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Fraxel Re:pair Vs Total FX for Neck Skin Tightening

There aren't many doctors offering Fraxel Re:pair in my area, and it's easier to find doctors that provide Total FX. Will skin tightening results through Total FX be as good as Fraxel Re:pair's results?

Doctor Answers (3)

Fraxel Repair for skin tightening on the neck

+3

Hi jonjanna --

We have the Fraxel repair and the Lumenis Ultrapulse Encore (which is used for Active FX and TotalFx). Both can be used successfully, but we prefer the Fraxel repair. Our centre was involved in the clinical trials for Fraxel and have found it to be an excellent device for resurfacing both the face, neck, and chest.

The neck cannot be treated as aggressively when compared to the face. Don't expect surgical quality tightening, but you can see nice improvement in texture and sun damage with some tightening of the skin.

Expect at least 1 week of "social downtime", as you will be red, swollen, and peeling. In my opinion, these are treatments that have serious potential risks, including infection, scarring, and pigment changes and should only be performed by a physician, not delegated to other medical staff members.

By the way, the company that makes the Fraxel repair is based in Mountain View, CA.

Take care,

Dr. Groff


San Diego Dermatologist
5.0 out of 5 stars 13 reviews

These two machines are very similar, but the neck is a tough area to improve

+2

While both lasers can be used on this area, the tightening isn't as impressive on the neck and complications can occur when treating that area. One of the biggest problems which can occur is when the colors of the skin around the neck and chest don't match after the procedure, making it nearly impossible to go without makeup at any time.

This is why the most important thing that you will do before getting this procedure is to choose who is doing it and, conversely, have them give you an honest view of whether you need it. There are way too many physicians out there who have an expensive payment looming on a laser like this and need to pay for it, regardless of whether the patient needs it or not.

I do far more of the Fraxel re:pairs for the face than the neck and am more likely to recommend a product like Obagi Decollete for this area or IPL treatments than Fraxel or any other invasive laser. Whatever you choose, good luck.

Joel Schlessinger, MD
Omaha Dermatologist
4.5 out of 5 stars 17 reviews

Fractional co2 laser resurfacing for neck tightening

+1

All fractional co2 laser such as Total Fx, Fraxel Repair, Mixto performed very comparably. Even though improvement is seen most of the time, the protocol needs to be more conservative to minimize risk of post-inflammatory pigmentation, redness, or even scarring.

William Ting, MD
Bay Area Dermatologic Surgeon
5.0 out of 5 stars 7 reviews

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