Fraxel Re:pair Laser

For skin resurfacing, rejuvenation, tightening, smoothing, and for scar improvement

We offer our patients advanced technologies available to revitalize your skin, including Fraxel re:pair® laser, which is designed to both rejuvenate the surface and tighten the deeper layers of your skin.

How does Fraxel re:pair® work?

This laser makes many thousands of microscopic laser holes in the skin which repair (heal) themselves both from below and the sides. This results in more rapid and less painful healing than with deep chemical peels and unfractionated laser peels, where the entire surface of the skin is removed.  The expected surface improvements include a more even skin tone with reduction or elimination of dark areas and surface blood vessels. Recent work suggests it might even reduce the number of pre-cancerous cells, probably by stimulating the immune system as part of the healing process.  Because the laser energy goes deeper than in the first and second generation Fraxel lasers, the Fraxel re:pair® also tightens the skin in addition to greatly improving fine lines and wrinkles. This can be thought of as a “mini face lift” without incisions. The Fraxel re:pair® may delay the need for a surgical face lift, and is a great procedure for patients who are not interested in surgery.  Acne and surgical scars can also be greatly improved with the Fraxel re:pair® laser.

What can I expect during the consultation?

At your consultation appointment, you will be given pre-op instructions (such as premedication with antibiotics, antivirals, and/or bleaching creams, and discontinuation of blood-thinning medications), and post-op instructions (such as proper cleansing, wound care, and sun protection).

What can I expect during treatment?

For the laser treatment, you will be awake during the procedure, but will have pain control with oral medications, topical anesthesia, and injected anesthesia.  The laser has disposable tips with rollers that move over the areas to be treated under the guidance of the physician performing the procedure. Thousands of microscopic holes, as many as 22 per square millimeter (1/25 inch) are made in the skin, guided by the computer in the laser.  Your eyes will be protected during the laser treatment.  At the completion of the procedure your skin will be gently cleansed and an ointment will be placed over the treated area.  Expect swelling and some oozing, greatest for the first 24-48 hours, which will continue for 2-10 days depending on the area that was treated, the intensity of the treatment, and how fast you heal. Deeper treatment settings are needed for deeper lines such as those around the mouth, resulting in slower healing in these areas. 

What can I expect after treatment?

After the treatment and healing, you can expect your skin to be red for several weeks, longer if you have a tendency towards a ruddy complexion.  Dry areas and small blocked pores should improve over several weeks as well.  The skin should look smoother, and blood vessels and discoloration should be greatly improved after the first two weeks. The tightening effect will gradually become more impressive as the deeper layers of the skin heal and remodel over several months. Do not expect to see this improvement any earlier than six weeks after the procedure. Further improvement can continue for up to 12 months after the treatment.  There is a chance you may have some hyperpigmentation after the treatment.  Studies have shown that fractionated lasers are much less likely to cause both lightening and darkening of skin, even in people with olive or darker complexions. This is because pigment cells next to the microscopic holes migrate within days to fill the holes.  The Fraxel re:pair® has much less down time than older laser and chemical peels, and is much less likely to cause pigment changes.

Because of the powerful Fraxel re:pair® technology, generally only a single treatment is needed for resurfacing and tightening.  Treatment of scars may take several treatments over the scar areas.