Fraxel Dual

Instead of treating the entire surface of the skin, the laser creates thousands of microscopic treatment zones of controlled damage deep within the skin, leaving the surrounding healthy tissue untouched to speed up healing. This fractional approach triggers the body’s natural wound healing response, promoting new collagen and elastin production.  Over time, as the skin repairs these microscopic zones, patients observe improved texture, tone, firmness, and clarity.

Each focuses on different problems. One laser (1927 nm) focuses on the surface of the skin, making it especially effective for fading dark spots, sun damage, and uneven skin tone. The result is enhanced glow and radiance. The other laser (1550 nm) reaches deeper layers to boost collagen production, helping to smooth fine lines, improve skin texture, and reduce the appearance of acne scars. These two wavelengths can be used separately or together, depending on your skin’s needs, for a personalized treatment that delivers visible results.

Fraxel Dual is FDA cleared and clinically proven to address:

• Fine lines and wrinkles
• Sun-induced pigmentation, age spots, freckles
• Actinic keratosis (precancerous patches)
• Acne scars
• Surgical or traumatic scars
• Uneven skin tone
• Enlarged pores
• Melasma

Dr. Hibler frequently employs Fraxel Dual to treat photoaging, brown spots, texture irregularities, acne and surgical scarring, and early sun damage, offering patients both aesthetic and therapeutic benefits.

During your consultation Dr. Hibler will perform a comprehensive evaluation of your medical history, skin type, and specific cosmetic goals. You will discuss your primary skin concerns, goals, and expectations.

Dr. Hibler will explain both the benefits and potential side effects, such as temporary redness, swelling, and peeling, ensuring you are fully informed. He may use diagnostic tools like magnified skin analysis and photography to assess areas of concern. Together, you choose a treatment plan that addresses your unique skin concerns. The settings of the laser treatment will be individualized to your skin type and tolerance for downtime and often incorporate both wavelengths of 1927nm and 1550nm for comprehensive rejuvenation. Dr. Hibler will provide guidance regarding the number of sessions that might be required and timing of treatments (typically spaced as early as 4 weeks apart).

Some patients prefer to come in annually for a more aggressive treatment, whereas other might prefer to return for a series of treatments with less downtime. This can be customized to your individual skin needs and social schedule.

Before your first session, Dr. Hibler will provide clear pretreatment instructions. These typically include avoiding sun exposure, tanning beds, and any harsh exfoliants for at least a week prior.

The process typically involves:

1. Cleansing the skin thoroughly to remove oils, makeup, and debris
2. Applying numbing cream, which is removed just before treatment
3. Delivering laser energy systematically across the treatment area; Dr. Hibler adjusts settings to match your specific skin issues and tolerance
4. Cooling and soothing, with a chilled air device and topical ointment applied immediately after

Sessions generally last about30 minutes, depending on the size and complexity of the treated area. Many patients describe the sensation as a prickling heat, analogous to a light snapping rubber band. Thanks to the numbing cream and cooling technology, the discomfort is usually mild and well tolerated.

Following treatment, your skin will appear red, similar to a sunburn, and possibly feel warm or slightly tight. Dr. Hibler will recommend a gentle skincare regimen, including:

• Application of a soothing, hydrating ointment or barrier cream several times daily
• Use of a gentle cleanser and lukewarm water
• Avoidance of sun exposure, with strict use of a broad‑spectrum SPF 30 or higher
• Refraining from makeup and vigorous skincare for at least 48 hours

Downtime varies depending on the intensity of your treatment plan. For more aggressive sessions, redness, swelling, and flaking may persist for 5 to 7 days. With lighter sessions, minimal redness and mild dryness typically resolves within 2 to 3 days.