Fraxel Laser Surgery Recommendation

i saw a brochure for fraxel laser at my dermatologist.  it seems like it works on lots of skin problems.  is fraxel better for some skin problems than others?

Doctor Answers 12

Fraxel laser surgery works

Yes, Fraxel works well on uneven brown discoloration (sunspots) and uneven texture from pores or sun damage, and acne scars. Considering the very low down time of Fraxel, it’s amazing that we do see the results that are achieved!

Manhattan Dermatologic Surgeon
5.0 out of 5 stars 38 reviews

Fraxel treats skin texture and pigment irregularities

Fraxel laser is a treatment for textural problems, such as fine lines, sun damage, acne scars, and pigment irregularities (such as melasma, sun spots, and discolored scars).

The name Fraxel is a brand name and refers to one type of fractionated resurfacing laser. There are many brand names of fractionated resurfacing lasers, but all operate under the same basic principles. Instead of treating the entire skin surface at once, which would require a lot of downtime and carry increased risks or scarring and discoloration, fractionated resurfacing treats tiny spots and columns of skin at a time-- it treats a fraction of the entire skin surface. This allows for much less downtime while still providing great results.

There are 2 different types of fractionated resurfacing lasers, ablative and non ablative. The difference between these is that with the ablative lasers there is some downtime, usually about a week, and people typically need only 1 or 2 treatments in order to see the results they want. With the non-ablative fractionated lasers, there is very little downtime, usually no more than 2 days, but you need to have more treatments (3-6) in order to achieve the results you want. The number of treatments required also depends on the condition of your skin before you begin treatment, and the issues you are trying to address and correct.

Jordana S. Gilman, MD
Atlanta Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

Fraxel laser surgery for skin improvement

Fraxel works well to improve the texture and tone of the skin, to improve acne scars, to address facial lines, and treat some sun-damaged skin (e.g. brown spots).

It is not as useful for rosacea, melasma, or stretch marks.

Like most modalities, the treatment's success is dependent on the expertise of the user and the ability to use the correct modality or to combine to have the correct mix of modalities for a given problem.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 32 reviews

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Looking younger with Fraxel treatment

Fraxel repair works well at making patients look younger. It works well on wrinkles, brown spots, vascular dyschromias, pre-cancer skin lesions, acne scars, surgical scars, and on tightening the lax skin around the eyes and neck.

Michael A. Persky, MD
Encino Facial Plastic Surgeon
5.0 out of 5 stars 32 reviews

Fraxel is great for improving skin texture and treating acne scars

We have had great results treating acne scars in patients with many different skin types. It takes 4 to 6 treatments but even after one treatment the skin feels softer, looks brighter and has less irregularity.

The downtime is minimal with redness and swelling lasting 2 to 5 days but easily covered with makeup.

We have treated quite a few men with fraxel for pigmentation, fine lines and enlarged pores and they love the results. Their skin looks more youthful and they tolerate the treatment quite well with only a sunburn look for 3-5days.

Brenda Dintiman, MD
Fairfax Dermatologic Surgeon

Fraxel is very versatile

I moved from another frational resurfacing sysytem to Fraxel several months ago, and the difference in my patients' results have been dramatic. The newest Fraxel system is fast, and pain is definitely reduced. I find it is safe for more skin types.

I use Fraxel for aging skin to reduce the fine lines that are too shallow to fill, and the bonus is that since it stimulates your OWN collagen, the results last longer. Brown spots fade and the skin gets a dewy, luminous glow, even better than Intense Pulsed Light treatments achieve. Fraxel is also my first choice now for acne scars and the results rival dermabrasion, albeit it does require multiple sessions.

Mary P. Lupo, MD
New Orleans Dermatologist
5.0 out of 5 stars 13 reviews

Fraxel for skin improvement

At our office we use an advanced hybrid fractional laser called the HALO manufactured by Sciton. This state of the art device combines simultaneous fractional ablative laser resurfacing with a full-field erbium laser in a synchronized handpiece. It’s a customizable treatment that precisely targets skin damage, improves tone, texture, fine lines & wrinkles, and reduces pore size along with treating acne scars. The hybrid technology allows us to combine the benefits of fractional and full field ablative laser therapy while dramatically reducing down time and recovery. I would recommend 2-3 treatments to get the best results.

Neil Fine, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 1 review

Fraxel Ablative and Non-Ablative

Fraxel offers both non-ablative and ablative laser treatments. Fraxel’s non-ablative treatments, such as the Fraxel re:fine® offer patients a quick recovery, with little downtime and work well for candidates who are looking for prevention and maintenance treatments, or who have mild skin damage. Fraxel’s ablative treatment, the Fraxel re:pair®, is typically a one-time treatment with a 5-7 day recovery period. The ablative laser is used in correcting moderate to severe skin damage, acne scarring and rejuvenating aging skin.
Before electing to have a laser treatment done, it’s important to discuss with your provider if you are a candidate, the anticipated recovery time and outcome expectations.

Scott Chapin, MD, FACS
Philadelphia Plastic Surgeon
5.0 out of 5 stars 17 reviews

Fraxel Laser Surgery Recommendation

Fraxel works great to treat fine wrinkles, promote collagen stimulation, acne scars, scars and in some cases stretch marks if they are still new and red

Jhonny Salomon, MD
Miami Plastic Surgeon
4.5 out of 5 stars 43 reviews

Fraxel for texture and pigmentation

Fraxel laser treatments work to smooth wrinkles, improve skin texture, shrink pore size and give you all over smoother, brighter skin.  They also improve brown spots, freckles or pigmentation that gets worse when you are in the sun (melasma).  Furthermore, Fraxel Dual can be used on all skin types and has low downtime!

Angela Sturm, MD
Houston Facial Plastic Surgeon
5.0 out of 5 stars 8 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.