Fraxel Laser

The Fraxel Treatment

1. WHAT IS THE FRAXEL TREATMENT?

The Fraxel treatment is a non-invasive fractional laser treatment that provides a wide range of treatment options to address different skin problems like signs of aging (age spots, fine lines, wrinkles, visible photoaging, sagging skin), skin pigmentation (melasma, brown spots, birthmarks), scars (acne, postsurgical, post traumatic), actinic keratosis and stretch marks. It is also used to improve skin laxity and texture and to rejuvenate the skin of the neck, chest and hands. It is useful to improve loose skin and wrinkles around the eyes.

Fraxel is the pioneer of "fractional photothermolysis", a technology in which thousands of microscopic laser columns - each just one-tenth the diameter of a hair follicle - treat a fraction of the skin at a time without affecting the surrounding tissue. These laser columns stimulate the production of younger, smoother, healthier skin to replace damaged tissue. 

2. HOW DOES THE FRAXEL WORK?

The Fraxel delivers laser light energy into the skin as the laser hand piece glides over the skin. The light energy creates small microscopic laser columns called microthermal treatment zone (MTZ). The MTZ can be adjusted to different diameters and different depths depending on the Fraxel laser used and the condition being treated. Each MTZ extends from the epidermis to the mid-dermis, allowing the Fraxel laser to treat both superficial and deep problems in the skin.

The MTZ stimulates your skin’s natural collagen, rejuvenating skin cells below the surface to help smooth the creases and pockets that cause wrinkles and scars. The MTZ also removes abnormal skin lesions like pigmentation and precancerous skin growths.
 

3. WHAT IS UNIQUE ABOUT THE FRAXEL?

The Fraxel laser is designed to treat only a fraction of the skin at one time and this can be from 5 to 45% of the area, hence the name fractional resurfacing., This means that it spares 55 to 95% of the skin which allows the skin to heal faster and minimised side-effects from the laser. Hence, most patients enjoy minimal adverse effects, little downtime, and complete healing within 1 week.

The Fraxel laser uses a unique delivery technology (the intellegient optical tracking system IOTS) which allows the MTZ to be formed independent of the user speed and accuracy of placement. Multiple MTZs are formed as the IOTs handpiece glides over the skin. This is an advantage over other laser systems that use the stamping mode which may leave uneven delivery of MTZ.
 

4. WHAT ARE THE DIFFERENT FRAXEL LASERS?

There are two groups of Fraxel treatment – the nonablative Fraxel treatment and the ablative Fraxel treatment.

Non-ablative Fraxel treatments improve mild to moderate skin damage with little or no downtime, using the following Fraxel lasers:

  • Fraxel 1440nm Clear and Brillant - for prevention and maintenance
  • Fraxel 1550 nm treatment - for mild to moderate skin problems, scars
  • Fraxel 1927nm treatment – for mild to moderate skin problems, skin pigmentation, precancerous skin lesions
     

5. WHAT CAN I EXPECT DURING THE FRAXEL TREATMENT?

The Fraxel laser heats up the skin and so you will feel heat and a prickly sensation. The intensity of heat will depend on the Fraxel laser used and the aggressiveness of the treatment. To mimimise discomfort, a topical anaesthesia will be applied before Fraxel laser treatments.

6. WHAT CAN I EXPECT AFTER THE FRAXEL TREATMENT?

You skin may look pink and feel a sunburnt like effect for a few hours or a few days depending on the Fraxel laser used. Sometimes a fine crusty or bronze appearance may occur as your skin sheds the dead cells as it heals. Rarely scabbing can occur. Dr Joyce Lim will discuss with you on post laser care.

7. WHO ARE THE IDEAL CANDIDATES FOR THE FRAXEL TREATMENT?

Fraxel treatment is for people who want to look good – and want real results – but don’t want the overly change or extended downtime that comes with surgery. Fraxel treatment fits into any lifestyle and your current beauty regimen.

