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Was your fraxel painful?

By Janet on 15 May 2007

Anyone willing to share whether their fraxel experience was painful? worried it will rival my laser skin resurfacing experience (white hot pain!)

Comments (67)

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hannah (unregistered guest) 16 May 2007
fraxel & pain go hand in hand. did fraxel for age spots and it was like my face was getting peeled back. be prepped for agony (janet - take drugs ahead!)
Susantf (unregistered guest) 18 May 2007
I just had my first treatment last night and I had no idea how much this would hurt. On a scale of 1 to 10 with 10 being the most painful, I'd put it at a 6.  Next time I'm going to have them put lots more numbing cream on my face and get a couple nerve blocks.  I'm sure grateful to have something that will help my skin, but as I said to the guy in the elevator who watched me put that ice pack all over my red, swollen face, "Maybe having bad skin ain't so bad. It sure hurts less."  I just wish I had been better prepped. Luckily for me, my treatments are a month apart so that they won't be lasering totally new skin, which would be far more painful.
guest (unregistered guest) 20 Jul 2007
The actual treatment is not painful at all as long as you leave the numbing cream on for the full hour ...however...the day following my fraxel treatment was horrible. I woke up in the morning with swollen shut eyes, huge swollen cheeks and I looked like I was disfigured! My face was scarlet red all day and then began flaking the next day which no amount of moisturizer could soothe. I was not prepared for this or warned so it came as quite a shock, I took anti-inflammatories for 3 days. There definitely is "downtime" and when they say you can return to work - unless you work for a freak show you need to go straight home and stay there for a few days! I doubt I will do any further treatments based on the amount of recovery time it took after the first one.
LMT1022 (unregistered guest) 22 Sep 2007
I always felt that I have had a high pain tolerance... however, the fraxel (after a vicodin and Zanax) was still very painful. The first "pass" and even the second was really OK... it was the 3rd pass. Especially my upper lip and chin area. Feels like someone is raking a razor blade across an open wound. The hour ride home is pure hell, but after I get home and take an hour or so nap, I would wake up and not have ANY pain. I would be swollen, but NO pain at all.
KB (unregistered guest) 24 Sep 2007
Maybe a 4-5 on scale of 1-10 (10 being worst). SLATHER the numbing cream & leave on a FULL hour (my Dr. timed it with a kitchen timer). I also took (2) X-strength Tylenol when I got to the office. Recovery is not bad, a tingling sensation for 1-2 days then just peeling & tightness that was annoying, but not painful.
judith g wigren-slack (unregistered guest) 7 Oct 2007
I think this may not have been worth it! I had the first treatment ( and my last!) Thursday. It is now Sunday and each day I wake up with more swelling and discomfort. My eyes were almost swollen shut this morning and still look as if the whole upper eyelid is filled with water! If I had known how miserable I would feel I never would have done this. They said "slight swelling for a day or two and then some reddening and brozing". What a laugh. I look like road kill and there is no way in hell I would get another treatment as the pain level went up to a 7 ( on a scale of 10) at times. That was with the numbing creme working for an hour and half first. And this with someone who is considered the "best" in my city. No way would I do this again There had better be some pretty incredible results after this pain and cost!!!
Simon (unregistered guest) 15 Mar 2008
I just had a fraxel treatment on Thursday & I read your blog here that you posted a few months ago where you had it too. How did the whole thing turn out...was it worth it in the end? When did you finally heal?
