Your Guide to the Fraxel Laser Treatment & FAQs
Expert Answers to Your Questions About Fraxel Laser
The Fraxel Dual Laser continues to be the gold standard for non-ablative laser resurfacing due to both its highly effective and reproducible results, coupled with its long-standing safety data. This laser is unique as it can address numerous skin concerns depending on which wavelength is used (hence the name “dual”).
Once you and your clinician have discussed your goals and treatment plan, either the1927nm or 1550nm wavelength (or a combination of both) will be selected for your procedure, depending on your individual concerns. The 1927nm wavelength primarily addresses fine lines and wrinkles, actinic keratoses, superficial textural changes, brown spots, and photoaging. The deeper 1550nm wavelength addresses more etched in lines and both acne and non-acne generated scarring. You also can have a “dual” treatment, which is a combination of both wavelengths. This laser helps to stimulate your OWN skin’s natural healing process which in turn leads to collagen deposition and can help restore a smoother, more youthful appearance and improve overall skin health.
At DermWellesley, we understand that every patient’s skin is unique. Our team of experienced dermatologists is dedicated to creating personalized treatment plans that align with your specific goals and medical history. For a personal consultation and to develop a plan tailored to your needs, consult one of our board-certified dermatologists at DermWellesley.
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General Information About The Fraxel Laser Treatment
Fraxel DUAL 1550/1927 is a non-invasive laser treatment for aging and sun-damaged skin. It helps improve texture, fade pigmentation, and soften wrinkles by encouraging the formation of healthy new skin cells. If you’re wondering if Fraxel is right for you, consult one of our board-certified dermatologists or nurse practitioners.
Fraxel uses fractionated technology, meaning only a fraction of the skin is targeted while the surrounding skin remains intact. This approach accelerates collagen production and skin renewal, helping replace damaged skin with fresher, healthier tissue while simultaneously minimizing downtime and risk. Your skin’s response may vary. Our team can explain how Fraxel can be customized to your needs.
Fraxel can help with:
- Smoother, younger-looking skin
- More even tone and texture
- Fading of brown spots and pigmentation
- Reduced fine lines and wrinkles
- Improved appearance of acne and surgical scars
Results vary, and multiple sessions may be needed. For the best plan and expectations, contact our dermatology team.
Our Fraxel Laser Treatment Process
Preparation is key to a safe and effective treatment. You should arrive 1 hour before your scheduled procedure time to allow time for topical anesthesia application. If you have a history of cold sores, please notify us in advance, as pre-treatment with oral antiviral medication might be necessary. Your dermatologist may provide additional specific instructions based on your medical history, so be sure to discuss your preparation plan with our team.
Alastin Skin Nectar has strong data suggesting that priming the skin with Nectar in the 2 weeks leading up to the Fraxel, then continuing Nectar during the recovery phase, leads to improved results with less downtime. Ask your provider about Alastin Skin Nectar, which can be applied to the skin directly after the Fraxel without any waiting time. Please discontinue all retinols, retinoids, acids, and benzoyl peroxide for 2 weeks prior to your Fraxel. Your dermatologist may provide additional specific instructions based on your medical history, so be sure to discuss your preparation plan with our team.
During the actual procedure, most patients describe feeling an increasing heat sensation. In most cases, 8 passes are done with the laser to each area, and the heat may feel more intense as the passes are completed. To maximize your comfort, we use a cold-air cooling system that is continuously applied to the skin throughout the entire treatment. The topical anesthesia applied beforehand significantly helps manage discomfort. If you have concerns about pain management or sensitivity, our team is happy to discuss alternative options during your consultation.
The intensity and duration of the post-procedure period generally depend on the aggressiveness of your treatment and your individual healing characteristics. Patients treated more aggressively may experience more intense side effects that last longer.
Typically, patients feel swollen and appear very red in the first two days after treatment. You may feel a heat sensation like a sunburn, but it should not be extremely painful. The skin may also feel dry or raw. Typically, after 2 days, the skin becomes flaky (especially if treated with the 1927nm) and will turn very dark brown. After this color change, the skin will peel. It is important not to touch the face while it is peeling and to follow all post-treatment instructions carefully. Blisters can occur, but are rare. Please notify your clinician if you have blisters.
Most patients find the post-procedure period very manageable. However, if you have any questions or concerns, notify our team immediately. Do not restart your acids or retinols until your face is fully healed (typically, 2 weeks is the recommendation).
Fraxel Laser Safety, Risks, & Results
Fraxel laser treatment is considered a safe and effective procedure for skin resurfacing. The technology is designed to precisely target damaged skin while minimizing effects on surrounding tissue, which supports a controlled healing process.
