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What Causes Fraxel to Leave Track Marks or Pin Size Scars?

testingthewatersMar 28, 2011
I am considering Fraxel Restore but am having some concerns of patients being left with pin size scars/holes or track marks. Can someone advise what could be the cause of these scars/holes and is Fraxel Restore or Repair more likely to cause these scars?

Answers (3)

From board-certified doctors and trusted medical professionals
Ron Shelton, MD profile photo
Dr. Ron Shelton, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.8 | 55 Reviews
Answered on Sep 1, 2015
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Michael A. Persky, MD profile photo
Dr. Michael A. Persky, MD
Facial Plastic Surgeon
4.7 | 72 Reviews
Answered on Mar 31, 2011
Answer
Dr. Bruce K. Barach, MD (retired)
Board Certified Plastic Surgeon
Answered on Mar 31, 2011
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Ron Shelton, MD

Fraxel Repair hurts much more than REstore.  Fraxel Repair is a carbon dioxide laser and Restore, now in the dual, has an erbium 1550nm and a Thulium 1927nm. wavelength both of which are less painful than the Repair.  My patients are able to tolerate the Fraxel Restore laser, a series...

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Michael A. Persky, MD

Good Day London, Best to avoid sun exposure after Fraxel treatment.  Are you really going to Egypt?  Why not Libya, Yemen, or Bahrain?  Please be careful with your sun exposure after Fraxel, and with your upcoming travels.  Good luck and be well. Dr. P

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Ron Shelton, MD

Even with highest settings, it is doubtful, although not impossible, to have a permanent negative effect with Fraxel Restore in terms of textural change.  See your doctor soon for an evaluation.

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Ron Shelton, MD

Unfortunately a paradox does exist that treatments which are designed to improve pigmentation, especially in dark-skinned individuals, may increase the pigmentation.  Melasma is a difficult procedure to treat in general. The Fraxel Dual you had, the 1927nm wavelength laser, might have...

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Ron Shelton, MD

As long as your acne becomes stable with treatment, then Fraxel Restore can begin. The Fraxel Dual 1927nm wavelength is more helpful for pigment irregularities not scars.  Multiple sessions with the 1550nm. Restore wavelength will help acne scars considerably for most patients with...

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Ron Shelton, MD

Resurfacing for lines around the lips improves these lines but the lines will not usually go away completely. The best results are obtained with laser resurfacing but it does take a week or more to heal and there is a risk of scarring. Fraxel Repair, non-fractional carbon dioxide laser and...

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