Why has fractional laser treatment been ineffective for my acne scars?

Doctor's Answers 1

The ideal acne scar removal treatment plan consists of using a synergistic combination of acne scar lasers and manual techniques over multiple treatment sessions with good post-treatment after-care.

While CO2 Fractional Laser might have been the acne removal laser treatment of choice for the past few years, many patients and doctors have found that just using CO2 Fractional Lasers (like Fraxel, SmartXide, ECO2, EDGE) alone is insufficient to produce significant results.

The latest acne scar removal treatment plans often have the following factors:

1. Comprehensive Diagnosis of Acne Scars

- Precise diagnosis leads to comprehensive treatments, which leads to optimal results.

- This is because not every acne scar will improve with CO2 Fractional Laser.

- In fact, ice-pick acne scars might have minimal improvement with CO2 Fractional Laser and hypertrophic acne scars (common at the jaw-line) might even worsen with CO2 Lasers.

- There are 3 big categories of acne scars:

Atrophic (depressed) scars: Box-car acne scars, Rolling scars, Ice-pick scars

Hypertrophic scars: Keloids

Colored scars: Post-inflammatory hyperpigmentation (brown marks), Post-inflammatory erythema (red marks).

- Most patients have a MIX of different types of acne scars, which brings me to my next point.

2. Combination treatments give optimal results

If you have a mix of different types of acne scars, you will need a combination of treatments beyond just CO2 Lasers alone.

Other treatments include: Subcision +/- Fillers, INFINI/ Intracel Radiofrequency Micro-needling, TCA Cross deep chemical peel.

3. Quality Post-treatment Care

All the aforementioned laser treatments are focused at causing "controlled injury" to your skin so that your skin will heal with new and hopefully perfect skin.

However, perfect skin healing is often not the case. In fact, skin that scars easily from acne is prone to poor wound healing.

To improve healing, we use recovery serums like Calecim and AnteAge.

In addition, we might also use Rejuran to improve collagen production so that you get the most out of your laser treatments.

For more information on Acne Scar Treatment Costs in Singapore.

Hope that this helps!

Warmest regards,

Dr Justin Boey

Similar Questions

Is PRP injection available for acne scarring in Singapore?

PRP at the present moment is not available in Singapore. It does help with acne scarring though, and you might have to go to neighbouring countries to do the treatment (including Malaysia). Having said that, you can consider Rejuran/skin boosters/microneedling that can help in a similar fashion. Your 2nd question on which is better — it depends on the severity and type of scars. But usually Fractional laser is the backbone of laser therapy. So consult your doctor early to discuss the available options.

Photo of Dr Winston  Lee

Answered By

Dr Winston Lee

Aesthetic

How many sessions of fractional laser is required for mild to moderate acne scars?

With regards to your question, The number of sessions really depends on 2 main factors: How your skin reacts to the treatment. For some individuals, good results may be seen after 3 sessions whilst others may require 6 or even more sessions. The depth of penetration of the laser. If mild settings are used then more sessions may be required and results may not be as satisfactory. Additionally, as Dr Chua CY has pointed out, combination treatments usually yield more effective results. I personally do not usually just stick with one kind of treatment modality to treat acne scars.

Photo of Dr Rui Ming Ho

Answered By

Dr Rui Ming Ho

Aesthetic

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