Fraxel Laser

Skin rejuvenation techniques have been revolutionized by the safe and effective Fraxel Laser Resurfacing device. Fraxel Dual is offered at Cutis Clinic which offers two wavelengths: 1927nm and 1550nm. This range gives our dermatologists and registered nurses the flexibility to treat superficial skin conditions such as skin texture, wrinkling, sun spots, hyperpigmentation, acne scarring and rejuvenation of the neck and arms. Yet is also allows us to improve deeper conditions including acne scarring, surgical scars and facial lines. The advantage of Fraxel laser over other sun damage treatment is that downtime is minimal and there is the added benefit of skin age reversal.

  • Fraxel uses microscopic filters that direct laser energy to predetermined depths and areas of the skin

  • Depending on the wavelength, conditions such as pigmentation, wrinkles, acne scarring and sunspots can be treated

  • Our specialists personalise each Fraxel treatment according to your skin type, available downtime and skin condition

  • Post Fraxel downtime varies between 5-7 days

  • We often combine multiple lasers in a single session to achieve the very best, safe results

  • Assessment by a laser dermatologist or registered nurse prior to treatment ensures correct planning and expectations

We conduct Fraxel treatments at a specialist level; this means that each treatment is tailored according to your skin condition, skin type and available downtime.

Contact us today to learn more about this treatment.



How Does Fraxel Work?

Fraxel uses fractional laser technology to target damaged areas of the skin with microscopic laser columns. The depth, coverage and intensity of Fraxel can all be controlled by your treating laser specialist.

As Fraxel only treats a fraction of tissue, it leaves microscopic gaps between healthy tissue, the presence of which promotes superficial skin healing for less downtime. In comparison with  ablative lasers, downtime is minimal. Laser energy stimulates your body’s natural healing process, replacing damaged cells, scar tissue and old collagen with fresh, glowing and healthy tissues.

In short, Fraxel laser treatments replace old skin with new and kick start your skin’s rejuvenation process.

Are Lasers The Best Method For Acne Scar Revision?

The best method for acne scar revision is not necessarily laser treatment. As specialist dermatologists, we are taught to revise scars based upon acne scar type, skin type and patient downtime.

Here is a list of other techniques that supersede lasers for specific acne scar treatment:

  • Deep or ice pick scars should always be raised before laser treatment. Procedures such as punch excision and TCA-Cross are far more superior when compared to Fraxel or even fully ablative lasers

  • Puckered or tethered anchored scars should be treated with a specialised technique known as subscision

  • Deep depressions and atrophic scars are best treated with a combination of lasers and dermal fillers

  • Lumpy scars, most common on the back, chest, shoulders and jawline, are best treated with a series of corticosteroid injections

However, laser treatment can be the best method for the removal of box-car scars, mild atrophic scars and raised ice pick scars. Most patients will have a mixture of acne scars. This means that laser is just another potential method readily available in our extensive tool kit that helps us the job done. In 90% of cases, it’s the experience of the operator and not the tool that gets the best result.

Finding a specialist skilled in all aspects of acne scar revision will give you the very best results possible. You are guaranteed to find one at Cutis Clinic.

What Skin Conditions Can Be Treated With Fraxel?

Cutis Clinic is home to a Fraxel dual laser which has the ability to produce wavelengths of 1927 and 1550nm. This gives our professional laser specialists the flexibility they need to treat the wide range of skin conditions described below.


Fraxel Laser Resurfacing removes sunspots, hyperpigmentation and facial lines. The texture of your skin will be enhanced and make your complexion fresh and glowing . This type of treatment requires a combination of 1927nm and 1550nm wavelengths.


The 1550nm Fraxel suits deeper facial lines and wrinkles and decreased skin tone. In this setting, Fraxel treatment needs a longer downtime compared to the more superficial 1927nm Fraxel setting.


Fraxel is a great treatment for acne scars. We combine Fraxel with multiple treatments for optimal results. The 1550nm Fraxel setting works best for acne scarring.


Freckles and sun damage are safely and effectively treated at a single session. Please note: As dermatologists, we do not recommend Fraxel as first-line treatment for melasma (a unique form of facial pigmentation).


Fraxel can dramatically decrease sun spots, liver spots and other signs of skin ageing on the hands and forearms.

*We combine Fraxel 1927 with Q-switch ND:YAG laser as this gives superior results when compared to Fraxel alone. This procedure is often split into two sittings to ensure optimal results.


Fraxel is one of the safest and most effective treatments for the chest and neck. We combine Fraxel laser with the VBeam (vascular) laser for enhanced results. Fraxel not only improves pigmentation but also tightens skin of the neck and chest.

*Chest and neck areas may need more than one treatment to achieve the best results, depending on your age and degree of sun damage.

*As specialists, we have the expertise to successfully combine various other laser treatments with Fraxel laser in ta single appointment. This ensures our individual patients achieve the best possible results.

When Do Results Appear & How Long Do They Last?

