Many different patients striving to address different aesthetic issues come to Dr. Schwarzburg’s medical spa, Skin Genity, located in Manhattan, New York. Here at our boutique medical spa, we are thrilled to offer Fraxel dual laser treatments to those of our clients who want to tighten their skin and improve its quality. The Fraxel treatment addresses a number of skin issues and guarantees long term results with minimum recovery time, the latter not being true about other laser resurfacing procedures. Fraxel laser has been approved by FDA to treat a wide variety of skin conditions, namely pigmentation, sun spots, sun damage, crapiness, fine lines and wrinkles. Besides, it also improves the general quality, tone and texture of the skin. This laser treatment can be used for different parts of the body, e.g. face, neck, décolletage, back, hands, arms, and legs. The Fraxel laser is ideal for more superficial layers of the skin, effectively reducing pore size, acne, surgical scarring, and stretch marks. Dr. Schwarzburg has achieved amazing results on the skins of many of his patients with the help of the Fraxel laser.

Fraxel Laser Treatment

What Is the Fraxel Laser Designed for?

This FDA approved procedure – the Fraxel laser – treats a number of different skin conditions. It can help with different types of scars, e.g. acne scars including atrophic, ice pick and boxcar scars, as well as surgical scars from operations or injuries. Fine lines and wrinkles, stretch marks, perioral lines (the fine lines around the mouth), and periocular lines (the fine lines around the eyes) are among other skin issues that can be covered by the Fraxel laser. It is also popular for effectively treating different varieties of pigmentations, like sun spots, age spots, freckles, sun damage, uneven pigmentation and discoloration, as well as bettering the overall tone and texture of the skin. One of the advantages of Fraxel is that alongside treating all the mentioned skin conditions, it also corrects the pore size, making it smaller and improves the appearance of the skin in general.

What is Fraxel Laser Treatment?

Nowadays, there is a wide variety of fractional lasers on the market, the most demanded of which is the Fraxel laser. Many companies claim to own and offer Fraxel laser, however the capacities that those lasers offer are not even close to what real Fraxel offers.  Its ability to pinpoint microscopic areas of skin is what makes Fraxel superior over other lasers. Through the mentioned feature it boosts collagen production, thus healing and restoring the skin and addressing each and every one of its impurities at a minimal or larger scale. Patients easily observe the benefits of Fraxel immediately after the first session; the results, though, get better and better during the first week following the treatment. Apart from being immediately noticeable, the results of Fraxel are also long term. During the treatment, controlled damage is done to microscopic areas of the skin, provoking it to produce more collagen. The procedure does not take long and results in a brighter, clearer, smoother, firmer, and fully rejuvenated skin. Many patients enjoy brilliant results even after just one treatment, however, in some cases, depending on the original state and quality of the skin more than one treatment may be necessary for optimal Fraxel laser results.

Fraxel Laser Resurfacing

The incredible long recovery time imposed by other laser treatments is conditioned by using ablative lasers. When it comes to the Fraxel laser, it does not damage any of the surrounding tissues while penetrating deep into the skin to address microscopic columns and small areas of tissue at a time. One could presume that such a precision is likely to take additional time, however, on the contrary, Fraxel is not only much more effective both during and after the procedure but also quicker. Fraxel is the first fractionated, non-ablative laser in NYC, approved by FDA. The results achieved by Fraxel are superior to any other laser treatment; it rejuvenates the skin, producing new and healthy skin cells in a quicker and more effective way. The controlled micro-damage that the therapy utilizes works for the stimulation of collagen production, resulting in a younger looking and more radiant skin.

Fraxel Laser procedure

How Fraxel Treatment Works

There are two different settings, namely two lasers, that the Fraxel Dual laser treatment utilizes. Each of those two has different wavelengths. The Thulium laser, the wavelength of which is 1927, removes pigmentation, skin discoloration, age spots, sun damage, and more on the superficial layer of the skin. The Erbium component of Fraxel Dual with the 1550 wavelength is designed to make the skin texture better and help with fine lines, wrinkles, scars, and unevenness. The Fraxel laser in NYC is developed to address deeper layers of the skin, stimulating new collagen and elastin production which are essential for smoothing out any unevenness on the skin. The Fraxel laser treatment also releases cold air in parallel with the laser in order to minimize any discomfort that can be experienced during the laser treatment, as the latter can be unpleasant at times.

How is The Fraxel Treatment Performed?

If you intend to go for a Fraxel Laser treatment, then make sure to book your personalized consultation with Dr. Schwarzburg. This is a great opportunity to present to the doctor your treatment goals and medical history, as well as raise your questions and concerns. Based on the gained information Dr. Schwarzburg will be able to decide if you are a good candidate for the treatment. Once he identifies the treatment as suitable for your case, he will move on to developing your treatment plan. After that, you may start  the treatment either on the day of your consultation or another day and time fitting for both you and Dr. Schwarzburg’s schedule.

