Fraxel Laser: Stories

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Fraxel Caused Orange Peel Texture

  • updated 1 year ago
  • Not Worth It
  • Cost: $3,600
  • United States

I had 3 re:stores done in April, May and June of...

I had 3 re:stores done in April, May and June of 2010. The last treatment was at the highest setting 70 mj at level 8. The derm's PA did the treatment. She has being doing Fraxels for 5 years. The 1st was in normal settings at 40 mj at level 8 (no problems and great results) and the second at 60 mh and level 8 (great results but some darkness under eyes). I asked the PA if the laser caused it and she said I was probably tired. I went forward on the third treatment even though I had a feeling that I should not. On the last treatment, I broke out in cystic acne (never before) hyperpigmented with more broken caps along my cheeks and under my eyes which make me look as though I am healing from two black eyes. Two weeks later (six weeks almost to the day), my face completely deflated as though I had lost 15-20 lbs. I had jowls, marionette lines and my cheeks were gone!! Also, since my collagen and tissue had been destroyed by the laser. I was left with huge open pores and wrinkles!! As others report, it is confined to the areas of Fraxel - my neck is still smooth and youthful. Sad thing about this is I did it strictly as a vain procedure. I had no real issues except a few brown spots and a few fine lines beginning around the eyes.

I now understand that my natural collagen/skin tissue was intentionally destoyed so that it could be replaced with scar tissue!!!!

Fast forward to 10 months later.....now I have this obvious cobblestone/dimpling/orange peel pattern. It is not nearly as bad as 2 months post laser; however, the skin puckers between pin prick pores. My skin is extremely smooth to the touch but looks very red and uneven. My skin has become somewhat firmer but not back to normal. My broken capillaries are just as obvious as well as my hyperpigmention. I have gone all over to try to find help. A few offer "more lasers" and a few say "let it heal" and a few offer "products". This proves that no one really has an answer. I am considering a facelift to correct the loss of tissue damage but I am not sure the texture/pattern will ever resolve. I believe the hyperpigmentation will resolve in time even though it could take a very, very long time.

Bottom line: I honestly feel I look 5-8 years older.

If you are considering Fraxel, PLEASE think long and hard about the possible consequences. I don't believe that all possible side effects are listed in an informed consent. My life has been put on hold. No one should fear the sun.

If you have already had Fraxel and find yourself in an adverse reaction. I pray you find a speedy resolution.

I will be certain to come back and update should I find a resolution. I have started Obagi's Nu Derm. I have been on it for 2 months with minimal results. I have heard it would take up to a year to correct some of the damage. I wish I had been offered it before I considered Fraxel.

My children had spring break last week. Although...

My children had spring break last week. Although I was very, very careful (lots of sunscreen, Coolibar hat, umbrella and shade) my entire face has hyperpigmented. I am certain I have laser induced melasma. I am a Fitz 1.5 or 2 with no history of melasma.

If you are considering Fraxel, please consider the...

If you are considering Fraxel, please consider the reviews that are over 6 months or longer. It takes 6 months for the collagen to remodel. I too thought my skin looked great in the beginning.

Photo Update

Great review?

My Doctor: name not provided

I don't know what happened. Was it the PA, the laser, settings, time of year, me....all the above?

Comments (52)

