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Pigmentation complications after Fraxel laser

By LisaAPrice on 30 Apr 2010

I had three fraxel treatments done starting february, march, and april - all went well - but last month i noticed spots on the sides of my cheeks - now i am reading about pigmentation which was never mentioned by my doctor - is this a common side effect and do these spots usually go away or they for ever? They were never there before fraxel. What could cause this?

View 3 doctor answers to Fraxel Pigmentation Side Effects

Comments (39)

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yoeurth 15 Nov 2008
i have a problem with the fraxel laser.. E everytime i go for the treament my treated area get leave a pigment. it my 3 one now but the doctor say come in for another one, the nurse told me that i would see the affect on the 4 treament.. I have a tan complexion. and i don't really know that i should get another treament since i see no result of getting rid of the hyperpigmention.
skinner (unregistered guest) 18 Dec 2008
I had one session of fraxel last year and although it got rid of my acne and acne scars my skin tone has become quite patchy. I have some red patches around my cheek area and broken capillaries around my nose. Is this due to fraxel?
scarlett2009 9 Feb 2009
The same happened to me! Well it's only been 3 days, but I am quite worried. Let's see what a doctor replies..
Nil 22 Feb 2009
Hi Scarlett2009, Just wondering the outcome of your pigmentation. I am on my 3rd day of fraxel restore and i see hyperpigmentation and not sure if that will go away. I am medium/dark skinned and was afraid of that but am hoping it goes away. Did your go away?
Rose marie Lesniewski (unregistered guest) 22 Mar 2009
I have had one session of fraxel and I also have broken capillaries around my nose and cheek. Yes this is due to fraxel because I never had them before. Why don't they tell us this can happen. Fraxel is a rip off and ruined my skin and also made my jowls hang more.
dude 10 Mar 2009
i also did this fraxel in order to get rid of my acne. my doctor said that i should avoid sun. but the redness or darkness will fade away as the brown or black scalp caused after laser fall off... but im also getting worried if it will, because till now it hasn't even subsided....!!! has anyones gone away till now?
awalk 7 Apr 2009
This laser is RADIATION in the visible light range.....When split up and scattered no different/worse than UV Like 1000s of days in the sun... Why do you think they changed wavelengths with the Fraxel Repair....? We have all the same effects of sun or Radiation damage... Don't let your doctor tell you different.... Don't you think it's odd so many are worse after fraxel and have the same symptoms problems....? How many of you were told it is related to something else or this hasn't happened to anyone else? These laser and medical device companies are out of control....Every doctor and person needs to file an adverse event with the FDA Until they have enough they will keep refering it back to The doctor and state prescribing. Big Money = Big Lies
yoeurth 11 Apr 2009
after my 3rd treating of fraxel the dark patches would not go away..All the doctor did was recommend me to keep on using the bleaching cream. BUt m y skin got worser and worser. SO i say srew this bullshitt. SO i did the vi peel which help peel away the dark patches, and you know what? it works. I went to a different clinic and got it done and no thanks to the doctor who doesn't know how to treat my skin. So i decide to figure it out myself.. Trust me don't mess with any laser if you do not want to ruin ure skin..
WPetrosine 16 May 2009
Awalk- Can you please tell me how I go about filing an "adverse event" with the FDA? I've noticed that you've commented on a lot of people's posts and seem very informative. Not only do I need to find a doctor that can help me get back my pre-Fraxel skin, I want people to know the NEGATIVE side-effects of this laser. I had a fraxel treatment 3 months ago and I look like I have aged 10 years. I had a bad reaction which in turn caused what I was told was perioral dermatitis. Then the bright red acne-looking bumps from that rash went away, and I was still left with a burning, bumpy, itchy rash on my cheeks and chin that have not gone away, enlarged pores and sebaceous glands on my nose, white lines like stretch marks on my cheeks, hyerpigmentation on my cheeks, and sagging skin around my mouth (jowel area) where the doctor did a more aggressive treatment. I went back to my doctor and he told me I'm looking much better than I did the first few weeks after the treatment. He actually had the nerve to say that none of these side-effects were from the Fraxel laser treatment. The only issue I had before the treatment was oily skin and acne. This laser completely ruined my face and I want people out there to know what they're getting into. The Fraxel manufacturer's website doesn't list any side effects of the laser other than some swelling and peeling after treatment. It's such B.S.! Please help!
mroz 13 Apr 2009
What is the 'iv Peel' that you said you had that removed the hyperpigmentation?
yoeurth 14 Apr 2009
it call the vi peel. work great removing my hyperpigment from my fraxel treatmen.
Jim Chan 17 Apr 2009
PLEASE tell me more about "vi peel", having bad hyperpigment on both cheeks from laser...hate it so much!
yoeurth 21 Apr 2009
well i got the vi peel done and a couple of vibraderm done.. it really help fade away my pigment due to fraxel.. And i don't consider using that bleaching cream.. It much worser using it beauce it make ure skin all red and blimished..Vidraderm work well but i gotta do it every weeks and you had to be patient with it..
Jim Chan 17 Apr 2009
pls. Tell me more about "vi peel", I need to get rid of these hyperpigment on my cheeks(it is really bad... Never be like this before laser).
laura75 (unregistered guest) 20 Apr 2009
Had the same problem with Fraxel. One treatment. Much worse melasma. And on top of that small holes are still visible after 2 months. Skin is shiny, damaged and doc said it was normal. Rubbish. Don't touch these lasers however tempting it may be. You will regret it. Unfortunately i read awalks comments too late.
awalk 19 May 2009
WPetrosine Yes it is BS and I get an email everyday...Email me private...I have been talking with someone at the FDA...It's important that you file the report... I have 4 terrible news stories about fraxel the laser malfunctions and the misleading advertising..They went undercover in one story to epose what we are told!!!! I can send them to you and you can contact the media....I can send you pics to take to your doc so he can see it's from the fraxel!!!!! You have acute radiation damage and burns deep in your skin....There are new papers released on this I can forward you.... You need treatment ASAP to prevent more scarring.... The elasticity ect can not be repaired but improved and you might be able to keep from developing the deep sores and acne looking scarring so many are reporting....
rusell2009 24 May 2009
I was reading this about getting hold of the FDA, because my skin was damaged by the fraxil. It left me with deep scares. please le me know awalk
Heather Galea 25 May 2009
Hi you mentioned you need t get treatment right away to prevent further scarring. What kind of treatment? if you get this please email me at heathergalea@hotmail.com
torontofraxel 21 Aug 2011
This is what I have been experiencing! It has been 2 years since I had 2 sessions of Fraxel....after the first session the problems began but I was encouraged to continue as "some people need more treatments to show an improvement"...well after my second treatment it was so much worse and I have suffered from these deep sores that no one can diagnose ever since. I have been to other dermatologists and tried every topical treatment I can find but nothing helps and the resulting scars are horrific. My skin continues to break down in the same spots once I eventually get them to heal over.Please advise me on how I can manage this and who can assist me in Toronto Ontario Canada as every dermatologist I have approached states it cannot be from fraxel yet have no answers as to what is causing or how to treat.
awalk 19 May 2009
https://www.accessdata.fda.gov/scripts/medwatch/medwatch-online.htm
yoeurth 20 May 2009
i did 3 fraxel and it got worse . and the doctor got the nerve to say that i look better.BS.it leave a deep dark pigment like a burn mark. so i did the vi peel frm a different place and my skin really look better now. that stupid doctor and staff keep on making an excuse lucky at that time i don't have a lawyer.so i was my own dermatologist.
angry 11 Nov 2009
I have sever pigmentation from the laser. It has been 10 months and I can't seem to get rid of it. What is VI peel? Does it really work for you for your hyperpigmenation. Please help.
awalk 26 May 2009
Heather it depends on how bad your skin is... Some people have prevented or seen improvment with Aldara it's a skin cancer cream an immune stimulator of sorts.. It cause the immune system to attack unhealthy cells look at the website.... It may also help your body dispose of the debri fraxil leaves in your skin and doesn't remove... Talk about free radicals..geez What are they thinking and why do we fall for it..
Jackie Mobley (unregistered guest) 24 Jul 2009
I had fraxel repair in March and my cheeks still had wrinkles on side of face, dr redid cheeks (and charged more too)and now I think they have been burnt. they are blackish red and show the trail of the laser. I am sick about it (two months out) anyone have any suggestions for me?
Nasrin Mani, MD 18 Feb 2011
Any heat based treatment has the potential to activate melanin production. Here's the why and how of post treatment pigmentation.