The treatment preparation steps include sanitization of the treatment area 30 to 60 minutes before the treatment and application of a topical lidocaine rich numbing cream to ease the sensation of possible discomfort. Based on the size of the treatment area, the Fraxel Dual 1550/1927 treatment may take from 20 to 60 minutes to be completed. Once the procedure is over you will probably experience the feeling of being sunburnt in the treatment area. Dr. Schwarzburg will provide you with an ice pack that should be applied to reduce swelling and discomfort after the treatment, as well as a cream – to avoid excessive dryness on the skin.

Dr. Schwarzburg combines Fraxel Dual with other skin tightening and rejuvenating procedures quite often. Fraxel can be paired with procedures like dermal fillers or neurotoxins, such as  Juvederm or Botox, aimed at line and wrinkle elimination. As the ultimate purpose of the Fraxel laser is skin rejuvenation, it can also be complemented by an under eye injectable filler, which will add overall brightness and freshness to the face.

Whatever end goal you have in mind, Dr. Schwarzburg will design a customized treatment plan to meet your specific needs. The plan may assume the combination of a number of treatments to be performed in the course of several months. One of the popular combinations is Fraxel laser and Secret RF. The latter is an advanced form of microneedling that involves  radiofrequency energy. This can be especially effective if you need to eliminate deep scarring. When the two mentioned procedures are combined the results promise to be outstanding.

The Fraxel laser requires minimum recovery time. However, there may be some redness for a month after the procedure. The number of required sessions is conditioned by the severity of your case and your desired result: you may benefit from 1 to 5 treatments, depending on the way your body responds to the treatment. After your treatment you can fairly expect to observe notable improvement in your skin tone and texture, as well as visible rejuvenation.

Fraxel Laser

Fraxel Laser FAQs

If you are in a good shape healthwise, both physically and mentally, and yet you struggle with such skin irregularities and conditions as pigmentation, sun damage, stretch marks, pore size, and different types of scarring, then most likely the Fraxel laser is a suitable treatment for you. The Fraxel treatment works especially well on patients whose skin color is light, e.g. type I through type III skin tones. Light skin usually responds better to the treatment. However, if you have a darker skin tone, then chemical peels or eMatrix lasers may be more beneficial for you. If you deal with active acne with moderate to severe acne breakouts, the Fraxel laser treatment won’t be of use to you; the heat involved in the procedure may make the acne worse instead of helping it. For this reason Dr. Schwarzburg highly recommends first tackling the active acne with other procedures and going for a laser treatment only when the acne is under control.

Is It Advisable to Treat Melasma by the Fraxel Laser?

Unfortunately, laser treatments have the tendency to make melasma and its hyperpigmentation even worse. Hence, Fraxel is not the optimal treatment for melasma. When melasma is concerned, chemical peels such as Cosmelan may do the job far better than a Fraxel treatment. The worst thing that you might experience in the field of aesthetic medicine is undergoing a treatment that is not ideal for you and will probably make the situation even worse.

What Is the Optimal Number of Fraxel Laser Treatments One Should Take?

The number of Fraxel Laser sessions sufficient for you is based on the results you want to achieve. You might need from one up to five sessions for your optimal results. If your purpose is addressing facial pigmentation caused by sun damage, sun spots, and age spots, then the number of required sessions may be around three, at a monthly frequency. A single Fraxel laser session spots and treats 25 – 40 percent of the treatment area. This means that you will need more than a single session to have the best results the treatment offers.

If fine lines, wrinkles and scars are your concern, then the average number of sessions you might need is five, again at a monthly frequency. A common combination of treatments to tackle the mentioned issues is Fraxel with Secret RF microneedling; this combination works especially well on skin scarring. Keep in mind that Secret RF is usually spread out over the course of several months.

How Different Is Fraxel Laser from Other Skin Resurfacing Lasers?

Fraxel laser resurfacing treatment is a non ablative fractional laser procedure that targets microscopic areas of the skin and does not damage the surrounding tissue. Other resurfacing lasers mostly use ablative technology, as a result of which the epidermis (the outside layer of the skin) is removed and the dermis (the skin underneath) gets heated up. The ablation causes controlled heat damage to the skin which provokes the skin to regrow, produce new collagen and elastin and eventually regenerate. The result of this manipulation is a smoother skin. The main drawback of ablative lasers is the prolonged downtime. Unlike abrasive lasers,  Fraxel laser efficiently boosts collagen and elastin production, bettering the quality of the skin – its tone and texture. And all of this does not involve any damage to the surrounding tissues or lengthy recovery time.

