Fractional Pico Laser is FDA-approved for acne scar resurfacing with minimal downtime.
Fractional Pico laser is FDA-approved for acne scar resurfacing. Fractional Pico lasers utlizes a special handpiece with micro-lens array (MLA) that splits the laser beam into small but concentrated microbeams, thus limiting damage to the surrounding skin. The absorption of microthermal energy within your skin initiates a plasma reaction and a cascade of healing events. It resurfaces your skin from within by stimulating collagen growth, elastin formation and dermal remodelling. Demonstrating a high degree of safety, tolerability and efficacy, the fractional pico laser for acne scars is safe for all skin types.
The picosecond fractional laser represents a cutting-edge advancement in dermatological treatments, particularly for addressing acne scars. This technology operates on the principle of delivering ultra-short laser pulses, each lasting only a trillionth of a second (one picosecond). This rapid energy delivery enables precise targeting of scar tissue with minimal thermal damage to surrounding skin, making it a highly effective and safe option for patients seeking to improve skin texture and appearance. Drawing upon the latest acne scar techniques coupled with his wealth of experience, Dr. Ng will help craft a personalised treatment plan for you to help repair your acne scars and restore your skin.
Your acne scar treatment plan must take into account the acne scar morphology, scar depth, surrounding skin condition, medical history and past treatment histories. In most cases, where acne scars are a mixed type, we may recommend procedures such as TCA CROSS, subcision, fillers and/or lasers and Genius MFR. There is not a single modality or device that will treat all types of mix acne scarring.
However, for individuals with mild to moderate atrophic acne scarring where the desire for low downtime is more socially acceptable, fractional picosecond laser treatment is an option.
Fractional pico laser treatment for acne scars is also suitable for darker skin phototypes IV to VI. The unwanted risks of post-inflammatory hyperpigmentation (PIH) is mitigated by fractionated microbeams that causes little surrounding tissue damage.
Picosecond laser treatments emit high laser power and ultra short laser pulses (450 picosecond). Did you know that a picosecond is a trillionth of a second? These ultra short pulses create a photomechanical (or photoacoustic) effect without heating up too much of the surrounding skin (photothermal effect). This is reduces downtime and scarring post procedure, and is safer in darker skin types.
Fractional pico laser treatments allow higher peak energies to be concentrated on laser micro-beams (diffractive lens array), thus minimising collateral damage. The tissue effects centers on a phenomenon known as Laser Induced Optical Breakdown (LIOB). Basically, optical breakdown of dermal tissue creates small cavities underneath the skin, whereupon natural healing responds by stimulating new collagen and elastin formation.
Atrophic acne scars are the consequence of loss of collagen underneath the skin. Fractional pico lasers for acne scars deliver ultra short pulses beneath the skin to stimulate collagen and elastin, without compromising the outermost skin layer (the stratum corneum). Transformation, regeneration and strengthening of your skin begins from within!
A literature review (Wu 2021) of meta-analysis, retrospective reviews, and randomised comparison trial show fractional picosecond lasers to be safe and effective for mild to moderate acne scarring. Individuals with darker skin type are better candidates for treatment due to the lower risk of post-inflammatory hyperpigmentation.
The wide variety patients presenting with acne scarring of mixed types requires a patient-tailored combination approach. This may include lasers, subcision, TCA CROSS, excisions for deep scars and filler treatment. An acne scar treatment plan is based on multiple factors that is unique to the individual:
Subcision
Releases deep tethered scars within the skin. A variety of approaches is used but a blunt cannula method allows minimal tissue trauma and therefore shorter downtime.
Fractional Treatments
Fractional lasers or energy-based devices such as Pico fractional laser, INFINI and Genius helps to induce collagen synthesis through a natural wound healing process. The newer microneedling RF treatments such as the Genius is able to deliver precise energy within the skin while sparing the epidermis, making treatments safer and healing times faster.
