My daughter has white acne scars on her face and chest. What is the best option?

My daughter has white scars on her face and chest due to acne. They are small round white spots. What can she do about them?

In the short term, not tanning will help these blend better so an SPF 30 sunscreen with at least 5-10% zinc is very helpful but use the ones formulated for acne like the powder Colorscience Powder Sunscreen SPF 30 or the light Elta MD UV Clear SPF 46. Make sure her acne is well-controlled before investing in any laser treatment.


Generally, the Fraxel laser or the Fraxel Dual laser are best for acne scarring that is a level white spot or just slightly indented. Larger indentations might need a fractionated CO2 laser. The Fraxel Dual system contains both the original Fraxel (a 1550 nm erbium laser) and the newer wavelength a 1927 nm thillium which is better for pigment. This is confusing for consumers because the new Dual has both wavelengths but can be used with all one wavelength or mixed. The original Fraxel just has the 1550 nm.


What this means for you as a consumer is that if your daughter just has the scarring and not a lot of sun damage or brown spots, she just needs the 1550 nm wavelength and can go with either the orginal Fraxel or the Dual used on the 1550 nm setting. Expect to need approximately 3-5 treatments depending on the amount of scarring.


Hope this helps,   Dr. B I


Read Dr. Irwin’s article on a Guide to Fraxel Dual Laser.


Read Dr. Irwin’s article on a Guide to Fractionated CO2 Laser.


Dr. Brandith Irwin, MD

Ask me your skincare question!

Hi, I’m Dr. Irwin, and I believe that consumers need and deserve a medically trained and unbiased skincare advocate.

  • All our content is written and researched by myself and my trained staff.
  • My medical office in Seattle has experience treating thousands of patients.
  • This site is not affiliated or financially tied to any product line.
Ask Me Something
SkinTour Skincare
One of the best investments in your skin is your daily skincare. Why? Because you can prevent many problems with blotchy skin color, lack of glow, texture, some types of acne, and fine lines with good skincare products. You can also correct some of these problems with effective skincare products. Great skincare is often more expensive because quality ingredients are expensive. Some companies spend on research/development which benefits all of us and adds to the cost. Are they worth it? In general - yes!