Is fraxel a1550/1927 laser right for me?

Fraxel is a laser skin rejuvenation treatment that resurfaces your outer skin, erasing imperfections. It also encourages the production of collagen, a protein found in connective tissue.The result is clearly visible lines, folds and wrinkles. Fraxel laser skin rejuvenation is a non-invasive technique that affects only about 20 percent of the facial skin exposed to it. The most common side effects of Fraxel laser treatment are swelling and skin redness, which should subside within a couple of days. Other temporary side effects may include minor itching, dry skin, peeling or flaking, and a bronzed skin appearance. The risk of infection or scarring is very limited. You should stay out of the sun 2-4 weeks.

The Fraxel DUAL 1550/1927 is a cutting edge system that uses two lasers which can improve the appearance of your skin. The 1550nm wavelength improves fine lines and scarring, while the 1927nm improves pigmentation. 
The 1550nm penetrates deeper and you would expect more redness and swelling as a result.
Multiple treatments may be required for optimal results.
As always, an in-person consultation with a board certified dermatologist with cosmetic training is the best way to assess your needs and provide medical advice. 
 

Generally when you have multiple concerns on your face you need to address them with different modalities.  Fraxel (1927) will help treat pigmentation, Fraxel (1550) will treat wrinkles, Thermage will tighten the skin, V-Beam will treat the redness, and electrodessication will remove the keratoses.  I suggest you consult a specialist in cosmetic dermatology to discuss which concerns are most pressing to move forward and get treated.  Best, Dr. Green

It is difficult to recommend a treatment without a formal consultation. In terms of the cosmetic concerns you listed above: tighten skin, reduce wrinkles and damage from an old scar, get rid of all the red blotches and kertosis; it is unlikely that one laser and with only one treatment that all of your concerns can be met. The Fraxel 1550 nm/1927 nm can improve the appearance of wrinkles, scars, and keratoses, but not in one treatment. Fraxel will not tighten the skin or improve all red blotches. There are different treatments that would be better for skin tightening (Ultherapy) and red blotches (Vbeam). I hope this is helpful. Dr. Tremaine