Fraxel Laser before & after photos
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Fraxel Laser Cost $2,200 average cost

Was Almost Frightened Off, but So Glad I Did the Fraxel Now!

30 posts
Comments (42)
Updated 30 Jul 2011
Posted 8 Mar 2009
Worth It
Spent: $2,000 in Australia

Just to clear up pricing, the $450 was an inital payment and the total will work out to be about $2000US.

Firstly, I'm getting fraxel to treat hypopigmented (white) scarring on my arms which are, as I understand it, harder scars to get rid of. I had my first treatment 3 days ago and am very impressed with how well it was handled and how smoothly it all went.

The experience itself:
I went in 3 days ago to have it done. I took the day off work as I was anticipating pain and/or horror. I had this done by a doctor at a dermatology clinic, rather than by an esthetician.

To be truthful, the laser was very strong. Before the procedure, I was given a painkiller and anesthetic cream on the actual area to be lasered. This stuff was also extremely strong. To give a better idea, I also had injections of cortisone into the scarred area after the lasering was done. I could not feel the injections at all but I could still feel the laser, and pain from the laser, though it was mild bordering on moderate, though certainly not unbearable. Judging by that I'd say that without the numbing cream the laser would have been sheer agony. I do not recommend doing fraxel without the numbing cream, as the experience would be horrendous. The actual lasering only took a matter of minutes, it was over with quite quickly.

Afterwards, I was given after care information as well as moisturizer to use on the area. I had redness, just like a sunburn, but even after the numbing cream wore off, I barely felt anything. There was no swelling at all, still no swelling at all, and now, 3 days after, it looks like a slightly darkened, healing sunburn.

It's only been days, and the skin is still darkened and sandpapery, but I can already see some lessening in the appearance of the scarring. I'll post more updates after my second procedure, which is next month.

My overall advice? The doctor you see makes all the difference. I'd advise seeing a doctor and not a beautician. Don't be scared off by the negative experiences of others which, while valid, and I feel deeply for those people and am very sorry to hear about what happened to them, that does not mean a negative experience for everybody. I was so scared I almost canceled, and am extremely glad now that I didn't.

The next bit of advice - get the numbing cream. Don't do it without it, this is a very strong laser and without any painkillers, it will hurt. As it was, for me, the pain was bearable.

More updates to come once I can start to see more, and before my next treatment!



Updated on Apr 26, 2009:

Ok, had procedure number two done a few days ago.

That, was painful. The first time it hurt but this time, more so. Not during the process, but afterward it seems like it's more tender than it was the first time, that's because the skin is newer and thus more tender this time around.

It's gotten to the point where it's dried out and is sandpapery, and looks like a bad sunburn. It's starting to itch so I'm guessing it's healing well. The improvements are still coming along, some of the scars are almost invisible now, but the worse ones are taking longer to lessen in appearance.

It's still early, I'll update once the swelling/redness/bronzing has gone.

 



Updated on 30 Jul 2011:
Update - two years later.

The side effects have completely gone. Main side effects? Dark AND light patches on my skin (hyper and hypo pigmentation). The light patches were due to the cortisone. The darker reddish patches were from the laser itself.

So my scars, the reason for my treatment? The honest answers, now. Are they gone? No. Are they better? Absolutely. They have been reduced by about 50% so that in sine lighting you can't even see them, nor are they obvious anymore unless you know what you're looking for.

Before fraxel, I used to get people and their questions when they saw the scarring and were too naive or rude to bot ask the question. Since the fraxel, knock on wood, not one question, even one.

Was it worth it? Yes. Would I recommend it to everyone? No. I'm lucky enough to be of the right skin type for laser and so responded very well. I also know I was very lucky and not everyone will have the same experience. But if I could do it again, I'd do so in a heartbeat.

My next step from here, the rhinoplasty I've wanted since puberty! Looking forward to posting that experience :) Also extremely nervous!

Updated on 30 Jul 2011:
Edit** meant to say was reduced by 60% not 50. And some* lighting, not sine lighting, lol. Darn iPhones.

