Fraxel Restore Dual / Repair / Thulium

Finally, patients can achieve the results of true laser resurfacing on wrinkles, scars, sun-damaged and loose skin without the discomfort and risk of older, traditional CO2 or Erbium lasers. Fraxel Restore Dual® and Fraxel Repair® devices offer a spectrum of resurfacing options from least to most aggressive. Depending on the skin condition, its severity, the color of one’s skin, and a patient’s tolerance for downtime, Dr. Frank offers various treatment options for the patient. Using non-ablative (no open wound) erbium glass technology, the Fraxel Restore® laser is the first non-ablative laser to have the impact of an ablative laser. Done in a series of treatments, no open wound is created and recovery occurs so quickly that there is very little downtime for patients (2 days)*. Now upgraded to a faster, stronger and more versatile technology, Fraxel has added a new wavelength technology called the Thulium into the Fraxel Restore®. Fraxel Restore® Dual laser has new applications specifically for hyperpigmentation, melasma, and brown sun damage. For more, in depth, information on the exciting new appilications of the Fraxel Thulium wavelength please click on our link.


The Fraxel Repair® is now the standard of care for fractionated ablative laser resurfacing. Fraxel Repair® addresses more severe sun damage, wrinkles, and scars like no other device. Don’t be convinced into copycat technologies such as Pixel, Affirm, Matrix, Mixto, eCO2, Active/Deep FX, Accupulse, Pearl, Dot Xide and Palomar fractionated hand-pieces when you can have the original and more powerful gold standard technology. “Fraxel” is the creator of the groundbreaking fractionated laser technology and has the greatest number of clinical studies and the most significant safety record to date.


Dr. Paul Jarrod Frank of PFRANKMD in New York City featured on NEWYORKOBSERVER

Dr. Paul Jarrod Frank prominently featured and illustrated as the cover story, and featured, photographed and quoted in the profile story “Fifty Shades of Dorian Gray” View Article

Laser For Acne Scars

Fraxel Restore and Fraxel Repair for Acne Scars

Dr. Frank featured on CBS Discussing Laser Resurfacing Treatments

Watch for Full Fraxel Healing Process
Skin Tightening by Dr. Frank

Watch for CO2 Healing Process

The Fraxel Restore® and Fraxel Repair® Procedure

What are Fraxel® Laser Treatments (FLT)?

Fraxel® Laser Treatment (FLT) is the original “fractional” treatment that produces thousands of deep, tiny columns of trauma in your skin, called microthermal treatment zones (much like pixels in a digital camera). FLT is “fractional” in that it intensively treats thin columns of the skin without affecting the surrounding tissue, which reduces healing time and promotes the skin’s natural process for creating new, healthier tissue. Fraxel® Restore® Dual is the non-ablative, low downtime technology.

How is Fraxel Restore Dual® different from Fraxel Repair® and other laser treatments?

Until Fraxel®, there were two types of available laser treatments. Purely ablative laser treatment (CO2 and Erbium) which was very useful, but had significant side effects and a lengthy healing period (weeks). The other being non-ablative, had zero downtime but had very little clinical effect. Fraxel Restore® and the more aggressive Fraxel Repair® treatments offers ablative treatment with the benefits of the gentler, fractionated laser technologies.

The Fraxel Repair® is a fractional technology that utilizes the ablative CO2 laser wavelength of light. It is more aggressive than the Fraxel Restore® (non-ablative) in that it leaves the skin with small open wounds which create a healing period of approximately 5-7 days*. Some level of sedation is essential for pain control during the treatment and minor wound care and oral medications are essential for recovery. Makeup can be applied 5-7 days after the treatment with the potential for minor coverable redness for 1-2 weeks afterward*. The Fraxel Repair® is for the patient that requires the most aggressive of treatment for deep scars, deep wrinkles, particularly around the eyes and mouth, and skin looseness. Fraxel Repair® patients want dramatic results in as little treatment sessions as possible. This technology has been coined the “microscopic facelift.” Because Fraxel Restore® Dual leaves no open wounds, treatment and recovery is very easy. Makeup is applied the next day without any aftercare. Fraxel does require several treatments -anywhere from 3-5 depending on the patient*.

What are the benefits of Fraxel® Laser Treatments?

With fractionated lasers, healing time is significantly accelerated so there is minimal downtime and risk. With Fraxel Restore Dual®, make-up can be worn following the procedure. Some patients are able to return to routine activities, including work and social obligations, the same day of treatment. Generally, there is redness and minor puffiness for 1-3 days*. Fraxel Repair® patients require up to one week off, depending upon their skin condition and treatment level.

What are the risks of Fraxel® Laser Treatments?

Swelling and redness are the most common side effects of treatment. If swelling and redness does occur, it is minimal and will subside within a day or two for Fraxel Restore Dual® and 5-10 days for Fraxel Repair®*. There is a very limited risk of infection or scarring and there is no pain during recovery with either treatment. We have never seen any significant complications.

Co2 Fraxel Laser Resurfacing Healing Process

Fraxel Healing Process photos by Dr. Paul Jarrod Frank of PFRANKMD in New York City, NY
Fraxel Day 1 Instagram video by Dr. Paul Jarrod Frank of PFRANKMD in New York City, NY
Fraxel Restore treatment video by Dr. Paul Jarrod Frank of PFRANKMD in New York City, NY
Fraxel Restore treatment video by Dr. Paul Jarrod Frank of PFRANKMD in New York City, NY
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sun damage
fraxel treatments
sun damage

Fraxel Before & After

Fraxel Before & After photo by Dr. Paul Jarrod Frank of PFRANKMD in New York City, NY
Fraxel Before & After photo by Dr. Paul Jarrod Frank of PFRANKMD in New York City, NY
Fraxel Before & After photo by Dr. Paul Jarrod Frank of PFRANKMD in New York City, NY
Fraxel Before & After photo by Dr. Paul Jarrod Frank of PFRANKMD in New York City, NY

How many treatments will I need?

