EXTREMELY broken out and red 7 days post treatment. Is this normal? (photo)

This can happen after Fraxel especially in patients who are prone to acne.  I recommend that you follow up with your dermatologist or facial plastic surgeon so they can give you antibiotics as well as topical medications to treat the redness and severe breakout. Best of luck!
 - Jacqueline T. Cheng

This can sometimes happen. I find that people with more acne prone skin will have this response to fraxel treatments. I recommend non-occlusive aftercare to help prevent clogged pores, better to use a hyaluoronic acid based moisturizer to hydrate (avoid aquaphor or ointments/heavy creams), and I will often prescribe topical clindamycin for patients that I know are high risk of getting break outs (sometimes even an oral antibiotic).Best, Dr P

I highly recommend following up with an expert for a formal evaluation and after care. In my practice, we use a specific protocol of exfoliation, hydration, and moisturizing along with protection after laser treatments. PDT therapy can calm any inflammation. I always combine lasers with microneedling/PRP to get more of an outcome. Regardless, you should see an expert as soon as possible to properly diagnose the issues you're experiencing. Best of luck, Dr. Emer