Dermaroller vs CO2 Resurfacing Laser for Acne Scars?

  • The complexity of Acne scars can be very challenging for both the doctor and the patient. Since different type of scars respond differently to therapy, it is very important for a cosmetic surgeon or a scar expert to conduct a thorough assessment to be able to come up with the best possible treatment option.

    For most scar experts, a combination of scar removal techniques and procedures work effectively rather than just getting a stand-alone treatment. For instance,  getting a package of Dermaroller plus fractionated CO2 laser is better that just getting a session of any of those independently.

    Which is Better? Dermaroller or  Fractionated C02 Laser?

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    Well, the answer is- “Nothing, these are completely different procedures and they are used independently to produce better results- typically these procedures are done with an oral and topical skincare regimen to prevent complications and promote better healing”.

    Both treatments promotes injury to the dermis which results to a skin repair mechanism- Meaning, new collagen is deposited in the areas of the microholes. This new inflammatory process, may help raise depressed scars.

    • For some doctors, Dermaroller or “Roll-Cit” works best on shallow acne scars rather than deep ice pick scars. Because of the multiple tiny punctures of specialized needles, the skin is able to regenerate collagen on the skin and thus improving the appearance of acne scars. However, this procedure is very painful and may need anesthesia depending on the person’s pain tolerance.
    • Also, Dermarollers may have several days of downtime- some doctors would say that a session of Dermaroller may have 6 days of downtime and 5 days of healing time- Meaning, your face will look very swollen until it is completely healed.

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    • For deeper ice pick scars, some doctors would prefer a simultaneous treatment of Dermaroller and  Deep FX CO2 laser system . Both procedure are usually done separately with 1 or 2  months gap to prevent  the risk of further scarring.
    • For some doctors, deeper pits of scars are effectively  treated with subcision/excision of scars followed by ablative frational CO2 resurfacing.
    • It is important to note that “not all lasers are created equally and not all users are experienced with lasers”. Like for instance,  In people with darker skin types, care must be taken to avoid hypo and hyper-pigmentation sequelae.  

    Acne scarring is challenging to treat that there is a great deal of nuance and expertise required to treat this condition safely and effectively. Always remember to choose the right doctor. Good Luck!