Fraxel treatment is effective on:

  • Fine lines and wrinkles – like crow’s feet and brow lines
  • Surface scarring – erasing effects of acne and other scarring
  • Pigmentation – minimising the appearance of age spots and melasma
  • Stretch marks – minimise the white streaks
  • Skin tightening – like loose skin around the eyes and on cheeks
  • Sun damage – helping heal dangerous skin damage
  • Actinic Keratosis (AK) – a common pre-cancerous skin condition

8. WHEN CAN I EXPECT TO SEE RESULTS AFTER THE FRAXEL TREATMENT?

Fraxel works with your body’s natural skin cells, so results typically take 1-3 weeks to take effect. Most people will see improvement in skin tone, colour, wrinkles and scar after one session. Best results are seen after 3-5 sessions for the non-ablative Fraxel Restore Dual laser. The effects continue to improve over 12 months.
 

9. IS THE FRAXEL TREATMENT SAFE?

With a track record of over 1 million treatments, Fraxel technology is proven to be safe and effective for multiple indications. But because skin types and conditions can vary, some side effects are possible.
 

10. WHAT ARE THE SIDE - EFFECTS AFTER FRAXEL TREATMENT?

Potential side effects include prolonged redness, swelling, blistering, scarring, infection, pigmentary changes (hyperpigmentation), herpes reactivation and acne flare-up.
 

11. HOW MANY SESSIONS OF FRAXEL TREATMENT DO I NEED?

This depends on your condition and should be discussed at your consultation. Usually 2-5 treatments at 2-4 weeks intervals are required for the Fraxel Dual 1550/1927 Laser.

Fraxel Dual 1550/1927

Key Message Points



• The Fraxel Dual laser is a safe and effective non ablative fractional non invasive laser resurfacing treatment

• It effectively targets both the superficial and deeper layers of the skin for a smoother, fresher, younger looking appearance

• It is effective for treating acne scars, skin pigmentation, signs of skin aging and precancerous skin growths

• Fraxel Dual is safe to treat damaged skin on the face as well as the arm, hands neck and body

 

1. WHAT IS THE FRAXEL DUAL LASER SYSTEM?

The Fraxel Dual 1550/1927 system consists of two lasers, the 1550nm Er:Glass laser and the 1927nm Thullium Laser. The 2 laser wavelengths allow the laser to treat with safety both the superficial layers as well as the deeper layers of the skin in a single session.

  • The 1550nm Er:Glass laser penetrates deep into the skin layers, specifically targeting concerns such as wrinkles and acne scars
  • The 1927 nm Thullium laser effectively targets tone, texture, pigmentation, and other more superficial skin growths or signs of aging
  • The laser enhances skin permeability, increasing the benefits of topical skin care products immediately after treatment
 

2. HOW DOES THE FRAXEL DUAL LASER WORK?

The Fraxel Dual laser uses a patented fractional technology to target damaged skin with microscopic laser columns that penetrate deep into the skin. The laser treats only a fraction of skin at a time, leaving the surrounding tissues untouched, which promotes rapid healing. This stimulates your body’s own natural healing process, replacing the old and damaged cells with fresh, glowing healthy skin.

The Fraxel Dual laser provides a non-invasive treatment and resurfaces your skin by stimulating the growth of new, healthy skin cells from the inside out. It allows for deep and superficial resurfacing of larger and multiple body areas in a single session.
 

3. WHAT CAN I EXPECT FROM THE FRAXEL DUAL LASER TREATMENT?

After a Fraxel Dual treatment, you can expect to have improved skin tone and texture and a smoother, fresher looking skin. The benefits are:

  • Smoother, fresher, younger-looking skin
  • Improved tone and texture
  • Erasing of unwanted brown spots
  • Reduced fine lines and wrinkles around the eyes
  • Improved appearance of acne scars and surgical scars
  • Removal of precancerous skin lesions
 

4. WHAT FDA CLEARANCES HAS THE FRAXEL DUAL 1550/1927 TREATMENT RECEIVED?

The Fraxel Dual laser has received FDA-clearance for the treatment of the following:

  • Wrinkles around the eye (periorbital wrinkles)
  • Age and sun spots (pigmented lesions)
  • Melasma
  • Acne scars
  • Surgical scars
  • Skin resurfacing
  • Treatment of pre-cancerous lesions(actinic keratosis)
 

5. WHAT IS UNIQUE ABOUT THE FRAXEL RE:STORE DUAL LASER TREATMENTS?

The Fraxel treatment plan can be tailored to your skin problems, your lifestyle and the skin type. Aggressive treatments require fewer sessions and result in more post treatment side-effects and more social downtime. Less aggressive treatments accomplish the same results, with a few more treatment sessions and less pronounced side-effects.