Your ancestry makes a HUGE difference in how susceptible you may be to what is called "post inflammatory hyper-pigmentation" or PIH. If you have family backgrounds which include South American, Southern European, Asian, Middle Eastern, or American Indian, you are at risk of PIH. Your practitioner should ask - if not, bring it up yourself and if you don't get good answers, go elsewhere.

Part of the mechanism that makes lasers work to produce new collagen is inflammation. It's a bit of a catch-22. You need the inflammation to incite collagen production but the inflammation can trigger excess melanin in response.

The BEST route for anyone with darker skin tones in their family background is to pre-treat with melanin suppressors. Hydroquinone is a widely used melanin inhibitor.

Many physicians will pretreat for a number of weeks if your skin is at high risk, then post treat with continued melanin suppression products afterward. Even then, you may experience unwanted pigmentation and you may find it could take several months to clear up the problem.

It is critically important that you protect your skin pre and post treatment with sun block - and physical blocks with titanium dioxide are the best as they protect immediately. Some medications increase your susceptibility to PIH, so please discuss all medications and supplements you are taking or have taken recent to the procedure.

There is never a guarantee that you will not experience some level of transient PIH following laser treatment. Technology has improved, but there is no perfect system as yet.

Weigh the benefits and risks, choose a practice with lots of experience treating patients of multiple ethnic backgrounds, discuss pre-treatment options and follow all the post treatment instructions.

If you are a sun worshiper or spend much time outside for your work, you may want to explore other options besides laser.

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