Any suggestions for redness and pigmentation after Fraxel treatment?

Question

I have only done 2 fraxel treatments for my acne scar. I had my last done in May 2014. Today, you can still see the dermacation line between the normal skin and redness. I have a big patch of redness over my cheeks. Is this normal?

Raffy Karamanoukian, MD, FACS · Answer

Fraxel lasers can cause post treatment redness, itching, 
dryness, and ironically, hyperpigmentation. Early post-laser care is 
vital. I would use a curated combination of Covalent peels, light fractional 
laser, and topical creams to treat the skin after a Vipeel. Start with 
Elevase to help with dryness of the skin. Melarase creams are ideal to 
combat pigmentation. 
AM: Melaclenz, Melapads, and Melarase AMPM: Melaclenz, Melapads, and Melarase PMBest, 
Dr. Karamanoukian
Realself100 Surgeon

Jeff Angobaldo, MD · Answer

Than you for submitting ypur question. It seems that you had a strong laser treatment similar to a CO2 laser.  Post inflammatory hyperpigmentation can occur if not pretreated with a bleaching cream. Prolonged redness can last for weeks or months. Without photos difficult to evaluate. Please be evaluated by a Board certified Plastoc Surgeon

Jason Emer, MD · Answer

Please see a laser expert to evaluate you.  This is not normal after Fraxel resurfacing unless it was co2 and was very aggressive.  Post operative care and the appropriate treatment protocols are essential.  Best, Dr. Emer.

Estee Williams, MD · Answer

I would suggest that you follow up with the person who treated you and express your concerns.  This is not a typical reaction, however there are a number of ways to correct it.  Be well.

Michele S. Green, MD · Answer

I perform Fraxel laser all of the time and I have not seen this as a side effect.  I would definitely consult a board certified dermatologist with experience with Fraxel laser to determine the best course of treatment for you.

Any suggestions for redness and pigmentation after Fraxel treatment?

Answers (6)