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Fraxel Dual (1927) Got Rid of my Melasma with One Treatment! - Washington D.C.

ORIGINAL POST

It's been four days since I opted to have...

2036anon
WORTH IT$1,250

It's been four days since I opted to have Fraxel Dual (1927) on my face for stubborn melasma. I am truly amazed - although I have to say I was a nervous wreck before hand because of all the unhappy people who have tried Fraxel. My colleague recommended her doctor, who did Fraxel on her five times (although not the new Fraxel Dual), and he came highly praised for his skill.

Some background on me: I'm half German/half Palestinian with light olive skin. I've gone through two pregnancies, and developed melasma with my first pregnancy on both sides of my nose and on my upper lip, with some on my forehead and temples.

I've tried Kligman's formula, 2 and 4% hydroquinone, Triluma, Retin-A (which I've used anyway since I was 19 for acne), a series of microdermabrasions, a series of chemical peels, a series of IPL treatments, you name it. I found that the IPL did lift some of the melanin and that, coupled with using Triluma for a year (forget about using it for 6 weeks - you need far longer to see results, and my doctor confirmed it), did lighten my melasma enough for my husband to notice. But it still really REALLY bugged me - my make-up never really covered it - well, I don't need to go into why I hated my melasma, because you wouldn't be reading this if you didn't suffer the same problem.

I'm 41 years old, and I have to say that my skin had also been looking tired and dull, with some freckling. I spent some time at the beach as a teenager, but since I was 18 I have used sunblock judiciously, so I think my skin, from a wrinkling standpoint, is in good shape. But my color was dull and I just looked gray, even though I'm a huge face scrub fan.

When I made an appointment with the doctor, he suggested the new Fraxel Dual with the new 1927 wavelength that specifically targets hyperpigmentation.

I had the procedure done last Friday. They put some numbing cream on my face, and the procedure was not too bad from a pain standpoint. The doctor did it himself, and he took his time to explain everything to me. Immediately afterward my skin actually looked better (for me) because that slight sunburned/ruddy look is something I hadn't had in a while.

Saturday was still okay - your skin literally feels like sandpaper - but Sunday my skin started to slough in some areas, and I knew I wasn't allowed to touch it. So I basically looked like I had some lumpy sand on my face that I couldn't wait to rub off. I washed twice a day with Cetaphil only, and then followed that with Aquaphor. I also noticed that if I rubbed Aquaphor on my face during the peeling stage BEFORE I washed my face (my peeling really set in Monday evening, so the third day after the procedure), the grease literally lifted off the dead skin cells like eraser bits. Well, it is now Tuesday, and my skin is PERFECT!!! I can't believe it, the melasma is as good as gone!

I will go in one more time for my upper lip in six weeks, because the skin is thicker, and there is some deeper pigment there, but I never thought it would work this well. My skin is rosy, refreshed, so much brighter - everyone says there is something different and that I look really good, but they can't tell what it is. And my husband said I looked younger and less tired, which is also what my colleague said. My pores have really tightened as well. It was like doing an IPL treatment, but so much more powerful. And yet I didn't feel like it really "burned" my skin the way other people describe some lasers do.

I would say go to a doctor who knows what they're doing - don't get it done at a spa or by a clinician. The provider is most important!!! If you have melasma or dull, blotchy skin and haven't tried Fraxel Dual with the 1927 wavelength, you really should research a good, experienced (preferably someone who teaches the technique) physician and make an appointment.

Updated on Mar 23, 2010

2036anon's provider

Dale Isaacson, MD

Dale Isaacson, MD

Dermatologic Surgeon, Board Certified in Dermatology

2036anon rating for Dr. Isaacson:

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Replies (20)

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April 11, 2010
would you know what settings were used.
April 13, 2010
No, I don't know, but I am going in for a second treatment in early May, and I will find out.
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April 14, 2010
Thanks,my Doc say's that a good starting setting with the 1927 is, 10-3-8pass and then even going up to 10-5-8pass if I had poor results after the first treatment. All the best and keep a diary.
April 14, 2010
Hi, could I get the name of the dermatologist who you had this done by? I've had IPL and Pixel lasers done with no success (they actually temporarily made it worse) for very stubborn melasma that developed in my teens. I'm really interested in trying the Fraxel laser but I want to go to a good practitioner. I think part of the problem was that when I'm from, there isn't a lot of options in terms of dermatologists and I think the doctor was not incredibly experienced in what she was doing. Would really like to find a doctor who knows what they're doing. Could you post his name or send me a message with his info? Thanks so much!
April 20, 2010

Yes, the doctor is key. His name is {edited}, and he practices together with Dr. Marilyn Berzin. They are located in downtown DC. I wouldn't have done this if my coworker hadn't recommended him for the same problem, as he was able to treat her melasma, and it's VERY important that you go to someone that other people (that you know) have recommended.

Edited by Sharon: We've added your provider info to the review. Thanks!
August 27, 2010
Hi I live in Maryland, I am happy to hear of your results do you mind giving me the name of your doctor in DC that treated you for Melasma? Thank you
April 27, 2010
OMG, I go to the same doctor but for fillers. He recently recommended Fraxel 1927 for my hyper-pigmentation. I trust him and have confidence in his skills. However, I am very concerned that I may be one of those individuals whose skin will re-act by creating more pigmentation. I'm also concern that scabs will form and I will scar. My skin is olive tone and tend to scar easily. Any thoughts and/or words of encouragement?
April 28, 2010
All I can say is that so far I haven't heard of further hyperpigmentation following this procedure. I have olive skin, too, but so far, so good. It's important to use Triluma every night following the procedure. This doctor is very experienced. The actual "burn" from the laser is really like a sunburn, and doesn't go deep. Maybe he can do a little test spot for you if you're nervous?
April 29, 2010
Thanks for the update. I wish my skin could tolerate Triluma. My skin begins to get red and inflamed shortly after the second or third application. I'll speak with the doctor again to share my concerns. Thanks again.
June 18, 2010
I had the fraxel retore dual 1927 laser on friday(yesterday)and am very happy so far,i had the numbing gel applied one hour before and during the treatment i didn't experience any pain at all but you can feel some warmth on your skin,after the treatment my face was slightly red and swollen under the eyes and the jawline and i noticed when i arrived home the swelling had increased a little,i applied dermaveen moisturizer and felt quite happy and content as the doctor had advised me before hand on what to expect,i had some acne scaring on both sides of my jaw,the left side had one deep scar and right side one not as deep, the doctor did a few extra pass's on the scared area's,that's why my jawline had extra swelling,the doctor also used the fraxel on my neck because i had red and brown pigmention on both sides,its about 27 hours after the treatment and i'm very surprised on how well my skin looks,the swelling has gone down quite alot and my skin has turned brown,its flaking on both sides of the jaw where the scaring was,i cant see any scaring at all now but will have to wait till all the swelling goes down and see how the scared area looks,both sides of my neck have also turned brown and i'm feeling very content at this stage,so far so good,i look forward to seeing the results in the next couple of days.