Fraxel Repair before & after photos
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Fraxel Repair Cost $3,800 average cost

Fraxel Re:Pair Procedure 3 Days Ago and Results

83 posts
Comments (132)
Updated 23 Nov 2008
Posted 8 May 2008
Worth It
Spent: $5,000 in Johnson City, TN

I am a 39 y/o female who had the Fraxel Re:Pair procedure 3 days ago, and while I would not recommend it for those with low pain tolerance (like myself!), it already appears the results are worth the intense pain. When I first arrived for my appointment, I was given one 10mg Valium and one Lortab. My nurse applied a numbing gel (with an infuser), which stayed on for just over an hour, then my dermatologist applied approx. 20 shots of a local nerve block. He began the laser treatment on my upper eyelids (where no nerve block could be applied, of course), and the pain was incredibly intense. The lower eye area (also no nerve block here) was worse, but I was assured the areas which had received nerve block shots would be less painful.

While they were indeed, the pain was still considerable, and I had to request a moment to 'catch my breath & grit my teeth' on several occasions. The doc made 4 passes (two horizontal and two vertical) over each facial area, and the pain seemed to intensify with each successive pass. By the time my face was finished, I told him I had changed my mind about the neck area, but he convinced me to at least let him make two passes over each neck area. He lowered the laser intensity setting for my neck (from 40 to 30; my eyes were at 20, I believe he said), and it was still barely tolerable, IMO.

I was a bit shocked when they had me look in the mirror after they dried my face & applied the Aquaphor, but at least after seeing the immediate result (redness, swelling, oozing, bleeding, eyes swollen nearly shut), I felt I had justification for all my in-procedure whining. *g*

For the first three days, I have applied the vinegar soaks every 2-3 hours (setting my alarm clock to do those during the night), followed by a thick coating of Aquaphor. I am also taking Arnica tablets to lessen swelling, and applying bags of frozen peas to my entire face a few times per day. I have, of course, experienced much discomfort, but no real "pain" to speak of. The vinegar soaks do sting like mad, but the stinging subsides quickly.

I had numerous facial acne scars, a high-forehead (touching my hairline) scar from a forehead lift (5 years ago), an under-chin scar from a chin implant (6 years ago), the beginnings of crows feet at my outer eye corners, and crepey (not 'creepy'! *lol*) undereye skin from an overzealous lower bleph about 8 years ago. The forehead/hairline scar has already disappeared (though I did lose some hair in the front where he made contact with the laser), the chin implant scar is 100% gone, and all but 3 of my acne scars (the 3 deepes/largest ones) have filled in nicely. My upper and lower eyes are still considerably swollen, so it's difficult to say how those will turn out; based on the early results to my other areas of concern, though, I'm cautiously optimistic.

Besides the eye-area swelling, my face is still a deep purplish-red, but given the ablation level of this procedure, I suppose that's to be expected. I was told I could expect things to 'tone down' to the equivalent of a 'bad sunburn' within 5-7 days. *fingers crossed*



Updated on Nov 24, 2008:

It has been more than six months since I had Fraxel Re:Pair, and my skin has now reverted - almost entirely - to its pre-FR state.  The single exception is the improvement to the hairline scar I had from a previous brow lift; it has remained less noticeable than it was pre-FR.  I followed the recommended post-procedural protocols, but after about 14 weeks, I began to notice my previously-improved areas looking more like  they did before I had FR.  I at first thought it may have been just because I had become accustomed to the "new & improved" version of my skin, but after taking photos and comparing them to both my pre-FR face and my 6 weeks post-FR face, it was glaringly obvious the favorable results were indeed diminishing.  Unfortunately, they have continued to do so.  While I'm not implying my skin is now worse than it was before I had FR, I am implying that $5,000 is a LOT to pay for less than 3 months worth of improvement. 

Even the doctor who performed my FR agreed there is very little visible difference at this point.  Of course, he followed that by stating I should let him do another treatment (at a whopping $400 discount - LOL!) using higher settings.  I am willing to bear my share of the responsibility for spending the money on the initial treatment without having known more about it; I am not, however, willing to do so again.  Fool me once, shame on you... fool me twice, shame on me.

This review is the subjective opinion of a RealSelf member and not of RealSelf, Inc.

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Comments (132)

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james (145 posts) 11 May 2008
so you lost hair from fraxel re:pair? i was wondering about this. being male i'm concerned my beard would be patchy afterwards . . .
AliGrace (83 posts) 11 May 2008
I definitely lost *some* hair on various places that were touched with the laser: my eyebrows at the outer corners, some at the hairline in front/forehead area, and quite a bit at the right temple/ear area. I can already feel the "prickliness" of stubble where regrowth is beginning, so I'm hoping the hair loss will be only temporary. I would, however, recommend you ask the doctor who will be performing your procedure that specific question about your beard & regrowth. Best of luck to you! -allie
Michael A. Persky, MD (2,835 posts) 14 May 2008
Hi James, We have not seen any permanent hair loss with the Fraxel repair, nor was it seen with the older traditional CO2 lasers. Dr. P
Chrisitne (92 posts) 24 Aug 2008

Fraxel has left me with scars hypo pigmentation and very rough skin. BE careful. If you would like to see the pictures email me at {edited contact information}

Editor note: To contact this user privately click on their username.

