Has Anyone Ever Seen a Major Cold Sore Outbreak with Fraxel Dual?

  Cold sores may occur after any type of resurfacing procedure.  You need to consider prophylaxis with an antiviral like Valtrex at a much more serious dose than was given to you last time.  Your treating doctor should be able to help you.

Cold sores after laser treatment may be seen with any type of laser resurfacing procedure, including the Fraxel Dual. Adequate prophylaxis with Valcyclovir can prevent most flares of cold sores. 

 Any procedure that produces inflammation and peeling on the face, especially around the mouth, may trigger an outbreak of fever blisters. This happens more often in patients with a previous history of fever blisters/cold sores. It can occur with chemical peels and any of the Fraxel laser procedures. Outbreaks can easily be prevented by taking an antiviral agent such as acyclovir or valacyclovir a few days ahead and continuing a few days after the procedure until the skin is completely healed.