Dr Lim will use the 1550nm Fraxel laser or the 1927nm Fraxel laser or a combination of both depending on your particular needs.
 

6. IS THE FRAXEL RE:STORE DUAL LASER TREATMENT PAINFUL?

Most patients describe an increased sensation of heat during the treatment. To minimize discomfort, topical anaesthesia is applied before the procedure and cooling is built directly into the new handpiece for improved patient comfort. After the treatment, most patients feel like they have a sunburn that usually subsides in 1 to 3 hours.
 

7. HOW LONG DOES THE FRAXEL RE:STORE DUAL LASER TREATMENT TAKE?

The treatment takes just 20 to 25 minutes for a full face with additional time for anaesthetic application.
 

8. WHAT CAN I EXPECT IMMEDIATELY AFTER THE FRAXEL RE:STORE DUAL LASER TREATMENT?

Depending on the level of treatment, you may experience redness or swelling after the procedure which diminishes as quickly as the next day or over the next few days. During the first 24 hours after a treatment, your skin may feel as though it is sunburned, and it will appear pink or red. You can wear make-up to reduce the sunburned appearance.

Your skin will naturally bronze over the next few days or week. As with sunburn, your skin will flake and exfoliate normally, revealing fresher, glowing and smoother looking and feeling skin. Use a moisturizer to reduce the appearance of dry flakes.

Dr Joyce Lim will work with you to identify the appropriate level of treatment and the preferred downtime.
 

9. WHEN DO RESULTS APPEAR AFTER THE FRAXEL RE:STORE DUAL LASER TREATMENT?

You can expect two levels of results, early and progressive. After initial healing is complete, the surface of your skin will feel soft and smooth and show a more even skin tone. Progressive results occur over the next three to six months as the deeper layers of the skin continue to create new collagen.
 

10. ARE THE RESULTS LONG LASTING?

Results from the Fraxel Re:store Dual treatment are long lasting depending on your lifestyle, age, skin condition and skin care regime. Once your skin is restored, Dr Joyce Lim will give you specific advice on your skin care regime based on your individual needs.
 

11. HOW MANY FRAXEL RE:STORE DUAL TREATMENTS WILL I NEED?

Multiple treatments are needed for the desired outcomes. The specific number of treatments is tailored to your skin problems, your treatments goals and your life-style.

Clinical studies suggest that on average, an effective treatment regimen is 3 to 5 sessions spaced about 2 to 4 weeks apart. Depending on your condition and schedule, you and Dr Joyce Lim may choose to space treatment sessions further apart. Results are immediate and progressive, with optimal improvement usually visible in 2 to 3 months. This time frame and treatment structure allow for complete healing and the production of new collagen and elastin to replace damaged tissue.
 

12. IS THE FRAXEL RE:STORE DUAL LASER TREATMENT SAFE?

Fraxel treatment is a safe option backed by extensive research. As with any laser procedures there is always some risk and side-effects. Dr Joyce Lim will discuss this with you prior to the treatments.

Swelling and redness are the most common side effects from a Fraxel Re:store DUAL 1550/1927 treatment. Any swelling is typically minimal and subsides within a day or two, and any redness typically fades within a few days. Other temporary side effects may include minor itching, dry skin, peeling or flaking, and a bronzed skin appearance. There is a limited risk of infection, hyperpigmentation, or scarring. The intensity and duration of side effects depend on the aggressiveness of a treatment and on your particular healing characteristics. Dr Joyce Lim will provide specific instructions about what to expect and how to minimize any side effects.
 

13. HOW DOES IT COMPARE WITH OTHER LASER TREATMENTS?

The Fraxel Re:store Dual laser can treat skin with precision and depth. Treatment can be easily individualised to your skin problems and skin type. By design, Fraxel treatments can target between 5-50% of the skin’s surface, leaving the remaining 50-95% available to quickly heal the treated areas. Since Fraxel Dual treatment is so precise, it is safe and effective on delicate skin areas like the neck, chest and hands, in addition to the face.

The Fraxel Re:store Dual treatment is a safe, non-ablative laser skin procedure that can resurface damaged skin and uncover youthful skin.