Michael A. Persky, MD (2,835 posts) 27 Aug 2008
Hi Christine, Would you please email your most recent photos? Are you seeing any improvement? Do you know the settings and number of passes that you were treated with? Has the Reliant Company given you any feedback? I truly hope and pray that over the next few months your scars dissipate. Dr. P
Chrisitne (92 posts) 28 Aug 2008
HMMMM, interestingly, just today I left a doctors office where the reliant Fraxel rep was trying to sell a fraxel laser. Knowing my case the doctor asked if there was anyone that has scars from the unit. The rep said "no". This is an FDA product and can not be misrepresented. I am very upset with the company and spoke to their FDA liasion who said they would look into the situation. THey need to be educating their sales people on responsible and honest sales presentations. The doctor had a good laugh and wondered what the indents are on my face if they aren't scars.
Chrisitne (92 posts) 28 Aug 2008
HMMMM, interestingly, just today I left a doctors office where the reliant Fraxel rep was trying to sell a fraxel laser. Knowing my case the doctor asked if there was anyone that has scars from the unit. The rep said "no". This is an FDA product and can not be misrepresented. I am very upset with the company and spoke to their FDA liasion who said they would look into the situation. THey need to be educating their sales people on responsible and honest sales presentations. The doctor had a good laugh and wondered what the indents are on my face if they aren't scars.
Chrisitne (92 posts) 28 Aug 2008
Oh, yes I am healing. With heavy makeup in a dark room I can look completely normal. To fix the scars and texture issues my doctor is guessing 8 laser treatments at extremely low levels.
Michael A. Persky, MD (2,835 posts) 28 Aug 2008
Hi Christine, I am so sorry to hear that you are having these problems. I agree with you that those representing the treatment, and the physicians performing the treatment need to be honest and responsible. I hope that your treatments to correct your scars is effective. Dr. P
james (145 posts) 15 May 2008
ok good. i had IPL and it caused "permanent" loss.
Michael A. Persky, MD (2,835 posts) 15 May 2008
Hi James, Fraxel is not an IPL technology. Dr. P
james (145 posts) 15 May 2008
I'm aware. However the principle of photothermolysis is the same. Although Fraxel's frequency targets water as opposed to melanin, theoretically a microthermal zone is capable of hitting the hair bulge area of the follicle and disrupting hair growth.
Michael A. Persky, MD (2,835 posts) 15 May 2008
Hi James, Permanent hair loss has not been experienced with either Fraxel re:store or Fraxel re:pair. Dr. P
AliGrace (83 posts) 15 May 2008
Dr. P - I had my first Fraxel Re:Pair follow-up consult today, and my doc seemed very pleased with the results thus far. I expressed to him, however, I thought the hollows under my eyes looked deeper than before. He informed me they would indeed "fill in" along with the rest of my areas of concern as the new collagen was rebuilt & restored. I asked him if my undereyes would fill in to the point I would not need to consider a filler, and whether I had to wait 3 months (as I had read in my research) before having a filler injected in the event I wanted more fullness than the re:pair would eventually produce. He said he would recommend a filler for certain (which is fine with me), and he actually scheduled me to have that done (with Radiesse) on Tuesday; that will be exactly 2 weeks post-FR for me. I'd be very interested in knowing your thoughts/opinion on having Radiesse so soon after my FR. (I am largely unfamiliar with Radiesse altogether; I have had both Juvederm & Sculptra - though never under my eyes - and was pleased with the results). Thanks in advance for your time. -allie
Michael A. Persky, MD (2,835 posts) 15 May 2008
Hi Ali, I have been injecting filler under the lower eyelid hollows (tear troughs) for many years. I have found that Restylane is most reliable in this very delicate area. I would not ever put Radiesse under the thin skin-muscle of the lower lid. Make sure that your physician has experience in injecting in this area. You may want to wait another couple of weeks before filling the area. Someone a lot wiser than I once said that "Patience is its own reward". Be patient. Dr. P
AliGrace (83 posts) 15 May 2008
Dr. P - Thank you so very much for your response... I truly do give much weight to your opinions. After a couple hours of research, I found not the first positive recommendation/experience with Radiesse for tear troughs; I did, however, find several horror stories, many of them right here on RealSelf. I've had favorable past experience with Juvederm, though not in the undereye area. (?) At any rate, I didn't ask for your opinion so I could ignore it once received... you can bet I will wait a few weeks before pursuing a filler for my undereye hollows, and if/when I DO decide to get something, it will NOT be Radiesse. Thank you again... really. -allie
JenHB/NC (6 posts) 30 May 2008
