Skip to main content Skip to main navigation menu Skip to site footer

Efficacy of 1064nm neodymium-doped yttrium aluminum garnet (Nd: YAG) laser and 2940nm fractional erbium laser for severe acne with acne scar: a case report

  • Ninda Sari ,
  • Fitria Salim ,
  • Meutia Sara ,
  • Elfa Wirdani Fitri ,
  • Mikyal Bulqiah ,


Introduction: Pharmacological therapy is not always desirable because of the development of antibiotic resistance or the potential risk of adverse effects. Non-pharmacological therapies can be viable alternatives to conventional therapies. Recently, laser therapy has been widely used in the treatment of acne vulgaris due to its effectiveness and safety as it provides a more rapid response with less rate of recurrence, specifically 1064nm Nd: YAG laser. Few studies have investigated laser combinations. Combination 1064nm Nd: YAG and 2940nm fractional erbium laser for severe acne with acne scar has not been reported.

Case report: We report a case of severe acne with acne scars in a 21-year-old female, skin type IV, treated using 1064nm Nd: YAG laser in five sessions and 2940nm fractional erbium laser two sessions. Reduction of acne lesions counts and acne scars improvement prominent after Nd:YAG laser at least four sessions. Our patient's acne scars improved not significantly after 2940nm fractional erbium laser. Acne remission was sustained through the follow-up period. There were no post-inflammatory hyperpigmentation and no exacerbation of acne lesions after the procedures.

Conclusion: 1064nm Nd: YAG laser is very effective for mild to severe acne and improves new acne scars. While 2940nm fractional erbium laser is more effective for mature scars.


  1. Pathophysiology of acne scars [Internet]. Acne Scars. CRC Press; 2009. p. 16–8.
  2. Bordera GB. Treatment of active acne by a novel high-power diode laser at 1060 nm: A case report. Eurasian J Med Investig. 2019;
  3. Ganceviciene R, Meskauskas R, Berzanskyte A. Treatment of acne vulgaris with 1064 nm Nd: YAG Laser. J Laser Heal Acad. 2015;2015:1–5
  4. Mohiuddin AK. A Comprehensive Review of Acne Vulgaris. J Clin Res Dermatology. 2019;6(2):1–34.
  5. Gold MH, Goldberg DJ, Nestor MS. Current treatments of acne: Medications, lights, lasers, and a novel 650-μs 1064-nm Nd: YAG laser. J Cosmet Dermatol. 2017;16(3):303–18.
  6. Singh MZ, Singh SI, Basra PS. Erbium: YAG laser resurfacing in patients with inflamed cystic acne. J Cosmet Laser Ther. 2006;8(4):163–6.
  7. Guida S, Lippolis N, Giovani M, Pedroni G, Urtis GG, Pellacani G, et al. Ablative Fractional Erbium: YAG Laser Resurfacing: A Treatment Option for Acne. Dermatol Pract Concept. 2022 Jan 1;12(1):e2022024–e2022024.
  8. Mawardi P, Nareswari A. Fractional erbium: YSGG laser compared to the combination of fractional erbium: YSGG laser and topical autologous platelet-rich plasma for treatment of atrophic acne scars: a case report. Bali Med J. 2021;10(1):58–62.
  9. Boen M, Jacob C. A Review and Update of Treatment Options Using the Acne Scar Classification System. Dermatologic Surg. 2019;45(3):411–22.
  10. Chun S Il, Calderhead RG. Carbon Assisted Q-Switched Nd: YAG Laser Treatment with Two Different Sets of Pulse Width Parameters Offers a Useful Treatment Modality for Severe Inflammatory Acne: A Case Report. Photomed Laser Surg. 2011;29(2):131–5.
  11. Sult R. Case report: Treatment of acne vulgaris with long-pulsed 1064 nm Nd: YAG Laser. J Laser Heal Acad. 2014;2014:57–60.
  12. Lee H-J, Kim YJ, Lee SJ, Lee CH, Choi EH, Lee SH, et al. Acne Vulgaris Successfully Treated with Long-Pulsed 1,064-nm Neodymium: Yttrium-Aluminum-Garnet Laser. Med Lasers. 2018;7(2):91–3.
  13. Mohamed EE, Tawfik K, Elsaie M. Intense Pulsed light Versus 1,064 Long-Pulsed Neodymium: Yttrium-Aluminum- Garnet Laser in the Treatment of Facial Acne Vulgaris. J Clin Diagn Res. 2016/07/01. 2016 Jul;10(7):WC01-WC3.
  14. Gozali MV, Zhou B, Luo D. Effective treatments of atrophic acne scars. J Clin Aesthet Dermatol. 2015;8:33–40.
  15. Roh MR, Chung KY. Acne Scars: How They Form and How to Undo Them [Internet]. Total Scar Management. Springer Singapore; 2019. p. 97–103.
  16. Goldust M, Raghifar R. The efficacy and safety of Er: YAG laser for treatment of atrophic acne scars. Glob Dermatology. 2014;1:47–50.
  17. Kim S, Cho K-H. Clinical Trial of Dual Treatment with an Ablative Fractional Laser and a Nonablative Laser for the Treatment of Acne Scars in Asian Patients. Dermatologic Surg. 2009;35(7):1089–98.

How to Cite

Sari, N., Salim, F., Sara, M., Fitri, E. W. ., & Bulqiah, M. . (2023). Efficacy of 1064nm neodymium-doped yttrium aluminum garnet (Nd: YAG) laser and 2940nm fractional erbium laser for severe acne with acne scar: a case report. Bali Medical Journal, 12(2), 1676–1679.