Is It Normal for Your Skin to Feel Like Sandpaper on Your 4th Day After Fraxel Re:store?

I had Fraxel re:store fri it's now Monday. My skin is so dry & is flaking a little around my nose & mouth. There's tiny brown spots that make it look like there is dirt on my face. I'm not as swollen or as red as I was. Is this normal? How could you wear make up with your skin so rough? When should the roughness go away? I've stayed home since fri but I have school later on today & work early tomorrow morning is it ok to wear liquid foundation (physicians formula. I did this for acne scarring.

Doctor Answers 4

Rough Texture is Normal-Keeping Skin Moist is MOST Important

Your skin texture and condition is totally normal as you are still in the beginning phase of the healing process.

  • During the first 24 hours after treatment (Saturday), your skin should have felt as though it is sunburned and appeared pink or red.
  • This is then followed in the next 24-48 hours(Sunday and Monday) by swelling and a darkening effect referred to as bronzing. 
  • Once the skin has bronzed it will then start to peel around days 5-10, (which for you will be Thursday-Monday).  During this time you may experience minor itching or flaking.
  • MOST IMPORTANT, you should keep the skin moist and hydrated and DO NOT pick at or attempt to speed up the peeling process because if you do you run the risk of infection, hyperpigmentation, or scarring.

Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 117 reviews

Sand Paper Skin Texture is Temporary After Fraxel

Thank you for your question. I can understand your concerns but this is normal. This is happening because it is starting to heal. Once your skin has bronzed it will start peeling around 5-10 days during which you might get minor itchy or flaking, you must keep your skin moist and hydrated. Do not try to speed the process of peeling as you might develop the risks of infection, hyperpigmentation or scarring. Hope this information helps. Best of Luck!

Hardik Soni, MD
Summit Emergency Medicine Physician
5.0 out of 5 stars 45 reviews

Roughness temporarily after Fraxel Restore for acne scars

The energy settings used for acne scars is more significant than that for pigmentation. You are feeling some flaking skin roughness and some of the skin's removal of damaged collagen (microscopic epidermal necrotic zones). Ask your doctor what emollients and skin cleansing program they recommend for your skin type and for the type of procedure you had.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Sand paper skin texture is temporary after Fraxel

You will often feel a bit rough after Fraxel.  This occurs in the first 3 to 7 days and the body sheds the lasered, damaged skin. Don't worry, it will resolve soon enough and your skin will be nice and smooth.

Susan Van Dyke, MD
Paradise Valley Dermatologic Surgeon
4.5 out of 5 stars 35 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.