Fraxel laser a good option to correct TCA peel damage?

I had a 25% TCA peel a year ago. The reaction to the peel caused a noticeably uneven skin surface on my forehead and left lines of demarcation where the skin cracked. My dermatologist recommends Fraxel laser as the only option to repair this. I am apprehensive because of the chemical peel side effects, which I was told there would be none. Would a Fraxel laser treatment correct these side effects, or is there a possibility for further damage? What is the realistic downtime for a repair treatment given that the TCA peel took about 20 days to recover from?

3 answers to “Fraxel laser a good option to...”

A: Perhaps a lightening cream?

Ronald Shelton, MD

If you developed irregular pigmentation from the peel, you might develop the same or worse from Fraxel or any resurfacing modality. Fraxel has helped many patients with such a scenario, but there is a risk and no guarantee. Have you tried prescription lightening creams yet?

A: Fraxel Laser to Correct Damage From TCA Peel

Michael A. Persky, MD

Hi Arguy, Yes, both Fraxel re:store and Fraxel re:pair laser are excellent options to improve your skin after the adverse events with your TCA peel. There are always risks and complications involved with any procedure.  The benefits must greatly out weigh the risks before you have the treatment. ... more

A: Fraxel Laser (Re:Pair) Scarring

Theodore Katz, MD

The Fraxel Re:Pair may help  to significantly improve your problem but it will depend on the severity of changes that you present with.  The "downtime" is generally 2-3 days where you would need to apply compresses, but by the second or third day the skin will be fully re-epithelialized... more

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