Fraxel laser is one of the most popular treatment options in cosmetic dermatology. Backed by cutting edge science, it is able to deliver effective results treating a wide range of skin conditions without inflicting significant damage. Reduced risks and downtime are the two most noteworthy benefits of Fraxel laser. Nonetheless, there are possibilities for adverse events and complications to occur, and patients need to be warned prior to treatment and advised on how to minimize the chances of their occurrence.
Swelling and Bruising
Minor bruising, swelling and tenderness are commonly expected after Fraxel laser treatments. These symptoms generally go away in 24 to 48 hours after a Fraxel Restore treatment, and take up to 4 days to subside for the more intense Fraxel Repair. Generally, doctors will advise patients to use ice packs or cold compresses during the first days after procedure to aid the recovery process, but in rare cases, swelling and bruising can last as long as 2 weeks.
Severe Flaking, Scaling and Crusting
Flaking and crusting of the skin are expected 24 hours after Fraxel Restore procedures and should stop within 3 to 5 days. They may take up to 7 days to disappear after the more invasive Fraxel Restore. This is part of the healing process when the dead skin is being exfoliated and replaced by newly regenerated skin. Flaking after Fraxel feels similar to that of sunburn, but it should not be painful. Applying a topical moisturizer over the flaking area should resolve the issue. However, there is a possibility for prolonged flaking and scaling to occur. Some patients reported that their symptoms continued well into the following weeks.
Hyperpigmentation
Post treatment tanning or bronzing of the skin is normal, but will generally disappear within the first few days. However, the potential for prolonged hyperpigmentation can happen. Some patients will see spotting and discolorations on their skin lasting more than 2 months after treatment. The risk for post Fraxel hyperpigmentation is significantly higher for patients with darker skin tones. This is the main reason why people with lighter skin tones are more favorable candidates for Fraxel treatments.
Acne Eruption
Post treatment acne outbreaks are rare, with only a 2% rate of occurrence. In fact, patients with acne-prone skin have higher chances of post Fraxel acneiform than the general population. If an acne outbreak occurs, doctors will usually prescribe oral antibiotics to intervene and prevent further progression of this condition.
Scarring and Permanent Skin Damage
Post treatment infections can cause serious scarring and in severe cases, permanent skin damage. The risk of scarring is very low for Fraxel procedures, but patients who opt for more aggressive Fraxel treatments have slightly higher potential of scarring. Prophylactic medications are prescribed before and after Fraxel to reduce the chance for infection, but patients need to strictly follow their aftercare procedure and avoid sun exposure to minimize these occurrences.
Herpes Simplex Reactivation
Patients who are carriers of Herpes simplex virus are advised against undergoing Fraxel laser treatments. Both CO2 and erbium lasers can stimulate the reactivation of viral agents.
The potential for adverse events and complications after Fraxel treatments is very low, but risks do exist. Work closely with your doctor so you can avoid these complications.
