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« Sciton BBL treatment parameters for pigment & redness. | Main | Fraxel 1500: Pain control when performing fractional treatments. »

Fraxel 1500: Rashes, reactions and treatment protocols.

More from the Fraxel 1500 crew here at Medical Spa MD Forums; Fraxel 1500 treatment protocols, rashes, and reactions.

In response to a complaint of redness after a treatment with the Fraxel 1500:

Maybe this can help...

I have seen rashes like this occuring after thedoctor (chiropractor) at my office performs a fraxel treatment. He is known to not wipe the numbing cream off thoroughly and then puts the gliding gel on directly after. After performing the treatment he does not thoroughly clean the skin and immediately puts aloe on the skin. Clients usually come in days later complaining of a rash and itchiness, especially on the cheeks and chin. Im guessing the rash is from a combination of the heat and multiple substances still being on the skin. It is very important to make sure that the skin is very clean before, during and after the treatment. The topical we use is a 7/7 lidocaine/tetracaine combo and most clients that I've treated come out pretty good without any complications after aside from the swelling.

After the treatment I let the client sit with cold aloe vera along with the simmer chiller blasting cold air onthe face for about 15 mins. Then I have them rinse the skin and I immediately apply the Neocutis BioRestorative Gel that is very light in texture and great for post op care. The Neocutis line is great for burns, scars, rashes, irritations and is best for after fraxel treatments for the first week. It helps the skin get back to a normal state. i usually sell these products along with the Fraxel package so that the client can use the products at home and continue caring for the skin properly. Using anything thick like a vaseline base, bacitracin, heavy creams immediately after the treatment and during the first week post op will irritate and clog the skin and cause more complications.


Reader Comments (4)

This entry was posted on a blog from a patient: I just had my third fraxel treatment. I gotten a rash after each but this is much worse then the others. I am afraid to go out of the house. I have been given an antibiotic and I do not feel I my rash is improving. It itches and when I scratch it feel soooo sore. Why does this happen? I am not going to do this again unless I can figure out why

Posted by Jeff E

My first assumption is they are using something topically for after care that is causing a contact dermatitis. This is why I hate to use the topical antibiotics. I only use vaseline for after care. It could be something in the topical from the compounding as well. Just my first impressions.


I agree, it may be the topical. Even Aquaphor caused problems with some folks.
I have done hundreds of the fractional treatments, and have gone to a very "ingredient free" occlusive ointment from Elta. Have not had a problem since!


What is a good moisturizer which has minimal irritating "stuff" in it?

Jeff E

For post laser sunblock, consider Elta MD 45 physical block-never seen acne break out or contact dermatitis with it. It is extremely cosmetically elegant, just not waterproof.


We put a cream on similiar to Cetaphilday 1.We are experimenting with a post balm ointment....that we sell. I will let you know how this works out.


My first choice is vaseline but I have some of the Elta and i am giving it a try.


I agree, it may be the topical. Even Aquaphor caused problems with some folks.
I have done hundreds of the fractional treatments, and have gone to a very "ingredient free" occlusive ointment from Elta. Have not had a problem since!


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I had 4 treatments of Fraxel re:fine on my face last year over a period of 12 months. To counter the dryness and alleviate some of the itching I was experiencing, my dermatologist recommended I use organic olive oil, which worked wonders. So instead of forking over a ton of money on expensive cream, which in the end may irritate your skin even more, you might want to consider trying olive oil.


02.25 | Unregistered CommenterMel

After a fractional laser Ablative or Non Ablative the skin is far more susceptible to sensitivity reactions. I personally use a lipid recovery serum from custom dermaceuticals and all purpose plus from Naturalia Sintesi, a zinc oxide cream for the Non Ablative. For the Ablative, we recommend using cool compresses soaked in normal saline and not much else. We feel the open wound management is best when you are removing the protective epidermal layer. Aquaphor is used once the skin repairs itself a bit more. Haven't had any dermatitis or the like reactions yet. Olive oil is good in theory, but I do know of some pore clogging reported from this post care treatment. The more aggressive the laser the more the potential for an infection, so less is more in this case.

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