Fraxel™ - Related FAQ's
Q: I have spread white stretch marks on my legs. Can Fraxel laser help these?A: Some but not all patients can get improvement with the Fraxel™ Restore laser after several treatments that help restore the texture and even color. There are risks with pigmentation and test spots can be done first. If the stretch marks improve, they will not go away entirely.
Q: If I am dark skinned and want Fraxel™ laser for resurfacing, must I be concerned about post inflammatory hyperpigmenation?
A: One always is concerned about this and if you have a skin type that is prone to this based on your history, then a skin test to the Fraxel™ may be done to see how you react. A bad reaction would preclude you from having the treatment but a good result does not mean it couldn't happen. Sunscreens are very important as is avoiding sun exposure, and possibly using lightening creams. Sometimes, chemical peels are used too.
Q: I have a chicken pox scar and the doctor tried to fill it using Restylane but now the scar looks deeper. How could that be?
A: Very often, the scar is bound down to deeper tissue and the filler spreads to the sides of the scar rather than lifting up tissue that won't move much. Subcision is a procedure that is done commonly for these scars, and involves a needle that breaks up the collagen attachments prior to inserting a filler. Bruising can occur so don't do this right before an important social function or business meeting. Very often, Fraxel™ laser resurfacing is then done to improve the results further.
Q: Will Fraxel™ help my dark circles underneath my eyes?
A: Lower eyelid darkness can be from blood flow or pigment causes. The V-beam laser may help the blood flow red or purple coloration, but the Fraxel™ may help the pigmentation issues.
Q: I want to have Fraxel™ Dual for my melasma. What is the best regimen to use to minimize its recurrence?
A: Post inflammatory hyperpigmentation, or a recurrence of the melasma, is possible despite your best precautions. Sunscreen with ultraviolet A and B protection is very important, and safe sun techniques of avoidance. Using a lightening cream and Retin-A prior to the laser may help minimize the risk of post inflammatory hyperpigmentation. Lately, I have begun to recommend Elure, which is different than the hydroquinone products for lightening. The Elure is a fast acting lightening agent of existing pigment. It doesn't work by blocking the pathway of yet-to-be pigment so it acts more quickly, similar to teeth whitening strips!
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