Ask a doctor

Can Someone Please Tell Me What I Should Pretreat with Before Fraxel?

I want to do a series of Fraxel treatments. I can't do the Fraxel dual because I think I will hyperpigment. I previously used Meladerm with Kojic acid. I am now using Lumixyl. I can't use Hydroquinone. My skin is too sensitive. Which pre and post treatment cream will help prevent PIH ? which cream is stronger - Lumixyl or Meladerm (with Kojic Acid) ? I have Melasma on my upper lip. I want to treat this with the Thulium Fraxel alone. What settings should I use ? skin type 3

Doctor Answers (2)

Fraxel Laser

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

This should be determined by your physician doing the treatment.  There are many choices. Thank you for your question and good luck with everything.

Danville Plastic Surgeon
5.0 out of 5 stars 11 reviews

Fraxel prep & Long-term plan.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Post-inflammatory hyperpigmentation risks are real after ablative and non-ablative fractionated procedures, particularly in type 3 skin.  The risks are much less than with peeling agents, but cannot be always be avoided even with the best regimens.  I see no problem in using Lumixyl and Kojic Acid as they have the same effect but work differently.  Sun protection through physical blockers should be paramount in your regimen for 2 weeks before and 6 weeks after the procedure.  Either of the anti-PIH creams you are using could be part of a longer-term strategy for you, like for 6 months following the procedure. 

Michael Howard Swann, MD
Springfield Dermatologic Surgeon
5.0 out of 5 stars 10 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.