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
July 28, 2008

Pros:

reduced some shallow scars along Jaw line

Cons:

did nothing for deeper scars on cheeks, infection on cheek, ocular rosacea and now rosacea (did not know about disease until tx)

waste of money, serious long term side effects
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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.
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
December 20, 2007

Pros:

none

Cons:

hypopigmentation

Went to a reputable dermatologist in NJ. I have fair asian/irish skin so I expressed my hyperpigmentation concerns with my doctor. The procedure was only really painful on my cheeks, where most of my acne scars exist. I am not sure if he cranked up the power for these areas but there is now hypopigmentation and what appears to be slightly raisd striations.
December 14, 2007

Pros:

Maybe the realisation that I'll never have flawless skin and I'll have to live with myself just the way I am.

Cons:

Same as Above. Pinkish outline where I had fraxel.
Maybe the lines on the outside of my eyes have improved. Not sure/hard to say. I think I'd be happy if the redness goes.

It's only been a month or so after my first fraxel so maybe the redness will disappear and I'll return to normal again some day soon:) If that happens I'll probably come back and post another review (a more positive one). Until that day I'm not that impressed with Fraxel II.
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December 12, 2007

Pros:

I had 5 Fraxel treatments, and truthfully, as I sit here, I cannot think of one pro. It did not help my scars or pores at all.

Cons:

I have deep acne scars, pitted, ice pick, my acne tunnelled so my scars are long and deep. The physician told me I would see some improvement, but I have seen nothing and actually my skin seems loose, with more wrinkles. Very expensive.

I personally don't recommend Fraxel. I am extremely disappointed in the lack of resutls. What a waste of time and money. My physician told me I would see some type of improvement, but I have seen none and its been over 6 months. I knew going in that my scars were not going to disappear, but I thought they would at least appear softer/smoother. Not at all, still the same. Very frustrating. Now I am a bit concerned about the texture of my skin, I have more wrinkles and loose skin especially around my eyes and mouth. I am 32 years old, this should not be happening.
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November 21, 2007

Pros:

None

Cons:

Fraxel made my skin far worse. I now have scars on my cheeks where they were once smooth but sun pigmented. My skin looks terrible and ruined. It is depressing.

Fraxel can damage your skin as it did mine. I went in hoping to refresh and improve my sun pigmentation and instead left with pitted uneven skin. This has been a nightmare and I wish there was more honesty around the side effects.
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November 14, 2007

Pros:

Softer appearance on some scars.

Cons:

Noticed it created more scarring, painful, costly, a lot of risks associated with it.

What I once thought was an improvement, is now a regret. I've purchased 3 fraxel treatments and had the first fraxel done about 2 1/2 weeks ago. Only one treatment at 10mj and I noticed more scarring. Although some scars seem smoother in appearance, I've noticed small dot scarring in places I've never seen scarring before, it's very apparent in bad lighting. I've told the Dr. what I thought and he said at such low settings it can't cause scarring, only at 25mj's he said there might be a risk, but I know my scars and am certain of what it did and will NOT follow through with any more. I've had 2 erbium treatments prior which did little for my shallow atrophic cheek scars, but improved my skin texture and tone, had many compliments. It didn't make the scarring worse like the Fraxel. Fraxel can even cause pigmentation problems, luckily something I haven't experienced, yet anyway. Be cautious and don't follow thru with anything that doesn't work for you...
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May 23, 2007

Pros:

The healing time; Redness disappears in less than a week, doesnt tear into the skin like other lasers.

Cons:

I had very little improvement/smoothness in the appearance of my acne scars; Definitely not $2K worth; The first week after the procedure I had little brown-black dots all over my face (fraxel pattern) or as my husband called it 'the beard'

Please do not get your hopes up with procesure. Do not get this done if you have any color to your skin. Before I had acne scars, now I have acne scars with blotches:( It left my face discolored, despite using the bleaching cream prescribed. I guess for now, all I can do is wait for something better to come along.
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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.