Surgical Scar Revision with Fraxel – the Gold Standard

TGA approved injectables Fraxel Laser scar minimisation

Fraxel can help treat and reduce your Surgical Scars after Plastic Surgery

Wouldn’t it be great if surgery didn’t leave scars? Unfortunately, all surgeries will leave some sort of scar around the surgical incision point(s).

If you want to reduce your post-surgical scars, try Fraxel (Restore) scar revision treatments as part of your post-operative skin care regime.

Some scars will heal better than others, and some incisions are in places where your movements can inadvertently make scars worse during the healing period.

Even some skin types scar more than other skin types (such as Asian or other highly pigmented skin tending to form raised keloid scars).


But scars can be hidden AND reduced through precise surgical placement & post-op scar healing techniques

Many, though not all, scars can be highly minimised – even hidden – by an adept Plastic Surgeon.

First, let’s look at how wounds (incisions) heal. It’s a skin restructuring (renewal) process that can sometimes takes months (up to 12 months) to fully heal – and even then, your scars may continue to fade over time.

Note that SILICONE strips can also help reduce cosmetic surgery scars.


wound healing and scars after surgery

Treating and Minimising your Plastic Surgery Scars

Reducing Breast Scars After Lift or Breast Reduction Surgery

For breast surgery, there are several options for incisions for patients, although patient suitability for a particular approach may vary.

Breast Reduction Surgery using the Le Jour incision method (a lollipop incision) leaves a vertical scar, rather than a larger/wider anchor scar.

Breast reduction scars

Reducing Scars After Facelifts, Eyelid Surgery or Rhinoplasty Surgery

Facial scars can often be hidden in the hairline, in or behind the ear for a facelift or Otoplasty – or in the normal eye creases for eyelid surgery – or even in the normal skin contours or skin folds (such as for a rhinoplasty nose surgery or a chin lift.)

Reducing Body Scars after a Body Contouring/Body Lift or Tummy Tuck Procedure

Body surgery scars can also be strategically placed where they can be readily hidden under clothing or under swimwear (this is often the case for Tummy Tuck or Belt Lipectomy scars and incisions for many other Abdominoplasty procedures).

scar reduction, scar revision, fraxel, tummy tuck scar


Tummy Tuck surgery - minimise the scars

Reducing Arm lift or Brachioplasty Scars

In terms of hiding or minimising scars, body lift scars including scars from brachioplasty (arm reduction surgery) give most Surgeon’s more of a challenge than other scars.

Upper arm scars from an ARM LIFT or Arm Reduction Surgery, whilst difficult to fully hide, can be placed where the arm meets the inner rib cage when your arms are by your sides.

arm lift


Why use Fraxel to reduce Scars? – Fraxel is the Gold Standard of Scar Treatment

Whilst dealing with unattractive surgical scars might be bothersome or put you off of surgery, scars can be treated and reduces during your post-op healing stage.

In addition to aiming for minimal incisions where possible and facilitating scar healing (such as with special strips, garments and bandages or early scar-area movement limitations as your scars first start to heal), scars can not only be PLACED in the least obvious possible location, but they can also be treated using skincare lasers, such as Fraxel Restore.

Not every Surgeon makes use of Fraxel laser technology or other available scar minimisation techniques, however. But for a number of our Plastic Surgeon’s body, breast or face surgery procedures, we offer scar minimisation including Fraxel.

Surgery patients are often surprised to learn that Fraxel laser treatment can help reduce the appearance of their surgical or traumatic scars.

Fraxel procedures are not always completely painless, but using numbing cream an hour before hand can really help. Plus, if the procedure is administered properly by a caring, highly experienced Dermal Clinician or Physician, Fraxel can be quite effective at reducing the formation of scars.

Scars will still take time to heal even with Fraxel, but they will tend to settle better and become less visible with time.

Fraxel is considered by many to be one of the top “gold standard treatments” for revision of various scars, including surgical scars.  The others include Micro-needling by a highly skilled Dermal Clinician, or a combination of peels, supplements and light-based treatments including Healite II.

scar reduction

This is because Fraxel treatments are not only effective, they are considered to be non-invasive and less costly than surgical scar revisions (which may still be necessary for some scars).

Aside from treating scars, Fraxel laser treatments are also effective at treating a wide array of skin conditions – including:

  • helping minimise sun spots or reduce uneven pigmentation
  • can reduce some acne scars or refines the texture of your skin
  • reduces fine lines
  • may help minimises the appearance of stretch marks (but cannot remove them)
  • helps with skin blemishes

Using Fraxel laser is also considered to be a safer and more effective method of scar prevention (and reduction) than some other traditional laser treatments.

How does Fraxel Laser Treatment work?

