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Fraxel Laser NYC

How it works and the types of Fraxel Lasers available

Dr. Michele Green is thrilled to provide the Fraxel laser in her NYC office, bringing state of the art skin resurfacing with almost no downtime. With Fraxel® laser treatment, New York City patients can experience long-lasting improvement in the overall appearance of their skin without the downtime traditionally associated with laser resurfacing procedures. Fraxel laser skin resurfacing is an FDA approved fractional laser technology which helps restore your skin to its original even skin tone and texture, revealing younger, beautiful, clear skin. The Fraxel® Dual laser can be used to treat any area of skin, all over the body, to rejuvenate your face, neck, décolletage, back, hands, arms, and legs. The Fraxel laser is designed to treat overall pigmentation, brown spots, sun spots, sun damage, fine lines, wrinkles, stretch marks, skin texture and pore size, acne scarring, and surgical scars. Dr. Green calls the Fraxel laser “the magic eraser” due the amazing results that she achieves with Fraxel laser treatment for skin rejuvenation in her NYC practice.

What does Fraxel Laser treat?

Fraxel laser is FDA approved to treat the following skin conditions:

  • Acne Scars, especially atrophic scars, such as ice pick and boxcar scars.
  • Surgical scars, post-op scars, scars from injuries
  • Fine lines
  • Wrinkles
  • Enlarged pores
  • Sun spots, age spots, and freckles
  • Uneven pigmentation and discoloration
  • Sun damage
  • Skin tone and texture
  • Perioral lines which are fine lines around the mouth
  • Periocular lines are fine lines around the eyes
  • Stretch marks
  • It is not however used for Melasma

What is a Fraxel Laser Treatment?

There are a number of fractionated lasers on the market but only one Fraxel brand of lasers.  Many companies call their laser “Fraxel” but the Fraxel laser was the first fractionated laser of its kind and has it own unique technology. The technology behind Fraxel is revolutionary in that it can accurately treat thousands of microscopic areas of skin with pinpoint laser precision. Since the Fraxel laser treatment is so precise, it can quickly treat any area of the body and stimulate new collagen formation, allowing the skin to heal quickly and restored.

With the Fraxel laser, there are both immediate and long term results.  Within days of your treatment,  both the skin tone and texture will be immediately improved. Over the course of the next months, you will see more improvement in your skin rejuvenation as new collagen is formed.  When treating acne scars, or wrinkles, multiple treatments are needed to achieve the best cosmetic results.

Fraxel laser resurfacing

Previous laser resurfacing lasers were ablative lasers and had an extremely long recovery time. With the new Fraxel laser, the microscopic columns that penetrate deep into the skin only treat a fraction of the tissue at a time, which leaves the surrounding tissue unaffected. This fractionated technology promotes both faster and a more effective healing process. Fraxel laser was the first FDA approved fractionated laser for non ablative laser skin resurfacing. The result of Fraxel treatment is the rejuvenation and production of new skin with healthy skin cells. The Fraxel laser treatment will restore your skin’s natural beauty by improving the skin’s surface, and stimulating the production of new collagen and elastin. The result of this increased collagen stimulation is younger looking, more radiant skin.

js fraxel before after ANGLEL MGwatermark

35-44 year old female, Fraxel before and after (3 weeks)

How Fraxel® Treatment Works

The Fraxel® Dual laser is equipped with two distinct settings, or laser beams, which means that there are actually two lasers in one. The 1927 wavelength is a state-of–the-art Thulium laser which allows us to remove pigmentation, skin discoloration, age spots, and sun damage from the top layer of the skin quickly, evenly, and with almost no down time. The Fraxel Dual is equipped with a Zimmer which allows cold air to be emitted at the same time as the laser, which is designed to minimize any discomfort.

The erbium component of the Fraxel® Dual laser utilizes the 1550 wavelength to improve skin texture, fine lines, wrinkles, and acne scars. The Erbium technology focuses the energy in the deeper areas of the skin, stimulating new collagen production. The new collagen that is produced ultimately improves the appearance of fine lines, wrinkles, skin texture, acne scars, pore size, stretch marks, and surgical scars.

How is the Fraxel Treatment Procedure Performed?

