy. I think she does low energy for more treatments and more money for her

do not recommend so far.

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.