Fraxel Dual –  The Two-in-One Laser System

With this system you can have the benefits of gentle resurfacing and / or pigment reduction. The two laser wavelengths can be used independently or in combination to achieve excellent results.

  • Superficial melasma and unwanted pigmentation
  • Gentle skin resurfacing to combat sun damage and early wrinkling
  • Smoothing of Acne Scarring or other scars
  • Treatment of precancerous lesions referred to as actinic keratosis

*Individuals Results May Vary.

Fast Treatment and Fast Results

As many patients want a speedier resolution to brown spots and pigmentation, the Fraxel technology treats quickly with pleasing overall improvements and minimal or no downtime. Treatment is fast. The unique laser very quickly can treat your entire face in about 20 minutes. It can also be used to treat the chest, arms, and hands. The Fraxel Dual can offer two distinct but synergistic procedures to increase the overall improvement of anyone wishing to improve sun-damaged skin.

Skin Solutions With Fraxel Dual

  • Superficial Melasma
  • Superficial Pigmentation / Rough texture from Sun Exposure
  • Post Inflammatory Hyperpigmentation
  • Pigmentation Issues for all Skin Colors
  • Actinic Keratosis (Pre cancers)
  • Acne Scarring (See also Bellafill)
  • Surgical or Accident Scars
  • Early Wrinkling caused by natural collagen slow down
  • Diffuse superficial pigmentation irregularities on the skin of the face, hands, chest, and arms



Is the Treatment Painful?

Most patients describe an increased sensation of heat during the treatment. To minimize discomfort, we will apply topical anesthesia to your skin before the procedure and use cold air during the procedure. The cold airflow follows the handpiece so cooling is more effective than before. After the treatment, most patients feel like they have a sunburn, which usually diminishes in 1 to 3 hours.

Will I Need More Than One Treatment?

Patients with superficial pigmentation often enjoy satisfactory results after one treatment. Patients with long term melasma or deep level pigmentation issues will likely need 2 or 3 sessions over a period of time as deep pigmentation must “rise” to the surface skin levels before it is affected by the laser. Treatment for sun damage and aging is usually provided in a series to get your skin back to its best and periodic treatments to keep the collagen production at desirable levels.

Fraxel Dual Before & After Irvine, CA
Fraxel Dual Before & After Irvine, CA
Fraxel Dual Before & After Irvine, CA

*Individual results may vary.

View More Patient Results

Can Treatment for Both Sun Damage and Pigmentation be Done at Once?

There is no wait time between laser treatments. The dual-wavelength lasers are designed to be easily compatible and can be used in a single session. Typically the Thulium laser treatment is delivered as the first procedure when both pigmentation and either sun damage, aged skin texture or scarring are also present.


We love our patients at Total Dermatology! Read what our satisfied patients have to say about their experiences with Dr. Pilest and our team.

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*Individual Results May Vary

What Can I Expect After Fraxel Dual Treatments?

Your skin will be somewhat reddened for about 2 days with a mild dot-like peel over the following 4 to 5 day period. The new skin beneath will be cleared, smoother and more evenly toned. Good skin protection with SPF 30 or higher sunblock will protect your new skin and help prevent recurrence of pigmentation. Sunblock products with the triple ingredients of ecamsale (trade name mexoryl), avobenzone and zinc oxide will provide the most protection.

Who Will Provide the Treatment?

Dr. Pilest is a training physician for the Fraxel Laser systems and has used the Fraxel lasers since their initial entry into the dermatology field in 2004. Dr. Pilest has some of the most comprehensive experience with lasers in the entire Southern California area. Selected RN staff receive training directly from Dr. Pilest.

Related Treatments
Cosmelan DePigmentation Topical Treatment
Clear and Brilliant

Take the First Step – Request A Consultation

Ready to try out Fraxel for yourself?

Schedule your consultation with board-certified dermatologist Dr. Nissan Pilest at Total Dermatology in Irvine, CA today by calling (949) 727-3800

*Individual Results May Vary