Is Fraxel Laser Effective for Treating Acne? Expert Insights

Fractional laser

Hello Dr.
Wu,
I would like to ask if the Pico laser is really effective for acne.
My daughter underwent laser treatment last year, but the results were not satisfactory.
Since she will be returning home for summer vacation in May, I wanted to inquire on her behalf due to time constraints.
I have heard on television that the Pico laser is less painful and has great results.
Could you please provide your recommendation? Thank you!

Huang, 40~49 year old female. Ask Date: 2012/03/10

Dr. Wu Yuxin reply Dermatology

The fractional laser is indeed effective for improving depressed acne scars and enlarged pores, but it should be noted that it provides "improvement" rather than "complete resolution." The effectiveness must be assessed based on the severity of the condition, and sometimes it may need to be combined with other treatments like microdermabrasion to enhance results.
Generally, for fractional laser treatments, a minimum of 4 to 6 sessions is recommended.
The fractional laser can be quite painful, as achieving the goal of stimulating collagen regeneration requires sufficient energy, and this energy can cause a "painful" thermal effect on the skin.
Currently, for treating depressed scars, fractional laser is indeed the preferred choice due to its short recovery time, making it more suitable for the pace of modern life.

Reply Date: 2012/03/10

More Info

Fraxel laser, a type of fractional laser treatment, has gained popularity in the dermatological field for its effectiveness in treating various skin conditions, including acne scars and active acne. However, the effectiveness of Fraxel laser for treating acne can vary significantly from patient to patient, depending on several factors such as the type of acne, the severity of the condition, and individual skin characteristics.

How Fraxel Laser Works
Fraxel laser works by delivering thousands of microscopic laser columns into the skin, which stimulates the body’s natural healing process. This fractional approach means that only a fraction of the skin is treated at a time, allowing for quicker healing and reduced downtime compared to traditional laser treatments. The laser promotes collagen production, which can help improve the texture and appearance of the skin over time.

Effectiveness for Acne Treatment
1. Active Acne: While Fraxel laser can help reduce the appearance of acne scars, it is not typically the first-line treatment for active acne. Treatments such as topical retinoids, antibiotics, or oral medications like isotretinoin are usually more effective for managing active breakouts. However, some studies suggest that fractional lasers may help reduce inflammation and promote healing in active acne lesions, but results can be inconsistent.

2. Acne Scars: Fraxel laser is particularly effective for treating acne scars. It can significantly improve the appearance of both atrophic (depressed) and hypertrophic (raised) scars. Patients often see improvements after a series of treatments, with optimal results typically achieved after 3 to 5 sessions, spaced several weeks apart.

3. Skin Type and Condition: The effectiveness of Fraxel laser can also depend on the patient's skin type and the specific characteristics of their acne scars. For instance, individuals with darker skin tones may experience a higher risk of post-inflammatory hyperpigmentation, which can complicate treatment outcomes.

Pain and Recovery
One of the advantages of Fraxel laser is that it is generally considered to be less painful than traditional laser treatments. Most patients report only mild discomfort during the procedure, often described as a sensation similar to a rubber band snapping against the skin. Additionally, the recovery time is relatively short, with many patients returning to their normal activities within a few days. However, some redness and swelling are common immediately following treatment.

Recommendations
If your daughter has previously undergone Fraxel laser treatment without satisfactory results, it may be worth discussing her specific case with her dermatologist. They can evaluate her skin condition, the type of acne she has, and the treatment she received to determine if a different approach or additional sessions might be beneficial.
Moreover, combining Fraxel laser with other treatments, such as chemical peels or microneedling, may enhance results for some patients. It’s essential to have a comprehensive treatment plan tailored to her unique skin needs.

Conclusion
In summary, while Fraxel laser can be effective for treating acne scars, its role in managing active acne is more limited. It is crucial to consult with a qualified dermatologist who can provide personalized recommendations based on your daughter's skin type and treatment history. They can help determine the best course of action to achieve the desired results while minimizing potential side effects.

Similar Q&A

Understanding Fraxel Laser and Tretinoin: Effects on Skin Health

Hello, doctor. Due to my poor skin condition during early puberty, I now have pockmarks on my face. Therefore, I sought help from fractional laser treatment in hopes of improving my skin condition and the pockmarks. The dermatologist informed me that the laser treatment thickens ...

Dr. Wu Yuxin reply Dermatology
1. The dermis will thicken. 2. The stratum corneum will thin, but the epidermis and dermis usually thicken. 3. There will be no premature aging. 4. Laser injury? Lasers will inevitably cause some degree of skin injury, but this is beneficial as it stimulates further repair and re...

Effective Acne Treatment: Post-Roaccutane Care and Solutions

Hello, doctor. I have a few questions regarding my treatment. I have completed an 11-month course of oral isotretinoin (Roaccutane). 1. I currently have a lot of comedones on my nose. Can I use topical isotretinoin (such as Tretinoin) to improve this condition? 2. After finishi...

Dr. Wu Yuxin reply Dermatology
1. Yes. 2. We need to examine it first to understand the issue before we can address it and help you choose the appropriate medication. 3. Intense Pulsed Light (IPL). 4. There is no standard answer to this question; it depends on the characteristics of the atrophic scars.

Comparing Fractional and Ruby Laser for Acne Scar 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?

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 t...

Effective Laser Treatments for Acne-Prone Skin: Your Guide

What types of lasers are currently helpful for acne-prone skin? I've been struggling with depression due to my facial issues, and my acne keeps fluctuating. I really don't know what to do.

Dr. Huang Ruiyun reply Dermatology
1. Consult a real doctor and don't spend too much time browsing online. Even if laser treatment is effective, it requires multiple sessions and may not completely eliminate the issue. It's not necessary to stick to just this method. 2. If you are nearsighted, never ex...