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
June 4, 2008

Pros:

Considering I have only been once, i'm yet to experience any pros. I have olive skin and obviuosly, it is harder to treat acne scars

Cons:

It may just be me, because i'm ALWAYS analysing my skin, but there seem to be a couple of extra scars on my cheeks

Well, i'm 24, and only in the past 6 months have acne scars overridden my cheeks. To think that i used ot have amazing healthy skin and now this makes me extremely self-conscious. I have had one Fraxel treatment almost 2 months ago with no improvement what-so-ever. I have spoken to my Cosmetic Dermatologist about it, and she deeply recommends patience (something i unfortunately lack). I have another session booked the day after tomorrow, and i will politely ask her to amp it up a little. i really want to start seeing results! I need to feel attractive again! I'm praying to works, and i will get back to you all in a few days
May 7, 2008

Pros:

Not much pain during treatment (only a prickly sensation I found as she was treating my cheeks it hurt more on the outer areas, but not too badly).

Cons:

I think it is quite expensive, i only had cheeks done and for 3 treatments it's cost me £900.

DAY 1 : I've just had Fraxel laser (Reliant technology) done today at a very reputable firm. The lady was friendly and I did not feel much pain during the procedure. After the treatment she put sunblock SPF 30 on my face and told me not to go in sun without it as my face will darken...it was sunny outside and I had to wait for my dopey friend to get back to the car, I stood in shade after being in the sun for a few minutes...hopefully I was protected and no damage was done. My swelled up slightly with the gel to numb my skin...but this is normal - the gel was on for 1hr 15 mins. After procedure my face was redish and swollen slightly and I have 3 darker patches under my eye on the cheek and the others around my chin area where I had eczema (i'm hoping this will make no diff as I did used to have discoloured skin here).it's 5 hrs after treatment and swelling has gone down a lot. Will keep this updated.
November 23, 2007

Pros:

I was only down one night.(I'm an esthetician) Left the house next day pink. I Used fraxel. Dr. said it took 4-6 wks to show difference. Said I would need at least 3.

Cons:

Need at least 3 treatments for small scars to fade out. A little pricey, but worth it.

I saw a noticeable difference in both light acne scars and fine lines after just one session.I noticed some delicacy in the skin for a few weeks afterwards.(i.e. don't pinch skin or blood vessels will break!)Getting next treatment in 2 weeks. MY DR. IS EXCELLENT, HE SAID FULL FACE ($5,000)CO2 LASER MAKES ACNE SCARRING LOOK WORSE! He said this because he's done it & it tightened all the skin area around the scars & the scars appeared to look worse. He said fractional lasers (fraxel)are on a lower setting (but still co2)& it is more progressive so it doesn't destroy (yes, destroy!)the epidermis(1st layer) of the skin like traditional co2 did. (by keeping some skin in-tact) Also, fraxel can be used on the neck and the old co2 CAN NOT! That's why some women have permanent darker necks and light faces. I also had the erbium($575).This shows a difference immediately but it's TEMPORARY only.Fractional laser co2 is permanent.If you spent $500 you got about the same as some microdermabrasions!
July 14, 2007

Pros:

30% improvement

Cons:

sort of expensive, five fraxel treatments $4,800.

I've had acne since the age 12 and through my teens....I had profound scars on both cheeks...I'm now 29 years old and still continue to break-out....especially underneath my chin and chest....I've used Accutane and minocycline...the medication helped but now that I've stopped I continue to break-out occassionaly. I decide to have five fraxel treatments.....its been about a month since my last treatment and have noticed some improvement especially on my cheeks...you still can notice the scars but they do not look as profound....after I apply make-up my scars are actually less visible. I knew that fraxel was not going to make miracles for me but I can actually say that I'm content with my treatment. The doctor mentioned that it will be about six months to see the final results on my treatment. I will keep you posted.
June 10, 2007

Cons:

Had my 3rd fraxel. Very little improvement on skin texture. Mild acne scars still there. The blue dye stays on several days. Right after treatment is the worst: the pain, the swelling, blue tinged face.

After 3 treatments, I have yet to see any kind of good results. Skin texture the same, minor acne and dermabrasion scars still there. Am exceptionally unhappy about having to have a blue tinged face for several days after treatment. The dye is hard to wash off. Am glad I have only 2 more treatments left in the package that I bought. It's such a pain to go through it.
May 14, 2009

Pros:

Some improvement in texture of skin.

Cons:

I did mainly for ice pick acne type scars. I did 6 treatments and saw minimal improvement.

Would not do again for my type acne scars.
October 20, 2007

Pros:

swollen so it looks like my scars are gone. I know this won't last.

Cons:

It hurt.

I'm a man so my pain tolerence is lower than a woman. I had my first treatment of Fraxel II yesterday. I had a clear cream applied for about 35 minutes. Just before the treatment i had the cooling machine on my left cheek for a couple of minutes (i found this very helpful). The machine was set 10mj and after the last pass it was upto 18mj (four passes). It feels like very hot needles being scraped across your face and is painful. I had no cooling on my left cheek before hand and the doctor had the machine set again at 10mj. This really hurt and he had to take it down to 8mj which still hurt. He then remembered the colling and i managed 13mj on the last pass. It's all upto how much you can take. Doctor said it was normal for the first time especially for men. I know what to expect and make sure i have the cooling so i'm going to see if i can get into the 20's on my second visit in three weeks. I felt light headed after the treatment and my face felt like it had bad sunburn.
October 20, 2007

Pros:

smoothed out skin a little

Cons:

expensive, very uncomfortable, sweeling after treatment---waiting to see

cancelled my appt for session 2--will wait and see my results first
June 14, 2007

Pros:

skin looks better....I have had 3 treatments
so far. Ad says "flawless" skin - I seriously
doubt that I will have this outcome....

Cons:

would like to see more improvement - treatments
are $1,150 each.

I want to get RID of blackheads and acne scare and large pores - I doubt that I will have this outcome. Skin looks better, but that's about it. I still see the lines.
March 25, 2007

Pros:

second treatment with fraxel. can't tell if its wishfulness or reality..but i think my rolling scars look better. face gets puffy and dry. but it has minmized pores...made skin smoother

Cons:

cost. and still not sure how much it has help my acne scars yet.

worth a try....if you have the money

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.