Fraxel Laser

Fraxel Laser

Fraxel has revolutionized skin rejuvenation with safe and effective fractional laser resurfacing. Westside Dermatology has Fraxel Dual; which consists of two wavelengths 1927nm and 1550nm. This gives our Registered Nurses the flexibility to treat superficial skin conditions; skin ageing, sun spots, facial pigmentation, acne scarring, and rejuvenation of the neck and arms as well as deeper conditions like; acne scarring, surgical scars and facial wrinkles.


Westside Dermatology conducts Fraxel treatments at a specialist level; this means that each treatment is tailored according to your skin condition, skin type and down time.

  • Fraxel uses microscopic columns of laser energy to predetermined depths in the skin.
  • Depending on the wavelength and type of Fraxel used, conditions such as pigmentation, wrinkles, acne scarring and sunspots can be treated.
  • Our specialists tailor each Fraxel treatments according to your skin type, downtime and skin condition.
  • In many cases only one treatment is needed for desired outcomes.
  • Downtime following Fraxel varies between 3-7 days.
  • Fraxel 1927nm is used for light sundamage and solar keratosis.
  • Fraxel 1550 is used for heavy sundamage, wrinkles, and scars.
  • We often combine other lasers in the one session to achieve the very best results, with maximum safety and patient comfort.
  • An assessment with a laser dermatologist or trained Registered Nurse prior to all treatments ensures the correct planning and expectations are met prior to treatments.

Fraxel treatment 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 Registered Nurse.

As Fraxel only treats a fraction of tissue, leaving the microscopic gaps- this in turn promotes rapid skin healing therefore allowing a smaller downtime to the traditional lasers which use ablative techniques. Laser energy simulates your own natural healing process, replacing old and damaged cells, scars and collagen with fresh, glowing and healthy cells.

In essence Fraxel laser replaces old skin with new, and kicks start your skin’s rejuvenation process.

Westside Dermatology has Fraxel dual laser, which have the ability to combine, 1927nm and 1550nm. This gives us the flexibility to treat many skin conditions including:

Sundamage and skin ageing

Fraxel can reduce sunspots, brown pigmentation and wrinkling and improving skin texture- giving back the fresh and glowing look of youth. In this setting we combine 1927nm and 1550nm.

Wrinkles and poor skin tone

We use the 1550nm Fraxel for the treatment of heavier wrinkles and decreased skin tone. Fraxel in this setting has a longer downtime compared to the superficial setting of the 1927nm Fraxel.

Acne scarring

Fraxel can be an excellent method of treating acne scars. We often combine Fraxel with other treatments for the best results. The 1550nm Fraxel is best for acne scarring. Currently Westside Dermatology is conducting a study to combine the benefits of Isotretinoin and Fraxel 1550nm which has had successful results.

Facial pigmentation

Freckles and sundamage can be safely and effectively treated with only one Fraxel treatment. Please note: As dermatologists we do not recommend Fraxel as first line treatment of Melasma (a unique form of facial pigmentation).

Rejuventation of the hands and arms

Fraxel can dramatically improve sunspots and skin ageing on the hands, and forearms.

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

Rejuvenation of the chest and neck

One of the safest and most effective treatments for the chest and neck. We often combine Fraxel laser with VBeam (vascular) laser for best results. Fraxel can improve pigmentation and tighten skin on the neck and chest.

*Chest and neck area may need more than one treatment to achieve the best results, depending on your age and amount of sundamage.

*As specialists we may combine various other laser treatments with Fraxel laser in the same session. This ensures that we can provide optimal results for each individual patient.

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 downtime of the patient.

Here are some examples of other techniques that are used ahead of lasers for acne scars:

  • Deep or ice pick scars should always be raised before laser treatment. Procedures such as punch excision and TCA-CROSS are far more superior compared to Fraxel or even fully ablative lasers.
  • Puckered or tethered anchored scars should be treated with a specialised technique called 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.

Laser however can be the best method for treating box-car scars, mild atrophic scars, and raised ice pick scars. Most patients will have a mixture of acne scars, and hence why laser is just another method in our tool kit for getting the job done. 90% of the time, it’s the experience of the operator, and not just the tools!

Finding a specialist skilled in all aspects of acne scar revision will give you the very best results possible.

