On Fraxel and CO2 to the doctor from Istanbul!

Hi Dr. Irwin, I am also medical aesthetic doctor from Istanbul, I would like to ask you the fraxel laser machine you have? which one do you prefer? Can you give me some advice about, I am going to choose one machine it has everything has, erbium and CO2 together? is that possible? Thanks, Dr. Paris

Many people including doctors are confused about this.  I’m including several links for you as well.   In short,  these are completely different lasers and really shouldn’t (at this point in time) be combined in the same box together.  Too many engineering problems.

A couple of thoughts for you:

  1. Of the erbiums, I still think the orginal Fraxel (Er:Yag 1550 nm) and it’s newer version the Fraxel “Dual” which includes BOTH wavelengths ( plus thullium 1927 nm ) is still the best and most versatile if you are treating mostly pigment, mild-medium acne scars, texture, and fine wrinkles.  Please read more on Fraxel and Fraxel Dual.  Also, we have a LOT of data on this system and well worked out parameters. 
  2. On the CO2, please read more here, and it is best for treating deeper acne scars, deeper wrinkles, more severe sun damage and tightens the skin more.

Hope this helps,  Dr. I

Dr. Brandith Irwin, MD

Ask me your skincare question!

Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

  • All our content is written and researched by myself.
  • My medical office in Seattle has treated thousands of patients for 15+ years.
  • This site is not affiliated or financially tied to any product, treatment or device.
Ask Me Something
SkinTour Skincare
One of the best investments in your skin is your daily skincare. Why? Because you can prevent many problems with blotchy skin color, lack of glow, texture, some types of acne, and fine lines with good skincare products. You can also correct some of these problems with effective skincare products. Great skincare is often more expensive because quality ingredients are expensive. Some companies spend on research/development which benefits all of us and adds to the cost. Are they worth it? In general - yes! I have handpicked some of what I consider to be the best skin care products, and offer them for sale on SkinTour's shop. This is based on my team and I's testing and research at our clinic. Many of the products are in my own regimen. What could be better than using skin care products a dermatologist uses?!