How to Correct Fraxel Damage?

Question

I have suffered damage from the fraxel laser. This has manifested itself in the form of fat loss in the forehead and the temples. The results are random indention/depressions, fine lines and track marks. How can this be fixed? Fillers? Fat transfers? Stem Cells? PRP? Please help as this is really distressing me.

Michael A. Persky, MD · Answer

Hi,

	Not enough information to answer your questions.  I would recommend examination of your skin.  There are many fractionated CO2 lasers that call themselves "Fraxel", but not all tissue is Kleenex, not all fractionated CO2 is Fraxel.  If you were treated with true Fraxel (Solta), small skin abnormalities eventually resolve.  There are treatments to correct what you are describing, but I would need to examine you to be able to recommend what is best for you.  Please feel free to give us more information, email photos, or call.  Good luck and be well.

	Dr. P

	Encino, CA

Raffy Karamanoukian, MD, FACS · Answer

Fraxel lasers and chemical peels can cause unwanted discloration and pigmentation if not performed conservatively. 
After melasma laser or chemical peels; the following protocol is advised:
Elevase Moisture Booster: Twice daily application of Elevase Moisture Booster to help hydrate chapped, sensitized, and dry skin after treatment. Apply liberally on the treated area and reapply if you are experiencing persistent dryness.Melarase AM + Melarase PM: Once the skin has healed over and the peeled, apply Melarase AM in the morning and Melarase PM in the evening to help reduce abnormal pigmentation or PIH. Melarase creams can help maintain a smooth complexion and should be used for at least several months (Note: one bottle contains one month supply).Best, 
Dr. Karamanoukian
Realself100 Surgeon

Ron Shelton, MD · Answer

Your skin changes are very unusual after either Fraxel Restore or Repair. If the treatment was recently done, it may resolve spontaneously, but otherwise, if your doctor who treated you can't help you, then seek a second opinion from a physician that is experienced in laser resurfacing.

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