Kelly,
Yes, we treat acne scarring. Each case is very different both from the degree of scarring as well as the patient’s tolerance for down-time. Treatment will begin by surgically excising any scars which are too deep for resurfacing. We then tailor resurfacing based upon severity and tolerance for surgical down-time. The Fraxel laser works moderately well for acne scarring with down-time limited to a few days with each treatment. For patients who are willing to have more down-time chemical peels and surgical dermabrasion are effective. In patients with a significant atrophic component to the scarring we utilize autologous fat transfer to plump the skin and reduce the pitting of the scarred skin.
I hope this helps to answer your question. Please feel free to call with any further questions. We would love to see you.
Ed Buckingham
Alison,
Thanks for your question about Fraxel laser. The Fraxel re:store and Fraxel re:pair are really two completely different treatments with the only thing in common is that they are both fractionated, which means that they lay down tiny spots of treatment surrounded by normal skin which speeds healing. The Fraxel re:store is an erbium laser that treats pigmentation, fine liines, wrinkles, some redness, acne scarring and more. It is a series of 4-6 laser treatments done at one month intervals. Each treatment has about 1-2 days of swelling and 4-5 days of a mild redness called erythema which can be covered with makeup immediately. So the social downtime with makeup is about 2 days. The results for pigmentation are great and wrinkle improvement and other concerns is mild to moderate. The Fraxel re:pair is a CO2, carbon dioxide, laser. It is a one time treatment, but has more downtime. The patient’s skin is a little weepy and crusty for 7-10 days and you are required to wear ointment on your skin for this time period. You cannot wear makeup to cover it so the social down-time is more like 7-10 days. It provides nice improvement for wrinkles and pigmentation as well as other skin concerns. So the real difference is the number of treatments and down-time. We would be happy to talk with you more about your specific concerns and answer any other questions you have.