How Much Does a Fraxel Laser Cost?

So how much does Fraxel cost? The Fraxel cost depends on the complexity of your case, the targeted area, the number of required sessions and the qualifications of the administering expert. If you would rather be treated by a board certified plastic surgeon or dermatologist, than a technician, then you will likely pay a little more. The average Fraxel laser treatment cost in New York City varies from $1200 to $2000 per session.

Does Fraxel Treatment Tighten the Skin?

Not only does the Fraxel laser treatment improve the skin tone and texture, reduce fine lines and wrinkles, treat different scar types, it also tightens the skin. Fraxel treatment is a wonderful procedure that gives a tightening effect to the skin through the1550 laser setting that causes controlled damage to the skin and makes the body produce extra collagen and elastin. Thus, fine scar tissue is formed along the treatment area. Among the Fraxel laser reviews many are the ones that speak specifically about skin tightening. However, most of the reviews are about the wonderful improvements in pigmentation that people observe on their skin.

Are There Any Side Effects to Fraxel?

Fraxel is a non-ablative laser. Thus, it has minimal side effects in comparison with ablative laser treatments. Even with that, as any other medical treatment, Fraxel Laser, too, encompasses the probability of certain risks and side effects, namely scarring, hyperpigmentation, and infection. In case the patient experiences acne breakouts, Dr. Schwarzburg may prescribe an antibiotic after the laser facial in NYC to prevent acne from spreading once the treatment is over. If you have herpes or cold sores in your medical history, Dr. Schwarzburg will recommend taking Valtrex on the day of the procedure to avoid an outbreak.

Another recommendation that you will receive from Dr. Schwarzburg is using good sun protection for your skin both before and after your Fraxel laser treatment; this is a preventive measure against any kind of sun damage. Also, make sure to avoid direct sunlight as much as possible for 2 weeks after the treatment to prevent sunburns or any additional stress for the skin.

In fact, Fraxel is approved for melasma treatment. However, there are other treatments that  Dr. Schwarzburg recommends to his melasma patients; the matter is discussed in detail during the one on one consultation with Dr. Schwarzburg. The Fraxel laser works better for those patients whose skin tone is I through III, meaning lighter, than for patients with darker skin.

What Should I Expect After a Fraxel Treatment?

The Fraxel treatment that uses only the Fraxel 1550 setting will leave some redness and swelling on the skin for nearly 48 hours after the treatment. It is of key importance to use proper skin care after the procedure, including the best moisturizer after Fraxel which should have thick consistency and, of course, a sunscreen.

As for the Fraxel with 1927 wavelength, it might cause your skin to peel for about 5 – 7 days after the treatment. For the first two days you will experience some redness, very similar to sunburn, then at around day 3 – 7 the skin will start peeling. Please make sure to avoid direct exposure to sunlight to protect your new skin from any sort of damage. Also, be aware that it is prohibited to use hydroquinones, retinoids, exfoliating products or scrubs on your skin during the first month after the treatment. The two types of products you should use, though, are a thick moisturizer and a sunscreen with a minimum SPF of 30. In the event of acne breakouts, do not hesitate to contact Dr. Schwarzburg and get your antibiotic prescription to stop the acne from spreading.

The fractional resurfacing laser requires little recovery time in comparison to other laser treatments. The only thing that you will need to do after your Fraxel skin resurfacing treatment is protect your new skin from the sun. You will be able to go back to your regular activities in no time, however it might want to stay in for the first day until the redness and discomfort have subsided after the numbing cream has worn off.

Is Fraxel Worth It?

Fraxel is an FDA approved cosmetic laser treatment that effectively addresses sun damage, acne scars, fine lines, wrinkles, and more. It is known to cover a wide variety of skin conditions on different areas of the face and body.

Where Is the Fraxel Laser Resurfacing Supposed to be Performed: at Dermatologist’s or at a Medspa?

The most advisable option you want to go for is having your Fraxel laser treatment administered by a board certified plastic surgeon or dermatologist. This way you can rest with the thought that you are in the hands of a specialist with extensive experience in skin and laser treatment. Make sure to do your own comprehensive research on your practitioner to find out if they have sufficient qualifications to administer the procedure.

Is It Allowed to Combine Fraxel with Other Facial Rejuvenation Procedures?

The Fraxel laser can work very well in combination with a number of different facial rejuvenation procedures. If you aim at volumizing the seemingly sunken areas of your face, like the under eyes and cheeks, then you can choose dermal fillers such as Restylane. In case you need a face lift, you could go for jaw contouring; this will give your face a touch of freshness and youthfulness. When it comes to jaw contouring, be aware that it can be carried out through various dermal fillers, e.g. Juvederm, neurotoxins, e.g. Botox, which will make the jaw appear slimmer, or a PDO thread lift which is a more drastic way to perform a non surgical face lift.

