The Best Laser Acne Scar Treatments: What Really Works for Smoother Skin

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If acne scars have left you feeling frustrated or self-conscious, trust us—you’re not alone. Most people struggle with acne at some point during their lives.

The good news is, today’s laser technologies offer powerful solutions that go beyond surface-level fixes.

Let’s explore some of the best laser acne scar treatments available in the cosmetic dermatology industry, including how they work, what results you can expect, and who they’re best suited for.

Why Laser Treatments for Acne Scars

Laser treatments can target scarred or damaged skin at a deeper level than topical treatments. They work by either removing damaged outer layers of skin (ablative lasers) or stimulating collagen production in the skin (non-ablative lasers) to help smooth texture, reduce discoloration, and encourage skin renewal—or both!

Everyone has different skin, and different types of scars respond better to specific types of laser, which is why a talking to a skilled laser technician is key. A Dermablue expert can help you create a personalized treatment plan that will work best for your skin.

Best Laser Acne Scar Treatments (Ranked & Explained)

1. CO2 Laser Resurfacing (Ablative)

Best for: Deep acne scars, pitted scarring (boxcar or icepick scars)

CO2 (carbon dioxide) lasers remove the top layers of damaged skin while heating the underlying layers to stimulate collagen production. The result from CO2 Laser Resurfacing? Dramatically smoother texture and tighter skin.

Pros:

  • Most effective for deep, pitted scars
  • Long-lasting results

Cons:

  • Requires downtime (up to 1–2 weeks)
  • Redness and peeling expected during recovery

2. Lutronic Ultraâ„¢ (1927nm Thulium Laser)

Best for: Post-acne discoloration, early-stage scars, and improving skin tone and texture

Lutronic Ultra is a non-ablative fractional laser that uses a 1927nm thulium wavelength to target the upper layers of the skin without removing them. This makes it especially effective for treating post-inflammatory hyperpigmentation (PIH), mild textural scarring, and sun damage—all without significant downtime.

Unlike more aggressive resurfacing lasers, Lutronic Ultra gently stimulates collagen production and accelerates skin cell turnover, helping fade discoloration and soften early acne scars over time. It’s also safe for a wide range of skin tones when used properly.

Pros:

  • Minimal to no downtime (most patients experience mild redness for 1–2 days)
  • Helps fade dark spots and smooth uneven texture
  • Can be combined with other treatments like RF microneedling or PRP
  • Safe for year-round use with proper sun protection

Cons:

  • May require a series of 3–6 treatments for optimal results
  • Not ideal for deep, pitted scars

Lutronic Ultra is often recommended as part of a comprehensive acne scar treatment plan, especially for patients looking to improve skin clarity and tone without taking time off for recovery. It’s a great starting point for anyone new to laser treatments or those wanting a gentle refresh between more intensive procedures.

3. Fractional Laser Resurfacing (e.g., Fraxel)

Best for: Post-inflammatory hyperpigmentation, mixed scarring

Fractional lasers target microscopic sections of skin, leaving surrounding tissue intact. This allows for faster recovery while still boosting collagen and smoothing texture.

Pros:

  • Minimal downtime (a few days of redness)
  • Safe for various skin tones with proper guidance
  • Improves tone and texture

Cons:

  • Requires multiple treatments (usually 3–5)
  • May cause temporary darkening in melanin-rich skin if not properly managed

4. Pico Laser (PicoSure or PicoWay)

Best for: Pigmented acne scars, dark spots, sensitive skin

Pico lasers use ultra-short pulses of energy to break up pigment and stimulate the skin without significant heat or injury to the tissue. These are great for reducing brown or red discoloration left behind by acne.

Pros:

  • No downtime
  • Great for all skin types
  • Brightens and evens out skin tone

Cons:

  • Not effective for deep scarring
  • Multiple treatments needed

Combination Treatments Often Yield the Best Results for Acne Scars

Unfortunately, everyone has different No single laser fits every scar type. Many dermatologists and med spas recommend a tailored approach using a combination of laser resurfacing, microneedling, chemical peels, or RF (radiofrequency) treatments to get the best outcome.

Bonus: PRP (platelet-rich plasma) can be added after laser treatments to speed healing and enhance results.

What to Expect During Treatment

  • Most laser acne scar treatments take 30–60 minutes per session.
  • Numbing cream may be used for comfort.
  • Some redness, flaking, or swelling is expected post-treatment.
  • Sun protection is essential during the healing process.

Choosing the Right Provider

When searching for the best laser acne scar treatment near you, look for a licensed aesthetic clinic or dermatology practice with experience treating your specific skin type and scar concerns. Ask about the devices they use and how they customize treatment plans.

Final Thoughts: Is Laser a Treatment Worth It?

For many people, laser acne scar treatments are absolutely worth it—especially when other methods haven’t delivered. With the right laser and a trusted provider, you can see major improvements in skin texture, clarity, and overall confidence.

DermaBlue Can Treat Your Acne Scars

At DermaBlue, we specialize in advanced laser treatments tailored to your skin and scarring type. Schedule a free 30-minute aesthetic consultation today to learn which laser is right for you and take the first step toward clearer, smoother skin.

dr david lamond, medical director of dermablue, dermatology asheville

AUTHOR OF THE ARTICLE
Dr. David LaMond, D.O.

Dr. LaMond is a nutrition, hormone and prevention expert. Drawing from his foundation and board certification in Family Medicine, he has created the core medical principles behind the blue sky concept of total patient care…

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