A Top Laser Resurfacing Option in Orange County for Discolorations, Brown Spots, and Actinic Keratoses (Pre-Cancers)
What is the Fraxel DUAL Laser Peel (FDLP) and how does it differ from Fraxel re:store®?
The FDLP is a Fraxel treatment using Thulium, a different wavelength of light. This treatment works in the upper layers of the skin to remove brown spots, melasma, brown discolorations and actinic keratosis (pre-cancers.) It also improves skin texture and tone. It does not penetrate as deeply into the skin as Fraxel re:store and therefore does not have as much swelling or redness.
A Nationally Recognized Leader
Dr. Lorrie Klein’s rare combination of technical expertise and aesthetic sensibility puts her at the forefront of dermatologists nationwide. Dr. Klein’s reputation for providing natural-looking results is why she’s the choice of women and men from throughout Southern California and beyond.
How many FDLP treatments are needed and how soon will I see results?
Usually only 1 or 2 treatments are needed, 1 month apart. Results are seen immediately after peeling. More treatments may be needed for certain skin types (see box below).
Will FDLP improve my wrinkles or scars or tighten my skin?
FDLP improves tone and texture, but it does not improve wrinkles and scars or tighten skin. FDLP is therefore often used in combination with Fraxel re:store laser treatments to treat wrinkles or scars and with Pelleve© lunchtime lift treatments to tighten skin. These other procedures are usually performed on different visits.
Does insurance cover FDLP if it is used for actinic keratosis (pre-cancers)?
We do not bill insurance or Medicare for FDLP even when actinic keratoses are treated.
How should I prepare for my FDLP?
For 2 weeks prior to FDLP avoid retinoids, glycolic acids, self tanners and sun exposure plus wear an SPF 30 sunscreen daily. The treated areas cannot be tan. For olive, Asian and darker skin types, patients treating melasma and patients with a history of post-inflammatory hyperpigmentation we recommend using a skin bleaching product such as Obagi Clear or Elure for at least 4 weeks prior to treatment (see box below). These are available for purchase in our office. Also, please let us know if you have a history of cold sores or herpes on your lips and face so we can prescribe a preventive medication.
Fraxel Dual Laser Peel Hand Discoloration & Wrinkles
What can I expect after my treatment?
The skin develops a bronzed appearance on the second to fifth day and then peels, usually on the fifth to seventh day. Body areas may take longer to peel than faces and may appear red for several weeks after. Aggressive facial treatments may also appear red for several days or weeks after treatment.
What are the possible side effects?
You may develop some redness and rarely swelling but usually only with more aggressive or non-facial treatments. You will peel, that is expected. If you have melasma or have a darker skin type, there is a small risk of developing brown spots from any laser treatment. That is why we take special precautions with this type of patient (see box below).
Can I treat just a small area or individual brown spots?
In most cases we do not recommend treating just a small spot or area since there may be an obvious color difference between where the laser did and did not treat.
Fraxel Dual Laser Peel Arm Discoloration
Is FDLP safe for all skin types?
FDLP is safe for all skin types but we have special instructions for darker skin types, patients with melasma and patients who have a history of post-inflammatory hyperpigmentation (see box below.)
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How can I enhance my results from FDLP?
Wear sunscreens, use a skin lightening product before and after your treatments (such as Elure or Obagi) and consider adding microneedling with PRP (platelet rich plasma) immediately after your treatment. See our micro-needling handout for more information and pricing.
Special Instructions for Patients with:
- Melasma (blotchy brown patches on face, aka mask of pregnancy)
- Asian, darker skin types and individuals who usually tan and rarely burn
- A history of post-inflammatory hyperpigmentation (skin that has darkened after injuries, surgery or laser)
- You need to use a skin bleaching product such as hydroquinone or Elure at least 4 weeks prior to your treatment. These products are available for purchase in our office.
- You should continue to use a skin bleaching product on the treated area for 3 to 6 months after your treatment.
- You may need 4 to 5 treatments instead of 1 to 2 since we need to perform a more gentle treatment on your type of skin. These treatments will be 6 to 8 weeks apart instead of 4 weeks apart to reduce the risk of developing more dark spots.
- Packages must be paid in full on the 1st treatment in order to qualify for discounts and free treatments.
- Before your first Fraxel treatment you must be seen for a pre-Fraxel appointment with our R.N.s or P.A.s.
- * More than one Fraxel DUAL Laser Peel may be needed