Treatment FAQ

what does fractional laser treatment do

by Beverly Upton Published 3 years ago Updated 2 years ago
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Fractional lasers were developed to shorten recovery time and reduce the risk of side effects. Laser resurfacing can lessen the appearance of fine lines in the face. It can also treat loss of skin tone and improve your complexion. Laser resurfacing can't eliminate excessive or sagging skin.Mar 2, 2022

What are the benefits of fractional laser?

The New Standard: Benefits of Fractional CO2 Laser Skin ResurfacingMinimizes sun damage, acne scars, and fine lines.Improves skin texture and evens skin tone.Stimulates collagen for firmer, more youthful skin.May help treat pre-cancerous skin lesions.Minimal downtime.

How long do fractional laser results last?

When the upper dermis is revealed and sculpted by the Fractional CO2 laser, the new skin cells and collagen will be smooth and undamaged, which can reduce textural skin concerns. Your elevated collagen production after this treatment will continue for up to six months.Apr 16, 2021

Is fractional laser good for your skin?

In short: It hurts your face, but in a good way. “Fractional” lasers create these micro-injuries that form a grid light pattern because the laser beam is split into many small beams. With these targeted micro-injuries, you can trigger a healing reaction without damaging your skin.Jun 11, 2019

How often should I do fractional laser?

Do I Need to Undergo Multiple Fractional CO2 Laser Treatments? Again, depending on the severity of your skin condition, you may need to undergo about one to three sessions. These treatments can be done at four to six-weekly intervals.Jan 28, 2020

What does your face look like after laser?

Immediately after treatment, your skin will be red and feel sensitive and sunburned. Redness, swelling, itching or stinging may last for a few days. Depending on the treatment, skin may even appear raw, ooze a yellow liquid and even blister.Mar 22, 2021

How long does it take for your face to heal after laser treatment?

Five to seven days after laser resurfacing, your skin will become dry and peel. Depending on the problem that was treated, healing typically takes 10 to 21 days. Once the skin heals, you can wear oil-free makeup to minimize redness, which usually fades in two to three months.Jul 26, 2021

Does fractional laser hurt?

2. Treatments may hurt—or they may not. Patients and doctors commonly compare the sensation felt during laser treatments to a rubber band snapping against the skin. However, what laser resurfacing feels like depends on the laser, the depth and area of treatment, and an individual's tolerance for pain.Mar 17, 2021

Can Fraxel ruin your skin?

Because the Fraxel laser does damage your skin cells (in order for them to rejuvenate and improve your skin's appearance), you need to be certain to clean all treated areas several times a day – two to five, according to plasticsurgery.org – with saline or diluted vinegar solution, depending on your surgeon's ...Feb 5, 2021

What can I expect after Fraxel laser treatment?

after the treatment. Most patients complete this process 5 – 7 days after a treatment on the face. (On off-face areas, such as hands/arms, where healing is slower, the process may take up to 2 weeks.) redness resolves during the first week after treatment, but a rosy “glow” can remain for several weeks.

Is fractional laser the same as Fraxel?

More about the term “fractional”: By design, each treatment session targets about 15 to 20 percent of the skin's surface. In other words it treats a “fraction” of the skin surface each time and that is why the technique is called “fractional laser resurfacing” and one of the lasers uses the brand name “Fraxel”.

How many laser sessions does it take to remove acne scars?

According to DermNet NZ, moderate acne scars require three to four treatments. You might need an additional procedure or two for more severe scarring. Also, most people need to wait six weeks between treatments in order to allow new collagen to fully form.Oct 17, 2019

Can I wash my face after fractional laser?

You may experience a mild sunburn like effect, while others may have significant swelling, redness, and itching – depending on your skin type. Grid marks on the face are a result of the laser fractionation and also resolve over 5-7 days. Continue to cleanse the treated area with Cetaphil Gentle Face Wash for 7 days.

What’S The Difference Between The Fractional CO2 Laser and The Fractional Erbium Laser Like The Fraxel “Restore?”