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

My Doctor:

My rating:
Because my doctor was understanding, informed, and knew exactly what he was doing and told me exactly what to expect. Very impressed overall.
Vote: 7 members found this review helpful

Comments (42)

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Lara_Z (30 posts) 9 Mar 2009
The scarring is actually on my arms, not my face, so I have it a little bit easier in that way. Admittedly I'd be more nervous about getting laser of any kind on my face. The cortisone is because the scars are raised, white (hypopigmented), the goal being to flatten the scars a little more to help the healing process. The doctor has done procedures like that before but, due to privacy reasons, of course, I don't have an exact number. However I will keep updates as the treatments, and let you know how it's gone, whether good, bad, or ugly. Thanks for your advice, I'll keep in mind all you've said. :)
Scared of fraxel (18 posts) 26 Mar 2009
Hi, I was wondering how you obtained the scars on your arm. I have many white, slightly raised, fine scars from seld injury. Do you think Fraxel will flatten and blend my scars with the rest of my skin?
Lara_Z (30 posts) 8 Apr 2009
Sadly, my scars have the same cause as yours, which is why I'm desperate to get rid of them. It's now been a month since my first treatment and my next is in two weeks, but I am seeing some improvement and the scars are definitely looking flatter (I think that's due in part to the cortisone injections done at the same time as the procedure). So, it's early days, I'll be able to tell you more after my next treatment. But if it keeps improving then I'll be very happy with the procedure and won't hesitate to recommend it to others with the same thing. So, to sum it up, if it keeps improving as it seems to be then yes, I think it could help. But I'd be able to give better advice further on in the treatment once I have more results. :)
Scared of fraxel (18 posts) 9 Apr 2009
I appreciate your response so far. Please keep us updated on the progress. My appointment is on the 24th of April and I have come close to canceling my appointment a few times.
Lara_Z (30 posts) 11 Apr 2009
That's quite a coincidence..mine is just a day ahead of yours! I came close to canceling as well, and I'm glad I didn't cancel as this seems to be my chance to get rid of the scars...as you probably know, they're an awful thing to live with. I'll update after treatment two, because they say the second isn't like the first. I'm happy to document every step of the way. :) Good luck with your appointment. Hope it goes smoothly as mine seems to have. are you doing Fraxel laser or Fraxel repair?
Scared of fraxel (18 posts) 12 Apr 2009
I'm doing Fraxel Restore. How about you?
Lara_Z (30 posts) 12 Apr 2009
Same, Fraxel Restore (aka Fraxel Laser).
awalk (338 posts) 12 Apr 2009
Lara I hope The treatment goes well for you..It sounds like they are doing the right things for you... Best Wishes Keep us updated
awalk (338 posts) 12 Apr 2009
Why did they inject cortizone after they did the laser??? It defeats the purpose of stimulating colagen,,,,, you have micro holes in your face.. Is it keloid/raised white scarring??? How many procedures has your doctor done like this?? Please keep us updated... I have heard of people getting a cortizone shot for an cystic acne or joint swelling/injury to reduce swelling ect....but never after Fraxel..... Is this a new thing??
Lara_Z (30 posts) 13 Apr 2009
Thanks :) There was one thing which did frighten me a little at first, that being some small light patches (hypo pigmentation) that appeared a few weeks after. Thankfully,and to my intense relief, the affected skin seems to be slowly but surely going back to the normal color. I'm keeping an eye on all and any progress, though.
awalk (338 posts) 14 Apr 2009
After your treatment and healing... You should ask about using Tazorac It's a form of Retina but works mainly to loosen the bonds/glue that holds the skin so it can exfoliate faster and flatten out... Doctors prescribe it for warts and other skin condition... Ask for a 60gram tube if you are using it on your arms... If they injected it with the cortizone...It might be a good option to use after the Fraxel to inhibit excess keratin production... Ask your doc... If you have insurance it should be covered
Scared of fraxel (18 posts) 19 Apr 2009
Are the scars still in improving? Are you still having problems with with the healing process or did that all clear up? I'm getting so nervous about my appointment this Thursday.
Lara_Z (30 posts) 20 Apr 2009
Awalk - Thanks so much for this information, that's extremely helpful. I'll ask my Dr about it when I go in this week. :) Scared of - Yes, the scars are improving. When I've shown the scars to the people in my life who do know about the scars and what I'm doing now, they've all said they can see it visibly has worked. Most notably, the scars seem to have some more pigment in them and are blending in more to the surrounding skin. If every treatment brings this amount of improvement, I can't wait to see how it looks after the next couple of treatments. Just to let you know, the skin will be sensitive. Don't put any pressure there if avoidable. They'll sit you in that room for an hour with the cream - try not to get too nervous during that time. It'll be over before you know it. Good luck....it's coming close to my appointment too!
