• Fraxel Laser Treatment

    In London and Surrey

INTRODUCTION

This is a safe and effective way to treat:

  • Superficial sun damage and skin pigmentation due to sun damage such as solar lentigos (age spots)
  • Fine lines
  • Poor skin quality
  • Acne scars (see the section on acne scars)
  • Melasma (second-line treatment after topical treatment has been tried)

How Fraxel skin rejuvenation works

The Fraxel laser uses a 1927nm wavelength of light which is highly absorbed by the epidermal (outer layer) of the skin. It penetrates to a depth of 0.2mm. This allows complete replacement of the full thickness of the epidermis. The outermost layer of skin is what people see every day. Poor skin quality due to sun damage and ageing result in a dull, thickened and irregularly pigmented epidermis with fine lines.

Fraxel laser removes the old epidermis and replaces it with a new one. The change in appearance is quite dramatic. Please look at the photos below of clients that Dr Hussein has treated with the Fraxel laser. The new epidermis is uniform, smooth and pigment-free and immediately rejuvenates the face.

The procedure requires a mild local anaesthetic cream to be applied to the face for 30-45 minutes. Following this, the Fraxel laser procedure is performed and lasts for about 30 minutes. Protective eyewear is worn during the procedure so you will not be able to see what is going on around you. Most clients will complain of a mild prickly heat sensation at most.

Following treatment clients will feel a sunburn sensation for the first 24 hours. The face will be red and puffy for the first 24-48 hrs. Darkening and shedding of the outer layer of skin occurs from day 3-6.

Complete recovery is usual after 7 days. There may be a mild residual redness that will take a few more days to settle but this can be easily hidden with make-up.

During the 7 day recovery period you will have to follow a simple skincare routine which will be issued to you in written format. The skin products you require for this are issued to you during your treatment visit. It is normal to take antiviral tablets to prevent cold sore virus infection whilst healing.

Potential complications of Fraxel treatment

Dr Hussein is an expert in cutaneous laser surgery the incidence of side effects is low. In Dr Hussein’s hands, Fraxel laser is a very safe treatment.

However with any laser resurfacing treatment complications are possible. In Fraxel laser these include the following:

Post Inflammatory Hyperpigmentation (skin darkening)

This is the most common side effect. It is most common on darker skin types. Thankfully it usually spontaneously improves. Improvement can be speeded up by the addition of topical treatment such as hydroquinone 4% cream. Duration usually depends on the severity of the inflammation that created it in the first place. Complete resolution can take anything from a few weeks to 6 months depending on severity. Sun exposure is the most common aggravating factor and this is why strict sun avoidance is important in the first few weeks following treatment.

Infection (bacterial/viral/fungal)

This can happen in any kind of laser resurfacing but is exceptional in Fraxel laser resurfacing. HSV infection (cold sore virus) is the most common kind but is usually prevented by taking an acyclovir tablet twice daily for 7 days during the recovery period. Uncontrolled infection can then go on to result in hypertrophic (raised bumps) scarring. Thankfully if treated early any problems can be prevented. This is why Dr Hussein monitors the healing closely with the use of ‘selfie’ photos every two days for the first week.

Scarring

This is a possibility but exceptionally rare in Fraxel treatment due to the superficial penetration depth of the 1927nm wavelength. Theoretically, if there was uncontrolled infection this could cause scarring. This is highly unlikely due to insistence by Dr Hussein on direct photo monitoring in the first week of post treatment.

The second reason is due to a thermal injury directly created from the laser (burn). This is extremely unlikely due to Dr Hussein’s level of experience and expertise.

Prolonged redness (erythema)

This is not really a complication. Mild redness that remains for a couple of weeks after the treatment is normal. It will spontaneously settle.

