Knowledge How does a Q-switched Nd:YAG laser treat acne and scars? Achieve Flawless Skin with Advanced Dermal Remodeling
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Tech Team · Belislaser

Updated 2 days ago

How does a Q-switched Nd:YAG laser treat acne and scars? Achieve Flawless Skin with Advanced Dermal Remodeling


The Q-switched Nd:YAG laser treats acne and scars by utilizing a specific 1064nm wavelength that bypasses the skin's surface to reach the deep layers of the dermis. This energy creates controlled heat that shrinks oil glands to stop active acne and stimulates the production of new collagen to smooth out scar texture.

Core Takeaway: Because the 1064nm wavelength is minimally absorbed by water, it penetrates deeply without injuring the top layer of skin. This non-ablative approach simultaneously reduces the sebum production that causes acne and triggers the dermal remodeling required to fade scars.

The Mechanism of Deep Penetration

The 1064nm Wavelength Advantage

The primary strength of the Q-switched Nd:YAG laser is its use of the 1064nm wavelength. Unlike other laser types, this wavelength is minimally absorbed by water found in the epidermal (surface) cells.

Bypassing the Surface

Because the energy is not absorbed by surface water, the laser light passes through the top layer of skin without causing injury. It deposits its energy directly into the deep dermis, where acne roots and scar tissue reside.

Treating Active Acne

Shrinking Sebaceous Glands

Once the laser energy reaches the dermis, it generates a thermal (heating) effect. This heat targets the sebaceous glands, significantly reducing their size and activity.

Reducing Sebum Production

By heating these glands, the treatment inhibits the secretion of sebum (oil). Since excess oil is a primary fuel for acne, reducing it helps clear current breakouts and prevents future ones.

Eliminating Bacteria

The thermal effect of the laser also targets the root biological causes of acne. The heat helps eliminate Propionibacterium acnes, the bacteria responsible for infection and inflammation in acne lesions.

Treating Scars

Nonablative Resurfacing

This process is known as nonablative skin resurfacing, meaning it improves skin texture without cutting or removing the top layer. It relies on stimulating the body's natural healing response rather than physical abrasion.

Collagen Remodeling

The deep heat stimulates the dermis to produce natural collagen and other vital proteins. This process, often called dermal collagen remodeling, is essential for repairing the damaged tissue structure of scars.

Improving Skin Texture

As new collagen forms, it helps fill in the depressions caused by atrophic scars. Over time, this refines the overall skin texture, causing scars to fade, soften, or disappear.

Understanding the Trade-offs

Multiple Sessions Required

While effective, this is rarely a "one-and-done" solution. Significant improvement in collagen density and scar reduction typically requires a series of 3 to 6 treatments, usually performed at monthly intervals.

The Thermal Cumulative Effect

To achieve the necessary results, practitioners often use multiple passes during a session (horizontal, vertical, and diagonal). This ensures uniform energy distribution and builds up the cumulative heat required to trigger regeneration.

Immediate Side Effects

Because the surface is not damaged, recovery is fast, but not non-existent. Patients can expect mild redness that typically fades within a few hours, rather than the weeks of downtime associated with ablative lasers.

Making the Right Choice for Your Goal

While the Q-switched Nd:YAG is versatile, your specific skin goals will dictate how the treatment is applied.

  • If your primary focus is Active Acne: The treatment will prioritize suppressing sebaceous gland activity and eliminating bacteria to prevent future oil production.
  • If your primary focus is Acne Scars: The focus shifts to stimulating deep dermal collagen remodeling to plump the skin and smooth out surface depressions.

Ultimately, this laser offers a powerful, low-downtime solution by treating the root physiological causes of acne and scarring deep within the dermis.

Summary Table:

Feature Treatment for Active Acne Treatment for Acne Scars
Mechanism Shrinks sebaceous glands & kills bacteria Stimulates deep dermal collagen production
Primary Goal Reduce sebum production & clear infection Non-ablative skin resurfacing & smoothing
Wavelength 1064nm (Deep penetration) 1064nm (Deep penetration)
Typical Sessions 3 - 6 sessions (monthly) 3 - 6 sessions (monthly)
Downtime Minimal (Mild redness for a few hours) Minimal (No surface injury)

Elevate Your Clinic’s Treatment Standards with BELIS

As a specialist in professional-grade medical aesthetic equipment, BELIS provides premium clinics and salons with state-of-the-art laser systems, including our high-performance Nd:YAG and Pico lasers. Our technology empowers you to deliver superior results for acne management and scar revision with minimal downtime.

Why Partner with BELIS?

  • Advanced Precision: Target the deep dermis effectively for acne and skin rejuvenation.
  • Comprehensive Portfolio: From HIFU and Microneedle RF to EMSlim and Cryolipolysis, we provide the full spectrum of body and face solutions.
  • Professional Reliability: Specialized care devices including skin testers and Hydrafacial systems to ensure client satisfaction.

Ready to upgrade your services with the latest in laser technology? Contact us today to discuss your equipment needs!

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