  • The Fraxel laser involves the use of a hand piece, attached to advanced light-based laser equipment
  • The unique hand pieces of Fraxel laser equipment helps your Clinician deliver the scar reduction treatment directly to the area of the forming scar
  • The Fraxel hand piece works by creating what amounts to tiny dots (micro-incisions or pixels) that penetrate deep into your skin’s surface
  • These ‘dots’ help stimulates your dermal layers and your body to repair itself
    • The controlled interruption of the skin (or forming scar) means the body often ends up repairing itself by pushing out the damaged skin
    • The body then replaces the old, damaged skin (or forming scar tissue) with newer layers of healthier, undamaged skin including skin with better collagen

Like other lasers and related light therapy treatments (and even similarly to facial peels), Fraxel treatments help to trigger your own innate healing processes (natural healing capacities). This helps your body to increase (speed up) collagen production and skin renewal, which happens anyway – over time – but with Fraxel, more deeply and a bit more quickly.

  • This results in smoother, healthier, and radiant complexion.

It still takes time for scars to heal, however – and multiple treatments are usually required over several months during the post-op healing phrase (especially for tummy tuck or other significant scars on your body).

How many Fraxel Treatments do you need to achieve Visible Results?

  • For most patients, multiple Fraxel treatments (usually 3 to 5 relatively brief treatment sessions), are performed once every 3 to 8 weeks on average.[1]
  • The results of your treatment can vary from someone else’s Fraxel treatment, so scar revision results are not fully predictable – but many patients get excellent scar minimisation results.

This is especially true if they follow other scar minimisation protocols and our Rapid Recovery healing instructions.

  • Your ultimate scars will depend, however, on several factors such as your skin type, skin condition, and adherence to ALL of your Surgeon’s post-treatment instructions. It is also CRUCIAL that you NEVER smoke before, during or after your surgery, as smoking greatly compromises all of your organs – of which your SKIN is your largest organ.  

Is there discomfort or pain related to Fraxel Scar Treatment Procedures in the Clinic?

  • Fraxel can be painful if the area is not numbed.
  • Normally, however, Fraxel is tolerable and relatively comfortable during your treatment
  • That’s because we use numbing cream – but you’ll need to arrive at the designated time WELL in advance of your appointment – usually one hour – as it takes that long to have a numbing effect before Fraxel


After the Fraxel procedure, however, you might feel slight discomforts or pain.

  • This can be anything from a tingling sensation in the newly-treated area to redness and swelling.
  • Most of these post-treatment discomforts will usually resolve within a few hours after your treatment.
  • These are usually well-tolerated. However, if you know you have a very low pain threshold, ask your Surgeon or Physician for stronger topical creams or gels (prescription strength) to help minimise pain – or medications for some patients may be helpful

How long do effects of FRAXEL Laser Treatment last?

  • Treatments are long lasting but take some time to show full effect.
  • Several treatments are required for most scars and at appropriate intervals.
  • Once the scar is healed (12-18 months average) you can do follow up treatments but for most patients who get fraxel as they heal, no further treatments are typically required

Tips for FRAXEL for Scar Reduction

If you adhere to your Surgeon’s post-treatment instructions – and your Dermal Clinician’s advice – such as avoiding all sun exposure on the treated areas, wearing protective clothing, and similar post-Fraxel skin care protocols – you’ll likely get some beautiful scar minimisation results compared to what the scar might look like if you didn’t have the treatment.

  • Again, Fraxel results will vary from person to person.
  • Scars tend to settle over about 12 months in total, sometimes more and sometimes less.


It is possible you may benefit from additional maintenance Fraxel treatments over the years, but your Clinician can advise you on what might help your scar care over longer periods of time.

How are Fraxel laser treatments for scars performed?

  • First, your Clinician cleanses the area to be treated to prepare the skin for Fraxel (and numbing cream may be applied to minimise discomfort).
  • You WILL be asked to wear protective eye goggles.
  • Then you lie down (if suitable) and relax as your Clinician glides the laser rollers evenly over the targeted area of your post-op scar.
  • After your Fraxel procedure, you can typically resume all normal activities – it has minimal to no downtime for most patients.
  • Some patients have redness or swelling so DO let your Clinician know if you have these after Fraxel

Tolerance or Safety of Fraxel Laser Treatments

  • The Fraxel laser has a positive patient safety record when used by a properly trained Clinician (Dermal Clinician, Nurse or Physician).
  • It tends to be well-tolerated for use to minimise MOST traumatic and surgical scars and not compromise the outcome of your procedure (or your health) as long as you follow instructions
  • It is safe and effective for all skin type and skin colors because it does NOT target the pigmented cells of your skin (melanin), rather, it penetrates deep layers to stimulate renewal and increased collagen.

