Fracionated laser treatment (Fraxel , ProFractional) produces hundreds of tiny but deep mico-columns of treatment into your areas of scarring. Each column is the diameter of your hair shaft. Laser ablates the scars and old collagen, but also leaves areas of your skin untouched forming the basis of fraxel / fractional laser treatments. For every micro column the laser treats, it leaves the surrounding tissue unaffected and intact. This fractional treatment allows your skin to heal much quicker than if the entire surface was treated at once as the untreated area heals the wound by removing the treated skin and replacing it with new tissue. Essentially, laser works by breaking down old collagen and stimulating new collagen to form (neogenesis).
The advantage of treating skin this way is that there is less downtime and side effects while obtaining a significant clinical improvement. This type of scar treatment is also safe in darker skin types such as in Asian skin/ Ethnic skin.
More information on Fraxel/ ProFractional laser resurfacing
This surgical technique is often combined with Fraxel / ProFractional laser systems to treat deep bound down scars. This technique breaks down collagen that puckers the scar downwards. The surrounding scar is injected with local anesthesia, and a needle is inserted to run parallel to the skin. The aim of subscision is to release the collagen bands that bind down the scar. Each session of subscision is aimed at elevating the scar by 20-30%.
Can achieve mild to modest improvement in early scarring ( depends on the degree and age of scars.) Glycolic acid peelscan stimulate collagen early in the course of scar repair.
High strength TCA peels (TCA Cross) is a method used for treating isolated deep ice pick acne scars. Application of high strength Trichloroacetic acid encourages collagen formation.
Dermal fillers / dermal grafting
This method maybe effective in treating depressed scars. Fillers last 4-8 months. Dermal grafts for acne scars last longer.
Scar and cyst excisions
With deep scars and persistent cysts, excision maybe needed. Deep scars such as ice pick scars are best treated with either punch excision or TCA cross. Fractionated laser is NOT effective in treating this type of scarring however maybe used on the surrounding skin.
Blue and red light treatments
These wavelengths of light have been effective in treating acne and acne scarring. Treatments are best conducted early in the process of scarring. Improvement are mild to modest.The wavelength of red light has been shown to stimulate collagen formation, and aid in wound recovery. We often combine LED treatments with Fraxel/ Fractionated laser resurfacing for the best possible outcome. LED treatments are NOT recommended for patients with moderate to severe scarring or acne- there are more effective treatments available.