Results can be seen after a single Fraxel treatment, dependent on the area and type of condition being treated. This will be evident as your skin starts to heal at around day 5. Your skin will look cleaner, fresher and clearer, with less spots and pigmentation. Your skin texture and tone will continue to improve over the following weeks.

Greater  enhancement can be obtained with a second or third treatment. Combination treatments such as Pulse-Fraxel provide outstanding results within a week of treatment. Alternatively, combinations of Fraxel with VBeam or Q-Switch ND:Yag may be advised for your specific condition.

How Painful Is Fraxel Treatment?

Fraxel treatment, when performed correctly, should be comfortable. Pain is minimal as we apply local anaesthetic cream one hour prior to treatment. The Fractal device  is fitted with a Zimmer cooler to make the procedure more tolerable.  The treatment takes approximately 20-40 minutes to perform, depending on the treated area(s).

If pain is experienced during the procedure you should let your treating specialist know so that pain relief can be immediately arranged.

What Should I Expect After A Fraxel Treatment?

  • After Fraxel treatment, your skin will be red for 24-48 hours. Deeper treatments can lead to slight swelling. Peeling starts after 3-4 days and recovery is well underway by day 5-7. Most patients are comfortable to perform their daily duties from day 3. You should refrain from exercise for 7 days after Fraxel treatment. Sunscreen and make-up can be worn once the skin has fully healed at around 7 days post-treatment.

  • You should arrange transportation from clinic to home with a relative or friend

At Cutis Clinic, your laser session is conducted to the highest specialist medical and operational standards.

How Do I Look After My Skin After A Fraxel Treatment?

Aftercare is an important part of Fraxel treatment. You will be provided with a healing balm and cleanser and advised to wash your face twice a day and moisturize at least 3-4 times a day. Excess heat should be avoided, and keep well out of the sun for 7 days. Exercise should be restricted  for 7 days, depending on the Fraxel wavelength. You will also be given a sunscreen which should be applied from the 5th to 7th day after the procedure.

Is Fraxel Treatment Safe?

Fraxel treatment is a safe option for the treatment of suitable skin conditions such as acne scarring, sunspots, sun damage and skin ageing. This treatment has been backed by extensive research. As a specialist clinic we assess our patients on an individual basis, diagnosing and treating skin conditions appropriately. All treatments at Cutis Clinic are performed by specialist dermatologists and registered nurses.

Side effects associated with this laser, especially when in expert hands like ours, are rare. As with any laser procedure, potential risks may affect your downtime. Your Cutis specialist will discuss these risks based upon your skin type and skin condition.

Potential complications of Fraxel treatment include the following:

  • Infection – Rare, < 2% chance. If you have a history of cold sores you maybe required to take anti-viral medication prior to Fraxel treatment. Always notify your specialist if you have a history of cold sores

  • Skin colour changes – lightening or darkening of skin. Rare in caucasian skin types, more commonly seen in darker-skinned patients

  • Scarring  – a very rare complication. More commonly seen on the chest and neck area. *We recommend multiple, conservative treatments of the chest and neck areas to lower the risk of scarring

Delayed healing and redness can occur after Fraxel treatment. Areas such as the face heal much more rapidly compared to the neck, chest and arms. Feel free to discuss your particular treatment plan with any of our specialists.

Specialist Perspective on Fraxel Laser.

With the Cutis Clinic Fraxel device, we have filled the gap between entry-level laser treatments and high-end, high downtime CO2 fractional and erbium resurfacing.

Fraxel is an excellent platform that is both versatile and proven. We can safely and effectively treat skin conditions such as hyperpigmentation, freckling, sun damage, skin laxity, fine facial lines and solar keratosis with as little as one treatment. Cutis Clinic tailors each and every patient treatment according to skin type, condition and available downtime.  We possess the knowledge, the experience and the equipment to combine various laser devices such as Q-Switch ND:Yag and BBL in a single treatment. This enables us to deliver far superior results.

The Fraxel 1927 has gained immense popularity as the ultimate treatment for sunspots, as downtime is minimal compared to traditional methods such as creams. With Fraxel, your skin will have healed by 80% within 5-7 days.

Our Pulse Fraxel Peel is ideal for patient’s exhibiting freckling, facial pigmentation and sun damage. This signature treatment combines BBL with Fraxel at the same sitting. Up to 85% of pigmentation and sun damage can be removed in this combination treatment.

Even though Fraxel has been extensively reported to treat melasma, I personally do not treat this condition with Fraxel. I prefer to use creams, very gentle peels and, if needed, very low energy Q-Switch ND:Yag. The foundation of melasma treatment is medical and not laser based.

How Much Do Fraxel Treatments Cost?

Please attend an initial free consultation with one of our trained registered nurses to determine if you are suitable for Fraxel treatment. Please contact us for pricing information.

Is Fraxel Covered By Medicare or Private Insurance?

No. Private insurance and Medicare do not cover Fraxel laser treatments.

