Fraxel Laser for Facial Rejuvenation

How does it work?
Fraxel laser (Erbium at 1550 nm) has the unique ability to penetrate the deeper layers of the skin without damaging the surface layers. In addition, like other fractional lasers, the Fraxel beam is split into thousands of microbeams that, with the help of a high-precision scanner, “scan” the skin while leaving untreated areas between them. These untreated zones cover 50–95% of the skin surface.
The result is natural activation of fibroblasts and other skin cells, leading to the production of new collagen and elastin, along with rapid recovery—without the risks of complications or the discomfort of traditional resurfacing burns.

When and where is it applied?
Fraxel laser treatment is ideal for combating photoaging and eliminating fine wrinkles of the face, neck, and décolleté, as well as discolorations of the face and hands (age spots). It is also an excellent treatment for acne scars, scars in general, and stretch marks. It is additionally used successfully to treat skin laxity of the face and body (e.g., abdomen, thighs, arms).
Fraxel is FDA-approved for the treatment of periorbital wrinkles, sun- and age-related pigmentation (age spots), melasma, acne scars, post-surgical scars, and overall skin rejuvenation.

How is it performed?
The treatment is carried out using a topical anesthetic cream and cold air during the procedure, making it practically painless. The laser gradually scans the target area, creating tiny vertical treatment columns with intact skin in between. These microscopic treatment zones heal rapidly while stimulating collagen and elastin production, while the heat diffused into surrounding tissues promotes immediate collagen tightening.

What should I expect after the treatment?
Immediately after treatment, the skin shows redness and swelling, and most patients report a sensation similar to mild sunburn. This discomfort disappears within 1–3 hours, depending on treatment intensity and individual healing capacity.
In most cases, redness resolves within 24–48 hours. Since the epidermis remains intact after Fraxel treatment, redness can easily be covered with makeup.
Other temporary side effects may include mild itching, dryness, peeling, and bronzing (a slightly tanned appearance of the skin).

What should I pay attention to after the treatment?
After Fraxel Laser treatment, the skin is very sensitive to sunlight. For this reason, treatments are avoided during summer months, and the use of high-SPF sunscreen is essential throughout the year. Direct sun exposure should be avoided during healing and for at least three months after the final session.
During the first 24 hours, intense physical activity should be avoided, as sweating may cause small breakouts due to swelling of sweat glands.
If there is a history of cold sores (herpes labialis), preventive antiviral medication should be taken to avoid reactivation.

How long do the results last and how many sessions are needed?
Results are immediate due to instant collagen tightening, but true skin rejuvenation appears after about four weeks and continues to improve for 3–4 months. The number of sessions depends on the concern being treated and the desired outcome, as effects are cumulative. Typically, 2–3 sessions are required, spaced 4–6 weeks apart.