Scared of fraxel (18 posts) 21 Apr 2009
Lara, that's great news! You must be beyond excited to move past this and have your arms back!
Lara_Z (30 posts) 21 Apr 2009
Thanks, I think so too. :) I first started looking into scar treatments two years ago. It's taken me this long to finally do this. I'll be very glad to not have to be self conscious about my arms anymore!
Scared of fraxel (18 posts) 22 Apr 2009
How did you deal with the embarrassment factor when you had to explain to the nurse attendants what your scars were from? Would you say that your scars are now gone to the point that people won't see them?
Lara_Z (30 posts) 22 Apr 2009
I was embarrassed, but I kept in mind I couldn't be the only one they'd seen. I just looked them in the eye and said 'these are my scars, I want them gone'. No further comment was made. The doctor was very understanding and said that he's seen plenty of people with the same. Hmm, right now I'd say they are much less noticeable than they were. You can still see them, but I've only had one treatment. After the next couple I imagine the difference will be even more profound. I'm thinking it might even be possible I don't need to do the full set of five as originally planned.
Scared of fraxel (18 posts) 23 Apr 2009
I'm so nervous about my appointment tomorrow, the embarrassment makes me feel so sick sometimes. I'm going anyway. I'm considering not doing a package of 5 after all just in case I won't need 5 treatments. Most of the scars are very fine anyway. If I decide on more treatments in the future, there is no time limit on when I can go back to finish up. Thanks for all yoru input, it's much appreciated!
Scared of fraxel (18 posts) 24 Apr 2009
Just want to update that I had my first appointment about 2 hours ago. I'm very red, swollen, and tender, so I'm being careful not to let anything touch it. So far I see no improvement, but I know it's only the first treatment. Right now the surrounding skin is all red and swollen, and the scars are still white and raised, they actually stand out so much more against my red skin. Did you see results immediately after your treatment?
Lara_Z (30 posts) 26 Apr 2009
Just had my second! Ok, that was painful, more painful than the first. But it's getting better now. Scared of, no, I didn't see an improvement straight away. After the redness it'll dry out and go sandpapery, and then it will look to be improving. After that, the bronzing will peel and it will look more or less normal (ie as it did before). BUT, after this, the improvement starts to happen. I saw the more substantial improvements about 3 weeks after the treatment. Be very careful. That area will be tender as anything. I put the moisturizer on 3-4 times per day. Mine are starting to look better now that the pain has settled down - now to wait for the bronzing to flake. But don't worry. You'll see the results in a few weeks I'd say. Did you get the cortisone or just the fraxel?
Scared of fraxel (18 posts) 27 Apr 2009
I did not get cortisone, just fraxel. So far I see no real improvement, but your detailed description of what will happen in the next few weeks gives me a lot of hope. Thanks! Keep us updated on your continued improvement!
Lara_Z (30 posts) 27 Apr 2009
The cortisone would help if you have raised scars, as that seemed to very visibly flatten them. Only one risk, an that's that the injected areas seemed to be the ones that had the hypopigmented skin appearing around them, that I mentioned before. It's back to normal now, but it had me worried. I'm sure you'll start to see the difference around the same time I did. :) Just treat the area as you would treat glass.
Scared of fraxel (18 posts) 28 Apr 2009
I'm not doing anything to the treated area, not even lotion, just leaving it be. Right now it's a very slight sandpaper texture, no redness or soreness, and the scars still as visible as ever. I really hope the next few weeks bring some results. The doc didn't suggest cortisone for some reason, maybe they aren't raised enough?
Lara_Z (30 posts) 28 Apr 2009
Hmm, could just be because it's something he might not have done before. It's turned out well for me, but it might be a little risky. It did what was intended but my doctor didn't want to do it again this time because of what I told him about the light patches that appeared. I'd still be putting the lotion on, though, otherwise the skin can dry right out. I use Cetaphil for that, they gave me a good supply.
Scared of fraxel (18 posts) 29 Apr 2009
My skin is all dried out, but not uncomfortable. Is it supposed to stay moist for a reason?

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