FAQs On Fraxel For Sun Damage

  • Solar keratosis or sunspots present as red-brown, rough, scaly and persistent patches on the face, chest and back of the hands

  • Sunspots have the potential to be cancerous; risk of malignity varies from 2-5%

  • Sunspots increase and worsen over time

  • Numerous creams are used to treat sunspots; however, creams are associated with significant downtime of up to 4 weeks

  • Fraxel laser has been shown to improve solar keratosis by up to 85% in a single treatment

  • Patients with extensive sun damage may require additional treatments

  • Downtime following Fraxel sunspot treatment is 4-7 days

  • Fraxel addresses pre-cancerous solar keratosis

  • Fraxel treats signs of  skin ageing  through reducing pigmentation and facial lines

  • Fraxel laser can improve skin texture and tone in the face, neck, chest and arms

Why Is It Important To Treat Sun Spots and Sun Damage?

Sun damage can manifest as sun spots (solar keratoses) – rough, dry, red, often scaly areas on the face, hands and chest. These areas are pre-cancerous. Sunspots usually worsen over time. The risk of developing certain skin cancers can be proportional to the number of solar keratoses on the skin.

How Successful Is This Laser In Treating Sun Damage?

Recent studies have shown that a clearance rate of 60-85% can be expected after a single Fraxel laser treatment.


Your dermatologist will help you determine the most effective treatment for your type of sun damage.

What Are The Positive Effects Of Fraxel For Sun Spots?

ProFractional – a laser made by Sciton – utilizes a tiny laser beam that targets thousands of pinpoint areas on your skin.  The laser is extremely attracted to the water molecules in the upper layers of your skin.  Once the laser energy is applied, it ablates a layer of skin to a precisely-controlled depth.  As only a fraction of your skin is directly heated with the laser, surrounding untreated tissue are able to assist in the healing process, speeding it up.  Damage to a small area also signals the body to create new collagen, the result of which further firms and strengthens each layer of your skin.

What Are The Negative Effects Of Fraxel For Sun Damage?

There may be some very mild discomfort associated with this treatment.  However, this is very successfully managed by various means of pain relief including anaesthetic creams.

Fraxel 1927 treatments are very effective; however, as with all other treatments for sun damage and sunspots this procedure may need to be repeated every 3-10 years.

How Many Treatments Will I Need?

For mild to moderate sun damage: one treatment to improve solar damage by 60-85%

For moderate to severe sun damage: two treatments to improve solar damage by 60-85%

*Your dermatologist will advise you as to the number of treatments you may require.

How Long Will The Positive Effects Of Fraxel Treatment Last?

The positive effects (decrease in sun damage) of Fraxel are variable and dependent upon genetic factors, previous sun exposure and future sun exposure. Most patients enjoy lasting results for 3-10 years. This procedure can be repeated.

How Painful Is This Treatment?

Fraxel laser treatment, when performed correctly, is a comfortable experience. Pain is minimal, especially as we apply a medical-grade aneasthetic cream before treatment. Fraxel takes approximately 20-40 minutes to perform, depending on the to-be-treated areas.

How Long Will It Take To Recover?

Fraxel downtime is 4-7 days. Your skin will be swollen from day 2-3, and then peel between days 3-6. Most patients are comfortable to commence daily activities from day 3. You must refrain from exercise for at least 5 days after Fraxel 1927 treatment.

Specialist Perspective.

Fraxel laser has revolutionized cosmetic skin treatment during the past 7 years. The latest available wavelength, the 1927, has proven to be an excellent method for the treatment of sunspots or solar keratoses. Clearance rates of up to 85% can be expected with a single treatment. The advantage of Fraxel in the treatment of solar keratosis is that downtime is minimal and skin ageing processes are also addressed.

In patients with mild sun damage, one treatment is enough. Patients with moderate to severe solar damage and keratosis will probably need additional treatments. An assessment and discussion with your Cutis Clinic specialist will allow you to consider the best solutions for your sun-damaged skin.

What Are The Advantages Of Fraxel Over PDT Or Creams?

Fraxel laser has an excellent clearance rate for solar keratosis and sunspots. In most cases patients will only require one 1927 Fraxel treatment. Severe cases of sun damage may require 2-3 sessions.

The advantages of Fraxel over creams and or Photodynamic Therapy are:

  • Downtime of less than a week

  • Painless treatment – PDT can be painful.

  • In most cases only one treatment of Fraxel laser is enough. Creams are applied for up to 12 weeks

  • Healing begins immediately. Creams takes days to weeks to work

The additional cosmetic benefits of Fraxel are undeniable – patients will enjoy significant reduction in uneven colouration, facial pigmentation and fine lines. Further treatments improve skin tone and the appearance of deep wrinkles.

Fraxel 1927.

  • Fraxel 1927 provides an excellent method of treating sunspots at a reasonable price

  • Downtime is 5 – 7 days

  • Skin rejuvenation is an additional feature of Fraxel 1927 treatment

  • Side effects are minimal when applied in a specialist setting with appropriate follow-up

  • Patients experience a sunspot reduction of 60-80% after a single treatment

  • Fraxel can be used on the face, scalp, chest, and hands

  • For smaller, more focal areas of sun damage, photorejuvenation may be a suitable option