Based on your needs and goals, Dr. Schwarzburg may offer pairing Fraxel with other skin improvement and rejuvenation procedures, such as Fraxel. At Skin Genity, you can find a number of beneficial treatments, like the AquaGold facial and the Hydrafacial, both of which can be well combined with the Fraxel laser.

What Makes Fraxel an Outstanding Procedure?

Fraxel can address different areas of the skin through a fractionated carbon dioxide laser without harming or damaging the tissues around the area of treatment. Fraxel is a lot less aggressive and invasive than a number of other laser treatments. Moreover, it allows better precision and requires less downtime.

How Does Laser Resurfacing Work?

Laser energy uses microbeams to create controlled damage to the targeted areas of the skin. During this process the thin layers of the damaged skin cells are removed, new collagen and elastin production is stimulated and healthy tissue generation is kick-started. Such a procedure results in a smoother skin with a more even tone. The skin does look and feel healthier as the damaged and precancerous skin cells were removed with the help of laser resurfacing technique. This is what a laser resurfacing is in a nutshell.

What Is Laser Resurfacing?

Laser resurfacing is basically removing the damaged cells from the outer layers of the skin with the help of a laser. When an ablative laser is applied the epidermis (the outer layer of the skin) is removed and the laser penetrates deeper into the skin. This also works on the sub-layer of the skin, the dermis, and tightens it. With non-ablative laser resurfacing the penetration goes into the more superficial epidermis and sun damaged skin cells are removed. The intensity of a non-ablative laser is not as high as that of an ablative laser. This is the reason you will likely need more than a single session of a non-ablative laser treatment for the best possible results. The advantage that non-ablative lasers, like Fraxel recovery, offer is the minimal recovery time. This is a serious factor that makes Fraxel more preferable.

Are There Different Types of Fraxel Lasers?

At his medical spa, Skin Genity, located on the Upper East Side of Manhattan, Dr. Schwarzburg uses the Fraxel Dual. This is considered to be the best and the most powerful version of Fraxel as it utilizes two lasers designed to target different skin layers. It has the capacity to treat the skin in a non-ablative way requiring minimal downtime.

Fraxel Repair is another variation of the Fraxel laser, mostly used for severe cases. Its effectiveness is not questioned; however, being ablative and having higher intensity it  requires a longer Fraxel laser downtime.

Is Fraxel Painful?

A  topical lidocaine rich numbing cream is applied to the targeted area 30 – 40 minutes before the session in order to avoid any possible discomfort during the procedure. Many patients still experience a certain level of discomfort, pain, heat, and stinging. However, even with that the treatment is generally tolerable and does not create severe discomfort.

Does Fraxel Laser Help with Acne Scars?

There are different types of acne scars, e.g. atrophic, ice pick, rolling, and boxcars. All of them can be treated by the Fraxel laser. As for hypertrophic scars, it is not easy to address this type by Fraxel, especially when treating patients with darker skin tones. Fraxel does a great job for patients with lighter skin tone – type I through type III. Please note that Fraxel can be used to treat acne scars only if the acne is under control. In case of active acne the heat of the laser may worsen the situation and cause the acne to spread.

What Should I Anticipate During the Treatment?

First off, your skin will be sanitized prior to the treatment to make sure you are safe and guarded from infections. Afterwards, 30 minutes before the treatment, a topical numbing cream will be applied to the area of treatment. During the laser treatment you will be asked to wear goggles to protect your eyes from the damage the laser energy can do to them. Most likely, you will sense some stinging and heat during the treatment. The process itself will take around an hour, depending on the treatment zone.

How Long Will the Fraxel Effect Last?

The way you care for your skin after the treatment largely affects the longevity of your Fraxel results. With Fraxel, it is better to concentrate on the quality of the results rather than their longevity. If you decide to undergo 2 – 4 annual treatments (most patients do this), it will help you maintain long term skin clarity.

To schedule your personalized consultation with Dr. Schwarzburg for Fraxel laser that is close and near to you to discuss a potential Fraxel dual treatment for yourself, feel free to call us at 212-203-7415, or email us at

When Will the Fraxel Results Show?

With Fraxel facial, you will be able to observe the results right after the first session. However, take into consideration that there might be some redness on the skin after the treatment that is expected to go away in a couple of days. During the first week after the treatment there will be less and less pigmentation and scarring visible on your skin. Depending on the severity of your case, some more sessions may be required for more transformative results.

The treatment sessions shall be performed once per month.  Observe your Fraxel laser day by day changes and results and enjoy the transformation process of your skin with Fraxel NYC.