The CO2 laser goes slights deeper and has a different way of shrinking collagen than the Fraxel laser. Therefore, it generally gives a better resul...

How Does The Fractional CO2 Laser Work?

The fractional CO2 laser takes the CO2 laser beam and fractionates, or pixellates that beam into thousands of tiny little shafts of light. These ti...

How Long Do The Effects of A Fractional CO2 Resurfacing Laser Treatment Last?

That depends on how well you protect your skin from the sun and other factors that cause aging like your general health, smoking, changes in weight...

How Much Do Fractional CO2 Laser Treatments Cost?

The cost varies by where you live (New York is more expensive than Seattle), the office you go to, and the size of the area being treated. Expect f...

How Are Fractional CO2 Laser Treatments Performed?

This is a prototype treatment for our office. Other offices will be different so be sure to ask and not just assume it’s the same! You need to arri...

How Does This Laser Work For Acne Scars and Other Scars?

CO2 lasers have always been very effective for acne and other scars and the fractional CO2 is no exception. It remains to be seen if it is as effec...

Are Treatments on The Eyelids Safe?

Yes, because special laser “contact lenses” are used to protect the eye. Don’t let anyone do treatments directly on the eyelids without these. Numb...

What Will I Look Like Right After The Treatment and What Is The Healing time?

During the first 24 hours after treatment, your skin may feel as though it is sunburned. Ice packs/frozen peas are used 5-10 minutes per hour for t...

Can I Go Back to Work and Activities immediately?

No, you will need to take the rest of that day off to ice and care for the treated area. For the lighter fractional CO2 treatments, you will need 3...

How Many Treatments Will I Need?

The number depends on the extent of your sun damage, scarring or wrinkles, and on how much downtime you can accept. If you can tolerate 7 days of d...

What is fractional laser treatment?

Fractional laser treatment can be used on any part of the body but is particularly useful on the neck, chest and hands when compared to traditional ablative modalities. Fractional laser treatment may also be of benefit for poikiloderma of Civatte and stretch marks. Fractional laser treatment can be used in all skin types and patients, ...

How does fractional laser work?

Fractional laser treatment works by targeting both the epidermis and dermis. It does this by delivering a laser beam that is divided into thousands of tiny but deep columns of treatment into the skin. These are called microthermal treatment zones (MTZs). Within each MTZ old epidermal pigmented cells are expelled, ...

What is the cooling device used for a fraxel laser?

It is essential that the strong anaesthetic cream provided with the Fraxel laser is used. A cooling device, called a Zimmer™ machine, is used to reduce the discomfort during the procedure.

How long does it take for a laser to swell?

Some of the side effects and complications that may occur after aggressive or ablative fractional laser treatments, particularly on neck skin, include: Swelling for up to one week after treatment – this can be helped by applying an ice pack at 10-minute intervals for the first 24 hours.

Is fractional resurfacing more aggressive than non-ablative?

This timeframe and treatment regimen allows for complete healing and replacement of damaged tissue with new collagen and elastin, and viable, healthy skin cell growth. Ablative fractional resurfacing lasers are more aggressive than non-ablative devices, so recovery takes a little longer.

Can fractional lasers be used on all skin types?

Fractional laser treatment can be used in all skin types and patients, but techniques vary depending on patient age, skin type, sun exposure and body location. Fractional laser treatment can be combined with surgery and other skin treatments.

Does fractional laser treatment cause post inflammatory pigmentation?

Skin pigmentation associated with photoageing. Surgical and acne scarring. Although fractional laser treatment has been advocated in the treatment of pigmentation disorders such as melasma, the treatment itself can lead to postinflammatory pigmentation.

What is fractional laser?

Claire Chang, MD, fractional lasers are resurfacing lasers that benefit the skin by creating columns of thermal damage in the skin.

What are the benefits of fractional lasers?

Benefits of Fractional Lasers 1 Promote collagen production 2 Speed up wound healing 3 Minimize the appearance of fine lines and wrinkles 4 Blur the appearance of scars 5 Lighten dark spots and melasma 6 Reduce the appearance of photodamage 7 Shrink the appearance of pores

Why are fractional lasers not ablative?

