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

Very Pleased with Fraxel Repair

29 posts
Comments (34)
Updated 27 Jan 2009
Posted 22 Jan 2009
Worth It
Spent: $5,900 in Encino, California

I had Fraxel Repair done on January 5 for fine lines, precancerous spots, and pores. I’m 41 with fair skin and blue eyes. I wanted to share with you my experience with my treatment, my Doctor and his staff. I have read a lot of negative blogs about the damage it has done to people’s skin and for that I’m truly sorry, that is why I wanted to share with you how vital it is for you to take all the precautionary steps to choosing your physician carefully. Experience is crucial. Surgeons who do it often, do it better. Don’t accept anything but the best, it’s your face we are talking about. Ask for references, how many procedures have they done, before and after photos, are they experienced with the old C02, and how many of those did they do.

I was told that people with severe acne or deep wrinkles will most likely need 2 to 3 treatments,however you should still benefit from having 1.

There is also a much speedier recovery the 2nd and 3rd time around. Discuss with your Doctor your expectations and he/she will determine exactly how many you’ll need to achieve your desired results. I have also read that results are not lasting past 6 months, or people are reverting back to their pre-Fraxel state. The day that I went in for my Fraxel my doctor introduced me to Marta Waller she was filming her 7 month follow up, for those of you who don’t know her she is a journalist who had undergone Fraxel repair in June 08’ and had a day to day (10 days plus 2 day follow up) video diary done of her experience on You Tube, you must check it out. Anyway, she looked amazing. I believe she said she was 55 and not a stitch of foundation 7 months out. I asked her if she was happy with her results and she said that she couldn’t be happier-even her daughter chimed in to tell me that the difference was just incredible, but I too will let you know in 3-6 months. I was also told that people who continue to smoke or sunbathe, Fraxel is not for them.

(Start your prescriptions the night before)

Day of: I took my prescriptions-keflex, Valtrex, and steroid cream on my face along with Benadryl in the am. They put numbing cream on my face, neck, and chest (Bring your IPod if or books on tape because the cream remains on the treating area for an hour plus…(I was too drugged to read) they also gave me a pain pill and a shot in the behind with Demerol along with nerve blockers around face. I literally felt no pain until he got to my chest a level 6/7 out of a 10. He stopped to ask me if I need more pain reliever and I said no you get through it, it’s not that bad, besides I wanted it over with. The worst part was that they let my husband in to see me before they cleaned me up and let me look in the mirror myself. My husband said wow honey… wow…that was about all he could say. Can’t say I blame him, I just smile and asked him for some fava beans and a glass of Chianti.

Day1. Vinegar soaks every 2/3 hours followed by aquaphor-yes even in the middle of the night. Don’t let your face get crusty.

Day2. I’m a swollen, ugly, weepy mess. I don’t feel as though I looked as bad as some of his before and after photos but I’m ugly and swollen none the less. No more pin point bleeding.

Day3. Swollen and ugly, still doing the vinegar soaks every 4 hour now.

Day4. Swollen and ugly, getting tight and peeling a little around my nose, lip, and, chin. I’m breaking out, obvious from the Aquaphor. God- I love that stuff.

Day5. The swelling is going down a bit except for eye area. Still pretty red and of course, UGLY! I don’t look as good as Rebex from “2 weeks post” at her day 5. Still doing vinegar soaks; twice a day, washing with mild cleanser and have now switched from Aquaphor to cetaphil moisturizer-feels much better-Oh yea. This was my turning point. Also feeling very itchy…must be healing.

Day6. Healing seems to very gradual-even with all the healing vitamins(pre/post:help me heal vitamins) which I think are doing sqwat…and still swollen and ugly.

Day7. Not bad…A little better than day 6. What looked as though it was going to peel seems to have smoothed out. Still itchy and very pink.

17 day results

Well what seems to have been a long week of healing coupled with another week of redness, (just slightly pink now) Day 12 was the day I went back to work I got comments about looking like I was somewhere exotic, I just nodded. Today is day 17 I’m still pink, but presentable I’m very pleased with my results. My skin is smooth. The fine lines around my eyes have vanished (A little swollen under my right eye but hardly noticeable). The lines above my upper lip have softened…I may want to do a repair light, which he mentioned but I will wait at least 6 months. I felt my doctor was extremely well educated on the fraxel laser as well as my custom results. He has a 100% satisfaction thus far in all his fraxel clients. His staff felt more like family than a medical office. The atmosphere was very warm, yet professional. Would I recommend this Doctor? In a heartbeat!!!!!

