Tag Archives: Fraxel Restore

Fraxel: An Option to Treat Acne Scars

Not only are acne scars physically unappealing, evidence indicates that adults with acne scarring encounter prejudice at both work and play. So, it’s understandable that many people wish to minimize (if not eliminate) them.

Treatment of acne scars varies depending on the type of scar (often referred to as icepick, boxcar, or rolling). Therefore, advice from a qualified dermatologist is essential as you consider the effectiveness and tolerability of treatment, as well as downtime following therapy.

Today, there are two types of fractional lasers. The focus of this post is the gentler non ablative, erbium-type fractional lasers, like the Fraxel® Restore. The results of the study summarized here relate to important concerns among people with acne scars: effectiveness, tolerability, and overall satisfaction with treatment.

Here’s what they did.

Fifty-three patients with skin phototypes ranging from pale white skin to brown skin (Fitzpatrick I-V) were studied. Each had mild-to-moderate atrophic [depressed] facial acne scars. Treatment was given monthly with the gentler laser described above. Two assessors who were not involved with treatment rated the response at each treatment visit and 6 months after the final treatment session, while the patients assessed their side effects and satisfaction with treatment.

Here’s what they found.

After three-monthly treatments, nearly 90% of patents had an average improvement of 51% to 75%. And, improvement increased proportionately with each successive laser session. Age, gender, or skin color did not influence the response in this study.

Side effects included short-lived superficial reddening of the skin and swelling. There was no change in skin color; and nobody reported ulceration or scarring.

The bottom line.

It’s important to consider that the results reported in this study were dependent on the experience and the expertise of the aesthetic dermatology professional. Also, each participating patient was screened to ensure they were candidates for this treatment.

There many options for treating facial acne scars. Each has its own relative strength and weakness. Start your treatment search by seeking the advice of a board-certified aesthetic dermatologist who has experience using the treatment options that best meet your needs.

For a consultation and more information, contact Aesthetic Dermatology and Skin Cancer: Jeffrey H. Binstock, M.D. Drs. BinstockLayton, and Physician Assistant Cullinane will answer your questions. Call our San Francisco office at (415) 956-8686, or in Mill Valley call (415) 383-5475.



Successful Treatment of Acne Scars in People of Asian Descent

When it comes to treating acne scars, the scaring and pigmentation issues faced by Asian Americans can be as troublesome as the original condition. This is because darkly pigmented skin is more vulnerable to dyspigmentation—an abnormality in the formation or distribution of pigment in the skin.

Non-ablative fractional resurfacing is one of several treatment options for acne scars in people of Asian descent (or anyone, for that matter). During this treatment, a laser delivers heat to targeted areas, while areas of healthy skin are left untreated. The fractional approach allows more rapid healing than if the entire area was treated.

Success following non-ablative fractional resurfacing

The results of two studies in people of Asian descent show that the number of treatments, the time between treatments, and use of the laser must be skillfully combined to get the best results.

For example, in a study of 27 Korean patients, with moderate-to-severe facial acne scars, the doctors assigned them to received 3 to 5 sessions of treatment, each spaced 3 to 4 weeks apart. The patients compared their results 3 months after the final treatment to photographs taken before treatment. Eight patients (30%) said the results were excellent, 16 patients (59%) described the improvement as significant, while 3 patients (11%) concluded they had moderate improvement. Side effects were limited to short-lived pain, redness, and swelling.

In another study of 47 Asians with facial scaring, where the dose and the number of treatments (8 passes or 4 passes) were assigned based on each patient’s needs, both treatments resulted in significantly improved skin texture and acne scarring. There was also improvement in enlarged pores and overall pigmentation irregularity compared to their initial photos. In this study, the risk of post-inflammatory hyperpigmentation was less among those who received 4 treatments.

The bottom line.

Treatments used in both studies were successful and support the role of non-ablative fractional resurfacing as part of a comprehensive treatment of acne scars among people of Asian descent.

Smooth skin and a flawless complexion are highly desired. And the most successful outcomes result from treating the initial concern (facial acne scaring), as well as minimizing changes in pigmentation as shown in the photos. Achieving this balance is where consultation with an aesthetic professional is indispensable. This is because many treatment options, including non-ablative fractional resurfacing, are available.

Photos are courtesy of Solta—pretreatment (left) and post-treatment (right).

Learn more about treating acne and other scars. For a consultation and more information about our approach to correcting acne scars with Fraxel Restore, our non-ablative fractional laser system, contact Aesthetic Dermatology and Skin Cancer: Jeffrey H. Binstock, M.D. Drs. Binstock, Layton, and Physician Assistant Cullinane will answer your questions. Call our San Francisco office at (415) 956-8686, or in Mill Valley call (415) 383-5475.