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Fractional Laser

Improve aging, wrinkles, sun damage, acne scarring and other skin texture problems.
Cosmetic Laser Treatments

Fraxel & Fractional CO2

Fractional laser resurfacing is the most advanced way to improve aging, wrinkles, sun damage, acne scarring, and other skin texture problems.* At Advanced Skincare Surgery & MedCenter, there are two kinds of fractional laser treatments that are offered, Fraxel and Smartxide DOT. Fraxel Re:store uses erbium laser and has less downtime, and DOT uses CO2 laser for more powerful resurfacing.*

How Fractional Lasers Work

Older lasers for rejuvenation were not fractional.* They would treat a wide area of skin at the same time. This limited both the depth and the intensity of the treatment that could be given. With fractional treatment, only a set percentage of the skin surface is treated during each session. Thus, healing is short and not prone to scarring or loss of normal skin color.* With Fraxel, new collagen is formed in the treated areas as the skin remodels.* In DOT CO2 treatment, skin is vaporized within the fractional columns, causing immediate tightening of wrinkled skin.*

  • wrinkles*
  • aging*
  • acne scarring*
  • sun spots*
  • discoloration and melasma*
  • scarring*
  • stretch marks*
  • general anti-aging rejuvenation*


PRP Add-On

Platelet-rich plasma is a powerful treatment booster to make your fractional laser treatment more effective.* Your own blood is drawn and the portion containing platelets and plasma is re-injected into the skin at the end of the laser treatment. This stimulates improved collagen deposition, blood circulation and results.*

Stem Cell Treatment After Fractional Laser

Stem cells carry powerful growth factors and are highly stimulating to regenerate and heal.* In conjunction with the DNA Skin Institute, stem cell therapy is now available as an add-on to Fraxel, Fractional CO2 and Dermapen treatments. 5 days after your procedure, the stem cell solution is applied.

Fraxel FAQ

Which laser treatment is the best for me, Fraxel or DOT?
Each treatment has its advantages. DOT fractional CO2 is usually complete in 1 or 2 treatments. There is crusting for a couple of days with a couple of weeks of increased redness as the skin heals.* With Fraxel Re:store, the treatment is more gentle, with redness the day of treatment and slightly grainy texture for a few days afterwards.* results are quicker and more robust with DOT.*
Is Fraxel Re:store safe for darker skin types?
Since the laser treatment is fractionated, healign is quick and the risk of scarring minimized.* Since the laser wavelength mainly targets water, it is essentially “colorblind”.* Therefore, it can be used in any skin type, including African American and Hispanic.*
How effective is Fraxel?
Each Fraxel session causes a wound healing response and improvements in skin color, texture and vitality.* The effects of each session are additive; however, since wound healing is a long process lasting 6-12 months and involving deep layers of the skin, the final results are not apparent until that long after the last treatment.*
How often are Fraxel treatments given?
Treatments are given at least a few weeks apart, to give the skin surface time to heal.
Are Fraxel and DOT painful?
At Advanced Skincare Surgery & MedCenter, we take several steps to minimize discomfort during Fraxel. Oral pain medications are prescribed for use prior to the procedure.* A topical numbing cream is also applied. During the treatment, a cold air device (Zimmer 6) is also used to keep the skin cool.
How long is each Fraxel or DOT session?
Depending on the surface area, each session lasts about 30-60 minutes.*
What are the immediate after-effects?
With Fraxel, it is common to have a little redness that resolves in 1 day.* Although you can resume your normal activities right away, we recommend that you exercise sun avoidance and wear sunblock of SPF 30 at all times when outside for at least 3 months.* With Smartxide DOT, there is crusting for 2-3 days after the procedure, followed by increased redness that typically lasts 2 weeks.* Struct sun avoidance must be practiced during the crusting phase, followed by sun avoidance and sunblock.
*Results and patient experience may vary.