Post resurfacing contact dermatitis

Again this is a rare complication of Fraxel but more likely in more aggressive forms of laser resurfacing. This is a form of an increased sensitivity of the skin that is encountered by a proportion of individuals post laser resurfacing. In some cases, it can be quite severe. Mild irritants can trigger a disproportionately large irritation of the skin (burning and itching) that then can result in prolonged redness and darkening of the skin. It is usually treated by topical steroid ointment if it occurs and eventually spontaneously settles. Triggering can be minimised by the use of mild perfume-free cleansers and skin product post-treatment. Dr Hussein can advise on these.

DR HUSSEIN’S BEFORE & AFTER PHOTOS

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AFTERCARE

Fraxel 1927nm is a skin resurfacing treatment. The laser removes the outer (epidermal) layer and a very small proportion of the inner (dermal) layer. The removed layers will grow back quickly thanks to Fraxel technology that spares small amounts of tissue from which rapid healing takes place. The treatment is designed to renew the surface of the skin and to remove the existing epidermis. Sun damage, pigmented spots, rough texture and fine lines will be removed as these problems are to a large extent contained within the epidermis. The result will be a much more uniform, smooth and blemish/pigment free epidermis.

What you will experience following the treatment:

  • You will experience some redness and your skin may be slightly puffy immediately after the treatment.
  • Over the next 48 hours skin will start to bronze and begin to flake or shed in small fragments.
  • This shedding process will take about 4 to 5 days to complete.
  • Following this you may the new skin underneath stays a little pink/red for a further 1-2 weeks.
  • Almost all of the healing process occurs within the first week following treatment.
  • It will usually be safe to return to your normal skin care regime 10 days post treatment.

Skincare in the first 7 days post Fraxel 1927nm

It is imperative that you adhere strictly to the following skin care routine after Fraxel 1927 treatment. Remember the epidermal (outer layer) barrier has been impaired by the laser. Use of your normal skincare products will result in inflammation, irritation and slow healing.

Morning

  1. Wash the face in the morning with Dermol or Avene Cleanance face wash and allow to air dry OR pat dry gently with a clean face towel (DO NOT RUB).
  2. Apply CU3 barrier cream to the face. This will protect the skin and stop it from drying out while the epidermal barrier is healing.
  3. Take any antiviral and/or antibiotic tablets that your Doctor may have prescribed.

Throughout the day
Top up the CU3 cream at any point when the skin starts to feel dry and tight. This should be at least twice throughout the day. Never let the skin dry out.

Evening
Repeat steps 1 & 2 (and step 3 if your Doctor has prescribed the medication) before going to bed.

NOTE: Dr Hussein may have prescribed FUCIBET – Do not use unless discussed with him first.

Dr. Hussein will review you a week following treatment but do not hesitate to contact him before this if you need earlier advice/review/information.

Caution

If you develop any of the following after treatment:

  • Red, raised areas and increasing swelling
  • Yellowish crusting (not flaking)
  • Increasing soreness or pain
  • Small acne like spots/blisters

Please contact Dr Hussein immediately for advice. This could represent infection post treatment.

COSTS

Fraxel:

  • A single session (for epidermal skin resurfacing only one treatment is required) – £850

Fully Ablative CO2 Laser:

  • Full face fully ablative CO2 resurfacing including eyes – £3000
  • Eyelids (Upper and Lower) fully ablative CO2 treatment ONLY – £1575

