I tried one treatment with the fraxel laser to see if this might be a hand piece we would want to add for our clients and was not excited about the results. The person doing the proceedure used the highest safe setting to assure I would get a good treatment, and since I declined the numbing cream to save time, it hurt like the devil. (This is from someone who regularly does photofacials, dermal fillers and TCA peels with no numbing and no problems!) By the third pass I was ready to jump out of the chair, but I did finish the treatment in order to have the best result possible. I was red, swollen and dry for a few days but definately nothing to stay home for. By day four I began to get pustules that multiplied like crazy on my whole lower face which turned into cystic acne that lasted for over three weeks. During this four weeks I used every medical skin product we have, then finally got oral anti-biotics. I can't tell you when I last had a breakout, but I know it's been over 20 years. The results were slightly smoother skin, but not something that anyone would notice without it being pointed out. I'm sure four more treatments would be make the difference but with the acne and the pain I would rather stick to photofacials and peels.