Fractional
laser (FL) resurfacing has proved its effectiveness in
acne scars treatments. To evaluate the efficacy of Fractional
laser systems for treatment of
acne scars as a monotherapy, and as adjunctive
therapy with other treatment types. A systematic literature review was performed by searching the electronic databases PubMed, Google Scholar, and Embase. Fractional
laser has proven therapeutic efficacy of over 26% in treating
acne scars, with minor and transient side effects, and well-tolerant
pain. The application of PRP not only accelerated recovery and reduced adverse events, but also enhanced localized
collagen neogenesis and redistribution. The addition of surgical treatments to Fractional
Laser Systemes (FLS)
therapy delivers the best treatment results for Icepick
scars. Fractional
laser is an effective tool for treating
acne scars. The degree of effectiveness varies according to the
laser parameters, the number of treatment sessions, skin photo type, the severity and the type of
scars. The application of Platelet-Rich Plasma (PRP) and Fractional Radiofrequency Microneedle (FRM) in addition to the FL treatment improves the therapeutic efficacy and reduces the appearance of Post Inflammatory Hyper-Pigmentation (PIH), and is the ideal treatment for dark-skinned patients. FL
therapy along with surgical methods such as subsicion and punch techniques provided the best improvements for deep
scars.