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frenchy15 17 May 2013
Hello I wish I found this website before having fraxel and not after...I am 34 and got only one fraxel restore dual procedure to treat a small surgical scar on my nose and a couple of small and not deep acne scars on my chin and lower cheeks aera..I now have orange peel texture with tiny dots connecting into lines, fine lines on my chin, bad texture with poor elasticity...I am devastated. My doctor who is the top laser specialist in the country denied my concerns and told me that no side effects like these could occur. He told me to let it heal and that my skin would get better... I would like advise on what products to use to help my skin recover. Do some people with similar damages have seen improvement over time? Please no horror stories..I've read them all and I am stressed and upset enough.. Thanks
Fraxel Ruined My Skin! 19 May 2013
Hi. I had one Fraxel procedure done which created tiny pick holes & orange peel texture on my forehead & cheeks primarily. I had been using tretinoin before & continued to use it for about 6mos afterwards, as recommended, then decided to stop. Since then my skin has been improving. It will be two years this June & no longer have the orange peel texture or pick holes. Just give it time,,alot. Sorry your going through this, it will get better but at this point I know exactly how you feel.
frenchy15 19 May 2013
Thanks a lot. In French we say time heals all wounds...hope its true. Right now I am only using moisturizer and sun block, eating healthy and trying not to think about my skin which is not easy. I am so mad at myself...my mom told me not to do it...should have listened! Glad your skin is better now :)
Fraxel Ruined My Skin! 19 May 2013
I promise it will get better & hope knowing that will give you some peace of mind. As you can see by my original post headline "Fraxel Ruined My Skin!" in 2010, I was feeling the same way you are now, but one day I looked in the mirror & it was pretty much gone. Take Care :)
Fraxel Ruined My Skin! 19 May 2013
I meant 2011..
frenchy15 20 May 2013
Thanks for the support. Did you have fine lines too? I have some fine lines on my chin caused my fraxel with crepey texture...I am hopping that will fade too...
Fraxel Ruined My Skin! 20 May 2013
I did but not anymore. Btw, I had my thyroid removed 6mos prior & wondered if that had something to do with it, because thyroid hormone effects the skin as well. Maybe rebuilding collagen takes longer if your hypothyroid,I don't know,just a thought. Anyway, there's a product I used by Algenist that will help improve the appearance of the area's that are bothersome. I used their targeted deep wrinkle filler & still do for minor age related issue's. Its a pore minimizer/wrinkle filler & I searched high & low for one. You can find their complete biotechnology line at Sephora or Ulta.
frenchy15 20 May 2013
Thanks will try it. Thyroid affects skin and hair. The right dosage is key. Your dermatologist should have asked you about your medical history. Mine has not either....
Fraxel Ruined My Skin! 21 May 2013
I filled out a form which included my medical history prior to the procedure. Even tho my thyroid levels had been in the "normal range" I've ended up adjusting the dose on my own according to how I look & feel. I also take a desicated thyroid so my body doesn't need to convert it into T3 which is active in all our receptors. Some people,I think a lot, have conversion prob's & are hypothyroid as a result & the thyroid enlarges creating goiters to compensate. The bodies not stupid. Anyway,seems like my skin improved once & had my thyroid issue resolved. But I was freaking out & quite angry with the same reaction as you've had. As for the product I recommened,I love it,but if its not for you Sephora or Ulta have so many to choose from & you can return them for a full refund if you don't like it,till you find what best suites your needs untill your skin fully heals...and untill your where I'm at, it is still healing. Some just take longer to get there than others. Btw,I'm not suggesting that there are people who haven't had irreversable damage to their skin. It happens. The skill & experiance of whomever performs it is paramount,obviously. Have you asked your doctor about this & if so, what was his/her reply?
frenchy15 21 May 2013
My Dr denied my concerns and said my skin was irritated and that fraxel could not cause damage. Woulnt have done it if I had been aware of the risks!
Fraxel Ruined My Skin! 21 May 2013
I wouldn't have either.When did you have it done?
frenchy15 21 May 2013
I had it done on march, 26th. Just saw a second dermatologist today she also does fraxel. She said that my skin was irritated and very sensitive. She gave me a recovery cream and told me to do nothing: no retin a, no aha, no peels for two months and things will eventually go back to normal.... When I told her about the website and about all these women who have suffered physical and emotional damage from fraxel she did not seem to believe me at all and gave me the fraxel is great speech...I don't get why drs refuse to knowledge the obvious, fraxel is a risky procedure and can produce great results but also terrible ones....this denial is so outrageous!
frenchy15 21 May 2013
oh wait I think I know MONEY
Fraxel Ruined My Skin! 21 May 2013
Yup,money, the root of all evil. As I mentioned, I was using Tretinoin before & for about 8 months after the procedure, which is a derivative of Retina A. I stopped because I read it thins the skin & figured maybe this wasn't helping my problem. In anycase, you've only recently had it done so your skin is still rebuilding/repairing. I've read In healthy, young skin, there is a constant cycle of new skin cells growing, maturing and shedding to reveal healthy, new cells & at age 20, the outer layer of your skin (the stratum corneum) turns over about every 20 days, but by the age of 40, this turnover slows to every 30 to 40 days. Also, take supplements specific to your skin to help things along. I copied/paste this for anyone interested & am going to add a few of them to my arsenal. -Vitamin C: Potent antioxidant, noted for protecting skin cells from sun damage, low risk of skin irritation at concentrations of 10% or lower, strengthens skin’s barrier and minimizes water loss, encourages collagen production, thereby thickening the skin’s dermal layer, reduces inflammation, lightens hyperpigmentation - Amino Acid Peptides: Helps with collagen and elastic producing cells (fibroblasts) becoming less abundant. They start lazy fibroblasts and encourage new ones to return to the aging dermis. - Copper Peptides: Stimulates collagen formation, diminishing fine lines and firming the skin ; stimulates elastin formation, cutting down on sagging and fine lines ; stimulates the formation of the extracellular cement between cells, thus improving skin strength, cutting down on fragility ; Stimulates the formation of GAGS (glycosaminoglycans). This helps to thicken the dermis resulting in a lessening of sagging and helps firm the skin ; Increases blood vessel formation and oxygenation within the skin ; Acts as a potent antioxidant by stimulating the enzymatic function of Superoxide Dismutase. - Vitamin A helps with collagen formation in addition to its exfoliating functions, copper peptides act both as an antioxidant to help prevent aging skin changes while helping stimulate collagen and elastin formation within the dermis.
cveroleyva 26 Jun 2012
ive read that it is scarred tissue. collagen and fibers are heated so that they can shrink, and make way for new collagen and fibers. but because your body recognizes this as damage, it fills in with collagen 3 vs collagen 1, which is originally produced. so skin is suppossed to be firmer......thats the theory behind all lasers. collagen 3 is scar tissue, and inferior to collagen 1. dont we all wish we would have known this at the time of disclosure at our consults and consent forms. grr.
FSRB (RealFriend) 28 Jun 2012

Yes....I have heard the same, unfortunately, after the fact as well.