“They're not ablative because patients can use makeup during the recovery ,” he says. “There is no open skin.

How long should you wait to use retinol before laser?

As a general rule of thumb, Chang says that patients should discontinue the use of retinoids at least a week before fractional laser treatment. Additionally, she says that some physicians prescribe lightening creams, like hydroquinone, to use prior to treatment to reduce the risk of post-inflammatory hyperpigmentation.

How to reduce the appearance of photodamage?

Minimize the appearance of fine lines and wrinkles. Blur the appearance of scars. Lighten dark spots and melasma. Reduce the appearance of photodamage. Shrink the appearance of pores. All in all, Chang says that fractional lasers are able to improve the skin’s complexion from all angles, addressing everything from pigmentation ...

Is fractional laser safe?

Fractional lasers offer a method for revitalizing the appearance of skin with little downtime or risk of negative side effects. As a general rule of thumb, nonablative fractional lasers are the safer bet for the vast majority of people thanks to their shallower reach. That said, there are so many different lasers out there that it’s worthwhile to find a dermatologist skilled in multiple kinds. “Many practitioners choose lasers based on their own experience and what lasers are available in their office,” Chang says. “I recommend finding a dermatologist who has access to and experience with multiple lasers in order to really get the best laser treatment for your skin type and condition.”

Can fractional lasers be used on all skin types?

It can be used on every skin type, all year-round, to deliver clearer, smoother skin. “There is no wound, as the laser isn't vaporizing the tissue,” Cohen says. Even though ablative fractional lasers are less popular nowadays, there are still common offerings on the market. They are as follows.

Why can't I do fractional laser?

Reasons not to do a fractional laser treatment may include use of medications that increase photosensitivity, use of anticoagulants (some are fine), use of Accutane in the last year (vs. 6 months), chemotherapy, history of difficulty healing or scarring, history of bleeding disorders, and pregnancy.

How long do you have to be in the office for fractional CO2 laser?

Plan on being in the office for 2 ½ hours total. Most people drive to and from their own fractional CO2 laser appointments. Offices vary in this. Some offices will use mild narcotics or anti-anxiety drugs which do require some else to drive after the treatment.

How long does it take for a fractional CO2 treatment to heal?

No, you will need to take the rest of that day off to ice and care for the treated area. For the lighter fractional CO2 treatments, you will need 3-5 days of downtime. For the deeper treatments, plan on 7-10 days of healing before you can go out in public.

What is CO2 laser?

Fractional or “pixilated” carbon dioxide (CO2) lasers are one of the latest advances in non-surgical skin rejuvenation treatments . The CO2 laser has the longest wavelength of all the lasers on the market and can be used safely on darker skin types with appropriate adjustments in the settings.

How long does it take for a CO2 laser to heal?

The CO2 laser causes a superficial wound to the skin that takes approximately 2 to 10 days to heal. The superficial injury of the outer layers of the skin may result in mild to moderate swelling. Crusting is rare but peeling is common.

How long does it take for a laser to go away?

· Redness. A pink color may persist for two weeks to two months after the laser surgery. In rare instances, it may last three to six months.

Does laser treatment make your neck red?

It does not take care of redness including- dilated blood vessels (telangectasias), or that reddish blotchy discoloration on the neck (poikiloderma). Temporarily, it can even make these problems look worse because the laser treatment itself causes some redness.

The procedure

After consultation with a skincare professional on the extent and goals of the treatment, it can begin. Fraxel treatment starts by applying a laser beam that divides itself into thousands of individual treatment columns that treat the skin.

How many treatments are necessary? When do I see results?

A common frequency is to carry out 4 to 6 treatments that are spaced out by 2 to 3 weeks apart from each other. This frequency can change depending on the sensitivity of the patient and how deep or prevalent their skin issues are.

What is laser resurfacing?