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

Michael A. Persky, MD

My Doctor: Michael A. Persky, MD

My rating:
Extremely well educated on the fraxel repair laser.
Vote: 40 members found this review helpful

Comments (34)

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james (145 posts) 23 Jan 2009
Aquaphor is mostly Vaseline (white petroleum). Isn't there a better moisturizer? Or do doctors like it because it's inert. And just used as a skin barrier. Not actually to moisturize. Just skin protectant?
FairestOfAll (29 posts) 23 Jan 2009
Moisturizers tend to dry out. I believe they want you to use the Aquaphor or vaseline as a skin protectant. Nothing goes out, and nothing comes in. Better healing.
Boston Girl (23 posts) 24 Jan 2009
During my fraxel consult I asked the doctor if he ever recommended using silver sulfadiazine during the healing process. He said he never had a fraxel patient use it and it was probably overkill for fraxel. I didn't use, listened to my doctor. But still wonder if it might be a good thing
Steven F. Weiner, MD (352 posts) 25 Jan 2009
When the skin has just been resurfaced, it is much more likely to react to topicals than prior. Even if you didn't have any problems with a certain topical, you can. Therefore, the aquaphor is used because it causes very little reaction and keeps the skin covered and moist for a prolonged period of time. The only other thing I've used is Biafine. However this tends to dry out, drip off, and need frequent applications. It has healing elements in it. I use it for redness and certain areas which are slow to heal. Steve Weiner, MD
Michael A. Persky, MD (2,835 posts) 7 Feb 2009
Recently have offered patients Cutagenix after treatment. Can be used alone, or if more moisturization is needed can be used under Aquaphor. Advantage is that it is not oily/greasy so that there is less "white head" formation in those patients prone to breakouts. Disadvantage is that it costs me $175 from the manufacturer, so patients pay $175 more if they wish to use Cutagenix. Dr. P
chardy (35 posts) 25 Jan 2009
Good for you! Great post. I am really interested to hear your honest opinion of what you see different in the mirror at the 1 & 3 month mark after your proceedure on 01/05/09. Do you think you look many years younger? This is my biggest concern after reading all the info on fraxel repair and the huge costs involoved with this procedure.
FairestOfAll (29 posts) 26 Jan 2009
Thank you! I do think I look younger. I most certainly will keep you posted 1-3-6mos out.
susiez (3 posts) 25 Jan 2009
I had mine on 12-9-08 so it has been around a month and half. I am happy with my results!! My complextion feels better, the brown spots are gone, and my eye wrinkles are at least 50 % better (I am 44) and blonde and fair skin--yet I tan easy). I think my skin has a more youthful glow. Let me know how you feel as the months go on as well...
VSL (14 posts) 21 Mar 2010
Suzie, Are you still happy with your results? I am freaking out reading all of these stories. I had mine done 4 weeks ago, and I am still red, swollen, and in some spots see indentations (sort of like if you took your nail and pushed in. Is this temporary? What can I expect over the next few weeks/months? Thanks, Val
California Crookedteeth (74 posts) 25 Jan 2009
Would anyone really have this done two to three times? My doctor did say that some acne scars might not improve as much as I would like with one treatment, and that the procedure could be redone (no, thank you). But nowhere else have I seen three times even mentioned as a possibility. I can't imagine it. What is the "repair light" you mentioned?
Michael A. Persky, MD (2,835 posts) 7 Feb 2009
I have two patients scheduled for their second full treatment. The re:pair Lite is a re:pair treatment with the settings very low (5mj of energy and 5-15% density). I have treated one patient with a Lite treatment three months after her full treatment, and the results were almost like she had a full second treatment. The advantage of the Lite treatment is that there is no pin point bleeding or oozing, it is very easy with no pain, the skin is red and swollen for only 2-4 days, then it has a glowing healthy tan for a few days. It is a much more superficial treatment, so as a single stand alone procedure the results are not as impressive as with the full treatment. The post-Lite laser skin treatment is also much easier.
Fitness Lady (86 posts) 26 Jan 2009
How many treatments do you have to have with Repair??? I think I've been getting the Fraxel Re-store, because I've had 2 treatments and have at least 2-3 more to go for my acne scarring! Is there a difference in price with the Restore than the Repair! You look great by the way!
FairestOfAll (29 posts) 26 Jan 2009
Hi Fitness Lady, Thank you! You usually need one treatment with repair, but if your scars and wrinkles are on the deeper side he may recommend 2, really, really deep maybe a third. One repair equals 5 restores, yet the results are still slightly better because the restore doesn't give the tightening effect that the repair does and it's non ablative so it won't stimulate the collagen.(I'm going by what I was told) I believe one repair is about the same price as 5 restores. I'd rather be done with it in one session, or two if need be.
California Crookedteeth (74 posts) 26 Jan 2009
By the way, you mention that the main difference between the Restore and the Repair is the skin tightening that Repair does. In fact, that and the reduction of upper lip lines are the only two positive results I have had so far. I have seen some return of skin laxity lately, however, so I wonder how long the improvement will last.
Fitness Lady (86 posts) 26 Jan 2009
You look great! I'm getting Fraxel Re-store for my acne scarring. I was told it was Repair but I paid for 4-5 treatments and have had 2 successful treatments thus far. I've seen on this forum that you only need one Repair treatment! How many will you be getting and is there a difference in pricing??? Keep us updated.