Fraxel Re:pair

1. WHAT IS THE FRAXEL RE:PAIR ?

The Fraxel Re:pair SST is an ablative laser and the treatment uses a carbon dioxide (CO2) laser to vaporize microscopic columns of tissue deep within the skin. Fraxel Re:pair SST treatment is a more aggressive procedure and is used to treat the most severe signs of skin damage and acne scars. Results are achieved in 1-2 treatments and wound care recovery time (usually 24-72 hours) is generally longer than other Fraxel treatments.
 

2. HOW DOES THE FRAXEL RE:PAIR LASER WORK?

The Fraxel Re:pair laser uses a patented fractional technology to target damaged skin with microscopic laser columns that penetrate deep into the skin. The laser treats only a fraction of skin at a time, leaving the surrounding tissues untouched, which promotes rapid healing. This stimulates your body’s own natural healing process, replacing the old and damaged cells with fresh, glowing healthy skin.

The Fraxel Re:pair provides a non-invasive treatment and resurfaces your skin by stimulating the growth of new, healthy skin cells from the inside out. It allows for deep and superficial resurfacing of larger and multiple body areas in a single session.
 

3. WHAT ARE THE BENEFITS OF FRAXEL RE:PAIR TREATMENT?

After a Fraxel Re:pair treatment, you can expect to have improved skin tone and texture and a smooth looking skin. The benefits are:

  • Significant results in a single treatment
  • Smooth, more even skin tone and texture
  • Softening of deep frown lines and wrinkles
  • Improved appearance of redness caused by sun damage
  • Improvement in acne scars and keloids

4. WHAT FDA CLEARANCES HAS THE FRAXEL RE:PAIR TREATMENT RECEIVED?

Fraxel re:pair SST laser has received FDA clearance for many indications on and off the face, including:

  • Rhytides(wrinkles) improvement
  • Pigmented lesions clearance
  • Improvement in moderate to severe wrinkles and furrows in lax skin
  • Fine lines improvement
  • Textural irregularities improvement
  • Vascular dyschromia improvement

 

5. HOW IS FRAXEL RE:PAIR TREATMENT PERFORMED AND DOES THE TREATMENT HURT?

First, your skin will be cleansed. Then, 30- 60 minutes prior to treatment, a topical numbing agent will be applied to the treatment area. Most patients describe an increased sensation of heat during the treatment, and there may be some discomfort. However, unlike the experience in traditional CO2 treatments, you will feel quite comfortable immediately after a Fraxel re:pair SST treatment. The procedure takes approximately 20-30 minutes for a full face.
 

6. HOW LONG DO THE POSITIVE EFFECTS OF FRAXEL RE:PAIR SST TREATMENT LAST?

The results of Fraxel re:pair SST treatment are both immediate and progressive. Soon after the treatment, the surface of your skin will feel softer, look brighter and show more even tone. The next 3 to 6 months will bring more improvement as the deeper layers of the skin continue to heal.
 

7. WHAT SIDE EFFECTS SHOULD I EXPECT AFTER A FRAXEL RE:PAIR TREATMENT AND WHAT ARE THE RISKS?

Depending on the aggressiveness of your treatment, there might be some pinpoint bleeding following the procedure, as well as some oozing for up to 48 hours until the wounds close. The most common side effects are edema (swelling), which usually subsides after a week, and erythema (redness), which may last up to a month, depending on the aggressiveness of treatment. Other temporary side effects may include minor itching, dry skin, peeling or flaking, oozing and crusting. As with all ablative laser procedures, there is an elevated risk of delayed wound healing, infection, pigmentary changes (hyperpigmentation) and/or scarring.

Fraxel Clear And Brilliant Permea

1. WHAT IS THE FRAXEL CLEAR AND BRILLIANT PERMEA?

The Fraxel clear and brilliant permea is a platform for 2 lasers – the 1440nm laser and the 1927nm laser. The two wavelengths allow the superficial layers of the skin to be treated and enhance skin permeability, increasing the benefits of topical skin care products immediately after treatment.
 

2. WHAT CAN I EXPECT FROM THE FRAXEL CLEAR AND BRILLIANT PERMEA?

The Fraxel Clear and Brilliant Permea can help prevent the visible signs of aging and the overall dulling effects time and the environment can have on your skin. After a single treatment the skin feels smooth and there is a radiant glow. The skin is pink for a day after the treatment and you can resume normal activities right after. Repeated treatments can delay the signs of aging and keep you looking younger.

The Perméa treatment enhances skin permeability and increases the benefits of topical skin care products after treatment.