 
Fox_M 25 Jul 2012
I think it is good with all surgery, especially cosmetic that we don't just trust and assume the end result tales of 'tighter/better/younger blank!' but actually research and try to learn the process and science behind it. Like almost all things that humans do, you'll find that they don't fully understand it themselves, and that what they do understand was discovered by chance and empirically.. from there they try to understand the reasons, but I feel with cosmetics there is less concern sometimes for why and how.. They just have to prove it is safe enough for the practice to be passed, the value is the ability to sell it. With no down time for possibly tighter skin, it is an easy sell.

You'll find that no matter how well put most medical procedures are on paper that the process itself is crude, and a big gamble. Biology isn't like our ability to wield a computer, we didn't create it and we hardly understand it in the grand sense. They have only statistics to go by, they cannot predict it otherwise. On top of all that, cosmetics is about what we perceive as beautiful, which goes beyond technicalities and must also be an art. All together it is difficult and risky. Hence why after major work, even those with deep pockets as celebrities, things may not look quite right.. If you sub-divide the face and focus on bits, you can say 'sure that problem looks better now' but as a whole, does your gut say they really look better? Quite often no. Sorry to rant! The lesson is be weary.
FSRB (RealFriend) 29 Jul 2012

Very well said!!
Fox_M 25 Jun 2012
This thread is scary for me. Are there doctors that will confirm that the tales of 'destroying collagen to promote new collagen and remodeling to tighten skin' is a total lie? That the new tissue is not the same as the previous type of collagen and that it is actually akin to scare tissue? I also have read before that as we pass through our 30s to 50s that a youthful type of collagen is slowly displaced by another type found in older skin. I wonder if this is similar. I once had a single treatment using a Palomar 1540 laser for the purpose of skin tightening along neck and jaw. I never saw any improvement, but I wonder if I get to look forward to premature aging instead!
FSRB (RealFriend) 26 Jun 2012

I would love to know the answer as well and, trust me, I have asked many doctors.  It is my opinion that the new collagen is akin to scar tissue.  Not sure about the marketing of Palomar but Fraxel's (re:store) marketing, at one time, claimed the "tissue coagulated".  See my questions to the doctors under my profile.  Fraxel no longer uses that verbage.  Instead, it simply says the micro columns "penetrate deep into your skin to expedite your body’s remodeling of collagen". 

 

Interestingly, Solta's (maker of Fraxel as well) new laser, Clear and Brilliant, explains what I believe has caused my problems; yet, Fraxel does not add it to its list of complications.




Delayed Wound Healing / Skin Textural Changes


 

Following any laser treatment, re-epithelialization may not occur as expected due to an individual’s physiology (i.e. poor wound healing ability, or post-treatment care). This may result in undesirable textural changes.

 





 
vanity now insanity 31 Jan 2012
I am not sure if you can access this show. I am from Canada and this past week on CTV network W5 (similar to 60 minutes) aired a segment on medical cosmetic lasers. If you go to CTV.ca and find the show "W5" you should be able to stream the show on your computer, look for"Cosmetic Lasers" There is no regulation to operate these devices and even the top Dr. Derm in Toronto admits he has caused skin damage with these machines. I have had my facelift, I am 1 week post op. I have posted here on my board. If you send me your private email, I will send you some pics. Just so you know, after reveiwing your pics....mine are considerably worse. A facelift was my only option and I feel good. I see you are looking into a facelift procedure too. If I can help with anything.....I always answer my email. Peace to you.
FSRB (RealFriend) 31 Jan 2012

http://www.ctv.ca/w5/
Here is the link. Thanks for sharing!

It has been 19 months. I have been consulting and getting prepared mentally. I just don't think I could handle anything going wrong. I have been told that I could wait a few years for a facelift. I don't believe I aged 10 years....more like 3-5 years. I would like to have back what I lost. I don't want to look 20 or even 30.

Please keep your review updated. I wish you all the best in your healing!! Thank you for your support.

FSRB (RealFriend) 31 Jan 2012
http://www.dermatology.ca/files/CDA-W5-Lasers-Jan-2012-EN.pdf

Kudos to the Canadians!!
Fraxel Ruined My Skin! 28 Nov 2011
Thanks for the ray of hope FSRB. I've been using Obagi before & after the procedure & my friend has not & we've both ended up with the same results. Still awaiting a reply from my Dr's office & will post what they have to say. BTW, I would like to post photo's to this thread but don't know how. If anyone would like to see the pitted scarring some describe as orange peel skin,let me know...
cveroleyva 10 Jan 2012
The more pics the better, I'm so frusterated that doctors blatanly don't tell patients that they won't know their results until 6months to 2 years down the line, and once the bumpy wrinkly crepey scarred texture creeps up, if you call your providers back they'll say it wasn't their device that did this. its all just so evil.

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