GOOGLE REVIEWS

Dr H Consult
4.6
Based on 36 reviews
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Miss L
Miss L
21:20 30 Jul 20
I had fully ablative co2 laser resurfacing 15th February this year (it is now July) and it was quite an experience!... This is a long one which will hopefully be helpful to anyone considering having it done who would like some insight. I will start by saying that I'm probably not the most obvious candidate for it as I'm only 30 and have been fortunate enough not to suffer acne scarring however I am a skin obsessive and perfectionist so I see a thousand flaws and I had it done as I wanted to get rid of some of the fine lines that had taken up residence over the last 5 years or so as well as other imperfections. The procedure itself wasn't painful (at least not most of the time) and Dr H was very reassuring however it does leave you feeling rather in shock afterwards I found, so if you can, have someone waiting for you after. I was prepared for pain in the immediate recovery days what I wasn't prepared for was how little I would be able to see due to the swelling up around my eyes (audio books are your friend at this point people! Also plenty of painkillers and food that you can eat without having to open your mouth too wide because that will hurt too.)I had a week off from work and then I had to go back and well looking at me was definitely pretty shocking - no longer hideous like I had been (there is a definite hideous monster stage of recover, no point sugar coating it) but pretty darn shocking. I had a lot of odd looks and as a teacher I gave my poor kids a bit of a shock but thankfully kids are super accepting. Every time I caught a glance of myself in the mirror though I'd be like "wow the kids are amazing!" they treated me just like normal after the initial morning of shock wore off and honestly I looked pretty awful for a while. Kids are way better at that stuff than adults. You just have to roll with it and concentrate on making sure you're doing everything right to help your skin recover. I didn't rush to put make-up back on or anything because honestly why potentially mess something so major up by not just waiting a little while longer. I did unfortunately get an infection around my eyes which meant they took longer to heal overall but Dr H soon got the infection itself cleared up and he checked the selfies daily. The recovery can be hard, I expect some people heal a lot more quickly than I do but I'm not a fast healer and it isn't easy to constantly have to put yourself out there not looking like yourself. It was at least month before I started feeling like my outside reflected my inside again and it can make various aspects of life difficult. Shortly before lockdown happened in the last week of schools being open I was wearing very light make-up again and looking passably normal but although probably not noticeable to most people I was pinker in overall tone and that takes a long time to fade. I was finally feeling attractive again though - yay! I think my skin appreciated lockdown and having more time of zero commute/pollution/little make-up as it gave it more recovery time and I now look totally normal. Well I say normal...I look better! The little lines around my eyes - gone! My cheeks - plumper! Gotta love that collagen. My mum says my cheeks remind her more of 19 year old me. It has also slightly softened the frown between my eyebrows (that thing is a curse) It hasn't totally perfected my skin but it has done a darn good job of all but the most problematic area of it. My friends say I look really good and I did not look bad before! It is quite fascinating because it is basically impossible for someone to put their finger on exactly what is different but something subtle is. I think if you had more skin irregularities or older skin you would probably see more dramatic results but it would still be very natural looking. I would have it or something similar done again in another 10 years or when I felt it needed doing but I urge you do plan enough down time! Was it worth it? Yes..but I'm not rushing to go through that recovery again ;)I hope this has been helpful 🙂 Thanks Dr Hussein 🙂read more
Siobhan Todd
Siobhan Todd
18:27 30 Jul 20
5 star results and 5 star service. I felt at ease in Dr H and his staff’s hands throughout my co2 laser resurfacing... treatment and after treatment, Dr has been on hand with any questions I’ve had and regular updates throughout my recovery. I received co2 laser mainly for acne scarring & marks and have noticed a dramatic difference in texture already, I feel like I have new baby skin 🙂read more
Laura Robinson
Laura Robinson
17:21 19 Jul 20
I am literally over the moon with the results of my fully ablative CO2 laser treatment. I have spent years researching... for the perfect Doctor and correct procedure to help reduce my acne scarring, I finally decided on Dr Asif and travelled from Liverpool to London for the treatment. Dr Asif and his team are so professional and supportive both during the procedure and the following weeks. I would say my skin is looking 80/90% better than before. Thank you so much Dr Asif, you're the best.read more
