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Evaluating the Picosecond 755-nm Alexandrite Laser With Diffractive Lens Array and Radiofrequency Microneedling for the Treatment of Atrophic Acne Scarring.

Created on 17 Dec 2025

Authors

Kavita Darji, Misha Zarbafian, Lisa Ishii, Raheel Zubair, Serena Cho, Xihan Zhou, Mitchel P Goldman, Douglas Wu, Jameson Loyal

Published in

Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]. Volume 51. Issue 9S. Pages S69-S76.

Abstract

Acne scarring can impact patients negatively psychosocially. Picosecond lasers and radiofrequency microneedling may be used to improve this condition.
To evaluate the efficacy and safety of combination treatment with a picosecond 755-nm Alexandrite laser (PSAL; Picosure Pro; Cynosure, Westford, MA) with diffractive lens array and a radiofrequency microneedling device (RFM; Potenza; Cynosure) for treating facial atrophic acne scars.
This was a prospective, single-center, evaluator-blinded, split-face, randomized clinical trial. Twenty subjects with moderate to severe atrophic facial acne scarring were randomized to have one facial half treatment with PSAL followed by full-face treatment with RFM. Subjects received 4 treatments at 4-week intervals.
The blinded Investigator's échelle d'évaluation clinique des cicatrices d'acné (ECCA) acne grading, Physician Global Aesthetic Improvement Scale (PGAIS), and Subject Global Aesthetic Improvement Scale (SGAIS) did not show a significant difference between the facial half treated with RFM only and the half treated with RFM and PSAL at interval time points. However, there was significant improvement in ECCA, PGAIS, and SGAIS for both groups over study duration.
Both RFM and PSAL appear safe and may be effective for acne scarring treatment, but larger trials are required to confirm superiority or synergy.

PMID:
41405932
Bibliographic data and abstract were imported from PubMed on 17 Dec 2025.

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