AliGrace, I have been reading your posts. I had the fraxel repair on April 24th, 2008. I am clearly at my my one month mark.I posted earlier on this site, but was really not getting enough info from the docs. I am 35, have really bad lip lines, I do not see that much of an improvement in them. Mostly from my experience all I see is that my freckles are gone. I see no reduction in pore size. Its seems as the time progresses forward I see worse results than better. I had a 2 inch scar below my right eye since I was 16. Back in Dec of 07 I had the C02 laser treated on the scar only. I seen more improvement with the C02 than the repair with the regard to the repair and the scar. I believe it looked a lot better with the c02 since the repair. My concerns were with my lip lines, crowsfeet and creepiness. Do you have any better results now since it looks like you are your one month mark or more. I would love to chat you via email. I would also like to see you pictures prior repair and now. Also, I would like to know a little info regarding your chin implant. I was looking into having one done. Please help and any suggestions given would be greatly apperciated. JEN
AliGrace (83 posts) 1 Jun 2008
Hi there, Jen. I have read that lip lines are among the most difficult to eradicate, but it's so unfortunate that you have not seen more positive results at this point. Hopefully, you will see a marked improvement in the very near future! :-) My skin certainly feels softer and smoother overall than before FR. I have not yet seen any real firming along the jawline or neck, but I'm trying to be patient (not an easy task for me! LOL) and optimistic. I see the MOST improvement in my upper eyelids - awesome! They were not a serious concern pre-FR, but they were a teeny bit saggy, I guess. They are SO much firmer and smoother now! My undereye area is also firmer now, though that only accentuates the hollowness there; I'm still researching fillers for that, but will likely wait a few more weeks before making a final decision. I have had my chin implant for several years now, and it was a breeze. I'll be happy to answer any questions I can for you about that as well. You can e-mail me directly by clicking on my photo in any of my posts, then choosing the "contact this member directly" (or whatever it actually reads). Wishing you a speedy recovery and fabulous results... allie
olrunner (1 post) 29 Jul 2008
I turn 49 next month and am considering either Fraxel Repair or ActiveFX as my b-day present. I'm pretty scared though - now that it has been 4 months what do you think of your results? I have some sun damage around the eyes and cheeks and am starting to see tiny lines above the lips. I would also love to see pictures of before and after if possible. This is a very scary thing; any recommendations on how to pick a doctor? Any advice - or experience sharing would be welcome.
Chrisitne (92 posts) 30 Aug 2008
Since I posted the pictures of my fraxel repair, I am getting a lot of emails from people that have had issues. BE CAREFUL. The fraxel repair is new, and I would wait awhile for more patient cases to ensure the safety of the device.
Chrisitne (92 posts) 3 Sep 2008
My Fraxel Laser settings were as follows.: Your settings were as follows : (and by the way I have sent this to Reliant several times) Eyes: 20 mj , level 7 (25%) Lateral cheek: 25 mj, level 7 (25%) Central face, Chin and Nose: 40 mj, level 10 (40%) Upper lip: 40mj, level 12 (50%)
pat randall (2 posts) 19 Sep 2008
are you still scarred from your faxel repair. i'm so sorry. have any positive benefits come from your faxel repair? thanks. pat.
Michael A. Persky, MD (2,835 posts) 21 Sep 2008
Hi olrunner, Fraxel re:pair is extremely powerful technology capable of creating incredible results when used properly, yet as evidenced here unfortunately capable of severe burns when used improperly or if the unit being used is creating to much heat. Patients must choose their treating physician most carefully, preferably someone who is experienced with the older traditional carbon dioxide lasers, as well as someone with an excellent reputation in your community. Ask your physician how many treatments they have done, and what complications they have seen or heard of. I would prefer to be treated myself by a physician who is board certified in facial plastic surgery, plastic surgery, otolaryngology (ENT), ophthalmology, or dermatology. I would avoid being treated by physicians of other specialties who have recently gone into the cosmetic market and have gone to a meeting or two, or have taken a "weekend" course. Ask to see you treating physicians credentials, and find out about their training, experience, and past results. On the bright side, from what you have described, Fraxel re: pair is the perfect treatment for a young woman like you who is concerned about sun damage around her eyes, cheeks, and lips. It will give you a healthy and rested natural look. You can visit my web site, Dr. Steven Weiner's or Dr. Roy Geronimus' web sites to see some before and afters of Fraxel repair patients. Be well and Happy Birthday! Dr. P
Chrisitne (92 posts) 22 Sep 2008
Yes, I am still scarred, and no, I have had no benefit, which is ironic, as many think I have had an overproduction of collogen, hence the white marks. I did have a chicken pox scar that went away completely, but cam back around 3 months. My doctor was doing co2 laser, and has had the earlier fraxel lasers.
Michael A. Persky, MD (2,835 posts) 15 May 2008
Hi Ali, I have used both Juviderm and Restylane under the lower eyelid and have found that Restylane "behaves" more reliably. Occaisionally Juviderm may swell a bit too much after just a small amount is injected. I have found that with Restylane, "what you see is what you get" when it is injected properly. Be well. Dr. P

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