Typically a patient will consult with Dr. Michele Green to discuss the various skin conditions that they are seeking to correct from acne scars to rosacea, hyperpigmentation, wrinkles, or stretch marks. Once it is decided that the Fraxel laser is the best course of treatment, a topical numbing cream is applied for one hour to the entire treatment area. The Fraxel Dual 1550/1927 procedures takes approximately 15 minutes for a full face. Larger areas of the body such as legs and arms, take 30 minutes or longer to perform. Immediately after the procedure your skin will feel as if it had a mild sunburn and we will apply ice packs and cold water to the treated area. At home, application of moisturizer and strict sun avoidance with SFF 30 higher is necessary.

Fraxel laser is often combined with other skin rejuvenating procedures. For patients with redness or facial rosacea, the V-Beam laser can be performed at the same time as the Fraxel laser. In addition, cosmetic injectables such as Botox and Juvederm can be combined with the Fraxel Laser treatment to achieve your best cosmetic results.

Depending on your needs, whether it be overall sun damage, acne scars or wrinkles, Dr. Green can customize a treatment protocol just for you. We can use either the 100% Thulium laser to treat brown pigmentation or the 100% Erbium to treat primarily fine lines, wrinkles, scars, and textures. Dr. Green often uses a combined treatment with both Thulium and Erbium for more comprehensive results. The beauty of the Fraxel® Dual is that it can be tailor-made for each individual treatment for your unique needs.

Fraxel® delivers amazing results with almost no down time. Depending on the degree of pigmentation and the number of age spots, an area can be treated with as little as two or three treatments. The result is beautiful, luminous skin. Treating fine lines, scars, and wrinkles, generally requires four to five treatments at monthly intervals. The results are overall improvement in skin tone, texture, fine lines, and a healthier and younger-looking appearance.

JC 2 months Before after 2 Voluma 1 Restylane and 1 Fraxel for acne scars MGWatermark

Before and after 2 Voluma, 1 Restylane, and 1 Fraxel for acne scars

Fraxel Laser FAQs

Am I a candidate for Fraxel laser treatment?

The best candidates for Fraxel® laser resurfacing are in good general health, mentally and physically, and have specific concerns such as fine lines and wrinkles, freckles, age spots, stretch marks, pore size, or acne scarring. Patients should have type I to III skin tone with lighter skin color are the ideal candidates for the Fraxel treatment. Patients who have dark skin tone should avoid Fraxel, and consider chemical peels or eMatrix laser. If you are having moderate to severe acne breakouts, Dr. Green will treat your acne first and once it is under control, you can have your Fraxel laser treatment.

Should melasma be treated by the Fraxel laser?

Patients who have melasma are best to avoid treatment with the Fraxel laser, as melasma and its hyperpigmentation can worsen from laser treatment. Melasma is better treated with chemical peels like Cosmelan, rather than this type of Fraxel laser resurfacing. It is also important to maintain realistic expectations about the cosmetic results of any laser, including Fraxel.

How many Fraxel laser treatments will I need?

When treating facial pigmentation, if you suffer from a great deal of sun damage and sun spots, it generally takes 3 Fraxel laser treatments, spaced one month apart, to achieve the best results. Since each Fraxel laser session treats approximately 25 to 40 percent of the area at a time, it makes sense that you will need multiple sessions to have the best cosmetic results.

For patients with fine lines, wrinkles, or acne scars, depending on the severity of the condition, generally five treatments are recommended, scheduled at least one month apart. While there is immediately improvement after the laser treatment, new collagen is formed for months after each Fraxel laser treatment, for continued rejuvenation.

What is the difference between Fraxel laser treatment and other skin resurfacing lasers?

Fraxel laser uses nonablastive, fractionated laser technology.  Other resurfacing lasers, in the past, used ablative technology. Ablative lasers create a wound which removes the thin outer layer of skin (epidermis) and heats the underlying skin (dermis). This ablation creates a controlled thermal injury to the skin.  As the top layer of skin regrows, new collagen fibers are regenerated, and the treated skin becomes smoother.  However, due to the thermal injury created with ablative lasers, like Carbon Dioxide (CO2) lasers, there is significant down time involved, as the skin takes time to heal. Nonablative lasers, like Fraxel laser, are able to stimulate new collagen and improve skin ton and texture with minimal recovery time because of the revolutionary fractionated laser technology.

fraxel juvederm before after 3 female 28 right MGwatermark

28 year old female, Fraxel & 1 syringe of Juvederm on lips – 4 weeks

How much does Fraxel cost?

