Fractional Skin Resurfacing (FSR)
Fractional skin resurfacing uses fractional laser technology to create controlled micro-injuries that resurface the skin and stimulate collagen renewal, improving wrinkles, scars, and texture.
- Duration
- 15–60 minutes depending on areaTreatment time per session
- Results
- Noticeable improvement in tone and texture after healing; continued collagen remodelingWhen you'll see changes
- Sessions
- Non-ablative is usually a series spaced about 4–6 weeks apart; ablative often needs fewer sessions. Your provider sets the number based on your responseRecommended treatment plan
- Recovery
- Non-ablative: redness and swelling for about 1–3 days, then flaking or bronzing for about a week. Ablative: oozing and crusting while the skin heals over about 5–10 days or more, with pinkness that can last weeks to monthsWhat to expect after
What it is, and what it addresses
How it works
The fractional laser treats microscopic zones while leaving surrounding tissue intact, triggering the skin's natural healing and collagen production.
Your provider chooses the laser and depth with you. A non-ablative fractional laser leaves the skin surface intact and has a few days of downtime. An ablative fractional laser treats deeper, with a longer recovery of about 5–10 days or more.
Either way, improvement continues for months after healing as collagen remodels.
Benefits
- Improves wrinkles and fine lines
- Reduces scarring and pigmentation
- Smooths uneven texture
- Stimulates collagen renewal
Questions, answered
Frequently asked questions
What is Fractional Skin Resurfacing (FSR)?
Fractional Skin Resurfacing (FSR) is a laser treatment that creates thousands of microscopic treatment zones within the skin. These controlled areas of injury stimulate the body's natural healing response and support collagen remodeling while leaving surrounding tissue intact to aid recovery.
What concerns can Fractional Skin Resurfacing treat?
FSR is commonly used to improve fine lines, wrinkles, acne scars, surgical scars, sun damage, uneven skin texture, pigmentation concerns, and overall skin rejuvenation. Treatment plans are customized based on your individual goals and skin condition.
How does FSR work?
The laser delivers controlled energy into the skin, creating microscopic treatment zones that stimulate collagen production and skin renewal. As the skin heals, many patients notice improvements in texture, tone, and overall skin quality.
Will my skin peel after fractional skin resurfacing?
Yes. Peeling, flaking, or bronzing is a common part of the healing process following Fractional Skin Resurfacing. The amount and duration vary depending on the treatment intensity and individual healing response.
How long will I be red?
Most patients experience redness for several days following treatment, though the duration varies depending on treatment intensity and individual healing characteristics. Some patients may experience mild residual pinkness for a longer period.
Can Fractional Skin Resurfacing treat acne scars?
Yes. Fractional Skin Resurfacing is one of the most commonly performed laser treatments for improving the appearance of certain acne scars. Multiple treatments may be recommended depending on the severity of scarring.
Can Fractional Skin Resurfacing be combined with other treatments?
Yes. Fractional Skin Resurfacing is often incorporated into comprehensive treatment plans alongside neurotoxins, fillers, skincare programs, and other rejuvenation procedures when appropriate. Your provider will recommend the safest timing for combined treatments.
Does Fractional Skin Resurfacing hurt?
Most patients tolerate treatment well. A topical numbing cream is typically applied before treatment to maximize comfort. During the procedure, you may experience warmth, tingling, or a prickling sensation depending on the treatment intensity.
Is Fractional Skin Resurfacing safe for all skin types?
Not all laser treatments are appropriate for every skin type. During your consultation, we will assess your skin characteristics, medical history, and Fitzpatrick skin type to determine whether Fractional Skin Resurfacing is appropriate and to develop a safe treatment plan.
What is recovery like after fractional skin resurfacing?
Recovery depends on the laser your provider selects. After non-ablative treatment, most patients have redness, swelling, and a sunburn-like feeling for about 1 to 3 days, followed by flaking or bronzing for about a week. After ablative treatment, expect oozing and crusting while the skin heals over about 5 to 10 days or longer, with pinkness that can last weeks to months.
What should I avoid before fractional skin resurfacing?
Patients are generally advised to avoid excessive sun exposure, tanning beds, self-tanning products, and certain skincare products prior to treatment. Your provider will provide detailed pre-treatment instructions based on your skin type and treatment plan.
What should I avoid after fractional skin resurfacing?
Following treatment, it is important to avoid excessive sun exposure and follow your post-treatment skincare instructions carefully. Daily sunscreen use and proper skin protection are essential during the healing process.
When will I see results from fractional skin resurfacing?
As the skin heals and collagen remodeling occurs, many patients notice improvements in texture, tone, and skin quality over several weeks. Results often continue to develop for several months following treatment.
How many treatments will I need for fractional skin resurfacing?
The number of treatments depends on your concerns, treatment goals, and the severity of the condition being addressed. Some patients achieve their desired improvement with a single treatment, while others benefit from a series of treatments.
How long do fractional skin resurfacing results last?
Results vary based on factors such as age, skin condition, sun exposure, skincare habits, and the treatment performed. Many patients choose maintenance treatments and medical-grade skincare to help support their results over time.
The RANDALI difference
Physician-directed care
Every plan is overseen by our Medical Director: clinical judgment, never a questionnaire.
Whole-person, individualized planning
We weigh your full health picture to recommend the right treatment (or combination) for you.
Safety & compliance first
Care delivered to medical standards and in line with state and federal regulations.
Trusted since 2001
Two-plus decades of refined, natural results and lasting patient relationships.
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