Injectables
Injectable filler treatments such as Hyaluronic acid, Profhilo and Rejuran S elevate scars by restoring volume loss and stimulation of wound healing.
Vascular Lasers
Vascular lasers improve redness and inflammation on the skin. It is useful for post-inflammatory erythema, rosacea, active acne and facial veins.
Punch Excision
An alternative to TCA CROSS for deeper ice pick scars is punch excision. A specialised circular blade is used to surgically remove the deep scars and the wound is sutured together. After 5-7 days, the sutures are removed, and the deep scar is converted to a liner scar which can then be lasered to improve its appearance.
Injection Steroids
Keloid scars may result from untreated acne. Keloids are commonly found on the jawline, shoulders and chest. When they cause pain, itch or discomfort, injection steroids help to relieve these symptoms and improve the appearance of your keloids.
TREATMENT | PRICE |
---|---|
TCA CROSS | from $340 |
Cannula Subcision | from $480 |
Fractional Pico Laser | from $599 |
Fractional CO2 Laser | from $499 |
Rejuran S | from $500 |
Injection Steroids | from $200 |
Your active acne needs to be managed first before we can start acne scar treatments. With proper treatment, your acne can be managed effectively. Early intervention in the management of acne scars is recommended for better outcomes.
Most treatments are tolerated well. A tingling sensation is commonly felt. We use numbing cream prior to your treatment to maximise comfort and experience.
Common post procedure effects include temporary redness, swelling, itchiness, dryness, acne, small pin point bleeding and tingling. Post-inflammatory hyperpigmentation (PIH) with fractional pico lasers is significantly lower when compared to fractional CO2 laser treatments.
Although recovery in most instances is within 5-7 days, you may experience a longer recovery when more intense treatment is needed.
For acne scar resurfacing, wound healing occurs within weeks after your first treatment. Collagen and elastin fibers continue to form and restructure months later. The improve of acne scar appearance continues months after your last fractional pico laser treatment.
For mild to moderate acne scarring, we recommend an average of 4 fractional pico laser sessions. Treatments are carried out at intervals of 4-6 weeks.
A gentle cleanser and moisturizers are advisable to keep skin clean and hydrated. You may be prescribed a topical antibiotic to minimize the risk of infections. Stay away from direct and prolonged sunlight, and protect yourself by using a sunscreen (SPF 50 and PA+++).
Avoid exfoliants, AHA/BHA and retinoids for at least one week after your procedure to avoid unwanted skin irritation.
Although the clinical data remains limited, there are a number and emerging reports of the utility of fractional pico lasers for non-acne scar types. These may include hyperpigmented scars post-burns, surgery or trauma. In addition, there may be benefits in the treatment of atrophic, hypertrophic scars and striae alba (stretch marks).
It is important to talk to your doctor regarding off-label treatments in order to assess your suitability for the procedure.
We treat a range of acne and acne scars at both our clinics in Woodlands and Kovan. Contact us today to schedule a consultation, so Dr. Ng can develop a personalized treatment approach for resolving your skin concerns and helping you to achieve long-term improvements in the health and appearance of your skin.
The picosecond fractional laser is a highly advanced and effective solution for patients seeking to reduce acne scars. Its precision, safety profile, and minimal downtime make it a superior choice in the realm of dermatological treatments. Patients can expect significant improvements in their skin’s appearance, leading to enhanced confidence and quality of life. For optimal results, it is recommended that patients consult with a qualified doctor to develop a personalized treatment plan.
Dr. Moses Ng is a distinguished professional in the field of aesthetic medicine, renowned for his expertise in advanced cosmetic procedures. With over 15 years of experience, extensive training and a keen eye for detail, Dr. Ng specializes in a wide range of treatments, including injectables, laser therapies, and acne scar management.
Dr. Moses Ng’s commitment to excellence and patient-centric approach have earned him a reputation as a trusted clinician in aesthetic medicine. His continuous pursuit of the latest advancements in the field ensures that his patients receive the highest standard of care and the most effective treatments available.