What is Fraxel Laser Resurfacing?

Until recently, aggressive laser resurfacing of the face (ablative laser treatment) was the only way to achieve superior cosmetic results in rejuvenating significantly aged or sun-damaged skin. Unfortunately, this treatment is associated with open healing, with prolonged recovery time and redness. With the advent of fractionated laser resurfacing (non-ablative laser), specifically the Fraxel laser, significant results can be achieved through a series of “fractional” treatments whereby multiple tiny columns of skin are aggressively treated, with surrounding areas of skin untouched. This enables faster healing than if the entire area were treated at once, and since there is no skin surface disruption, healing times are very short. This treatment eliminates irregular skin discoloration, and stimulates new collagen production, tightening the skin without prolonged recovery. After a series of 2 to 4 Fraxel treatments, the cumulative cosmetic improvement is near more aggressive lasers, but unlike more aggressive lasers, redness and swelling eliminated within 2 to 4 days after each treatment. Fraxel is outstanding for fine wrinkles, mild skin laxity, irregular pigmentation, acne scars, surgical scars, enlarged pores, stretch marks, age spots and Rosacea. It can be used safely on the face, neck, hands, arms, and chest.

Thank you for your question!
Fraxel, (profractional), and/or Co2 are best for resurfacing.  Erbium is a good alternative. I always combine lasers with microneedling/(RF/)prp for more robust outcomes. 
For skin tightening, I recommend a combination of ultherapy with RF treatments and sculptra for skin tightening. 
I recommend getting a formal evaluation with a cosmetic dermatologist. 
Best, Dr. Emer

Non
ablative Frax laser targets soft tissue to remodel and resurface the
tissue.  We use the Frax 1550 laser by Ellipse.  This Frax is a high
power, non ablative laser which delivers results without significant
downtime.  The 1550 wavelength energy works at the dermal layer of skin by
laying down a “grid” of energy that treats stimulates a healing response of the
tissue.  This serves to improve texture and tone of skin.  Frax laser
treatments can be used for general skin resurfacing, or to specifically target
concerns such as stretch marks, acne scars and surgical scars.