Ntended 14 Jan 2009
Like you, had I known how horrible an experience Fraxel would be for me, I'd have NEVER had it done...it's been one month & 2 days since the in-office proceedure--I was having liposuction as well as this "rejuvenating" & "no down time" Fraxel, so was under general anesthetic; the "hell" would begin later when I woke up. My face was bright red & swollen for almost one week;keeping the face "moisturized" was very important, so there was greasy goop all over everything: my bedsheets, reading glasses, yuck!. Then it started getting worse (tho I didn't think that was possible!) I was allergic to the Aboline Creme they Rx'd me to keep on my face 24/7. Pain? Sweeling?? OMG. It's been one month, 2 days now, and my face has blotches of raw skin all over (maybe 7 or 8 area's) I look like the photo's of Crack Addicts or Aids patients with facial skin lesions. Will this ever end? Where is the miraculous face I was told would be there?? NO WAY will I EVER do this again...and I paid $1800 too :(
Nancy Wright (unregistered guest) 27 Jan 2008
LOVED the email by judith wigren-slack. I had EXACTLY the same experience. I just finished my first treatment on Thursday of last week. It is Sunday (three days after the procedure), and I am still very swollen. Like you, my eyes were swollen almost completely shut since about three hours after the procedure and were full of edema. So were my lower eyes, and it looks like I might have some bruising under the eyes from this. I actually got online to see if anyone else had a similar experience since I was a little worried about what was happening. I have had three microlaser peels over the past two years, my last one being a little over a year ago. I was told this fraxel laser procedure would have less "downtime". What an absolute JOKE. I had a lot less swelling from the microlaser peel than this procedure. I am very red and "bronzed looking" right now, and the flaking is starting. I look like a freak, too, and have not been able to leave the house. Unless I have unbelievable results, I will not go back for my second one either. I would do the microlaser peel first. I thought I was a veteran visitor to the dermatologist's office and thought of myself as a person with a very high tolerance for pain.This tests all those beliefs. They need to warn people that this has more side effects and pain level than they are alluding in their sales pitch!!!!!!!
Pam D (unregistered guest) 28 Jan 2008
I had my first treatment 3-days(Friday) ago. I am a little red & my skin is a little flakey, but I am at work (Mon). The day after (Sat), I put on make-up and went to a reception. Sure, I was a little swollen...but not so bad that I couldn't leave the house. Sunday, I was at church and went grocery shopping. Everyone is different...as far as "was it painful"...it wasn't the most fun I ever had, but it wasn't the worsed either. The 1st and 2nd pass were ok, the 3rd was a little harder & by the 4th I was glad they were done. The nurse gave me some "stress-balls" to squeeze...which helped. All and all it wasn't that bad...just go prepared.
TryingItOut (unregistered guest) 29 Jan 2008
I'm a small lightweight person whom medication dramatically affects. For whatever it's worth, I felt little to no pain on the first pass, only moderate pain on the 2nd, by the end of 15 minutes areas getting repeat passes hurt but very manageable. The numbing cream was heavily applied and put on for a FULL hour, and I took two pills beforehand (can't remember what they gave me!).
Michele (unregistered guest) 31 Jan 2008
The MD who performed my procedure was one of the clinicians who worked on the development of Fraxel laser.I was told the pain was manageable -- and it was. The actual procedure -- with the full dose of numbing cream -- was tolerable. For five hours after, though, I was pretty miserable. As soon as one ice-pack lost its iciness, I was racing for a new one. I tool tylenol and advil. After five hours, I was fine -- felt sunburned and a little puffy, though. Day 2, a little puffy, a little red. But OK. In any case, I am NOT looking forward to treatment #2. I'll ask for the drugs to take after the provcedure.
hb162 5 Aug 2009
FYI don't use occlusive gel post treatment such as Aquaphor, and do not use ice (too harsh for delicate skin). Find a metal bottle of water mist spray such as Avene Thermal Spring Water or Evian mist, and find one of the few moisturizing gels that can be soothing without trapping heat in the skin (Avene Thermal Spring Water Gel; LycoGel; Boiron Calendula Lotion)...and apply 5 times/day for 5 days.
Paula (unregistered guest) 3 Feb 2008
I just had the Fraxel done Friday, and its Sunday, I thought the pain was a 10/10! I am a bit of a baby but jesus! It felt like a thousand white hot bee stings and I clenched my fists as hard as I could to stand the pain, the only thing that kept me from stopping it is the fact that I paid a nonrefundable 3500 dollars! I kept thinking of the results and was a trooper! It went fast tho, I didnt take anything beforehand, next time Ill be sure to take some narcotics before I go! She went pretty deep because my acne scarring is pretty bad, she said next time shell go deeper :( and Ill need more than 4 or 5 to get good results! I pray its going to be worth it! The pain afterwards was nothing! Just like a bad sunburn for 2 hours and then a mild sunburn for the night, mild swelling the first night and just some redness and peeling afterwards, nothing like the others said, with swollen eyes! They must have had a bad reaction!
