What's the probability of having herpes, cold sores, after Fraxel laser? When I have cold & on the hot sun always I have it.

Question

how dangerous/ probable after procedure of laser fraxile considering activation of sore colds on the face? Do I need to take vitrex or L-lysyne before laser fraxile procedure?

John L. Burns Jr., MD · Answer

Herpes simplex type I is a common viral condition which many if not most people carry.  This is manifest as occasional herpetic viral outbreaks around the mouth;  commonly known as "cold sores."  Ablative laser resurfacing removes skin from around the mouth making a patient who carries the virus susceptible to a severe herpetic outbreak.  For ABLATIVE resurfacing procedures (Fraxel Re:Pair, Erbium laser, or CO2 laser), antiviral prophylaxis with an antiviral agent such as acyclovir is always recommended.  For nonablative laser procedures such as Fraxel Re:Store, IPL/photofacial, or Clear and Brilliant antiviral prophylaxis is reserved only for those who have a known history of herpetic infection.  These procedures do not remove the protective skin barrier and are low risk for herpetic outbreak.

Sonia Badreshia-Bansal, MD · Answer

Thank you for your question. It would be best to pre treat with Valtrex or Lysine to prevent any breakout. Sometimes heat or stress can trigger cold sore breakout.  I hope this helps!

Raffy Karamanoukian, MD, FACS · Answer

If you are at high risk for herpes, you will likely need prophylactic treatment with a prescription before your laser treatment. Best, Dr. Karamanoukian Los Angeles

Lorrie Klein, MD · Answer

Risk of herpes reactivation is high after any trauma to the area of skin that you tend to get it.  Sun, laser (including Fraxel Laser), peels and needle sticks can all stimulate it.  We recommend to our patients that they take Valcyclovir the night before and day of their treatment.

Jason Emer, MD · Answer

It is possible to get herpes after fraxel, I have all my patients take valtrex prior to their treatment.  Best, Dr. Emer.

What's the probability of having herpes, cold sores, after Fraxel laser? When I have cold & on the hot sun always I have it.

Answers (7)

Answer: Risk of herpes reactivation is high

Answer: Risk of herpes reactivation is high

Answer: Herpes After Fraxel Laser

Answer: Herpes After Fraxel Laser

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What's the probability of having herpes, cold sores, after Fraxel laser? When I have cold & on the hot sun always I have it.

Answers (7)

Answer: Risk of herpes reactivation is high

Answer: Risk of herpes reactivation is high

Answer: Herpes After Fraxel Laser

Answer: Herpes After Fraxel Laser

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Recommended reading

Everything you need to know about Fraxel Laser

Our mission is to create a world where every investment in modern beauty is Worth It.