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Aerolase vs AviClear: Which Acne Laser Treatment Actually Works Better in 2025?

October 20, 2025 by
Lewis Calvert

If you're tired of trying every cream, pill, and face wash on the market only to wake up with the same frustrating breakouts, you're not alone. Acne affects millions of people, and sometimes topical treatments just don't cut it. That's where laser technology comes in, and two names keep popping up: Aerolase and AviClear. But which one should you actually consider for your skin? Let's break down everything you need to know about aerolase vs aviclear so you can make the right choice for your face.

Key Takeaways

Before we dive deep, here's what you need to know:

  • Aerolase uses Neo technology with 650-microsecond pulses, requires no numbing cream, and works on all skin types
  • AviClear is FDA-cleared specifically for acne, uses a 1726nm wavelength, and typically needs three sessions
  • Both treatments are non-invasive and don't require downtime
  • AviClear costs more upfront but may need fewer sessions overall
  • Your skin type, acne severity, and budget will determine the best choice
  • Neither treatment is covered by insurance since they're cosmetic procedures

What is Aerolase?

Aerolase is a laser treatment system that's been around since the early 2000s. The company makes the Neo Elite laser, which dermatologists use for multiple skin conditions including acne, rosacea, wrinkles, and unwanted hair. The technology behind Aerolase is pretty interesting – it uses something called a 650-microsecond laser pulse, which is super fast and doesn't heat up your skin too much.

The main selling point? It's gentle enough that you don't need numbing cream, and it works on every skin tone without the risk of hyperpigmentation that some older lasers caused. Treatments usually take about 15-30 minutes, and you can literally go back to work right after.

What is AviClear?

AviClear is the new kid on the block, getting FDA clearance in 2022 specifically for treating acne. Made by Cutera, it's the first and only FDA-cleared laser device designed just for acne treatment. AviClear targets your sebaceous glands (the oil-producing parts of your skin) using a specific 1726nm wavelength that's been scientifically proven to reduce oil production.

The treatment protocol is straightforward: three sessions spaced about a month apart. Each session takes around 30 minutes, and the device has a built-in cooling system called AviCool that makes the experience more comfortable. According to big write hook, the technology represents a significant advancement in how we approach persistent acne.

Aerolase vs AviClear: Head-to-Head Comparison Table

Feature Aerolase Neo AviClear
FDA Clearance Multiple indications Specifically for acne
Wavelength 650-microsecond pulse, 1064nm 1726nm
Treatment Sessions 4-6 typically 3 sessions (standard protocol)
Session Duration 15-30 minutes 30 minutes
Pain Level Minimal (no numbing needed) Mild to moderate (cooling system included)
Downtime None Minimal to none
Skin Types All (Fitzpatrick I-VI) All (Fitzpatrick I-VI)
Cost Per Session $400-$600 $600-$1,000
Total Treatment Cost $2,000-$3,600 $1,800-$3,000
Results Timeline Gradual over 2-3 months Visible after 3 months
Other Uses Yes (rosacea, wrinkles, hair removal) No (acne only)
Cooling System None needed AviCool technology

How Does Each Treatment Actually Work?

Aerolase Technology Explained

The Aerolase Neo uses something called Nd:YAG laser technology. Here's what happens during treatment in simple terms:

  • The laser energy penetrates your skin without overheating it
  • It targets bacteria that cause acne (P. acnes)
  • It reduces inflammation and redness
  • It shrinks sebaceous glands to reduce oil production
  • The short pulse duration means less discomfort

The versatility of Aerolase means your dermatologist can adjust settings based on what your skin needs. Some people use it primarily for acne, while others combine acne treatment with anti-aging benefits.

AviClear's Approach to Acne

AviClear takes a more focused approach. The 1726nm wavelength was specifically chosen because it's perfectly absorbed by sebum (your skin's natural oil). Here's the process:

  • The laser energy selectively targets sebaceous glands
  • It supresses oil production without destroying the glands
  • Less oil means fewer clogged pores and breakouts
  • The AviCool contact cooling keeps your skin comfortable
  • The treatment is standardized for consistent results

Clinical studies showed that after three treatments, patients saw an average 80% reduction in inflammatory acne lesions after six months.

Pain and Comfort Level: What to Expect

Let's be real – nobody wants a painful treatment. The good news is both options are relatively tolerable.

