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August 25, 2009

Fraxel re:store vs. Fraxel re:pair

Filed under: Fraxel Laser — Tags: , , , — Dr. Edward D. Buckingham, M.D. @ 9:04 am

Joanna,

Thanks for your question comparing Fraxel re:store and Fraxel re:pair.  Fraxel in general is a fractionated laser.  This means that instead of the laser removing the outer sun damaged skin in its entirety, it only removes a portion of the skin in a microscopic dottted type fashion.  This improves the skin considerably, but allows healing to take place from the undamaged skin islands as well as from below.  Therefore the healing is much faster and the procedure is safer than fully ablative lasers.

The Fraxel re:store is an erbium laser vs. the Fraxel re:pair which is a carbon dioxide laser, or CO2.  The difference for the patient is that the Fraxel re:store leaves not only some islands of skin intact, but also leaves the outer barrier intact so that you can leave the office with sunscreen on and makeup if you desire.  There is swelling for about 2 days and redness for about 5.  The Fraxel re:store is a series of 4-6 treatments at approximately 1 month intervals.  The Fraxel re:pair does not leave the outer barrier intact and so the patient has a little longer recovery and needs to wear ointment on the face for about 8 days and can not wear make-up.  The treatment is performed in a single session however.  Both lasers will improve skin pigmentation, texture and lines.

I would recommend coming in for a consultation to determine which procedure would work best for you.

Ed Buckingham


August 2, 2009

Facial Brown Spot Treatment

Filed under: Laser Dermabrasion — Tags: , , , — Dr. Edward D. Buckingham, M.D. @ 6:56 pm

Teresa,

Thanks for your question about facial pigmentation.  Facial pigmentation requires treatment with multiple modalities.  Everyone needs to be using a good skin care regimen with a retinol (retin-A), something to reduce pigment (hydoquinone, azelaic acid, kojic acid) and good sunscreen.  In some cases, that may be enough although the results may take some time.  Many patients choose however to speed the resolution of the pigment.  This can be achieved through the use of laser such as Fraxel or chemical peels.  If you only concern is pigment then I would recommend a series of light chemical peels or a series of Fraxel laser treatments.  The Fraxel laser is considerably better at reducing pigment, but does have some minor down-time and is more expensive.  I would not recommend a deep chemical peel as these are more for treatment of wrinkles in conjunction with pigment.

I hope this is helpful.  Please feel free to contact our office with any other questions or concerns or to make an appointment where we can discuss your case in more detail.

Ed Buckingham


Dr. Edward Buckingham is a Board Certified Facial Plastic Surgeon who specializes in Rhinopalsty, Facelifts, Eyelid Surgery, BOTOX, and many other
Cosmetic Facial procedures. His office is located in Austin, Texas and services the surrounding areas including: Sunset Valley, West Lake Hills, Cedar Park,
Round Rock, and many of the other nearby Texas cities. © 2008 Austin Texas Facial Plastic Surgery

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