Laser resurfacing is a facial rejuvenation procedure that uses a laser to improve the skin's appearance or treat minor facial flaws. It can be done with: Ablative laser. This is a wounding laser that removes the thin outer layer of skin (epidermis) and heats the underlying skin (dermis), which stimulates the growth of new collagen fibers.

How long does it take to get rid of a laser?

Ablative laser resurfacing typically takes between 30 minutes and two hours, depending on the technique used and the size of the area treated.

How long does laser resurfacing last?

The effects can last for years. Results after nonablative laser resurfacing tend to be gradual and progressive. You're more likely to notice improvements in skin texture and pigment than in wrinkles. After laser resurfacing, avoid unprotected sun exposure for one year to prevent irregular pigmentation.

What to do if you have a herpes infection after laser resurfacing?

If you're having ablative laser resurfacing — or nonablative laser resurfacing and you have a history of herpes infections around your mouth — your doctor will prescribe an antiviral medication before and after treatment to prevent a viral infection.

What to ask before laser resurfacing?

Before you have laser resurfacing, your doctor will likely: Ask about your medical history. Be prepared to answer questions about current and past medical conditions and any medications you're taking or you've taken recently, as well as any cosmetic procedures you've had in the past. Do a physical exam.

Can nonablative laser resurfacing cause herpes?

Nonablative laser resurfacing also can cause side effects, including: Infection. Nonablative laser resurfacing can cause a flare-up of the herpes virus. Changes in skin color. Nonablative laser resurfacing can cause treated skin to become temporarily darker than it was before treatment (hyperpigmentation).

Can laser resurfacing cause cold sores?

Ablative laser resurfacing can lead to a bacterial, viral or fungal infection. The most common infection is a flare-up of the herpes virus — the virus that causes cold sores. In most cases, the herpes virus is already present but dormant in the skin. Changes in skin color.

Why do you need ablative lasers?

Ablative lasers are considered "wounding" lasers because they remove the outer layer of your skin and heat up the tissue underneath to stimulate new collagen production and fresh skin growth. As your skin peels off and heals (yup, the week of downtime afterward is no joke), your face will look significantly smoother, tighter, and fresher—basically, it's a takes-years-off-your-face laser. Examples of ablative lasers include CO2 (carbon dioxide) lasering and Erbium (aka YAG) lasering.

How long does it take for a laser to work?

Listen, lasers don't exactly feel great, but the treatment itself is relatively quick—about 15 to 25 minutes, plus another 45 minutes for the topical anesthesia (numbing cream) to kick in before getting started. And since you'll be numbed up beforehand, Dr. Nussbaum says you'll likely only feel a little stinging.

How is fraxel different from microneedling?

Fraxel and microneedling are similar in that both treatments use the idea of creating micro-injuries on your skin to help rebuild collagen, but the main difference is that Fraxel penetrates the skin more deeply than microneedling.

What is a dual laser?

Fraxel Dual is a non-ablative laser that can be combined or used separately to address different skin concerns on the face, neck, chest, hands, legs—just about anywhere. The 1927 wavelength of Fraxel will lift away discoloration ( hyperpigmentation, dark spots, sun damage, and pre-cancer spots), while the 1550 wavelength of Fraxel is designed to target and smooth your skin's texture (fine lines, wrinkles, and acne scarring ). Don't worry about writing this down—your derm will decide the correct wavelengths for your skin.

What is the best laser for acne scars?

Fraxel is one of the more aggressive lasers offered at most dermatologist offices (more on these other lasers below), which is how it's able to get rid of things like pockmarks (aka those pitted, indented acne scars known as ice pick, boxcar, and rolling scars).

How long does a laser touch up last?

Dr. Nussbaum says you might need a touch-up with a Clear + Brilliant laser four to six months later, but usually one Fraxel session is enough to last you the year. With the 1550 wavelength (the one for smoothing texture), you usually need three to five treatments spaced four weeks apart. Dr.

Does laser repair work?

Because there is a risk for hyperpigmentation with any ablative laser (it's literally "wounding" your skin to work), Dr. Marmur doesn't recommend them for darker skin tones.

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