Can you get fat loss in your face from a Fraxel laser?

Hello Dr Brandith Irwin, I am writing to you to ask for some advise. I am a 35 year old women and a few years ago I had a full face fraxel treatment to treat acne scars. I thought it was all going well until a few months after my treatment I started to have massive fat loss in my face to the point I don\'t feel I look the same. I do not go out in public much because of this and am desperate to get my looks back prior fraxel. This does not happen to everyone and don\'t know why it has happened to me. I would desperately like to know your professional opinion on the next step on restoring fat loss. I really don\'t know where to turn to? Thanks you Tamara

Tamara, I can hear your distress and we would all be distressed by our faces looking different. In my opinion though, you cannot get fat loss from a Fraxel laser. This laser, even if turned up to it’s highest setting, doesn’t penetrate deep enough into the skin to even get close to the fat layer. The only exception to this would be possibly very high settings around the eyes where the skin is very thin.


So if you are perceiving a loss of volume in your face, there are several things to think about and it’s important to see your dermatologist and primary care doctor to address the issue.  Here are some things to think about:

  1. Take photos of yourself before and after the change to the appointment with you;
  2. Has your diet or weight changed at all?
  3. Has your health changed in other ways – there are disease that can cause fat loss? You may want to see your primary care doctor also if you’ve not had a recent physical exam;
  4. Have you had an emotional shock or depression of any kind? If so, please see your primary care doctor asap. Sometimes our perception of the way we look changes with our emotional state.


Good luck to you and please see your doctor!    Dr. I


Read Dr. Irwin’s Guide to Fraxel Laser Treatment.

Dr. Brandith Irwin, MD

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