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Fraxel Laser Resurfacing for San Jose

Fraxel® Dual 1550/1927 Laser Skin Resurfacing in Mountain View & the Bay Area


We are excited to be one of the first practices in the San Jose Bay Area to offer the Fraxel® Dual 1550/1927 laser skin resurfacing system to our patients. This revolutionary innovation allows the areas treated to exhibit better skin texture, more even pigmentation, less wrinkling and fine lines, as well as some tissue tightening. It is Dr. Ereso’s treatment of choice for age spots, especially on the face and hands, as well as melasma and freckling. There is minimal “down” time (1-2 days of mild redness), and Fraxel® laser skin resurfacing does not require general anesthesia or intravenous sedation.

The Fraxel DUAL 1550/1927 laser is engineered to treat across a variety of conditions, on all skin types and anywhere on the body. Since it delivers predictable epidermal turnover with each treatment, nearly all patients see immediate improvement. And due to collagen remodeling, those results are enhanced over weeks and months. Numerous clinical publications report that the Fraxel treatment provides more consistent, successful results than any other procedure for treating acne scars. When it comes to acne scars, Fraxel DUAL 1550/1927 treatment succeeds where other procedures have failed. The Fraxel DUAL 1550/1927 laser can reach deep into the dermis to stimulate collagen remodeling while keeping surrounding tissue intact for maximum healing and minimal discomfort or downtime.

Advanced Technology – The Most Efficient Delivery for the Best Possible Results

All Fraxel laser products use the same patented platform of technological intelligence — ensuring the highest efficacy, safety and flexibility. Since we can adjust the energy level, treatment level and number of passes, we can tailor each treatment to your needs. Key features of the Fraxel DUAL 1550/1927 system:

  • Dual fiber laser technology
    Choose between the single or dual fiber laser system. Either the deep penetrating Erbium 1550 fiber laser or the more superficial 1927 Thulium fiber laser is easily selected.
  • Intelligent Optical Tracking® system
    The technology adjusts to hand speed and ensures uniform treatment, distributing pulses evenly while maintaining optimal spacing to reduce heat. The result is a treatment that’s safe, effective, and fast, with a full-face treatment typically completed in 20-25 minutes.
  • Optimized spot size based on chosen parameters
    The system optimizes the microscopic spot size for each energy level, maximizing penetration while minimizing bulk heating in surrounding tissue. As a result, we typically see improvements in mild to moderate photodamage with minimal downtime.
  • More comfortable procedure
    Superficial targeting of the Thulium wavelength and focal cooling improves your comfort.
  • Fraxel Roller Tips
    Cool roller tips allow focal cooling of target treatment sites, improving your comfort.
  • Faster treatment times
    Improved scanner design increases procedure speed by 25 percent.
  • Safety
    The laser fires only when the handpiece touches the skin and when the footswitch is engaged. And to prevent overtreatment, the number of microscopic treatment zones (MTZs) is matched to the speed of application. This built-in safety and ease of use make the Fraxel DUAL 1550/1927 system a flexible option for our practice.

What to Expect

We ask that you arrive at the Pearl-Ereso Plastic Surgery Center one hour prior to your scheduled treatment. A topical anesthetic will be liberally applied to the planned treatment areas. This will be removed approximately 1 hour later. The laser will then be used to thoroughly treat all of the planned areas. You will feel some heat during Fraxel® laser skin resurfacing, which will be minimized by a chilled spray applied to the treated sites. Redness and some stinging follow. Iced compresses and elevation significantly reduce discomfort. Redness usually disappears in several hours but may last for 1-3 days. Normal activities may usually be resumed in less than 24 hours. If you are having the Fraxel 1927 wavelength used to treat pigmentation on the face, you will experience “bronzing” of all of the pigmented areas treated on your face. This will flake off approximately 5 days after the procedure. If the chest, hands and legs are treated. the ‘bronzing” will flake off 10-14 days after treatment. You will have very little pain after using the Fraxel 1927 wavelength.

