Fraxel Laser Treatments
Professor Mark Ashton
MB., BS. MD. FRACS (Plas)
Specialist Plastic Surgeon
Professor Mark Ashton is a Melbourne-based plastic surgeon. He is chair of plastic and reconstructive surgery at Epworth Freemasons Hospital, former Head of plastic and reconstructive surgery at Royal Melbourne Hospital (2001 – 2016), and is one of Australia’s most respected and internationally renowned plastic surgeons.
The following information is designed to help you understand our process for Fraxel laser treatment, including assessment and suitability, and will emphasise essential information to consider before proceeding with this treatment.
AHPRA registration number – MED0001135718

Fraxel Laser Melbourne
What is Fraxel Laser?
Fractional laser is a non-ablative laser skin procedure that treats the epidermis and dermis of the skin. The laser delivers very fine columns of laser energy into the skin to help even out skin pigmentation, and stimulate collagen formation.
Assessment
Prior to treatment, you will be assessed for suitability of treatment, which includes discussing your concerns, the assessment of your skin, and clinical photos. You will also be provided information regarding suitable treatment options, a financial quote, and an informed consent form, which must be signed prior to treatment being conducted.
What Is Fraxel Dual?
Fraxel Dual has two different wavelengths that targets 2 different parts of the skin.
The 1927 wavelength penetrates the superficial epidermal layer of the skin to target epidermal concerns such as skin pigmentation, sun spots and fine wrinkles.
The 1550 wavelength penetrates the deeper dermis layer of the skin to target collagen formation. It is effective in treating deep wrinkles, acne, acne scarring and surgical scaring.
Both the 1550 and 1927 wavelength can be used together to target the skin at different depths, where there is a combination of skin concerns.

WHAT IS INVOLVED WITH A FRAXEL TREATMENT?
You will need to be assessed to determine what type of laser is recommended for your skin type / condition.
A topical anaesthetic cream is applied 60 to 90 minutes prior to treatment.
During the treatment cold air is continuously blown over the treatment area to cool the skin, which aids in reducing discomfort.
The duration of treatment is approximately 30 minutes. For the treatment of your face, a cooling face mask will be applied following treatment.
The healing process following treatment is usually between 7 to 10 days, however, may take up to 2 weeks.
You will be required to attend a follow-up appointment 2 weeks post treatment for assessment of the treatment conducted.
WHAT IS EXPECTED AFTER MY TREATMENT?
- Your skin will initially feel warm and look red. The intensity and duration of redness depends on the level of treatment
- For the 1927 – on day 3 and 4, usually your skin will darken and will have a “sandpaper” like feel. Your skin will then start to peel, revealing soft pink skin underneath
- For the 1550 – as this laser penetrates deeper, your face will be red and may be quite swollen, and usually resolves within 7 days following treatment. You will not peel following this treatment
RECOMMENDATIONS POST TREATMENT
- Keep the treated area cool using a cold compress every 10 minutes of every hour before going to bed
- No physical exertion, and avoid exposure to excessive heat or cold (i.e. saunas, spas, sun, snow conditions, hot water) for the first 24 hours
- Do not apply makeup for the first 48 hours. If you do wish to apply makeup after this time, use mineral-based makeup only, and avoid oil-based makeup
- Avoid using skincare with active ingredients such as AHAs, Retinols and Vitamin C serums
- Use a mild cleanser and moisturiser for the first 2 weeks following laser treatment
- SPF 50+ broad spectrum (UVA/UVB) sunscreen must be worn on the treated areas at all times
- A wide-brimmed hat must be worn while outdoors for the first 2 weeks, even if it is overcast weather
- Avoid any injectables treatments for 2 weeks following laser treatments
WHAT ARE THE RISKS?
Fraxel is not suitable for all skin types, therefore a skin assessment is critical prior to any laser treatment.
Immediate Risks:
- Redness
- Swelling
- Fluid retention under the eyes
- Blistering and itching (If laser treatment is too intense for the skin type)
- Burns
- Eye injury from laser (wearing lead goggles is required at all times)
Delayed Risks:
- Hyperpigmentation (darker skin pigment than the rest of the skin)
- Hypopigmentation (loss of skin pigment colour)
- Burn injury
Please contact Professor Ashton’s Rooms for further advice regarding Fraxel Laser Treatments