sunnysue (unregistered guest) 26 Jul 2008
I just had fraxel done yesterday. They used a new numbing mask on me - only 30 minutes or so. I didn't take narcotics. I thnk the lady missed the sides of my nose because they hurt when she zapped them, but the rest was no worse than a 2 or 3 level of pain out of 10. There were some areas where I didn't even feel it at all. The worst part was after when I felt like my face was on fire. They told me to sleep sitting up or I would get realy bad swelling. I did, swelling is only noticeable by me - even my husband says i look OK. I was able to wear mineral makeup today and go shopping. Oddly, i felt a little weak whn I worked out. Now, I look sunburnt, my skin feels tight.
marsha/stella (unregistered guest) 4 Feb 2008
I told my technicial I was less interested in results and most intrested in experiencing the least amount of pain and a quick recovery time. No swollen eyes. I knew if I had a bad experience I would never do it again. I told her to come off 1/3 of what she planned to do. It was still painful, but tolerable. As soon as my eyes started to swell she stopped...probably 1/2 way thru that section. My recovery was quick. Pain gone in 2 hrs. Red for a few days. Swollen eyes for one night. No big deal. I'll do it again. But have my technicial apply numbing cream again, 1/2 way thru procedure, on my forehead and around lips, most painful for me. My skin looks better already
Anne (unregistered guest) 5 Feb 2008
I had Fraxel on Friday. Today is Tuesday and I still won't leave the house. I am not just pink, I am a violent deep beet-red and my skin is "flaking" terribly--in large white chunks. Thank goodness I don't have to go to work, as I would easily frighten small children and probably grown men as well. I didn't find the procedure painful at all, but the discomfort started on the way home and I was amazed at the extreme swelling and discoloration, even though I followed the icing instructions. My skin is still tender to touch and looks almost burned. I was supposed to have another Fraxel in a couple of weeks and later Thermage. Forget it! I think I have a fairly high pain threshold, but the appearance afterward, combined with what looks to be a lengthy recovery are not worth it to me. Maybe I'll feel it was worth it in a few weeks, but my husband thinks I'd be crazy to do this again, no matter what.
Marianna (unregistered guest) 5 Feb 2008
I have now had three Fraxel treatments. I do think it is painful, but tolerable (with more than an hour of numbing cream plus a Vicodin). Someone described it as a thousand white-hot bee stings. I'd agree with that. The passes go quickly though, so just about the time that you're thinking I CAN'T TAKE IT ANYMORE!, they've moved on to the next section. My face has been very red afterward. For about two hours, it feels like a really bad sunburn, then it doesn't really feel like anything. Day 2 and 3, I've been swollen. I haven't looked horrible, but I look like I would probably look if I was overweight. By day 4, I'm pretty normal looking. My doctor definitely does NOT recommend taking any anti-inflammatories. The whole point of the Fraxel is for your body to respond to the wound--so you don't want to suppress that. There is definitely a difference in my face. My skin is more taut, and any hyperpigmentation I had is gone. I am 49 and I think this treatment took a few years off for sure. (I've always taken good care of my skin, though.) After the first treatment, nearly all of the sun damage discoloration on my chest was gone. I was surprised and very happy about that. The only thing I'm not really happy with is the skin on my neck. I had hoped for more tightening there. I don't notice a whole lot of difference. In any event, I am going to have at least one more treatment, and will probably do the 5.
Sachit Shah 19 Feb 2008
Fraxel generally is painful if no anesthetic is used. I have not done one treatment where the person has had no analgesia and said there was no pain. However, i have found premedication with analgesic medication, local anesthetic cream and dental blocks very helpful. i also use cold air and ice packs which should make your treatment fairly comfortable. Is it a walk in park? No! but it can be made very tolerable such that you can benefit from the excellent results that fraxel provides. Sachit Shah
Tess Hill (unregistered guest) 19 Feb 2008
I had my first Fraxel treatment today and it was far more tolerable than what I have read on this site. I would describe any discomfort I felt as the sensation of removing a band-aid ... and not by ripping with great force ... just gently removing. There were also parts of my face which did not experience any discomfort. They left the numbing cream on for just a little over an hour and I was told that was key in alleviating pain. I used cold air during the procedure, but I'm not sure that was necessary ... but perhaps it did contribute to my very low level of discomfort. After the procedure they applied a moisturizing mask and then a sunscreen. I left feeling a slight burning that you would feel from a sunburn, but that only lasted a couple of hours and I have minimal swelling ... just some slight puffiness which is already starting to subside. So far this experience and procedure has exceeded my expectations.