Fraxel laser costs differs based on the area of the body treated and if multiple areas are being treated at the same time. The price for Fraxel laser treatment varies if you are having an expert in Fraxel performing your laser treatment, or if you having a technician at a medspa or a clinic treat you. The range for a Fraxel laser is approximately $1500 per session for the face. In general, an experienced board certified dermatologist or plastic surgeon will be more expensive than an uncertified technician, who is not trained by Solta to perform this laser.

Does Fraxel treatment tighten the skin?

Fraxel is an excellent laser for improving skin tone and texture, reducing lines and wrinkles around the face, especially lines around the eyes and mouth.  It also improves the appearance of acne scars and surgical scars. Fraxel laser treats sun damage and sun spots. Fraxel does produce some skin tightening when new collagen is formed, using the 1550 setting. However, a true skin tightening laser, such as Thermage, is able to provide much greater skin tightening. Thermage utilizes radiofrequency technology to tighten the skin, on the face and body, producing new collagen and providing a more youthful appearance.

1 treatment of Fraxel – 2 weeks later

What are the side effects of Fraxel?

Fraxel is a non-ablative laser, so there are not the same risks as an ablative laser.  However, there are still risks of scarring, hyperpigmentation, and infection. If there is a history of acne breakouts, Dr. Green may prescribe an oral antibiotic to be used immediately after your laser treatment.  If there is a history or herpes simplex (cold sores), you may be advised to take Valtrex the day of the procedure.

It is very important to use proper sun protection after your Fraxel laser treatment. Dr. Green recommends a sunscreen of SPF 30 or higher which should be repeated when outside thought out the day. Using moisturizer after the Fraxel treatment, several times a day, such as MGSKINLABS, Inc Recovery Cream and avoiding the sun, to prevent any skin damage from occurring.

Although Fraxel is approved for the treatment of melasma, Dr. Green does not recommend the Fraxel laser for patients suffering with melasma. Patients of lighter skin types, skin types I to III , can be safely treated with the Fraxel laser. Patients with darker skin types, greater than type III, should avoid being treated with the Fraxel laser.

What should I expect after Fraxel treatment?

If you are having the Fraxel laser for acne scars alone, the 1550 setting is used, and you will only have some redness and swelling for 48 hours. Proper skin care, which consists of moisturizer and sunscreen is important post-treatment.

When Fraxel laser treatment is designed for hyperpigmentation and sun spots, the 1927 wavelength is utilized and there are about 5 to 7 days of peeling. The first two days there is some redness like a sunburn, and by day 3 to 7, the skin peels off like rough sandpaper.  It is important to use lotion, and avoid sun exposure to your new skin.

Is is important not to use any hydroquniones, retinoids, or exfoliating products during this post-treatment period to avoid any skin damage. The best skin care products to use at this time are gentle cleansers and moisturizes, as well as a sunscreen of SPF 30 or higher. If you have any acne breakouts, you should contact Dr. Green and she may prescribe an oral antibiotic for you.

One of the great benefits of fractional laser resurfacing is that there is not any significant amount of down time, with either setting you choose. After Fraxel laser, you will still be able to do all of the normal things that you did before the laser.  It is only the day of the procedure when you will have some immediate discomfort after the numbing cream wears off, which dissipate after a few hours,

Is Fraxel worth it?

Fraxel is an amazing cosmetic laser treatment.  Many celebrities and actors have had Fraxel treatments to rejuvenate the skin. Fraxel has proven results for sun damage, acne scars, fine lines, and sun spots. Commitment to the series of treatments yields outstanding results.

Should a dermatologist or medspa perform Fraxel laser resurfacing?

When considering having any cosmetic dermatology procedure on your face, it is best to consult a board certified dermatologist who has the experience and skills to perform Fraxel laser treatment. A board certified dermatologist or plastic surgeon will have advanced training in lasers and skin care that technicians at a spa do not have.  Be sure to google your treating physician to make sure that they are certified in this procedure and have years of experience in treating cosmetic patients with lasers.

Additional Fraxel & Laser Resurfacing FAQs

What is laser resurfacing?

