121 East 60th Street, Suite 8AB New York, NY 10022

Ph. (212) 285-1110

Garden City

901 Stewart Ave, Suite 240 Garden City, NY 11530

Ph. (516) 512-7616

New York City (212) 285-1110

Long Island (516) 512-7616

Acne Scar Laser Treatment

Get Smooth Skin Again with Laser Treatments

People suffer from acne for a variety of reasons. In some cases, acne is a factor of the environment, in other cases, it’s caused by genetic factors. Acne can cause a significant amount of discomfort, both physical and emotional. To many patients, acne and acne scars can be quite debilitating. But our New York Acne scar laser treatment1 patients know that it doesn’t have to stay that way!

Acne Treatment: Before and After

Acne Treatment: Before and After Treatment Photo - patient 1

*Results may vary.

Acne scars are left behind from even mild cases of acne. The deep inflammation and infection can leave behind deep pockets and uneven skin surface and tone.

There are four categories of acne scars2:

  1. Boxcar Scars– oval or annular depressions that are wider than most scars, but do not penetrate deep into the skin, reaching the dermis.
  2. Hypertrophic or Keloid Scars– thick and raised scars that appear more commonly on the back or face. They spread beyond the original point of damage.
  3. Ice Pick Scars– deep and narrow scars that extend through both the epidermis (the upper layer of skin) and the dermis (the deeper layer of skin).
  4. Rolling Scars– appear as sloped scars that rise and fall from the skin’s natural surface.

There are two main types of lasers used for acne scars: Fractional C02 lasers and fractional lasers. The difference between these lasers lies in the wavelength of light used and the amount of skin they target. Fractional C02 lasers treat microscopic areas of skin at a time. This fractional approach penetrates deep layers of the skin to stimulate the skin’s natural healing process by encouraging collagen production, which can ultimately allow for faster results.

Treatment For Surgical Scars
The wound-healing process begins with inflammation, moves to tissue formation, and ends with modifying specific factors in the anatomy such as collagen. Surgical scars3 occur when the wound-healing process is disrupted by biological factors such as too much collagen or depleted collagen.

Refined since the introduction of lasers in the 1980s, the laser scar removal technique today can reduce the appearance of keloid scars, hypertrophic scars, and atrophic scars, which have the following characteristics:

  • Keloid Scarring: Firm, raised, and reddish-purple scars that extend beyond the initial wound area and builds over time.
  • Hypertrophic Scarring: Firm, raised, and pink scars that remain within the initial wound area and possibly naturally regress over time.
  • Atrophic Scarring: Depressed pin-like pockets in the skin that can result from skin conditions or diseases such as acne.

During laser scar removal treatments, the laser is moved along the scar. This vaporizes or removes a layer of skin and exposes a more natural-looking skin layer, which heals over time to minimize scar appearance.

Numerous types of lasers are available, each of which has unique benefits:

  • The CO2 and Fraxel laser is best suited for acne scarring
  • The Er:YAG laser system is best for treating scar edges and mild acne
  • The 585-nm pulsed dye laser (PDL) is often used to treat hypertrophic and keloid scars

Treatment For Acne Scars
Acne is one of the most common skin diseases in the United States. It is estimated that 60 million Americans suffer from acne and 20 million suffer from it badly enough to cause scarring. Acne scarring is the result of inflammation in the lower layer of the skin called the dermis which causes the collagen to become deformed or scarred resulting in depressions in the skin.

Acne scars4 are typically classified into a boxcar, ice pick, and rolling scars. Lasers are a commonly used modality in the treatment of acne scars. Laser resurfacing has long been used in the treatment of acne scars. Traditional resurfacing lasers like CO2 or erbium can cause improvement in acne scars but require 1-2 weeks of downtime. Non- ablative lasers such as SmoothBeam and CoolTouch, do not remove the skin but at best are minimally effective in the treatment of acne scars.

