Fraxel Dual is a non-ablative laser treatment that targets sun damage, pigmentation and surface scars, creating healthier, smoother skin. It can also help reduce pre-cancerous spots called actinic keratosis a skin condition associated with excessive sun exposure. Fraxel targets different layers of the skin with two wavelength options, 1927 for pigmentation and 1550 that penetrates to the dermis for collagen production. Unlike ablative laser that has a longer healing period, Fraxel does not remove skin tissue making this an attractive option for patients to recover over a long weekend.

How Does Fraxel Work?

Fraxel works by producing tiny columns in the skin called microthermal treatment zones or a micro injury in a grid pattern.  The surrounding skin is left intact promoting rapid healing. With Fraxel type lasers only 25 to 40 percent of the skin is treated each so you may need to have multiple treatments for optimal results. Once finished you look like you’ve had a sunburn, while underneath new healthy skin cells replace damaged skin cells. 

What Is Fraxel Laser Good For?

Fraxel DUAL is ideal for patients who are bothered by conditions such as:

  • Fine lines and wrinkles especially around the eyes and mouth
  • Uneven pigmentation
  • Brown spots, age spots
  • Melasma
  • Sun damage / Photodamage
  • Acne scarring and other scars

Sun damaged skin will often notice a significant difference in the level of visible pigmentation after a single treatment, while creating smoother looking skin in about a week.  Treating wrinkles or scars take more time because your collagen remodel’s itself gradually over a period of weeks.  For patients with deeper wrinkles or scarring ablative laser like TotalFX may be a better choice.  Make sure to ask during your consultation what type of laser is best for your concerns.

How Many Treatments Will I Need?

After a single treatment your skin will look younger and more even toned, reducing hyperpigmentation creating a smooth appearance. Patients are often happy with one treatment, especially if the main concern is pigmentation. You will still only have a percentage of your skin’s surface area treated, so for the best outcomes we recommend 3 treatments for most patients. If you need more, that will be explained during your consultation. Treatments are spaced 3-4 weeks apart.

What to Expect During Your Treatment

Fraxel laser requires a topical numbing agent for comfort applied one hour prior to the procedure. Once your skin is prepped, your medical practitioner will review the treatment, so you know what to expect before beginning. Eye shields are applied, and the treatment will begin. During the laser treatment, several passes are made across the skin, applying the laser energy in an even pattern. The treatment of the face lasts 40 minutes to one hour.  Fraxel DUAL is not only used on the face but applied to the neck, chest and extremities. For men the scalp is a popular treatment area and common area for actinic keratosis.

After Your Fraxel Laser Treatment

Post treatment you can expect to look pink or like you have a sunburn. For Patients that have Thulium only for sun damage, pigmentation will get darker for a few days then begin to flake or peel off. If you have Fraxel Dual then expect some swelling in addition to darkening of pigmentation. It’s important to note that every patient responds differently, some swell more, some less. The same with pigmentation. You will be instructed to keep your skin hydrated during the healing phase and wear an SPF of 30 or higher. The process takes 5 to 7 days to complete. You can wear make-up if necessary, to help with any redness.

What are the Benefits of Fraxel Dual?

Fraxel does an excellent job reducing pigmentation while creating overall healthier looking skin. You can expect to see:

  • Smoother, younger looking skin
  • Improved tone and texture
  • Reduced wrinkles around the eyes and mouth
  • Improved appearance of acne scars and surgical scars

Taking the Next Steps

Contact us to schedule your consultation. Fraxel is performed in the office by Dr. Michalak, Emily Nardiello, PA-C, Elizabeth Wood, PA-C and Debbie Gauthier, ARNP.  During your consultation either the doctor or one of our advanced medical practitioners will evaluate your skin and determine if Fraxel is right for you. Leslie Carney, LME offers Fraxel Facial and Fortified Fraxel for patients that don’t need a full Fraxel treatment. These are lower energy settings but enhanced with Dr. Michalak’s own proprietary formula of topicals that further enhance efficacy. All of our providers are highly trained and supervised by Dr. Michalak. Treatments are performed are safe while maximing efficacy for the patient.