From stars to.. scars

“Horribly disfigured from this laser procedure. Permanent stamp-mark scars on neck, chest, and face. Totally destroyed my dermis layer”.

“It been almost a year since I had this painful and negative life changing procedure done and the grid spider-man scarring on my chest has not gone away at all”.

“It was the worst decision of my life. I have lost so much fat in my face, my skin texture is horrific, and I have microscarring (holes) all over my cheeks”.

(quoted from


Fractional photothermolysis (FT) is an approach to laser skin resurfacing that creates microscopic thermal wounds separated by areas of spared tissue. It was developed to overcome the high incidence of adverse events and prolonged healing times associated with full coverage ablative laser treatments.

What can we see now, so many years on since the beginning of the fractional technology “era”?

First of all, it seems non-ablative as well as microablative technologies failed to prove their superiority over more aggressive ablative ones. Moreover, in recent times, in order to achieve lifting of ageing skin they make “holes” up to 1 mm or deeper.  Yes, damage of the dermis and subsequent fibrosis (microscarring) induces lifting.. but at what cost?

With the latest deep fractional lasers, most patients require some sort of sedation for the procedure to be performed. Pain, bleeding, prolonged downtime – that is what we get nowadays as a consequence of using these “latest developments”. A strange outcome after years long efforts to reduce any risks for the patient. At the same time we can’t say that the results are consistent and predictable. And particularly we can’t say that we deal with true skin regeneration simply because we solve a problem by creating another one.

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