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Acne scar treatment: When you're confused about which laser to get at first
Acne scars: What treatment should I start with when first treating them?
My acne has calmed down scar I'd be really upset if there were any leftovers.
It’s not even covered well with makeup…
If you look closely, you can clearly see the damaged area.
That's why I went to the dermatologist for the first time.
“I need to first determine what kind of scar I have.” I heard that.
Not all acne scars are treated the same way.
The treatment varies depending on the depth, range, and elasticity of the wrinkles.
If possible It is stable to start with something less stimulating and gradually increase it.
Below are some of the scar-related lasers that are actually used in dermatology clinics.
I've summarized some parts that might be a little confusing.
1) When the scar is shallow and wide → “Toning/Genesis series”
This is the easiest step to try first.
It is effective when red marks (erythema) or pigmentation remain.
• Laser toning
It is used to improve pigmentation and redness with a fine, low-power laser.
There is almost no downtime, and you can resume your daily routine right away.
• Pico toning
It feels like an upgraded version of toning.
The pulse width is shorter, so it focuses on breaking down the pigment.
There are many reviews saying that it quickly improves skin tone and pigmentation.
• Genesis (long pulse Nd:YAG)
This treatment stimulates collagen with heat to improve redness, pores, and texture.
It has a unique warm feeling, so some people say, “It feels more like lifting than toning.”
→ People like this are good to start with
- Only red marks remain
- There are few dents and the texture is rough.
- If you are looking for something that is less burdensome as it is the first stage of treatment
2) When wrinkles are visible → “Fractional laser (erbium·CO₂)”
When it comes to scar treatment, the first thing that comes to mind is laser.
• Fraxel / Fractional Laser
It is a method of regenerating the skin by making tiny holes in it.
It directly improves your reputation, and the more times you receive it, the more cumulative the effect becomes.
However, it causes redness, flaking, and mild scabs.
• Erbium YAG laser
Heat damage is minimal, so recovery is quick.
If the damage is deep, the effect may be felt weakly.
→ These are the people who are right
- When the defeat is clearly visible
- The scar depth is medium
- If you can tolerate some downtime
3) Deep or protruding scars → “Skin Booster + Laser”
This is a combination often used in dermatology clinics.
• Skin Booster (Rejuran / Water Glow Injection / Small amount of Filler)
The pattern is slightly filled in from the bottom, and the laser is used to smooth the surface.
Especially for sunken areas like the cheeks and temples, the results will be more natural if done in parallel.
• Subcision
This is a procedure that breaks the fibrous bands that pull the scar floor together.
It is effective for scars that look bumpy.
4) When the scar color remains dark → “Pigmentation/Erythema Laser”
Pigmentation may remain even during scar treatment.
In such cases, if you repeat the stimulation laser such as CO₂, it will actually become darker.
• Vbeam (vascular laser)
It is a typical example of catching red marks.
The erythema reaction is reduced more strongly than with toning.
• IPL (Intense Pulsed Light)
It's less of a burden when dealing with redness and wide color issues.
5) Treatment selection criteria (important)
✔️ If it's your first time Toning Genesis is the safest entry level
✔️ If you see a pattern Fractional
✔️ Deep wrinkles + loss of elasticity → Skin Booster in parallel
✔️ If there is any color left V-beam/IPL
- There are few treatments that can be done in one go.
- People with weak skin barriers It's best to avoid strong lasers.
- My skin becomes sensitive right before my period. Pain and redness may increase
FAQ
Q. How many times will I need laser treatment for acne scars before they become noticeable?
Usually, the knots will gradually be resolved after 3 to 5 times. If the knots are deep, it will take longer.
Q. Does Fraxel hurt a lot?
It's bearable if you apply enough anesthetic cream. The burning sensation will last for about a day.
Q. Does acne scar ointment help?
It helps with the initial redness, but ointment alone is not enough to improve the appearance of the blemishes.
Q. Can toning alone improve skin tone?
Unfortunately, there is almost no improvement in the game. It is more like a color and red flag organization.
Q. Can scar treatment cause pigmentation?
It can come. Especially if you have dark skin tone, it is better to avoid strong lasers.
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