If you want to know more about the procedure and how this post-op treatment will improve the quality of your post-surgery life by minimising scars, consult with one of our highly experienced Dermal Clinicians or Plastic Surgeons – and start your journey towards a scar less procedure (not scar free – but scar less using Fraxel) and get LESS scarring after Surgery using our Fraxel treatments as part of your best-practice patient care.

Preparing for Fraxel Treatments

Whether you’ve had a recent surgery and want to minimise your scars, or want to refine and rejuvenate your skin, the Fraxel Restore laser is considered to be a gold-standard skin renewal & skin resurfacing treatment.

You can read more about how the treatment works on our other blogs or visit our Fraxel page.

Here are the primary reasons why:

  • a professional Skin Care consultation is necessary prior to Fraxel rejuvenation treatments
  • specific post-operative instructions are required for Fraxel scar minimisation treatments

Skin Consultation prior to ANY Rejuvenation procedure is very Important.

Step 1: Assess your skin care needs with a full skin assessment to determine the best procedure for scar minimisation, redness, acne or rejuvenation (this could include injectables and fillers)

Here at Coco Ruby Skin & Anti-Ageing, we recommend that you have a thorough consultation with our expert Dermal Clinicians (or our Aesthetic Physician or Senior Nurse Injectors) to determine what skin treatment will best suit your needs.

Why: Skin assessments prior to ANY rejuvenation treatment are crucial as every two skins are different.

We take time to ensure that we are selecting the correct treatment to achieve the optimum results for you. We also ensure that you are fully informed of the possible outcomes you can achieve and the downtime that may be associated with certain treatments, such as Fraxel Restore for scar minimisation or skin collagen renewal and skin revitalisation.

Step 2: Discuss your answers with your Clinician and ask any questions you have before proceeding with Fraxel

These are some questions that we will need to talk about during your consultation, especially to determine if Fraxel – or a different procedure – will suit your skin concerns best.

  • What are you hoping to achieve?
  • How much downtime can you allow for, if any? Are there any time restraints on your treatment, such as an upcoming wedding, photo shoot or big event?
  • Do you get cold sores?
  • What is your nutrition or day to day diet like?
  • Do you have any allergies, such as to topical skincare, food, heat, pollens or perfumes?
  • Do you use anything topically on your skin (e.g. active ingredients such as retinol products or peels)?
  • Do you have a history of breakouts or acne in the skin?
  • Are you on any medications?
  • What other treatments/if any, are you having at this time?
  • Do you take any supplements? Or herbal medicine?
  • Have you followed the specific post-op (or preparation) tips we’ve given you for Fraxel?
    • Some patients need at least 30 days to prepare for a facial Fraxel treatment
    • We give specific guidelines as well as individual tips to help get you a good outcome and to minimise discomfort

Fraxel Laser scar minimisation

The consultation aims to ensure that you are well informed about your Fraxel treatment before proceeding (or other rejuvenation procedures, such as fillers and injectables, Laser Genesis treatments or skin peels).

This also allows your to ask any questions that they may have prior to having the procedure. Because of the downtime associated with a Fraxel laser treatment, it also allows the patient to arrange the time that best suits their schedule.

Step 2: Expect your skin to be reviewed – or questions asked about how your skin has reacted to the treatment – each time you arrive for a new appointment

We want to know how your skin (and health) have been between treatments, so that we can adjust treatments as necessary OR give you some additional individually-specific tips for improved results.

Step 3: Arrive early so that your skin can be properly numbed using a special numbing cream.

For Fraxel, there is often a numbing agent applied about 1 hour before your treatment.

Sometimes we will use special wraps that will also help the numbing cream penetrate your skin for best results in terms of comfort.

Step 4: Depending on your treatment, you may be finished with the actual treatment process in a matter of minutes (or longer if doing a whole face Fraxel).

Fraxel is highly sought after for skin rejuvenation, collagen stimulation and skin renewal.  To find out if you’re a suitable candidate for a treatment (or series of treatments) OR if you want to treat a post-surgical scar to minimise scarring, send an enquiry form today.

Medical References:

  1. Murad Alam (19 November 2011). Evidence-Based Procedural Dermatology. Springer Science & Business Media. pp. 272–. ISBN 978-0-387-09424-3.

Other suggested reading:

Dermapen or Fraxel for Scars?

Silicone Strips: Do they really help scars look better?

Send an enquiry form today, or ask for an all-inclusive Quote for Plastic & Cosmetic Surgery with Fraxel scar minimisation treatments.

Or phone us during Clinic Hours on (03) 8849 1444 for more information about post-op scar minimisation.  For other skin treatments, phone (03) 8849 1400.

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