1 day post-op. Is this normal healing for Fractora? (photos)

Question

I just got my Fractora done over 24 hours ago and I’m wondering if my skin is looking normal. I have quite a large amount of track marks and some people are telling me they shouldn’t be there. So I’m a little scared and want to know if these pics look like normal healing. Thanks

Anil R. Shah, MD · Answer

Thanks for your question. I would not let any marks that appear just a few days after Fractora concern you. It is an intense and effective treatment. That being said, keep the area clean and hydrated, and stay out of direct sunlight at all costs. Keep an eye on the healing process and note any changes to the skin. Bring these concerns up with your provider at your follow-up appointment. Here are my tips for successful acne scar revision:RF needling- Needles combined with Radio Frequency create microchannels in the skin, creating collagen. There are many great systems available, but seek on that is safe for all skin types. I like Fractora. 
Pinpoint irradiation- Specialized technique I use where strong beam profile of a Co2 laser is directed to each individual scar.  Think of it as painting each scar with laser to get the maximum benefit. 
Erbium- An ablative laser to improve skin texture and improve collagen production. 
Microneedling- Microneedling used alone is a good, but it especially effective as an add-on to the above treatments. Combining different modalities increases efficacy.  
Cross-TCA- 100% acid directed at the scar will build collagen. 
Subcision- Cutting the scar free from the tissue and filling in depressions with either a High G prime filler or Bellafil. This requires a skilled and experienced physician to perform.
PiQo4- Made for reducing hyperpigmentation or Post Inflammatory Hyperpigmentation, this laser is safe for all skin tones. Several sessions are needed for optimal results. 
Best, 
Anil Shah MD

Kenneth Hughes, MD · Answer

Patients experience little discomfort or side effects during healing; however, some mild reddening of the skin and some possible slight swelling can occur. It should disappear in a couple of days.Kenneth Hughes MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Michael I. Echavez, MD · Answer

Most people do develop some temporary discoloration after a Fractora treatment and this can generally last 2-4 days.  If you feel your discoloration is lasting longer, you should contact the physician who treated you so that you can be evaluated.

F. Victor Rueckl, MD (in memoriam) · Answer

You should definitely have track marks 24 hours after a high energy Fractora. I have done thousands of these and tell people to expect track marks AND even oozing for 24-48 hours. You are fine. Just keep it moisturized and make sure if you're outside at all you have sunscreen on. "This answer has been solicited without seeing this patient and 
cannot be held as true medical advice, but only opinion. Seek in-person 
treatment with a trained medical professional for appropriate care."

1 day post-op. Is this normal healing for Fractora? (photos)

Answers (4)

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