FairestOfAll (29 posts) 26 Jan 2009
California crooked teeth, I mentioned 2 to 3 treatments for "deeper" wrinkles and scars. One should sit down with their Doctor and ask him those questions. Dr. ... how many treatments will eradicate my issues?? If I do need more than one, what will the cost be. I know Dr. was willing to work with me and if I needed another treatment, above my lip he was willing to work out a much better price. At least I knew what to expect before I had it done so there were no surprises. I had asked my Doctor a few hypothetical questions and those were the answers I got. He mentioned since the skin was already treated that the downtime would be nil the 2nd possible 3rd time. I think if you can eliminate deep scars and deeper wrinkles without going under the knife. Ya woo! Are you happy with your results? BTW: The Repair light is the same laser done lightly. In on a Thursday, back to work on a Monday. The day I had my fraxel Dr. did a repair lite on a girl, she emerged from the room I thought her skin was pink from having a numbing cream on her face and she said she just had the repair lite. It's more like a refresher but if focused in a particular area should further your results as well.
California Crookedteeth (74 posts) 26 Jan 2009
I did sit down with my doctor and ask these questions. He never mentioned the possibility of three treatments even being out there, which is why I was surprised to read it here. As I said, I can't imagine going through it again even once. Am I happy with my results? I am just two months post procedure, so not fully "done" -- but no, not so far. From my current perspective, I don't think it was worth my time or the pain. I don't care about the money. I had not heard of the Repair Lite previously, but Googled it. I don't think that it is offered by my doctor.
California Crookedteeth (74 posts) 26 Jan 2009
Do you know what your settings were, Fairest?
FairestOfAll (29 posts) 26 Jan 2009
Hi CCT, I don't know what my setting were but I will ask. The two possible three treatments were not for myself but for someone with deeper wrinkles/scars, (it was one of my hypothetical questions) He mentioned that someone with severe wrinkling/scars would most likely benefit with a second treatment with the exception of very few needing a third, which would probably stem from scars on the face. I wanted to throw that out there because people are looking to erase scars and think one treatment will do the job when in fact they may need a second or perhaps third. Only their Doctor can tell them what they'll need. As for the downtime and pain you incurred, I was told it was a much speedier recovery since the skin was already treated, and myself...I experienced very,very little pain during and after. May be you should talk to your Doctor about your concerns, if he's honorable Doctor maybe he will oblige you. You've made it this far. If you had a second treatment that made you feel a thousand times better than you do now...I'd say it's worth it. As for the repair lite; Go to Dr's website and in one of his blogs he mentions the "repair lite" I really do think a well experience Doctor makes all the difference. They seem to have a certain technique that yield more dramatic results. I'm sure your Doctor is experienced, but the few Doctors that seem to respond to all our questions on this site, seem to recognize peoples concerns and know how to address them.
California Crookedteeth (74 posts) 27 Jan 2009
Um -- I think they are promoting their practices, Fairest. They are very selective as to which threads they post on. Just the positive ones. Haven't you noticed? Yes, my doctor is "experienced". I would not presume to judge whether he is "honorable". I post here neither for promotion nor refutation of this procedure or any practice. I simply want people to be informed about all the possible outcomes.
FairestOfAll (29 posts) 27 Jan 2009
I've read many post of Doctors responding to negative issues as well as positive ones. At least they're posting... I have found many threads very helpful. you say you have noticed an improvement to your upper lip, think what a second treatment can do for you...they say the healing is much quicker. Did you read the post after mine? She was 3 weeks post her second repair and she mentioned that the recovery was quicker. Would you do it again if you knew you would see more results and quicker healing time? I guess everything comes at a price, it's up to you to determine if it's worth a second time. Good Luck to you.
Fitness Lady (86 posts) 27 Jan 2009
Well, I think I'm convinced that I'm getting the Fraxel Re-store because for best results, I was advised to have 4-5 treatments, possibly a 6th. I kind of wished I could have been done in 1-3 treatments though. It's been 6 days since my 2nd treatment and my face is lightening up not as red and looks very smooth, it does feel tight though as you explained that the Repair does...I'll keep you updated. Let me know how it goes after your 2nd if you go again.
Dazed (58 posts) 28 Jan 2009
Fairest, excellent post. I had my 2nd Repair done on Jan 8. I will not hesitate to have a 3rd procedure if I need it.
Fitness Lady (86 posts) 30 Jan 2009
Yes, I'm happy with my results thus far after only 2 re-store treatments! It looks like the costs can be about the same..around $5,000. I do have some deep pitted scars in a very delicate are on each side of my temples that I was informed will most likely need fillers of some sort. I'm not seeing much improvement with those scars!
Glenda Lewis (unregistered guest) 2 Feb 2009
The results look great! I had a deep chemical peel 4/08 and have been left with very white chin and mouth area and a definitive line between my normal olive skin looks like a bad burn scar. I wonder if Fraxel would be something that would help my discoloration? Please refer me to your doctor and I will go anywhere to have this done if necessary.

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