Is Skin Darkening and Scaling Normal After Fraxel?

Fractionated laser is an effective modality to resurface the deep skin while minimizing postprocedural complications. In patients with darker skin, some physicians believe in pretreatment with retinoids and hydroquinone based products. Early in the post-treatment phase, edema and pigmentation may develop but will generally subside with time depending on the depth of treatment. Consult with your physician who will advise you on whether to begin post-procedural retinoids and hydroquinone.... more

Especially in darker skin, Fraxel causes a darkening effect that lasts for 4-7 days. The final effect on scars is not evident until 3-6 treatments are done, and several months have past. The use of Triluma is always a good idea before during treatment of darker skin, as is the use of sunscreen daily. But, of course, your dermatologist would explain this at consult. Good luck!

Any laser treatment has the potential to create skin pigment irregularities. 24 hours after a laser treatment of any kind is too early to determine what the final results might be. My suggestion would be to continue the post treatment regimen prescribed by your physician and follow up with him/her in a week to get their opinion.