Does Fraxel Restore Cause Fat Loss or Indentations?

I've read that some people believe that they suffered fat loss or indentations from Fraxel Restore. Is this a concern?

Doctor Answers 4

Fraxel does not cause fat loss

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Fraxel does not penetrate to the depth of the fatty compartment. It helps stimulate collagen. I am not aware of any physician-documented reports of fatty atrophy received by Fraxel’s company.You should discuss this with your physician if you are interested in receiving the treatment.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Fraxel Restore causing fat loss or indentations?

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I can't see this happening with Fraxel Restore and personally have neither seen this nor heard of it.

Might you be referring to "old" Thermage when that technology first came out? In some rare instances there was report of an occasional over-treatment which did cause some indentations from fat loss. With the current Thermage protocols that should never happen.

Fraxel Restore does not reach the fat layers in the skin so the only way this could even potentially occur with a different similar laser is if a technician stacked the laser pulses over and over in the same area.

Fraxel's delivery technology makes this theoretically impossible as the laser stops firing once the handpiece stops moving. The Fraxel laser uses a "roller" that glides over the skin and unless it's moving, nothing happens. It's a built in safety mechanism and one of the reasons I like both Fraxel Restore and Fraxel Repair.

Of course as physicians we all want to investigate anything we've not been exposed to. So in joining in Dr. Persky's query, let us know where you've read of this problem.

Nissan Pilest, MD
Irvine Dermatologic Surgeon
4.6 out of 5 stars 23 reviews

Fraxel re:store, Does it Cause Fat Loss and Indentations?

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Hi Dj,

I have treated hundreds of patients with Fraxel re:store for the past 5 years without seeing any loss of fat or indentations. I have not read any reports of this type of adverse event in our medical scientific journals.

Therefore I do not consider this a concern. Please let us know where you have read these reports.

Thank you and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

Have not seen fat loss from Fraxel Restore

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We have performed close to 1,000 Fraxel restore treatments and have not seen any incidence of fat loss or soft tissue indentation. The same applies to Fraxel repair.

Min S. Ahn, MD, FACS
Westborough Facial Plastic Surgeon
4.6 out of 5 stars 35 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.