Fractional Laser

Fractional Lasers can completely transform your skin!

Before and After

Fractional Fraxel Laser Resurfacing is a technology that may provide results similar to deep chemical peels or ablative laser resurfacing. This method focuses on treating a fraction of the skin surface, potentially reducing discomfort and recovery time. However, individual results may vary, and risks should be discussed with a qualified professional.

How does the Fractional Fraxel Laser work?

The entire top (epidermal) layer of skin is damaged or removed, creating a visible wound and a loss of the skins protective function. Fractional Fraxel Laser Resurfacing treats a small “fraction” of the skin, leaving intact, the undamaged skin around each treated area to act as a barrier and reservoir for rapid healing.

The image below illustrates how fractional Fraxel lasers work by only treating a “fraction” of the skin at a time.

Fractional Fraxel Laser Resurfacing with the Profractional Sciton Laser uses an invisible laser beam which is strongly absorbed by water. The beam is less than 100 millionths of an inch in diameter, about the size of a human hair. The beam passes through the dry, outer layer of skin and wounds the underlying collagen. Nearby undamaged cells immediately move into this microscopically damaged area and heal the wounded area. During each treatment, millions of these microscopic areas are created, but most of the skin remains undamaged, allowing rapid healing. Further collagen remodelling and some skin tightening takes place over the next 3-6 months.

What are some indications to have the treatment done?

Indications for Fractional Fraxel Laser Resurfacing include sun-damaged skin, fine wrinkles, age spots and sun spots, hyper-pigmentation, acne and other scarring.

Fractional Fraxel Laser Resurfacing Treatment – What occurs during the treatment?

The laser head is evenly tracked over the treatment area. The skin is kept cool just after treatment with cold packs. The actual treatment takes approximately 30 minutes. As the anaesthetic wears off, a sensation of heat or “sunburn” may be experienced, lasting about 30 minutes. This is easily relieved by cool compresses. Elevation of the treated area on the evening of treatment will help keep any swelling to a minimum and discomfort is easily controlled with cool (not ice) compresses and pain medications such as Panadol.

What occurs after the treatment?

After the treatment, it’s common for the skin to appear dry and red for a week, similar to a sunburn. This is a result of the treatment process and typically resolves gradually. It’s recommended to avoid potentially irritating skin products during this period and focus on gentle skin care. Every individual’s healing process is different, and it’s important to follow the specific aftercare instructions provided by your healthcare professional.

Some patients will experience mild to moderate swelling for a few days after treatment and in rare cases, “streaking” or mild blistering of the skin may occur.

Vaseline should be applied to the area until healing takes place, which usually occurs within a week.

Potential Complications of Fractional Fraxel Laser Treatments

While complications from Fractional Fraxel Laser Resurfacing are uncommon, they can occur. This includes mild blistering, particularly in areas like the chin and temples with higher treatment intensity, which usually heals over time. Scarring is rare but possible. It’s important to discuss all potential risks with your healthcare professional before undergoing treatment. Hyper-pigmentation may occur in darker skinned patients, or patients prone to discolouration. Such patients can be pre-treated with bleaching agents to minimize any tendency towards discolouration. Patients with a history of lip blistering are treated with antiviral medications just before, and for a week after treatment. Fractional Fraxel lasers very rarely cause an outbreak of acne, the cause of which is unknown.

What other areas can be treated?

Unlike “traditional” or ablative laser resurfacing, Fractional Fraxel Laser Resurfacing may be used safely on areas other than the face. One of the most exciting applications of Fractional Fraxel Laser Resurfacing is for striae (stretch marks”). A recent pilot study of 20 patients showed great improvement in the appearance and texture of mature (white) striae after three treatments performed at moderate settings. Redness in the treated areas does seem to persist longer than on the face but fades in time.

Fractional Fraxel Laser Resurfacing is a safe and effective treatment for the appearance of sun damaged and wrinkled skin and acne scarring. The procedure has an excellent safety profile, with minor blistering being very uncommon, and scarring virtually unknown. A lifetime of aggressive sun protection is paramount in maintaining the improvement for this and other skin procedures.

How many treatments are needed?

The number of treatments necessary for a given result will vary with the power settings of the laser and the desired endpoint of treatment. Higher powers will cause larger “spots”, a greater penetration depth and more improvement per treatment, but with more redness, flaking, increased chance of blistering and a greater recovery time. Lower settings will cause the opposite effect. Likewise, the degree of desired improvement will vary from patient to patient. A typical treatment will combine the Fractional Fraxel Laser with PRP to obtain the best result. In severe cases up to 3 treatments may be needed but generally 1-2 treatments with PRP is sufficient to the obtain the desired outcome.

The treatment is performed in the office with topical anaesthetic, supplemented by required anaesthetic gas, especially if sensitive areas are treated and/or higher powers are used. Our protocol is to apply the topical anaesthetic cream for 20 minutes.