Anne Swan
Anne Swan
19:03 14 Jul 20
I am absolutely delighted with the results of my CO2 laser treatment. It was a big decision to have it done but Dr.... Hussein and his team could not have been more professional, more helpful or more supportive - both during the procedure and in the weeks following it. The improvements are considerable but look totally natural and I feel so much more confident. Thank You!read more
Aura Bo
Aura Bo
18:00 10 Jul 20
I had tailored liberator subcision with Dr Hussein, he was so friendly, knowledgeable and professional! The procedure... was not painful at all, you'll be under local anaesthetic, and even after that you feel 0 pain! The recovery was super quick just 1 day. You can see results the day after, I can see a major improvement in my tethered scars and I am also having done in 1 month the Fully Ablative Laser. If you have acne scars, trust Dr Hussein, he is honestly the best specialist out there! I cannot thank him enough, he brought so much confidence in my life!! 5 *****read more
PKo99 MD
PKo99 MD
11:26 07 Jul 20
I reached out to Dr. Hussein, from the US, to discuss ablative laser resurfacing and to discuss his approach with acne... scar cases. He couldn’t have been more friendly and attentive during these discussions. He clearly understands parameter control and was willing to share his insights which is very appreciated. Happy to have met him and would recommend him to anyone in need of resurfacing. You will be in good hands.read more
Sandra Gil
Sandra Gil
14:39 04 Jul 20
I had the CO 2 laser with Dr. Asif Hussein and the results are amazing eventhoug I was very apprehensive about the... whole procesure his professional team kept me at ease. Dr. Asif shows his passion and guide me throug the whole journey. I'm very happy a 100% recomend..read more
Bianca B
Bianca B
15:53 03 Jul 20
I was so impressed with Dr Hussein and the entire team. Very happy and pleased with the visible results after my laser... treatment. Amazing staff and an even more amazing service!read more
Teresa Ryan
Teresa Ryan
11:53 03 Jul 20
Dr H was recommended to me as in the past I had a bad experience with a Dermatologist sometime ago. I could not... recommend Dr H more as from the first consultation Dr H was honest and straight forward about the treatment I needed for acne scarring. Dr H recommended Subcision first followed by C02 Laser. Dr H fully explained the reason for the Subcision and i am glad I went for it. I have seen a significant difference in the scarring with the Subcision alone. I have now followed this up with the C02 laser and although I am still in the healing process, I am looking forward to seeing the results. Throughout this, Dr H has been in contact, and taking me step by step through the process. On both treatments, Dr H was very reassuring and informed me of what he was doing and when, which relieved some of the anxiety. I also have to mention Lulia, who has been great again through both treatments Both make a great team.read more
Iria Behbahani Ortola
Iria Behbahani Ortola
09:42 18 Mar 20
I am very happy with the result!I had very large pores and sun damage on my skin, I had halo laser but it was a light... laser for the size of my pores so we attempted a mild Co2 laser, today is day 11 and I can't be happier with the results, the large pores have reduced a lot! My skin looks younger, healthier, still a bit red but that will settle soon.I have definitely achieve what I wanted I am not going to wear make up foundation for a while 😊. Dr H has been there for me every time I had a question, daily since the first day giving me advice and looking after me. It was the best money investment I've done on my skin. Also mention Iulia, she has been incredible taking care of me while I had the treatment as I had to go on my own to the clinic, reassuring me and making sure I was fine. I know how important is this as I am a nurse myself, they both made me feel like at home. Thank you all! 😘😘read more
Sarah Fox
Sarah Fox
12:51 08 Mar 20
I was recommended Dr Hussein by a friend and have been having anti-aging treatments for a couple of years. I am always... very happy with the results and find him highly skilled, reassuring and friendly. He offers wise skin advice and his treatments are targeted at exactly the areas that need work, non invasive & quick procedures. His results are subtle and natural which is exactly what I want to achieve. I highly recommend Dr Asif Hussein.read more
Scan Services
Scan Services
17:31 04 Mar 20
A few weeks ago I have done CO2 laser (fully ablative laser resurfacing) with Dr H and I can highly recommend him. I... truly like the way how he keeps in touch with patients, checking on you, taking care of you.He definitely knows what he does! I can already see big improvement on my skin texture even though I know my skin still needs loads of time to fully settle so the improvement will continue.Thank youread more
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