West Palm Beach Fraxel Laser doctors

I have very good results with Fraxel Restore laser beneath the lower lids. It is dependent on intensity of treatment (mj or depth of treatment) ,treatment level (amount of surface area treated) and number of treatments performed. Fraxel significantly improves the texture and fine wrinkling around the eyelids, even after one treatment, although a series of 3 or 4 is usually recommended.  If a new patient tells me they tried Fraxel elsewhere but didn't see improvement, I ask them....was it REAL Fraxel, who did the treatment (a technician will not be as aggressive....PS in Florida, only a physician or physicians assistant is legally permitted to do  laser....many facilities do not follow these statutes), and what were the settings (those well trained will feel comfortable recommending aggressive settings, thereby getting better results).

BOTOX is a good adjunct to the fine wrinkles, known as crows feet, although this is an off label use of BOTOX,

I am not a proponent of Injectables fillers in the lower lids. Perhaps this is because I have had several patients come to me in second opinion with horrendous results....excessive swelling that persists for months, or even rock hard "foreign body" types of responses in the "nasojugal groove" or tear trough. This is a very sensitive area and Injectables can result in problems that may persist for months, if not longer.  The key as a plastic surgeon is to avoid over resection of fat in the lower lid when we perform a lower lid Blepharoplasty.  

Dermabrasion is generally considered a harsh treatment for the skin and generally utilizes older technology.  I agree with Dr. Allen that you should be careful after dermabrasion and should wait at least 6 months prior to having another treatment.

However, to answer your question regarding the difference of profractional vs. fraxel.

Both Profractional Laser and Fraxel can improve acne scars.

Profractional Laser is a deeper laser (although not as aggressive as erbium laser resurfacing) and you will have some downtime for approximately 2-3 days while you heal. Profractional laser provides significant improvement after one treatment. However, it may need to be repeated to address deeper acne scars.
 

Fraxel Laser usually derives its benefits over the course of 5 to 6 treatments spaced one month apart. It is a more superficial laser than Profractional, and generally creates redness similar to a bad sunburn after each treatment. This redness subsides over 1 week, but does not require downtime.

Like most modalities, the treatment's success is dependent on the expertise of the user and the ability to use the correct modality or to combine to have the correct mix of modalities for a given problem.
 

I do not recommend any laser including Fraxel until at least 6 months to 1 year after completion of accutane therapy. The risks outweigh the benefits of using this.