Fraxel Pain - How Bad is It?

i am a freak when it comes to pain.  kind of scared of gettin fraxel! should i be woried

Doctor Answers 7

Fraxel pain is not as bad as you think

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Cutera's Pearl Fractional works too well for someone not to have the treatment because of pain anxiety. Patients are prepped with a topical numbing agent for at least 30-45 minutes prior to treatment. Other options are available to further your comfort level as long as you have a driver with you. A Valium or I.V. light sedation is offered during the treatment. If your pain tolerance is low, these are recommended. Although, some patients with a higher pain tolerance do just fine with the topical anesthetic alone.

Birmingham Plastic Surgeon
4.8 out of 5 stars 334 reviews

Fraxel Pain is Tolerable

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Thank you for your question. I can understand your concerns. During any laser resurfacing procedure patients do experience pain and discomfort. The level of pain depends upon the depth and amount of energy used. It also varies upon the patient’s tolerance. To help with pain and discomfort you are recommended to take medication such as Valium or Vicodine one hour before the procedure. Some physicians do apply anesthetic cream, such as Lidocaine one hour prior to the treatment. Best of Luck!

Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

Fraxel pain is tolerable

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In my experience, the fraxel experience is quite tolerable. My experience with the fraxel re:store is very positive. We have tweaked our technique to constantly make it more tolerable. If you choose an experienced "fraxeller" you should be just fine.

Typically the forehead is most sensitive in my experience. If you want you can also request an oral narcotic to help during the procedure but you will need someone to drive you home.

The results are usually very compelling and despite any mild discomfort, I've found my patients to be quite pleased with the outcome.

Good luck!

Vineet Mehan, MD
Washington DC Plastic Surgeon

Fraxel treatment discomfort

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The amount of discomfort during Fraxel treatment varies depending on the type of Fraxel and from patient to patient. The Fraxel re:store is not very painful but can feel like a stinging, prickling or burning senstion--similar to a sunburn. All patients have a numbing cream applied for one hour before the procedure, and for many of them that is all they need to be comfortable. However, if you are having a stronger treatment, if you are very nervous or if you have a low pain threshold you may want to take an oral medication such as Valium or Xanax or Vicodin. In that case, you should have someone with you to accompany you home. The Fraxel re:pair is a more aggressive treatment and is more uncomfortable.

Usually, a combination of numbing cream, local anesthesia, and oral or light intravenous sedation is used for the Fraxel re:pair. The perception of pain is very different from person to person, so you should talk to your physician before your treatment so you know what to expect and have a plan.

Jordana S. Gilman, MD
Washington Dermatologic Surgeon

Fraxel restore doesn't have to hurt

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Fraxel laser treatments aren't usually painful with the proper preparation. Everyone has different pain tolerence and anxieties. Topical anesthetic creams applied an hour before treatment are very effective. The cream should be applied into the hairline and onto the ears. Pain pills aren't usually necessay but can be useful for certain people. Fraxel is usually accompanied by an air conditioning machine that blows very cold air on the treament area and this helps a lot. The technique is also important. Some practitioners consistently provide more comfortable treatments than others.

Daryl K. Hoffman, MD
San Jose Plastic Surgeon
4.7 out of 5 stars 18 reviews

There is some discomfort during Fraxel treatment

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As any laser resurfacing procedure, patients experience some discomfort during the treatment. The pain level depends on the depth and the amount of energy used, as well as individual pain tolerance. To help patients relax during the procedure it is recommended to prescribe some pain medication, such as Valium or Vicodine to take one hour prior to treatment. Topical anesthetic cream, such as Lidocaine is also applied for one hour before the procedure.

Fraxel discomfort tolerable to most patients

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Pain sensitivity is widely variable from one person to another. In my experience, Fraxel has been well tolerated by most patients. I can think of only 1 or 2 patients out of several hundred who found it uncomfortable enough to cease treatment.

Deason Dunagan, MD
Huntsville Plastic Surgeon

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.