Fraxel in Calgary

Fraxelat Rejuvenation Dermatology Calgary South.

Fraxel is a fractional laser that resurfaces the skin in thousands of microscopic columns, leaving the skin between them intact so it heals in days rather than weeks. It treats sun damage, texture, fine lines, acne scars and pigment, and one of its two wavelengths also clears precancerous actinic keratoses. At Rejuvenation Dermatology Calgary South, Dr. Paul Kuzel, a board-certified dermatologist, sets and performs every treatment himself.

14Years of training FRCPCRoyal College certified VPAlberta Society of Dermatologists
What it is

Two wavelengths of fractional, non-ablative laser.

Fraxel Dual carries two lasers in one handpiece. Each is fractional, treating a grid of tiny columns and sparing the skin around them, and each is non-ablative, heating the skin rather than removing it. The surface stays intact and recovery is short.

1550 nm: texture and scarsThe erbium wavelength penetrates deeper into the dermis and stimulates collagen remodelling. It is the wavelength for acne scars, surgical scars, fine lines, pores and general texture.
1927 nm: pigment and precancerThe thulium wavelength works in the upper skin, where sun damage lives. It clears sun spots, uneven tone and the fine crepe of photoageing, and it is used as a field treatment for actinic keratoses.
Used together or apartMost patients have both in one session. Where the problem is only pigment or only texture, one wavelength alone gives a lighter treatment. Dr. Kuzel sets the combination and the energy for each patient.
Fraxel, Clear + Brilliant or CO2

Choosing the depth of resurfacing.

The clinic offers resurfacing at three intensities. The choice is a trade between result per session and downtime per session.

Lightest

Clear + Brilliant

A gentler fractional laser from the same family. A day of redness, a course of four to six sessions. For maintenance, early sun damage, and patients who cannot take downtime.

Clear + Brilliant
Middle

Fraxel

Three to five days of redness and bronzing, three to five sessions. The workhorse for moderate sun damage, acne scars, texture and actinic keratoses, with a result that lasts years.

Deepest

Fractional CO2

Ablative: it removes columns of skin. A week to ten days of downtime, usually one session. For deep wrinkles, severe sun damage and deep scars.

CO2 laser resurfacing
Different tool

Picosecond and vascular lasers

Isolated brown spots and redness are often better treated by a pigment laser or a vascular laser than by resurfacing. Dr. Kuzel chooses the tool for the finding.

PicoWay
Why a dermatologist

Settings, skin type and the conditions underneath.

A laser is only as safe as the judgement of the person setting it. Energy, density and wavelength are chosen for the skin in front of the physician, not from a preset.

Diagnosis firstPigment that looks like sun damage can be melasma, which Fraxel can worsen, or a lentigo maligna, which needs a biopsy rather than a laser. Dr. Kuzel examines every patient as a dermatologist before treating.
Skin typeDarker skin carries a higher risk of post-inflammatory pigmentation after any resurfacing. Energy and density are reduced, pre-treatment is prescribed, and the 1927 nm wavelength is used with care.
Actinic keratosesFraxel 1927 is a recognised field treatment for precancerous sun damage. That is a medical use, and it belongs with a physician who follows the skin afterward.
CoverageCosmetic Fraxel is not covered by Alberta Health Care. Fraxel for actinic keratoses is still not covered, but the assessment of sun damage and precancer is covered with a referral.
What it treats

Sun damage, texture, scars, pigment and precancer.

Fraxel is used on the face, neck, chest, hands and, for scars, the body.

1927 nm

Sun damage and sun spots

Brown spots, blotchy tone and the fine crepe of photoageing on the face, chest, arms and hands. Usually one to three sessions.

Sun damage
1927 nm

Actinic keratoses

Field treatment of scattered precancerous patches across a whole area, as an alternative to cryotherapy of each spot or to photodynamic therapy.

Actinic keratosis
1550 nm

Acne scars

Rolling and shallow boxcar scars respond well to a course of three to five sessions. Deep ice-pick scars need CO2 or surgical treatment first.

Acne scarring
1550 nm

Fine lines and texture

Crow's feet, fine lines around the mouth, enlarged pores and rough texture. Improvement builds over a course.

Fine lines and wrinkles
Both

Surgical scars and stretch marks

Softens the texture and colour of mature scars and striae. Best started once a scar has settled.

Scar revision
With caution

Melasma

Low-energy 1927 nm treatment is used in selected patients with melasma alongside prescription treatment, and never as the first step. Discussed at consultation.

Melasma
Your visit

Assessment, then a course.

A Fraxel session takes about ninety minutes including an hour of numbing cream. Treatment is booked after consultation.

ConsultationWhat concerns you, your sun history, skin type, medications, and any history of cold sores.
Assessment and planDr. Kuzel examines the skin, confirms the diagnosis, and sets the wavelengths, energy and number of sessions. The price is confirmed before treatment.
PreparationSun avoidance for two weeks before. A prescription lightening cream for patients at risk of pigmentation. Antiviral tablets if there is a history of cold sores.
TreatmentTopical anaesthetic for an hour. The laser pass takes twenty to thirty minutes with cold air cooling. The skin feels hot afterward.
Repeat and reviewSessions four to six weeks apart; review three months after the last, when the collagen response is assessed.
Aftercare and downtime

The bronzing week.

Fraxel has predictable downtime. The skin looks sunburnt for a few days, then bronzed and rough as the treated columns shed, then new.

After treatment

  • Redness and swelling for two to four days, like a sunburn; ice and sleep raised for the first two nights
  • Bronzing and a rough, sandpaper texture from day three to day seven as the treated skin sheds; do not pick or exfoliate
  • Gentle cleanser and a bland moisturiser only; no active skincare for a week
  • Makeup from day two or three
  • Strict sun avoidance and daily SPF 50 for four weeks; the new skin pigments easily
  • Contact the clinic for blistering, crusting that spreads, or unusual pain
  • Not used in pregnancy, with isotretinoin in the past six months, active infection, or a recent tan

Booking and fees

No referral is needed. Fraxel is priced per session and as a course, by area, and quoted at consultation. The price is confirmed before treatment.

Call (403) 286-6888 for current pricing.

What to expect

Expected outcomes.

Pigment responds fastest. Sun spots darken for a few days and shed with the bronzing, so the skin is visibly clearer within two weeks of the first session. Texture, lines and scars respond to collagen remodelling, which builds for three to six months after each session. The full result of a course is assessed at three months after the last.

For sun damage and actinic keratoses, one to three sessions usually suffice and the result lasts years with sun protection. For acne scars and texture, three to five sessions produce a meaningful but not complete improvement; scars soften rather than disappear.

Fraxel does not lift, does not remove deep wrinkles in one pass, and does not treat redness or broken capillaries. CO2, neuromodulators and vascular laser do those where needed.

3 to 5Days of visible recovery 1 to 5Sessions, by indication 3Months to full collagen result
Questions

Questions about Fraxel, answered.

How much does Fraxel cost in Calgary?

Fraxel is priced per session by area and as a course, and quoted at consultation. Call (403) 286-6888 for current pricing.

How many sessions do I need?

One to three for sun damage and actinic keratoses. Three to five for acne scars, texture and fine lines. Sessions are four to six weeks apart.

How much downtime is there?

Three to five days of visible recovery: two to four days of redness and swelling, then bronzing and a rough texture as the treated skin sheds by about day seven. Most patients work from home for two or three days and wear makeup from day three.

Does it hurt?

With an hour of numbing cream and cold air during treatment, most patients describe heat and prickling rather than pain. The skin feels sunburnt for a few hours afterward.

Is Fraxel safe for darker skin?

Yes, with adjusted settings and preparation. Darker skin has a higher risk of temporary pigmentation after any resurfacing, so energy and density are reduced, a lightening cream is used before and after, and sun protection is strict. Dr. Kuzel assesses skin type at consultation.

Fraxel or Clear + Brilliant?

Clear + Brilliant is lighter: a day of redness, more sessions, a subtler result. Fraxel is stronger: a few days of downtime, fewer sessions, a larger result. Clear + Brilliant is often used to maintain a Fraxel result.

Fraxel or CO2?

CO2 removes columns of skin and produces a larger result in one session with a week or more of downtime. Fraxel heats the skin without removing it and spreads the result over a course with short downtime each time. Deep wrinkles and deep scars favour CO2; most other indications favour Fraxel.

Does Fraxel treat actinic keratoses?

Yes. The 1927 nm wavelength is a recognised field treatment for scattered precancerous sun damage, and improves the appearance of the surrounding skin at the same time. Dr. Kuzel follows treated skin as he would after any precancer treatment.

When will I see results?

Pigment clears within two weeks of the first session. Texture, lines and scars improve over three to six months as collagen remodels, and the full result of a course is assessed at three months after the last session.

Who performs the treatment?

Dr. Paul Kuzel, MD FRCPC, a board-certified dermatologist and the founder and Medical Director of Rejuvenation Dermatology Calgary South, assesses every patient, sets the laser and performs the treatment personally. He sees patients in English and Czech.

Begin here

Book a consultation.

Book a consultation with Dr. Kuzel. No referral is needed for cosmetic treatment.

Rejuvenation Dermatology Calgary South
10201 Southport Rd SW #102
Calgary, AB T2W 4X9
Two blocks west of the Delta Hotel

(403) 286-6888
Referrals by fax: (403) 225-2914

Open seven days a week, with early mornings and evenings on weekdays.

Contact Rejuvenation Dermatology

Take the first step toward achieving healthy, radiant, and flawless skin. Contact Rejuvenation Medical Aesthetics today to schedule your personalized consultation and explore the advanced treatments tailored to your unique needs.