A common treatment regimen is 3 to 5 sessions, spaced about 2 to 4 weeks apart for Fraxel Restore®*. Most patients get 4 treatments. Fraxel Repair® is usually a one-time treatment, but some patients may request more*. Optimal improvement occurs for 6 months after the series of treatments*. This time frame and structure allows for treatment of damaged tissue with new collagen and elastin, and viable healthy skin cell growth.

How are Fraxel® Laser Treatments performed?

A topical anesthetic ointment is applied to the treatment areas approximately 60 minutes prior to treatment in order for the anesthetic to take full effect. For Fraxel Restore Dual® treatments, topical anesthesia is used. For Fraxel Repair® treatments, patients get topical anesthesia, shots of local anesthesia and sedation with low dose Demerol and Valium. IV sedation is optional in our out-patient surgical facility. Both procedures take between 20-25 minutes for the full face*.

Is Fraxel® Laser Treatment painful?

Most patients describe the treatment as having an intense “prickling” sensation. The anesthetic protocol that Dr. Frank uses and air cooling alleviates most discomfort. For those that are sensitive, Dr. Frank offers whatever additional pain relief. if necessary.

Which Fraxel® Laser is best for me?

Upon consultation, Dr. Frank can assess the quality and severity of the skin problem. After a thorough history and interview, he can help patients make a decision that will suite both the condition that needs treatment and the lifestyle issues regarding downtime and risks that patients needs to make an educated choice.

How much do Fraxel® Lasers treatments cost?

Total price for a series of Fraxel Restore® treatments ($800- $2,000 each) is approximately equivalent to one Fraxel Repair® treatment ($2,500- $7,500). Range of prices depends on partial or full-face treatments, severity of condition, and the relative inclusion of other body parts such as neck and chest.

Can Fraxel® treatments be performed on the body?

Yes, both Fraxel Restore Dual® and Fraxel Repair® are excellent treatments for scars and sun damage throughout the body. Great for stretch marks, too!

Learn More About:

Fraxel for Dark Skin

Dr. Paul Jarrod Frank featured in, “What To Expect When You Get Fraxel”

Request a Consultation

A consultation with Dr. Frank and his team will help determine if this procedure is right for you.



What are the contributing factors to swelling with Fraxel? I’ve seen people really puffy.

The Fraxel dual has two wavelengths: the 1927 and the 1550. The 1550, which is deeper, will cause more swelling. The 1927 uses a superficial setting which prompts a fresh layer of skin.

How long does it take for the scabs and redness to go away with Fraxel?

On Average, healing takes four days of mild social downtime (make-up coverable), until your skin truly feels like itself again.

How many Fraxel sessions do you need to turn back the clock?

The number of treatments needed varies according to the condition being treated. People will do 4-6 treatments if you have acne scars, one if you have mild sun damage, and a few consecutive treatments if you have severe sun damage and a history of non-melanoma skin cancer.

Can Fraxel be used on people with Melasma?

In some cases, Fraxel can be used to treat melasma. It must be done cautiously with the right provider and is frequently combined with at-home care or other lasers.

For deeper acne scars what Fraxel treatment would you recommend?

In some cases, I use the Fraxel Repair, also known as the Ablative CO2 Fraxel Laser. I also perform injectable silicone, microneedling, subcision, and other treatments in combination with the Fraxel Dual.

How does Fraxel compare to the cool peel laser?

Cool peel is ablative. The one I use Fraxel Dual is non-ablative.

Is it safe to do Fraxel on darker skin types?

Using the Fraxel laser on darker skin tones can be safe. This is dependent on how the technology is used, which technology is used, and what is being treated. It is critical to choose an experienced provider.

Is there a chance my dark spots will get worse with a Fraxel treatment?

Absolutely. Anything that has the potential to make you better has the potential to make you worse if not performed appropriately. That doesn’t mean you can’t get great and long-lasting results, which is why you should go to someone with a considerable amount of experience.

What other lasers work in combination with the Fraxel and how many treatments in a series?

The VBeam Laser, Excel V, Pico Lasers, microneedling devices, silicone injections, other forms of injectables. It all depends on how it’s done and the results you are wanting to achieve.

Can I get a Fraxel done while breastfeeding for the treatment of my melasma?

If you are nursing, I would advise against starting with an exfoliative Fraxel resurfacing procedure. I would start with a non-ablative pico treatment which will help with getting your melasma under control. Once your hormones have stabilized and you have finished breastfeeding, you can begin a treatment regime with the Fraxel laser.

Is it common to pinpoint bleeding after the Fraxel procedure?

You should not experience pinpoint bleeding following a non-ablative Fraxel treatment. It is expected after an ablative Co2 Fraxel treatment. In fact, if you don’t, it means the provider performing the treatment did not go deep enough.

1-10 how painful is Fraxel?

People have this preconceived notion that a Fraxel treatment must be painful, but with the proper anesthesia, support staff, and technique, a non-ablative Fraxel treatment should be no more than a 3-5 out of 10. For the more extensive Fraxel Repair, we put people to sleep using twilight anesthesia.

Is Fraxel good for skin laxity? If not, what treatment is?

I would not classify the non-ablative Fraxel (Dual) as a skin tightening treatment. It helps with superficial texture and sun damage. The Ablative Fraxel Repair will result in some tightening, but will not lift tissue. I would have to see the patient for a consultation to determine what treatment would work best when it comes to addressing skin laxity.