A new resurfacing procedure, named fractional resurfacing or Fraxel is currently the most effective laser in the treatment of acne scars. Dr. Rokhsar has been instrumental in the development of this laser, has worked on a prototype device and has discovered its effectiveness for acne scars. Dr. Rokhsar has published the first study on the treatment of acne scars with fractional resurfacing and has developed the parameters for use of this laser in the treatment of acne scars on the prototype device. This laser resurfaces the skin gradually, 20-30% at a time, which allows for rapid healing while eliminating the risk of rawness associated with traditional laser resurfacing procedures. The zones of thermal laser damage serve as a stimulus for collagen production filling in the pitted appearance of acne scars with your own collagen.

In a study conducted by Dr. Rokhsar, the Fraxel laser can result in improvements of up to 50% in the appearance of acne and surgical scars. Dr. Rokhsar will tailor the procedure for your skin depending on the type of acne scars that you may have. He may recommend subcision in addition to rolling scars as well as combining the Fraxel resurfacing procedure with punch excisions for ice pick scars.

Treatments are typically done every 2 to 4 weeks. Scars on any body surface area can be treated with the Fraxel laser, although scars on the face respond the best. Patients have to be aware that there is no cure for (acne) scars but that the Fraxel Laser in Dr. Rokhsar’s hands can result in significant improvement in the appearance of acne scars, far superior to any other procedures.

Why choose Dr. Rokhsar for your acne scar treatment?
Dr. Rokhsar is a recognized national and international authority on the use of lasers and in particular the Fraxel laser for the treatment of acne and other scars.

Offering Treatment in the NYC Area

When deciding on a treatment plan for your acne scars, the doctor will take into account the type and severity of your acne scars as well as any previous acne scar treatments you may have had. New York dermatologist Dr. Rokhsar treats acne scars in patients with a variety of skin types, including Asian, Indian and African-American skin. Because those with darker skin scar differently than those with lighter skin, it is important to find a dermatologist such as Dr. Rokhsar who has years of relevant experience.

Dr. Cameron Rokhsar was closely involved in the development of most Fraxel lasers currently available. It is considered one of the most effective fractional lasers for the treatment of acne scars. Individual results will depend on the patient and the severity and type of scarring. Dr. Rokhsar can help you decide if Fraxel Re:store, Dual, or Re:pair is the right laser for you.

If you suffer from acne or acne scars, laser treatment may be a treatment option. Many of Dr. Rokhsar’s patients who have undergone Fraxel laser acne scar treatment at his New York area office have reported significant improvement in the appearance of the skin. Although lasers can be effective on acne scars, the treatment may not be appropriate for everybody. If you would like to improve the texture of your skin, contact Dr. Cameron Rokhsar to schedule a confidential consultation and see what treatments can best help you improve the texture of your skin.

Potential Risks

Fraxel is generally regarded as a painless treatment, accompanied by a slight tingling sensation. Although rare, some potential risks may include redness and swelling, which will fade within a day or two after the procedure. Depending on the sensitivity of the skin, some patients may experience more swelling and redness than others, which will fade in a few days.


Upper East Side Manhattan
121 East 60th Street, Suite 8AB New York, NY 10022
(212) 285-1110
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Garden City Long Island
901 Stewart Ave, Suite 240, Garden City, NY 11530
(516) 512-7616
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1 Everything You Want to Know About Laser Treatment for Acne Scars. Available:
2 Acne Scarring—Pathogenesis, Evaluation, and Treatment Options. Available:
3 Cosmetic Procedures: Scars. Available:
4 Acne Scars. Available:

About author - Dr. Cameron Rokhsar

Dr. Cameron Rokhsar

Dr. Cameron Rokhsar is the founder and owner of Cosmetic Laser Skin & Surgery Center. With degrees from Harvard University and NYU, along with multiple publications and media features, the board-certified dermatologist and laser surgeon proudly shares his expertise with patients in Garden City, Manhattan, and those who fly in to receive treatment at his offices. Dr. Rokhsar has worked extensively with Vbeam laser, Thermitight, Coolsculpting, and Fraxel laser technology, as well as Allergan and other injectable brands. He pioneered the Non-Surgical Nose Job and continues to be a leader in his field.

Learn more about Dr. Rokhsar | Dr. Rokhsar's Google Scholar

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