dr. lam wrote:i have a fractionated laser and i don't think it does a lot for acne scars. i was going to get an active fx and was working on a book project a couple of years ago with a senior user of the product and warned me not to get it for acne scars because he said simply it was not effective. i personally do not have a good laser recommendation, as i find that in general it does not work well. however, you can give it a try but not with me. i personally would do the CROSS but it is not perfect, as very few things are for acne scars. thank you for the kind words.
Hi Dr Lam,
I feel conflicted about fractional laser, as I am currently using the DEEP FX (just had first treatment) for rolling acne scars, which is really sinking me financially at almost $5,000. Just reading your thoughts about this after spending almost $2500 already has me worried to keep going; however, I have been conversing with other people who have tried it on acne.org and who strongly emphasize more than one treatment is needed for results. I planned on having a total of 3 combined with subcisions first. I would be very surprised and disappointed if I went all the way through with this with minimal/no noticeable improvement. Have you tried multiple rounds of the DEEP FX with still disappointing results on rolling acne scars? I thought I did alot of research into this before I proceeded, and the fact that had me convined to try it was the penetration depth of the laser, which standard dermbrasion and CO2 cannot do. Is this still a moot issue with depressed/rolling acne scars? Also, can combining subcisions with the DEEP FX theoretically improve my chances of obtaning improvement?
I tried over 7 rounds of silicone microdroplet (medical grade Alcon Labs) with a plastic surgeon in Boulder in 2006/2007. I did not see a noticeable reduction in the 'shadowing' and depth which is what really is the most upsetting for me with the acne scarring. I suppose it is a highly injector-dependent procedure and maybe my injector was too conservative? I easily dropped a couple grand there having had so many rounds of it
Also, what do you think about RECELL from Avita Medical? A doctor has been using this in combination with Fraxel REPAIR and another poster on acne.org had 75% improvment with a combo of subcision+fraxel repair+recell. It is not FDA-approved yet in the US.