Comparing Fractional and Ruby Laser for Acne Scar Treatment - Plastic Surgery

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Acne scar laser treatment


Which is more effective for acne scars, the fractional laser or the ruby laser? Also, after undergoing laser treatment, should I apply sunscreen for a lifetime or just during the recovery period?

A Xin, 20~29 year old female. Ask Date: 2016/07/14

Dr. Zhou Hongzhang reply Plastic Surgery


1.
The fractional laser and the erbium chromium laser each have their advantages.
Both are effective for acne scars, but the choice may depend on the condition and the patient's needs.
The erbium chromium laser is more commonly used for pigmentation removal.
2.
After laser treatment, sun protection is necessary for about 3 to 6 months; otherwise, there is a risk of post-inflammatory hyperpigmentation.

Reply Date: 2016/07/14

More Info


When comparing Fractional Laser (often referred to as "Fraxel") and Ruby Laser for the treatment of acne scars, it is essential to understand the mechanisms, effectiveness, and post-treatment care associated with each type of laser.

Fractional Laser (Fraxel): This type of laser treatment works by delivering thousands of microscopic laser columns into the skin, which stimulates the body’s natural healing process. The fractional approach means that only a fraction of the skin is treated at a time, allowing for quicker healing and less downtime compared to traditional ablative lasers. Fraxel is particularly effective for acne scars, especially those that are deeper and more pronounced. It promotes collagen remodeling, which can significantly improve the texture and appearance of the skin over time. Multiple sessions are often required to achieve optimal results, and patients typically see gradual improvement over several months as collagen continues to rebuild.

Ruby Laser: The Ruby Laser, on the other hand, is a more traditional laser that emits a specific wavelength of light (694 nm) and is primarily used for targeting pigmented lesions and vascular lesions. While it can be effective for certain types of scars, it is generally not the first choice for acne scars, particularly for those that are indented or "pitted." The Ruby Laser can cause more discomfort and has a longer recovery time compared to fractional lasers. It is more effective for superficial skin issues rather than deeper scars.

In summary, for treating acne scars, particularly those that are deeper and more pronounced, Fractional Laser (Fraxel) is typically more effective than Ruby Laser. However, the choice of treatment should always be personalized based on the individual’s skin type, the severity of the scars, and the desired outcomes.

Post-Treatment Care: After undergoing laser treatment, sun protection is crucial. Patients are often advised to use a broad-spectrum sunscreen with an SPF of 30 or higher. This is particularly important during the healing phase, which can last several weeks. The skin is more sensitive and vulnerable to UV damage after laser treatments, and exposure can lead to complications such as hyperpigmentation or prolonged redness.

The recommendation for sun protection typically extends beyond just the immediate recovery period. While the most critical time for sun protection is during the first few weeks post-treatment, it is advisable to maintain diligent sun protection habits long-term, especially for individuals with a history of acne scars or those prone to hyperpigmentation. This means wearing sunscreen daily, seeking shade, and wearing protective clothing when outdoors.

In conclusion, when considering treatment for acne scars, Fractional Laser is generally the preferred option due to its effectiveness and safety profile. Post-treatment sun protection is essential not only during the recovery phase but should be a lifelong habit to protect the skin and maintain the results of the treatment. Always consult with a qualified dermatologist to determine the best treatment plan tailored to your specific needs and skin type.

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