SCN: The Fraxel® Laser sounds too good to be true. How is the Fraxel® Laser different from the traditional laser treatments?

Dr. Kaufman: In the past, traditional laser resurfacing treatments used for wrinkles were done with lasers such as the CO2 laser. These lasers would essentially 'ablate' or destroy and remove the entire superficial skin surface. The problem with these types of procedures was that the healing phase could laser several weeks or even months. The risks associated were also high, as there were many incidences of scarring and permanent redness.

SCN: How were the people who developed the Fraxel® able to minimize the risk factors involved?

Dr. Kaufman: In order to reduce the risks of scarring, a newer form of laser rejuvenation was proposed, whereby only a portion, or a fraction of the skin, is treated at any given treatment session; and hence the name fractional resurfacing.

SCN: The FDA recently approved this new laser to treat a handful of problems, including acne scars, age spots, Melasma and wrinkles around the eyes. But isn't using the Fraxel® laser to treat wrinkles around the eyes risky because of the sensitivity of the area?

Dr. Kaufman: Fraxel® can be used around the eyes without problems, and has been in many cases. Protective eyewear must be worn to avoid injury to the eye. Fraxel® Laser is approved for the treatment of wrinkles, pigmentation and acne scars.

SCN: Can teenagers as well as adults utilize the Fraxel® treatment?

Dr. Kaufman: Yes. Typically in teenagers we use the Fraxel® to treat acne scars. In my opinion, it is currently the safest and most effective treatment for acne scars.

SCN: What are the precautions, if any, for individuals interested in getting Fraxel® Lasering?

Dr. Kaufman: As only a portion of the face is treated at each session, we typically recommend 3 sessions spaced 3-4 weeks apart. Prior to and after treatment, the patient should use proper sun protection. The laser is somewhat uncomfortable, but pain control is achieved with the topical numbing and a cooling device of air applied to the skin.

SCN: What can patients expect in terms of the appearance of their skin after the procedure is done?

Dr. Kaufman: Each treatment session is approximately 20 minutes in length. Immediately after, the skin is red and slightly swollen. The swelling typically abates in 24-48 hours, at which point the epidermis completely heals. The 'old' skin then will shed, and the patient can expect to see dry skin with mild scaling for 5 days.

SCN: The Fraxel® Laser creates "microscopic wounds" in the skin. This sounds uncomfortable. What is the purpose of creating these "wounds"?

Dr. Kaufman: Most laser procedures create 'wounds', as wound healing is an excellent manner to create new collagen. The idea is to create 'wounds' that are small enough so that the healing takes place almost immediately.

SCN: Who would not be a candidate for Fraxel® treatment?

Dr. Kaufman: Currently most patients are candidates for fractional resurfacing. An allergy to the ingredients of the topical numbing would be one contraindication. Also, if patients have a history of cold sores, an anti-viral medication needs to be taken prior to the procedure. If a patient has had a recent tan, the procedure would need to be postponed.

Skincare-News.com wishes to thank Dr. Kaufman for taking the time to educate us about Fraxel® Lasering.