Aerolase feels like tiny rubber bands snapping against your skin. Most people describe it as a mild warming sensation. Since the pulse is so quick, there's not enough time for serious heat buildup. You might feel slightly warm during treatment, but that's about it. No numbing cream necessary, and you can handle it without problem.

AviClear is a bit more intense. Many patients describe it as moderate discomfort – like someone pressing a hot object against your skin briefly. The AviCool system helps a lot, but some areas (especially around the nose and chin) can be more sensitive. Most clinics don't use numbing cream, but some offer it for particularly sensitive patients. The discomfort is totally manageable though, and remember – it's only three sessions.

Treatment Timeline and Commitment

Aerolase Treatment Schedule

With aerolase vs aviclear, the time commitment differs significantly. Aerolase typically requires:

  • 4-6 treatment sessions
  • Spaced 2-4 weeks apart
  • Total treatment period: 3-6 months
  • Maintenance sessions every 3-6 months for some patients

Results start appearing after the second or third session, but full results take about 2-3 months after your last treatment.

AviClear Treatment Schedule

AviClear has a more standardized approach:

  • Exactly 3 treatment sessions
  • Spaced 4 weeks apart
  • Total treatment period: 2 months
  • Results continue improving for 6 months after final treatment

The fixed protocol makes planning easier, and you know exactly what to expect upfront.

Who's the Ideal Candidate for Each Treatment?

Best Candidates for Aerolase

You might prefer Aerolase if you:

  • Have moderate acne along with other skin concerns (like redness or aging)
  • Want a multi-purpose treatment
  • Prefer more frequent, gentler sessions
  • Have rosacea alongside acne
  • Are looking for preventative maintenance
  • Have a lower per-session budget

Best Candidates for AviClear

AviClear might be your better choice if you:

  • Have moderate to severe inflammatory acne
  • Want FDA-cleared technology specifically for acne
  • Prefer fewer total sessions
  • Want a standardized, proven protocol
  • Can handle slightly more discomfort
  • Have persistent acne that hasn't responded to other treatments

Side Effects and Risks

Both treatments are considered safe, but side effects can happen.

Aerolase potential side effects:

  • Temporary redness (1-2 hours)
  • Mild swelling
  • Slight warmth in treated area
  • Rare: temporary darkening of skin

AviClear potential side effects:

  • Redness lasting 24-48 hours
  • Swelling for 1-2 days
  • Temporary acne flare (purging)
  • Mild bruising in some cases
  • Temporary hyperpigmentation (rare)

The good news? Serious complications are extremely rare with both options. The most common complaint is temporary redness that goes away quickly.

Cost Breakdown: Which Offers Better Value?

Money matters, so let's talk numbers. When comparing aerolase vs aviclear costs:

Aerolase total investment:

  • Per session: $400-$600
  • Total (4-6 sessions): $2,000-$3,600
  • Maintenance: $400-$600 per session as needed
  • Geographic variation: Higher in major cities

AviClear total investment:

  • Per session: $600-$1,000
  • Total (3 sessions): $1,800-$3,000
  • Package deals often available
  • Less need for maintenance in many cases

Neither treatment is covered by insurance since they're cosmetic procedures. Some clinics offer financing through companies like CareCredit or Cherry, which can make payments more manageable.

Here's the thing: AviClear might seem more expensive per session, but you need fewer sessions. Aerolase might cost less upfront per visit, but you'll need more treatments. The total investment often ends up similar, though AviClear might edge ahead slightly in long-term value for pure acne treatment.

Real Results: What Clinical Studies Show

Aerolase studies have shown:

  • 70-80% improvement in inflammatory acne lesions
  • Significant reduction in redness and inflammation
  • Improvements visible after 2-3 treatments
  • High patient satisfaction rates
  • Effective across all skin types

AviClear clinical trials demonstrated:

  • 80% average reduction in inflammatory lesions at 6 months
  • 87% of patients were satisfied or very satisfied
  • Results continued improving months after treatment ended
  • Minimal side effects reported
  • Consistent results across different skin tones

Both have solid evidence backing them up, though AviClear's FDA clearance specifically for acne gives it a slight edge in proven efficacy for that particular concern.

