The CO2 fractional laser pokes tiny microscopic holes in the skin down past the
epidermis and into the dermis. These holes cause new collagen to be generated which
fills in the acne scars and creates rejuvenated smoother skin.
Most patients start to notice improvements in their skin as early as 1 week after
the treatment. Continued improvements occur for the next 6 months and peak at around
month 6. Most patients notice between 50-70% improvement of the condition treated.
However, results vary by individual.
When the body has a vigorous response, almost inappropriately strong, to acne bacteria, this can lead to inflammation. Intense inflammation over time cause scarring. Some people are more prone to scarring than others. Some patients with intense inflammation can end up with significant disfiguring scars. The types of acne scars
There are different kinds of acne scars: ice pick, atrophic, and hypertrophic. Ice pick scars are deep pitted scars with steep edges. Atrophic scars are pitted but have smooth borders and are not as deep. Hypertrophic scars, more common on the back and chest, are thick, lumpy scars that sit above the surface of the skin.
The most safe and effective treatment for the majority of patients with acne scars is the Fractional CO2 Laser.It is a new and works by resurfacing only a “fraction” of the skin at a time, leaving the surrounding area intact for faster healing. It reduces side effects and give the ability to treat all skin types.
The vast majority of patients require only one treatment to achieve the desired
results.
Since the treated area continues to improve in every 1 month following the laser
treatment, we re-evaluate the need for any additional treatments at that time.
The fractional CO2 laser causes a wound in the skin means you will have 3 to 4 days of downtime. During that time you have to apply an ointment frequently to your face to keep skin greasy.
The main risks are temporary or long-lasting light or dark spots from treatment. Very rarely scarring can still result. For these reasons it is important to be treated by an experienced laser surgeon.
The whole procedure is done under local or topical anesthesia. You are awake and comfortable the entire time. Prior to the procedure, topical numbing cream is applied for 60-90 minutes. In addition, valium is given prior to the procedure to facilitate relaxation. Using these measures there is usually minimal discomfort during the resurfacing procedure.