This discussion was directed at a question on why fractionated lasers haven’t worked on a particular person’s acne scars. Fractioned lasers will gradually improve your scars. It also depends on how your scars look. Some scars need to be excised first before they actually can get really better.  Other times require subcision techniques which require you to use different instruments, such as punch biopsies or needles to elevate depressed scars so that they match the surrounding levels of the skin. You may need more significant approaches for the scars such as co2 resurfacing as well to get the results that you really want. Also, some scars require excision and closure and further resurfacing to improve them.  Here is a live demonstration of my use of a fraxel co2 laser.

Thanks for reading,

Dr Young

Dr Youngspecializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington