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Ask Amanda: Fraxel and Microdermabrasion

Posted on Nov 20, 2008 at 10:56AM

black and white picture of a young woman in a sleeveless dress

A reader Asks Amanda, our cosmetic nurse specialist, about Fraxel and microdermabrasion.

Amanda, thanks for the feedback.  I was told that using Fraxel under the eyes can cause more problems, but then again it might work quite well, My dermatologist suggested it. I had already consulted with a laser treatment centre and they are a bit weary of treating that area. With the information you have provided of the contra-indications of using this laser, it may not be a good idea to go that route after all.

I am planning on using the fraxel laser to tighten the skin and to possibly smooth out acne scarring as well as try to remove hyper-pigmentation, especially on my forehead.  I'm told it's an excellent laser treatment for those problems I have requested some more information from them about using a a Q2 laser or the Co2 which apparently does work well under the eyes.

I have started a regimen of microdermabrasion treatments but they refuse to go anywhere near the eye area.  In response to this, do you think a home dermabrasion kit would be safe? I have looked up various different creams online, and the name Hylexin has come up as an excellent product. What would you recommend as the best product?

If you can check up on that product and give some feedback on it, it would be greatly appreciated. In the interim I will have a look online on the information you have provided. I would love to receive and try out your samples, but unfortunately I reside in South Africa.

Sincerely Vinay

Dear Vinay:

The dark circles under your eyes can be related to allergies, etc. A simple noninvasive solution is to use a concealer lighter than your skin tone and an eye cream. The best product available is LUMIERE eye cream by NEOCUTIS, which is approved for application to the eyelids,and contains PSP's and caffeine.

If you forward me your address, I can forward you samples of the NEOCUTIS CREAM. You can access information at

The bruising in the tear trough area is very common with filler and fat injections. This can take some time to disappear. Your other alternative is to do TOTAL FX. The benefits of fractionated laser include immediate skin tightening, reduction in wrinkles and lines; improve texture and tone of your skin and the stimulation of new collagen. The results with fractionated laser are long term. The face, neck, chest, eyes, and hands can be treated.

The contraindications (those who should avoid) for treatment with fraxel laser are poor wound healing history, keloid former, and use of Accutane in the past 12 months, and prolonged redness.

The risks and complications include hypopigmentation, hyperpigmentation, scarring, pain, burning, crusting, itching, acne-like breakouts, herpes, milia, and petechiae.

I would recommend you see a board certified dermatologist or facial plastic surgeon. If you tell me the area in which you reside, I will be happy to do the research and recommend a physician.

The risk of hyperpigmentation is something you must consider as you are now unhappy with the discoloration. Fraxel is an amazing procedure and at most you should need only 2 treatments. Pricing is variable.

Microdermabrasion is a simple exfoliation of the skin, almost like vacuuming. I recommend you purchase the Neutrogena home microdermabrasion as you can do this yourself without causing harm. The microdermabrasion will improve the darkness minimally. You could consider using a retinoid to improve the overall texture of the skin. Triluma is a bleaching agent available by prescription and will improve the appearance of fine lines and areas of hyperpigmentation. Purchase the Neocutis Lumiere eye-cream.

Email me your address and I will send you samples. It is amazing, and I know you will be satisfied.

If you have any other questions, please feel free to email me or call me. I will do all I can to help you!

Amanda Schmicker, LPN, MBA

Amanda Schmicker is an accomplished Healthcare Industry Professional with extensive experience in diverse areas of mental and behavioral health and cosmetic dermatology. Her education includes a Master's Degree in Business Administration, undergraduate studies in Human Services and Criminal Justice, and practical nursing. She also is a cosmetic nurse specialist with excellent leadership abilities concerning healthcare and nursing team initiatives, and is instrumental in providing exceptional level of care to diverse clientele. Amanda has a broad knowledge base relating to cosmetic treatment options and benefits to each individual client. If you have any questions, don't hesitate to Ask Amanda.

Read more questions and answers in Ask Amanda.

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