How the Technology Works

The Fraxel® Laser treatment concept is ingenious. For every square inch of treated area, only approximately 30-50 percent or “fractions” of the tissue is actually exposed to the laser light producing heat and tissue changes to the deeper structures without injuring the skin surface. Most of the area surrounding the lasered tissue is left undisturbed allowing for rapid healing and minimum downtime. You should expect to see improvement in the texture, color, and fine lines in the treated areas over a period of 1-3 months. Usually, 1 or 2 treatments are required to treat pigment problems with the use of the Fraxel 1927 wavelength. 3 to 5 treatments are required to achieve the desired results to improve, skin texture, pore size, sun damage, fine lines, and acne scars using the Fraxel 1550 wavelength. Clinical improvement may not be apparent until 2-3 treatments have been completed. The treatments will be spaced 4 weeks apart.

What Areas Can Be Treated

One of the most exciting aspects of Fraxel® laser skin resurfacing is that almost any area of the body can be treated. Typically, an entire face, neck, and chest can be treated in one session. The hands and entire upper extremity can be treated, as well as the legs, ankles, and feet! Another fabulous advantage of the Fraxel® laser skin resurfacing is that skin of “all colors” may be treated, including Asian, Mediterranean, Hispanic, African-American, and Caucasian!

The full potential of Fraxel® laser skin resurfacing has not yet been fully unleashed. For patients who are seeking more comprehensive skin treatment, please contact our Mountain View cosmetic plastic surgery practice to obtain more information about this exciting new treatment

Traditional Laser Skin Resurfacing

In addition to Fraxel® laser treatments, Dr. Ereso also offers traditional laser skin resurfacing procedures. If you live in the San Jose Bay Area, we invite you to contact the Pearl-Ereso Plastic Surgery Center to schedule a personal consultation to help determine which procedure is best for your needs.

Ideal Laser Skin Resurfacing Candidates

You may be a good candidate for a laser skin resurfacing if you have any of the following types of conditions:

  • You have a light complexion, burn easily and have many fine facial lines
  • You have deep lines around your lips and eyes
  • You have moderate wrinkling at rest with or without splotchy pigmentation

The Laser Skin Resurfacing Procedure

Laser skin resurfacing provides significant and long-lasting improvement of sun-damaged, unevenly pigmented, or coarsely wrinkled facial skin. Usually, you will undergo a single procedure rather than the series of treatments commonly recommended for Fraxel® laser skin resurfacing and other milder revitalizing techniques. It is not uncommon to have a second resurfacing treatment one or more years after your initial procedure.

The laser is effective in treating wrinkles, blotchiness or age spots, and scars from acne or other causes. It can be used on the entire face or specific areas. The laser also has a mild tightening effect on the skin, particularly in the lower eyelid area. There are a variety of lasers in use today. Dr. Ereso predominantly uses Erbium and CO2 lasers to obtain the best results. Particularly around the mouth, he combines CO2 laser resurfacing with dermabrasion.

Dermabrasion uses a small, rapidly spinning wheel with a roughened surface similar to fine-grained sandpaper to abrade the skin, removing its upper layers. This resurfacing technique is well suited for the treatment of facial scars or vertical wrinkles around the mouth. The treated areas usually will blend well with the surrounding skin so there is little if any noticeable difference in pigmentation.


A few days following laser skin resurfacing or dermabrasion, your new skin emerges. Usually, initial healing takes place in 4-8 days. The skin’s pink color will fade over the next few months and, in the meantime, may be covered by makeup. In most cases, you should be able to return to work within a week or two.

Contact Our Practice for More Information on Laser Skin Resurfacing and Fraxel® Treatments

We invite you to learn more about laser skin resurfacing procedures, including Fraxel® treatments, by contacting our Mountain View plastic surgery practice today.

*Please check your state’s regulations for more information on delegable procedures.

*FDA indications include skin resurfacing procedures and the treatment of periorbital wrinkles, acne scars, surgical scars, dyschromia and pigmented lesions, such as age spots, sun spots, actinic keratosis and melasma. Potential side effects include prolonged redness, swelling, blistering, scarring, infection, pigmentary changes (hyperpigmentation), herpes reactivation and acne flare-up.

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