Is Fraxel Laser skin resurfacing right for me?

Sirish Maddali, MD
Article by
Portland Plastic Surgeon

The best indications for Fraxel Laser skin resurfacing are for sun damage and fine lines, wrinkles. Fraxel is also very useful for melasma and acne scarring. However, not everyone is a candidate for Fraxel.

Your doctor should perform a thorough history and examination and determine if you are a good candidate. Some patients need to be pre-treated with a bleaching agent prior to Fraxel. Most patients need to be treated with an oral antiviral agent to prevent cold sore breakouts. Skin care before, during, and after the procedure is crucial and should be thoroughly discussed.

Lastly, Fraxel is not a pain-free procedure. Most physicians will give you a topical anesthetic and some will do intra-oral injections to block the nerves of the face before the procedure. 

What you should find out during your consultation:

1. Does the doctor do the treatments or is it assigned to someone else?

2. Does the practice own the laser and do a large number of treatments?

3. Is skin care discussed before, during, and after the procedure?

4. Are there pictures of personal results for you to look through?

5. Does the doctor "oversell" the treatment? (In other words, do they say "Fraxel will give you an amazing result" or "your skin will look tremendously better"). Fraxel will certainly improve most facial irregularities, but it is not a cure-all.

Finally, make sure you feel a bond or a trust between you and your doctor. That speaks volumes.