Patients researching acne scar removal laser before and after photos often turn to Fraxel for pitted, ice-pick, and boxcar scarring. Fraxel is one of the most studied laser treatments for acne scars. It stimulates collagen renewal beneath the skin, softening uneven texture left behind by cystic acne. The technology suits men and women of all skin tones who want visible improvement without prolonged downtime.
Dr. Rokhsar played a direct role in the research and development of the Fraxel platform. He uses it as a primary tool for acne scar work at our Fraxel laser treatment practice. Many cases combined Fraxel with subcision or other acne scar removal approaches. Patient results below were treated at our Manhattan and Garden City offices.
Fraxel Laser for Cheek Acne Scarring (Patient 1)


On the cheek and jawline, diffuse atrophic scarring traces the path of past inflammatory acne. After Fraxel laser treatment, the after image shows a smoother surface with reduced shadow depth in the scar valleys. The skin tone reads more uniform and the textural irregularity that drew the eye has softened noticeably.
Resurfacing of Cheek Acne Scars with Fraxel (Patient 2)


Deep ice-pick and boxcar scars carved into a male cheek mark years of inflammatory acne. The after image shows softer scar walls and a more even surface that blends naturally with the surrounding bearded skin. The shadows that once defined each pit have lifted, giving the cheek a calmer overall appearance.
Acne Scar Treatment Using Fraxel Restore Dual (Patient 3)


The jawline reads visibly smoother in the after image, with reduced scar depth and a more even reflective surface. Where pitted shadows once interrupted the contour, the skin pattern now appears calmer. Fraxel Restore Dual worked here because the underlying acne scarring responded well to fractional resurfacing. The patient’s overall jaw contour also reads more uniform in the side profile.
Treating Atrophic Acne Scars on the Cheek (Patient 4)


For diffuse atrophic scarring with no single dominant lesion, fractional resurfacing offers the most efficient path to overall surface improvement. The after image shows a cheek with softened scar walls and a finer textural grain. Surface light now plays more evenly over the skin, and the irregularity that defined the before photo has receded.
Atrophic Cheek Scarring Improved by Fraxel Dual (Patient 5)


The contrast between the before and after sides tells the story of fractional laser response on the cheek. What appeared as a stippled, shadowed surface now reads as smoother skin with a softer textural pattern. The cheek’s overall light reflection appears more even, and the underlying redness has calmed. These changes are characteristic of Fraxel response when acne scarring sits at a moderate depth.
Textured Acne Scars Smoothed with Fraxel Laser (Patient 6)


Fractional laser treats only a portion of the skin’s surface per pass. Untreated bridges of tissue speed recovery while collagen rebuilds underneath. The after image shows a cheek with finer textural grain and softer scar walls. The dermis below appears to have remodeled enough to support a smoother surface contour.
Dual Fraxel for Facial Acne Scarring (Patient 7)


The facial side profile shows visibly smoother skin tone and reduced scar depth in the after image. The cheek and jaw read as smoother and more uniform, with shadowed pits replaced by softer surface texture. This kind of improvement reflects a typical Fraxel response in moderate-depth acne scarring. Texture and tone work together to produce the cleaner overall impression.
Back Acne Scars Treated with Fraxel Restore Dual (Patient 8)


On the upper back, broad textural acne scarring spans the shoulder blades and lower neck region. The after image shows skin that reads visibly smoother, with reduced shadow depth and a more even tone. Fraxel treatment of trunk acne scars follows its own healing rhythm. The dermis on the back rebuilds at a slower pace than the face.
Asian Skin Acne Scars Treated with Fraxel Dual (Patient 9)


A pitted, atrophic scar pattern marks the cheek on a patient with deeper Asian skin tone. The after image shows visibly improved texture without pigment shift or loss of natural skin color. Fraxel Restore Dual is well suited to darker skin types when the protocol accounts for melanin response. This approach helps avoid the hyperpigmentation risk that can follow aggressive resurfacing.
Dark Skin Acne Scarring Treated with Fraxel (Patient 10)


For darker skin tones with diffuse atrophic acne scarring, Fraxel Restore Dual remains one of the safer fractional resurfacing options. The after image shows a face with smoother texture around the nose and central cheeks, without visible post-treatment pigment change. The lesion pattern that defined the before view has receded into a more uniform skin surface.
Combined Fraxel and Subcision for Acne Scars (Patient 11)


Combining fractional laser with subcision tackles two acne scar problems at once. Subcision releases the fibrous tethers that anchor scar floors downward. Fraxel resurfaces the upper skin and stimulates collagen renewal. The after image shows a cheek where formerly anchored scars now sit at a more even depth. The remaining texture blends naturally with the surrounding skin.