Real results can be seen after one treatment of Fraxel (this is dependant on the area and type of condition being treated). This is evident as your skin starts to heal up by day 5. Your skin will look cleaner, fresher and clearer, with less spots and pigmentation. The skin texure and tone will continue to improve over the following weeks.

Greater improvements can be obtained with a second or third treatment. Combination treatments such as Pulse-Fraxel will provide outstanding results within a week of treatment. Or alternatively combining treatments with VBeam or Q-Switch ND:Yag can occur for further results.

More on Pulse-Fraxel Peel.

Fraxel treatment if performed correctly should be comfortable. Pain is minimal as we use a compounded topical aneasthetic cream which is applied one hour prior to treatment. Fractal also has a combined Zimmer cooler to assist in distraction to make the procedure more tolerable.  The treatment itself takes approximately 20-40 minutes to perform, depending on the areas treated.

If pain is experienced throughout the procedure you should let your treating Registered Nurse know so that pain relief options can be discussed.

  • Following a Fraxel treatment your skin will be red for 24-48 hours and in deeper treatments slightly swollen. Peeling starts will start at roughly day 3-4, and recovery by day 5-7. Most patients are comfortable to perform daily duties from day 3. You must refrain from exercise for 7 days after Fraxel 1927nm treatment. Sunscreens and makeups can be worn once the skin is fully healed which tends to be 7 days. treatment.
  • It is always encouraged that you are transported home with a relative or friend.

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

The aftercare is the easiest part of a Fraxel treatment. We will provide you with a healing balm and a cleanser as part of the treatment. You will be required to wash your face twice a day, and moisturize at least 3-4 times after Fraxel. You should avoid excess heat, and sunlight for 7 days after treatment. Your exercise regime will be limited for 7 days, depending on the type of Fraxel performed. A sunscreen will also be provided to you which can be worn from day 5-7.

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 patients on an individual basis, to diagnose and treat skin conditions appropriately. All treatments at Westside Dermatology are performed by specialist Registered Nurses.

Side effects of this laser, especially in expert hands, are rare. Of course, as with any laser procedure, there is some potential for risk and or downtime. Your Registered Nurse will discuss your risks and downtime according to your skin type and skin condition in which Fraxel is utilised.

Potential complications of Fraxel include the following;

  • Infection – Rare, less than 2% chance. If you have a history of cold sores you maybe required to take anti-cold sore medication prior to a Fraxel treatment. Always notify your Registered Nurse 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 skin patients including Asian skin types following Fraxel.
  • Scarring following Fraxel – very rare complication of laser treatment. More commonly seen on the chest and neck areas. *We recommend more conservative treatments on the chest and neck for Fraxel and hence patients may require additional treatments on the basis of safety.

Delayed healing and redness can occur. Your specialist Registered Nurse will give you an accurate downtime following your Fraxel treatment and will discuss the procedure. Areas such as the face heal much more rapidly compared to the neck, chest and arms following a Fraxel treatment.

For correct pricing it is recommended that you attend an initial consultation at no charge with our trained Registered Nurses to determine if you are suitable for Fraxel. Please contact us for pricing.

No. Private insurance and Medicare will not cover Fraxel laser treatments. no shorter, as results are best seen 3 months after each procedure, this is due to the fact that collagen production may take 3 months to finish remodelling.

Westside Dermatology is a Specialist Dermatology centre. Unlike beauty spas or cosmetic clinics, we suggest that all patients are thoroughly assessed by a specialist trained Registered Nurse before undertaking a Fraxel treatment. This ensures that a Fraxel treatment is suitable for your skin condition. During this consultation we take a full medical history, and discuss your goals and expectation and prescribe a tailored Fraxel program according to YOUR SKIN.

For more information on the referral process and costs, call reception on 07 3871 3437

With our Fraxel machines at Westside Dermatology, 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 versatile and proven. With this laser we can safely and effectively treat skin conditions such as pigmentation, freckling, sundamage, skin laxity, fine wrinkling, and solar keratosis with as little as one treatment. Westside Dermatology tailors each and every patient according to skin type, condition and downtime.  We also have the ability to combine various other lasers such as Q-Switch ND:Yag and BBL in the one treatment. This enables us to deliver far superior results than using one laser method.

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

Our Pulse Fraxel Peel is ideal for patients who exhibit freckling, facial pigmentation and sundamage. This signature treatment combines BBL with Fraxel in 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.