Can Fraxel Cause an Allergic Reaction, Like Swelling ?

Swelling usually after Fraxel is normal but its amount is variable depending on which Fraxel is used, the Restore or Repair, what area(s) of the face are treated and the surface area.  Treatment around the eyes or forehead tends to create more swelling than treatment of the midcheeks and lower face.  If there is excessive itching after the procedure then there may be a contact dermatitis if there was a numbing cream applied or possibly a reaction to some topical product you are applying to the skin or is applied immediately after by the provider. The Fraxel energy and treatment itself would not cause an allergic reaction in general. Physical urticaria (hives) is very rare and can be seen in some individuals related to pressure or cold and you might react to the cold Zimmer air blown on the skin if that is used with the Fraxel, but again, this type of cold urticaria is extremely rare.

Hi Madame Botox,

Fraxel laser, like all lasers, traumatizes the skin resulting in swelling.  In addition, some patients may be sensitive to the skin care products used after the laser treatment.  The use of cold compresses and antihistamines such as Claritin and Benedryl usually help patients to get through those first few days of swell ling. Bromolene also is helpful.  Hope that you love your treatment.  Good luck and be well.

Dr. P

It is normal to have swelling after a Fraxel treatment.  The more aggressive the treatment, the more swelling you will have, but the better the result.  You can use cold compresses, an antihistamine and sleep with your head elevated.  If you truly have an allergic reaction, it would be caused by the anesthetic cream or a product you used after the treatment.  You should see your doctor for assessment.