Safety is our top priority. A thorough evaluation of your medical history and skin during a consultation is essential to ensure this treatment is appropriate for you. To discuss the safety of Fraxel in your specific situation, consult with our expert team at DermWellesley.
As with any medical procedure, Fraxel laser treatment carries potential risks and side effects. Most are temporary and resolve as the skin heals. It is essential to discuss your full medical history with your provider to mitigate potential complications.
Common side effects can include:
- Swelling
- Redness
- Dry or raw-feeling skin
Less common risks may include:
- Herpes virus reactivation (cold sores)
- Scarring
- Changes in skin color (discoloration)
- Failure to see improvement is also a possibility
Fraxel laser is safe for all skin types. Some patients with certain skin tones or conditions may be at higher risk for discoloration or pigment alteration. Your dermatologist may recommend specific treatment settings or pre-treatment care based on your unique skin profile.
Clinical studies suggest that an effective treatment regimen typically involves 3 to 5 sessions spaced at least 4 weeks apart. However, we have MANY patients that want an improvement in pigmentation and seek to proactively stimulate collagen as part of their anti-aging regimen, who do a Fraxel treatment once per year.
Your specific treatment regimen will vary depending on your skin condition and goals. Results are often immediate and progressive, with optimal improvement usually visible within 2 to 3 months as new collagen replaces damaged tissue. To determine the best timeline for your needs, please consult with your physician at DermWellesley.
Most patients report needing about 5–7 days to recover from a Fraxel Laser treatment. You can expect redness and swelling, similar to a sunburn, for the first few days, and then dryness and flaking as your skin heals. Using gentle cleansers, moisturizing frequently, and avoiding sun exposure can support a smoother recovery. Many people are comfortable returning to regular routines within a week, though some pinkness can persist for up to 2 weeks after deeper treatments. Keep in mind that everyone heals differently, so your experience may vary. Always follow your provider’s aftercare instructions for the best results. It is imperative that you avoid the sun both in the month leading up to your treatment and for at least a month following your treatment to minimize the risk of hyperpigmentation.
The longevity of Fraxel results can vary based on your age, skin condition, lifestyle, and the number of treatments you have received.
To maintain your new, healthier skin, a consistent skincare routine and diligent sun protection are crucial. Our team can recommend a maintenance plan that may include periodic follow-up treatments to help prolong your results. We often recommend A-luminate pigment lightening cream by Alastin, in combination with Skin Nectar, as part of the post-procedure process to help maintain results.
Yes, Fraxel laser may be combined with a variety of other dermatologic treatments to help achieve comprehensive skin rejuvenation. Some patients choose to pair Fraxel with microneedling, chemical peels, and injectables such as Botox and dermal fillers. Combining these treatments can address multiple concerns, including skin texture, pigmentation, wrinkles, and volume loss. It’s important to consult our dermatologists at DermWellesley to create a customized plan for your unique needs. We typically do NOT do any other procedure on the same day as the Fraxel, so combination treatments would be a multi-appointment process.
Is Fraxel Laser Right for You?
Fraxel is an excellent option if you’re hoping to smooth out fine lines, soften acne scars, fade sun damage, or even out your skin tone. Most healthy adults with realistic expectations are great candidates, but your unique skin type and medical history play a significant role. The best way to know for sure? Schedule a consult at DermWellesley.
Fraxel is commonly used to treat fine lines, wrinkles, sun spots, acne scars, uneven texture, discoloration, and actinic keratoses.
You should NOT get Fraxel if you have a history of:
- Keloid formation or excessive scarring
- Are currently pregnant or breastfeeding
- Have had skin indentations/ texture changes following trauma or surgery
- Are on systemic steroids such as prednisone or dexamethasone
- Are on isotretinoin (Accutane)
- Have a history of melasma
Many people choose Fraxel specifically to treat acne scars and often see impressive results. Multiple treatments will be needed, and not everyone notices significant improvement. Your outcome depends on the type and depth of your scars, as well as how your skin heals. We would urge you to schedule a consult to learn more.
Fraxel laser may be a good option if your goals include improving skin texture, reducing fine lines, addressing sun damage, treating acne scars, and evening skin tone while stimulating natural collagen production. The best way to know if Fraxel is right for you is through a personalized consultation with an experienced provider.
Connect with Our Skin Experts Today
Ready to Learn More About Fraxel Laser?
If you have questions or want detailed, personalized guidance on whether Fraxel Laser is right for you, reach out to the team at DermWellesley. Call us at (781)591-4234 or request a consultation online. We’re here to support your skin journey and help you achieve your healthiest, most confident self.