Fraxel Dual

So today we are doing a procedure that our employee of the month – Celeste has chosen, to be her procedure for the month. Celeste has chosen to do another Fraxel – she has had a Fraxel before, so why don’t you tell us what you noticed when you had Fraxel a few years ago?

When I had Fraxel a few years ago I noticed that my pore sizes were smaller, I also noticed that my texture got better and it helped to reverse the sun damage that I had from previous years.

So you noticed an improvement in the brown spots?

Yes I did

So what we use is the Fraxel Dual, the Dual means that you are actually getting 2 laser treatments at the same time, the 1550 nanometer portion of the laser goes deeper into the skin and what that does is it stimulates collagen production. When you stimulate collagen production you improve many things. You can improve acne scars, you can improve lines, you can improve pores, so it gives you an overall improvement of your texture and is rejuvenating. The second laser we use is a 1927 nanometer laser. It is a thulium laser, and this addresses more of the pigment. In addition the thulium lasers has been found to prevent skin cancer so to at least decrease your risk of future skin cancers if you have had a lot of sun, so Celeste has been with me for 23 years and she has taken advantage of many of our devices over the years in order to talk to patients about it and explain to them what are the benefits are – how long they’ll be red or swollen or dry of flaky and this month – January is a great one to do Fraxel because you don’t want to get a lot of sun after you get a Fraxel treatment – so since the sun is less intense in January, it is a good time to do it. Plus we find that the social calendar kind of slows down a little bit between Christmas and mardi gras – here in New Orleans so January is a great time to do your Fraxel.

Ok alright! So we are going to put some eye shields on. So we are going to start with the deeper laser first and my oh my - your eyelashes look great from the Alphaeon Eye lash serum Celeste!

Thank you!

I don’t often appreciate how pretty your eye lashes look. Now there are some things that we recommend to pair in order to get the optimal result so we recommend that you use some sort of exfoliator before; it can be a retinol it can be a retinoid, it can be a retinae it can be a Taseract and in sensitive skin patients we use the Restorecy pro serum, but the most important thing is to also use things that stimulate collagen production, and improve pigmentation so the revision C plus correcting lotion is a great product to pair with this – it helps with red and brown. A very good SPF 45 to 50 sunscreen that is chemical free , is important to pair with this so we like the Isdin, Eryfotona Angelis, we also like the Revision Intellishade and then we also recommend Peptides or both factors to help stimulate more repair so the products we like are Revision DEJ, which is a peptide product for the moderately young patients, and for older patients we love the Rubic Skin MD and it is important always to pair procedures with products in order to get optimal results both before and after your treatment. Fraxel is a scanning laser and that increases the precision of the application of the laser and remember fractionate lasers don’t treat all of the skin whether it is treatment so that affords rapid healing when you get this treatment. If you like the results of the Fraxel we usually recommend that you do a Fraxel every 2 to 5 years, depending on your level of sun damage and how careful you are about getting new sun damage. So Celeste can you tell us when was your last Fraxel?

It was probably about 3 to 4 years ago.

Ok we can look it up.

Yeah

And Celeste can you tell us on a pain scale of 0 no pain at all and 10 excruciating pain, what number would you give this procedure?

It depends on where she is at – it is a 3 to 4, on the bony areas it is a little bit more of a 4, the cheek was about a 3.

So the forehead is a 4?

Correct

We find that the forehead and jaw line are usually the most painful areas, but you would describe 4 being a little painful to tolerable?

Yes

Now we did use a really good numbing cream on you and you had it on for at least an hour before hand.

Correct

And we found that, that makes a huge difference in the tolerance of this with patients. So after we finish these we will do the 1927, and we will probably take pictures of Celeste in a day and we will post them so you can see what she looks like as far as redness and swelling.

Now we are going to talk a little bit more about products that compliment procedures and specifically today I want to talk about resurfacing procedures. This can include deeper chemical peels, but also Fraxel and C02 resurfacing and radio frequency micro needling. The products I like for this are first of all is the Cicalfate by Avene and the Straticell because both of these products help to hydrate the skin and keep it lubricated so that it heals faster. The dryness of the skin and any scabbing can actually slow in the healing process for these resurfacing procedures. Finally both before and 1 week after your resurfacing procedures is the time to use your retinoid. I particularly like Altreno – because Altreno has added Glycerin and hydrolyzed collagen which helps to prevent it from being as drying as many retinoid can be. I particularly like Altreno if you are going to be getting Fraxel to reverse acne scarring. Sometimes if you are acne prone, resurfacing can result in an exacerbation of your acne so using Altreno both before and then after the procedure will help diminished the risk of an acne flair.

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