Restoring Skin Quality in Acne Vulgaris Using Fractional Non

Acne vulgaris is a chronic inflammatory disease of the pilosebaceous unit and remains one of the most prevalent dermatological conditions worldwide. It can result in persistent erythema, post-inflammatory hyperpigmentation, uneven skin texture, and scarring, contributing to considerable cosmetic and psychosocial burden. A 27-year-old female presented with persistent acne predominantly involving the right cheek, associated with facial erythema, post-inflammatory hyperpigmentation, mild atrophic scarring, and significant cosmetic concern. The patient reported recurrent inflammatory lesions despite conventional topical therapy. Clinical examination revealed multiple inflammatory papules and pustules on an erythematous background, accompanied by diffuse hyperpigmented macules and uneven skin texture. The patient underwent three sessions of 1565 nm fractional non-ablative laser therapy, with parameters individualized according to skin type and standard pre- and post-procedure care. Following treatment, marked clinical improvement was observed, including reduction in inflammatory acne lesions and background erythema, lightening of post-inflammatory hyperpigmentation, and improvement in overall skin texture and appearance. Treatment was well tolerated, with minimal discomfort and no observed post-procedure hyperpigmentation, prolonged erythema, or scarring. The patient expressed high satisfaction with the outcome, including improved confidence and quality of life. Fractional non-ablative laser resurfacing may provide a minimally invasive treatment option for selected patients with acne vulgaris and associated post-acne skin changes.

Acne vulgaris; Fractional non-ablative laser; Post-inflammatory hyperpigmentation; Acne scarring; Laser resurfacing; Skin texture

Volume: 19
Issue: 8
Published: September 2026