Pros and Cons at a Glance

Aerolase Advantages

  • Works on multiple skin concerns simultaneously
  • Virtually painless treatment
  • No downtime whatsoever
  • Safe for all skin types
  • Lower cost per individual session
  • More flexibility in treatment approach

Aerolase Disadvantages

  • Requires more total sessions
  • Results may take longer to appear
  • Not FDA-cleared specifically for acne
  • May need ongoing maintenance
  • Less standardized protocol

AviClear Advantages

  • FDA-cleared specifically for acne treatment
  • Only three sessions needed
  • Standardized, proven protocol
  • Strong clinical evidence
  • Long-lasting results for many patients
  • May require less maintenance

AviClear Disadvantages

  • Higher cost per session
  • More discomfort during treatment
  • Only treats acne (not multi-purpose)
  • Newer technology with shorter track record
  • Possible purging period
  • Slightly more downtime

Which One is Actually Better?

Here's the truth: there's no universal "better" option in the aerolase vs aviclear debate. It really depends on your specific situation.

Choose Aerolase if: You have acne plus other concerns like rosacea or fine lines, you prefer gentler treatments even if they take longer, you want flexibility in your treatment approach, or you're working with a tighter budget per session.

Choose AviClear if: Your primary concern is moderate to severe acne, you want the fastest path to clear skin, you prefer a proven, standardized protocol, or you can invest more upfront for potentially fewer total sessions.

Both treatments work. Both are safe. Both have happy patients. The "better" choice is whichever one aligns with your skin needs, pain tolerance, schedule, and budget.

What Dermatologists Are Saying

Most dermatologists who offer both treatments will assess your skin first before recommending one over the other. They look at:

  • Your acne type and severity
  • Other skin concerns you might have
  • Your skin tone and type
  • Previous treatments you've tried
  • Your budget and timeline
  • Your pain sensitivity

Many dermatology practices that offer both have found that AviClear works exceptionally well for stubborn hormonal acne, while Aerolase shines for patients who want to address multiple concerns at once. Some doctors even use both in combination for certain patients, though that's less common.

Aftercare and Maintenance

Good news: both treatments require minimal aftercare.

Post-treatment care for both:

  • Avoid sun exposure and wear SPF 30+ daily
  • Keep your skin moisturized
  • Avoid harsh products for 24-48 hours
  • Don't pick at your skin (especially if purging occurs)
  • Stay hydrated
  • Follow your dermatologist's specific instructions

Some patients see their acne return after a year or two and opt for maintenance sessions. This is more common with Aerolase, where people might come back every 3-6 months. AviClear tends to have longer-lasting results, though some people do occasional touch-up treatments.

Final Verdict: Making Your Decision

When weighing aerolase vs aviclear, both laser treatments represent significant advances in acne care. They're both way better than endless cycles of topical treatments that don't work.

The bottom line: If you want the most direct, FDA-cleared path to clear skin and your main concern is acne, AviClear is probably your best bet. If you're dealing with acne alongside other skin issues and want a gentler, more flexible approach, Aerolase might serve you better.

Don't make this decision alone. Schedule consultations with dermatologists or medical spas that offer both treatments. They can examine your skin, discuss your goals, and give you a personalized recommendation. Many places offer free consultations, so take advantage of that.

Remember that clear skin is an investment in yourself. Whether you choose Aerolase or AviClear, you're taking a real step toward better skin confidence. Both treatments have helped thousands of people finally get the clear skin they've been dreaming about.

Frequently Asked Questions

How long do results last from aerolase vs aviclear treatments?

Results vary by person, but AviClear results typically last 1-2 years or longer, while Aerolase may require maintenance every 6-12 months. Some people see permanent improvement, while others need occasional touch-ups.

Can I combine these treatments with other acne medications?

Yes, usually. Many dermatologists recommend continuing your regular skincare routine and medications during laser treatments. However, you might need to pause retinoids or other sensitizing products a few days before and after sessions. Always discuss your current medications with your provider.

Is there an age limit for these treatments?

Most providers treat patients 12 years and older with parental consent for minors. There's no upper age limit. Both treatments are safe for adults of all ages dealing with acne.

How soon can I wear makeup after treatment?

With Aerolase, you can usually apply makeup immediately. With AviClear, most doctors recommend waiting 24 hours to let any redness and swelling settle down first.

Will my insurance cover aerolase vs aviclear treatments?

Unfortunately, no. Both treatments are considered cosmetic procedures, so insurance doesn't cover them. However, if you have an HSA or FSA account, you might be able to use those funds for treatment.

What happens if the treatment doesn't work for me?

This is rare, but it can happen. Most reputable clinics will work with you to adjust the treatment plan or discuss alternative options. Make sure to discuss refund or guarantee policies before starting treatment.