Drew Varano, MD

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Fraxel Laser Resurfacing Washington DC

Fractional CO2 Laser Resurfacing ALSO AVAILABLE
SPECIAL - Fraxel full face session $650.
Call 202-621-8675 to schedule a complimentary consultation
or click here to Request an appointment

What is Fraxel® Laser Resurfacing? Fraxel® SR Laser is a revolutionary approach to all laser resurfacing procedures. It is used to treat wrinkles, age spots, and melasma from years of accumulated sun-damaged skin. It can treat areas on the face , including around the lips and eyes, and body parts including neck, arms , and hands. It can also be used for acne scars. (Fraxel is not for Active acne breakouts, which we can treat with our IPL/Acne Triple Package) There is no cutting of the skin, so patients can achieve the same positive effects of ablative laser procedures (CO2 and Erbium lasers) and deep chemical peels without the associated “downtime” or potential side effects. We also offer lighter treatment options called mini fraxel, and fraxel facials. More info below*

What is the Difference between Fraxel and Fractional CO2 ( aka Mixto laser)? The scientific answer is the Fraxel is an erbium laser, whereas the Fractional CO2 is a CO2 laser. They have different wavelengths. For layman's terms it is best to think of the fractional CO2 as a more aggressive treatment , therefore 1-2 sessions are all that is required with 4-5 days downtime. The regular Fraxel usually requires 3-5 sessions with 1-2 days downtime. Darker skin types are best treated with the regular fraxel , whereas lighter skin can be more aggressively treated with Fractional CO2.*

* Individual Results may vary

How does Fraxel® work? Think of pixels in a photo when you think of Fraxel® Laser Treatment (FLT). If you look at a newsprint photo up close, you'll see that the image is actually comprised of thousands of tiny spots of ink. Similarly, FLT produces thousands of tiny treatment zones on skin, known as MicroThermal Zones (MTZs), in the emerging science of Fractional Photothermolysis. The spared healthy tissue between treatment zones contains viable cells that promote rapid healing of the outer skin layers. Thus, FLT strives to achieve the skin improvements obtained with conventional CO2 laser resurfacing but without the associated side effects or downtime.*

When Can I return to my Daily Activities? FLT offers the benefits of speedy healing and minimal to no downtime. Side effects are minimal and typically involve swelling and redness. Mild swelling should subside within a day or so, and redness usually fades over several days. Patients can apply make-up immediately after treatment and return to routine activities. There is limited, if any, risk of infection or scarring. No oozing or crusting has occurred as with other ablative technology*.


How Many Treatments Do I need? You will see improvements with each treatment session. Clinical studies suggest that 3-5 treatments spaced about 14 to 28 days apart produce a gradual remodeling of dermal matrix components, until complete healing occurs and "good" material that contains collagen and elastin replaces old epidermal and dermal tissue. Over a period of 1-3 months, clinical improvement in photo-aged skin correlates with dermal repair and positive skin changes.*


Does it Hurt? Treatment is well tolerated and feels like a prickling sensation. A topical anesthetic ointment is applied prior to treatment to allay any discomfort.*

When will I see results? After your very first Fraxel®Laser Treatment, you will begin to feel the difference in your skin, as it gradually becomes softer, smoother and fresher. Fine lines around your eyes and mouth will noticeably fade. So will uneven coloring and the brown spots caused by aging and sun exposure.*

What is a mini Fraxel treatment? A mini Fraxel is a more gentle laser treatment with no downtime. It is intended to act like a much more powerful and more cleansing microdermabrasion or superficial chemical peel. The laser penetrates deeper skin layers than a microderm but not as deep as a regular fraxel treatment. This will rapidly turnover skin cells for a glowing complexion, improvement in tone,texture and pore size. You can go to work the following day. The treatment is NOT recommended to correct issues that regular Fraxel or Fractional Co2 sessions can accomplish such a wrinkles, lines, acne scars or moderate discoloration. No set number of treatments required, priced at $400 a session.*

What is a Fraxel Facial? $325

A microdermabrasion followed by a 5 minute light exfoliating with Fraxel laser. Treatment time is 30 minutes done for exfoliation, skin cell turnover , tone, texture and glowing complexion. Performed to enhance results of microdermabrasion. No downtime, no topical anesthesia required, very mild stinging sensation may occur during the active fraxel time. A good skin maintenance treatment. May feel like a mild sunburn for 30 minutes to 1 hour after the treatment. You can return to your daily routine immediately afterwards. Please note this is not a full fraxel treatment . Not recommended if your goal is for wrinkle improvement, discoloration or acne scaring. Pre treatment requirements : no recently tanned skin , avoid any other exfoliation treatments ( such as peels, laser) 1 week prior to treatment, post care use mild cleanser and sunscreen. $325/session * . Click here to schedule a Fraxel Facial

How much does a Regular Fraxel cost?

Fraxel Cost:

A Full face treatment: $850 a session. Now SPECIAL $650 FULL FACE, Cheeks only $500 per session (i.e.common location of acne scars).

Hands: $ 450 per session
Neck: $ 650 per session
“Mini” Fraxel: $400 per session
Some treatments can be “pro-rated” if smaller areas need to be treated
Packages of 3 receive a 5% discount, Packages of 5 receive 10% discount

Fractional CO2 Laser Resurfacing Cost:

Face $2500, second session ( if desired) $1800,Neck $850, eyes only $950, Hands $650, Decolletage $1200. Combined areas receive discount
For Video , Pictures and more information click here: www.mixtoskinresurfacing.com

We also offer Renuvion (J-Plasma) Skin Resurfacing: This is a fully ablative procedure which require 2-3 weeks recovery. Most aggressive form of treatment options performed  under local anesthesia using plasma energy to fully resurface the face. Can literally "turn back the clock". Priced at $4200 for full face 

Comparison of Skin Rejuvenating treatments offered*
Skin rejuvenation refers to surface issues such as tone, texture,  dark spots, wrinkles, acne scars, complexion, sun damage NOT sagging (skin TIGHTENING procedures)

TREATMENT with Fractional CO2 ( Mixto) for face by Dr Varano (one session only)

Before After*

Below is a Fractional CO2 treatment by Dr Varano as the patient continues to show long term results after only 1 initial session 2 years prior.

TREATMENT with Fractional CO2 under eyes by Dr Varano (one session only)

Before After*

Treatment of Sun-Damaged Skin*

* individual results may vary

Treatment for Crow’s Feet & Under Eye loose skin/wrinkles*


Treatment of Acne Scarring*

* individual results may vary


Melasma/Hyperpigmentation Treatment*



Treatment of Hands/Age Spots*



Neck Treatment*

*Disclaimer: Individual results may vary, no guarantees

WATCH MIXTO /Fractional CO2 Video treatment*
Fraxel Treatment Video*