Laser resurfacing is the process of using concentrated light energy to remove damaged cells from the outer layers of the skin. Ablative laser resurfacing provides a deeper level of correction, removing the epidermis (outermost layer of the skin) and tightening the dermis (sub-layer of the skin). Recovery time often takes a period of several weeks or more. Non-ablative laser resurfacing also removes sun-damaged skin cells but uses a shallower penetration of the epidermis. Because the intensity is less than an ablative laser, several sessions are typically required for best results. There is minimal downtime and recovery following non-ablative laser resurfacing.

Fraxel® has both ablative and non-ablative capabilities, both of which can improve skin tone and texture. Freckles, age spots or other pigmentation irregularities like acne scars can be effectively minimized with fractional laser resurfacing. Fine lines and wrinkles will become less noticeable, and even acne scars can be diminished.

How does laser resurfacing work?

Laser resurfacing uses microbeams of laser energy to create controlled damage in the target areas. This process simultaneously removes thin layers of damaged skin while promoting the natural healing processes of the body to create new, healthy tissue. The final result is skin that looks and feels smoother, more evenly pigmented, and younger. Because sun-damaged and pre-cancerous skin cells are removed during laser resurfacing, your skin’s health can actually improves as well.

RL 74yo male before and after ED AlexTrivantage and Fraxel RIGHT MGWatermark

74 year old with AlexTrivantage & Fraxel

What makes Fraxel® different?

Fraxel® is a fractionated carbon dioxide laser that treats the target areas while leaving untreated skin untouched, promoting faster healing and less downtime. This less aggressive approach toward laser resurfacing gives Dr. Green greater precision while minimizing the risk of complications.

Can I combine Fraxel® with other facial rejuvenation procedures?

Most patients see significant improvement after just one appointment, but some It’s not unusual to combine Fraxel® with additional cosmetic procedures, although it’s common to stagger the appointments. For example, laser resurfacing may be performed first, then followed up with a combination of BOTOX® to control dynamic wrinkles and dermal fillers to diminish the appearance of deeper lines. It’s best to work closely with Dr. Green to determine the customized approach that will help meet your specific goals.

What should I expect during treatment?

Before treatment, your skin will be cleaned and prepared, and you’ll wear protective goggles for your eyes. A topical anesthetic is applied to the skin. The laser energy is delivered in passes, which are repeated in passes until the appropriate level of correction is achieved. You will feel a little stinging or heat during your treatment. Your appointment length will vary depending on how large the treatment area is as well as the level of correction needed.

Can Fraxel laser treat my acne scars?

Fraxel laser is amazing at treating many different types of acne scars.  It is best at treating atrophic acne scars, such as ice pick, rolling, and boxcar scars. It is not as successful at treating hypertrophic scars. Fraxel is also designed to treat light skin types and not patients who have acne scars with darker skin tones. Patients with acne scars often have low self esteem due to these scars and Fraxel can help treat these scars and improve their appearance.

Is Fraxel painful?

We numb every single patient with the best topical numbing cream for one entire hour before your treatment. Most patients describe feeling some stinking or heat at times, with minimal discomfort.

Are there different types of Fraxel lasers?

The most popular type of Fraxel, which is typically found in a dermatologist’s office, like Dr. Green, is the Fraxel dual laser. Due to its dual wavelength and fractionated laser technology, it is able to treat the skin in a non-ablative manner with little down time.  The Fraxel Repair which is an ablative laser, using carbon dioxide, for more severe cases, with significant downtime.

How soon until I see results from Fraxel?

Immediately after treatment, your skin will look red or pink. Over the next few days, this will fade to reveal smoother, more youthful looking skin with fewer age spots, freckles and acne scars. Several treatments are typically recommended for the most impressive results, and these should be spaced anywhere from four to six weeks apart.

How long will the results of Fraxel last?

The results of Fraxel last for at least one year, for hyperpigmentation or sun spots. If you avoid the sun and do not get new sun damage, the positive effect of Fraxel can last for years. Some patients come periodically to have a touch-up with the Clear + Brilliant laser.  The Clear + Brilliant laser is a “Mini Fraxel”, favored by celebrities like Drew Barrymore, with no downtime whatsoever.

If you’re frustrated with the appearance of your skin tone or texture, or want to minimize the early signs of aging that have appeared, there’s finally a solution that can help, without the downtime of other laser resurfacing procedures. Dr. Michele S. Green, a board certified dermatologist on the Upper East Side, practices the latest techniques at the forefront of skin care to give you the look that you deserve. To learn more about Fraxel®, NYC patients can contact us online today or call 212-535-3088.

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