AnotherGuest (unregistered guest) 20 Feb 2008
I'm curious at what strength and which fraxel were involved? There're three types: Refine, Restore and Repair. Refine is the weakest and Repair is the strongest. Refine and Restore seems to have the same recovery time (according to the clinician I talked to) which doesn't make sense to me.
Cheshire (unregistered guest) 21 Feb 2008
I'm 32 years old, Mexican & Irish and used to tan all the time in my teens & 20's. Now my skin is showing it! I am going in for my 3rd Fraxel treatment tomorrow. So far I am dissapointed with the results. The treatments are $1000 each and I expected to see at least something after my second treatment. I'm hoping that after my 3rd treatment tomorrow I will see some results! As for pain, it hurts. My first treatment I didn't have any pain meds, just the numbing cream on my face, and I just about passed out. I started at level 12 because I want to be aggressive and get rid of this Melasma!(it ranges from a level 6 and up for Melasma). I had to hold my breath and wanted to scream but I couldn't because the pain took my breath away. It feels like a hot curling iron being rolled on your face! Ouch! I was told it's not that bad... Yes it is. My second treatment was at a level 15 and I took a vicodin 1 hour before the session began, right after the numbing cream was put on my face. It was still very very painful but no more than the first session. Tomorrow I am going to be at a level 18, possibly at level 20. I'm not sure yet. I will be taking a Vicodin to help with the pain again. I don't use ice packs because they can cause hyperpigmentaion when applied to wounded skin. I am trying to get rid of sun spots, hyperpigmentation/melasma & old acne marks. During the procedure I do have cold air blasting around my face and it helps take the edge off. Good luck to all of you and wish me luck tomorrow! After 3 treatments and $3000 I hope to see my dark brown spots/patches vanish!
AnotherGuest (unregistered guest) 21 Feb 2008
Hi Cheshire, 1. Do you know which Fraxel? Refine or Restore? I recalled someone mention level 60? 2. How long is each treatment? In other words, how many passes have they ran it over your face?
R.House (unregistered guest) 25 Feb 2008
Fraxel treatments, how do I love thee, let me count the ways! I'm a 51y/o male registered nurse. I've had a few skin treatments in the past with good, but temporary results. One year ago I finished a 4 treatment Fraxel of my Face and neck. The pain was murderous, I didn't take drugs because I had to drive. The 4th and 5th pass does feel like a razor blade slicing your face. I did take medications for the 4th treatment and it was amazingly more tolerable. Results? The first 3 weeks I looked 20 years younger (swelling only)...over the next 4 months I looked my age and older, but I was patient, anxious, and not concerened. After 4 months literally every day I could see improvement. It became rapid. At 6 months I was routinly mistaken for being in my 20's. I was being carded at resturants for wine. The improvement continues to this day, a year later! I'm in awe of this treatment. I have fair skin, not everyone will have similar results. I personally don't think you will get significant visible results with just one treatment. You certainly can't judge it's final results at the end of a week...it does take months, but you can almost set your watch when the results start to begin. Pain? Hell yes, but I'm getting this done once a year for the rest of my life. Hey, childbirth is painful, but what a joy with the results. When I tell people my real age I'm often out and out called a lyer. It doesn't appear to work well with acne, but people are very impatient. Talk with your Docter what will work for you, individually our skin and phsyiology are different. But we are still all one. Bono said the last part and I agree. Love Rob
Marianna (unregistered guest) 2 Mar 2008
Rob, how far apart were your four treatments spaced? My doctor requires patients to wait 4-6 weeks b/w treatments. Consequently, with vacations and such thrown in, by the time I have my fifth treatment, a year will have passed. Just curious?

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