What Can I Do About Itching and Flaking After Smartxide Treatment?

On the night of day 4, I had so much itching that it woke me up, to the point that I felt I was having some kind of "reaction". I took Benadryl and was able to go back to sleep. Until this point, everything has gone very smoothly. I had Fraxel 3 years ago, so I'm not new to this kind of treatment. But today, I'm still itching, and it came after 2 days of heavy flaking. Is this normal? What can I do about it?

Doctor Answers 2

Post-procedure laser resurfacing itching

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Post-op itching and insomnia is not unexpected after procedures such as fractional co2 laser or chemical peel as this may be part of normal wound healing. OTC hydrocortisone cream is a good start. Cool compress for 10 minutes every 2-4 hours can be quite helpful. You may want to ask the laser surgeon to consider prescribing doxepin to be taken at night for both itching and insomnia.

Aveeno anti-itch cream with colloidal oatmeal 1% Hydrocortisone

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There are a number of OTC products which should help you out. You might try Aveeno Anti-Itch cream with colloidal oatmeal and 1% hydrocortisone. Other OTC creams I like include Prax Lotion, Sarna and Itch X. If this does not work you could see your dermatologist and have them write for Pramasone Cream 2 1/2%, Xonalan or Epiceram.

Nurti-smoothe baths should also help.

Good luck.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist

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.