Best lasers for acne scars – to Angela
Angela ….these are such good questions about the best lasers for acne scars. And I truly wish I could answer everyone’s, because you all ask such good questions. A couple of thoughts for you:
- There truly is no single laser treatment that can fix acne scars in one treatment. BUT……..the CO2 laser (fractionated now) is generally the most effective laser for acne scars, when done by a board certified dermatologist or plastic surgeon who is experienced. More realistic would be 2-4 treatments…..to get a really great improvement. Often though these can be done over several years, if you aren’t in a hurry. Remember it take 3-6 months to SEE the full improvement from one CO2 laser treatment. More on CO2 lasers.
- Getting herpes is NOT a a risk of CO2 laser treatments but……activating cold sores (herpes virus – usually type I) IS!! Everyone having a CO2 or Fraxel on the face, who has a history of cold sores, needs treatment with oral antivirals (like valcyclovir or famcyclovir) just before the laser and during the recovery period.
- It’s really important that both your acne and your picking be under good control for at least 6 months before a laser treatment. There’s really no point in spending the time and money on a laser to just undo it with acne and picking. Picking is a universal problem. 🙂 If your picking is continuous though, you may have a mild version of obsessive/compulsive disorder and may need some help with this. Ask your doctor!
Hope this helps for the best lasers for acne scars, Dr. I