It is controlled exfoliation.
A chemical agent creates a controlled skin injury.
Chemical Peel: An acid solution applied in the office to shed the top layers of skin. Superficial peels clear pores and fade brown marks; medium peels reach texture and deeper sun damage. It does not fix indented scars.
Fraxel: A laser that heats thousands of microscopic columns in the skin and leaves the skin between them untouched. Used for sun damage, acne scars, and rough texture. It takes a course of treatments and a few days of looking sunburned each time.


Choose for brown marks, clogged pores or dull, sun-aged texture — not for indented scars.
Choose for acne scars or sun damage with a few days of downtime per session instead of the week-plus of ablative lasers.
Can you have both?
Both resurface the skin. Most people choose one; light peels can maintain results between Fraxel series, spaced at least 4 weeks apart.
A chemical agent creates a controlled skin injury.
Superficial, medium and deep peels differ in recovery and risk.
A peel is not defined by ingredient or percentage alone.
Phenol peels carry serious systemic risks.
Fraxel heats microscopic zones while sparing skin in between.
Wavelength and device determine the treatment.
It is less intensive than ablative lasers.
Burns, redness and pigment changes can occur.

Improves rolling and boxcar scars.

Clears sun damage.

Light peels help alongside creams.

Clears clogged pores.

Fades spots.

Deeper peels smooth lines.

Smooths texture.

Low settings may help some.

Light peels can't reach deep lines.

Too deep for most sessions.

Very irritating.

Can worsen redness.
Face; the selected area depends on the concern and treatment plan.
Face and hands.
The agent and depth are selected: The clinician matches the peel to the skin and concern. Controlled chemical injury occurs: The chosen agent acts on the planned skin layers. Skin heals and renews: Results and recovery depend on the peel depth and technique.
Schematic illustration. Technique and response vary. This explains a mechanism and does not specify treatment settings.
Fractional heat zones leave surrounding tissue untreated. Superficial 1927 nm treatment helps fade uneven pigmentation; deeper 1550 nm treatment triggers repair and collagen remodeling.
Schematic illustration. Technique and response vary. This explains a mechanism and does not specify treatment settings.
2 weeks before: Sun and tanning: No tanning, no sunburn.
4 weeks before: Pigment cream: On deeper skin tones, a pigment-blocking cream first cuts the risk of dark patches.
4 weeks before: Sun: Avoid tanning, self-tanner and sunburn.
Pigment preparation: For deeper skin tones, providers may prescribe a pigment-lowering cream for 2–4 weeks and test near the ear.
Actives and hair removal: Stop retinoids, benzoyl peroxide and acids 3 to 5 days before.
Actives and hair removal: No waxing, threading or hair removal creams.
Cold sores: Tell your provider; preventive antiviral medicine often starts the day before.
Hair removal: Stop waxing, threading and hair-removal creams.
Actives: Stop retinoids, retinol and acids 3–7 days before.
Arrive with clean skin and no makeup.
Arrange a ride if you will have strong settings or oral pain medicine.
Skin is checked, photos taken, and you confirm what you have stopped using.
Skin is cleaned and photographed. Numbing cream stays on for 45–60 minutes.
Skin is cleaned and degreased, eyes and lips protected, acid brushed on in layers.
It stings and builds over 2 to 5 minutes, then gets neutralized. The visit takes 20 to 30 minutes. A light peel burns briefly and most people tolerate it; a medium peel is genuinely uncomfortable, and the burning can last an hour.
The laser passes over the skin while cold air cools it.
Expect prickly heat that builds with each pass, often strongly uncomfortable—especially on the forehead and around the mouth.
Pink, tight skin, sometimes with mild swelling and stinging for a few hours.
Skin feels hot, red and swollen. Ice packs and a bland ointment are usually applied.
Days 1 to 3: Skin darkens slightly, dry and rough.
Days 1–2: Redness and swelling, especially around the eyes.
Days 4 to 7: Light peels finish flaking.
Days 3–7: Rough, bronzed skin flakes away. Do not scrub or pick.
Weeks 1 to 2: Some people break out for a week or two as clogged pores clear.
1–3 months: Time to results.
Scar improvement can last years; sun damage can return with sun exposure.
1–2 weeks after each peel
Months with good skincare
A superficial salicylic or glycolic peel runs about $100 to $300 a session in the US, a medium-depth peel about $400 to $900.
About $900–1,500 for a full face in the US. Smaller areas cost less.
Insurance rarely covers peels for acne or post-acne marks — they count as cosmetic.
Cosmetic treatment is not covered. Coverage for surgical or injury scars is uncommon.
Several thousand dollars. Packages may reduce the per-session price.
Not for indented scars. Peels fade the flat brown or red marks left after a spot — people call those scars, but they are discoloration. Depressed scars need microneedling, lasers, subcision, or filler.
Salicylic acid, usually — oil-soluble, so it works inside the pore. Glycolic acid suits surface dullness and pigment. Some providers combine them, or use a salicylic-mandelic blend on deeper skin tones.
4 to 6 sessions, 2 to 4 weeks apart, then maintenance. One peel gives a temporary glow.
Superficial salicylic and glycolic peels are, with good data behind them. Deeper peels can leave a lasting dark or light patch. Depth, not the acid, matters.
Often not much, and that is fine. Sheeting does not mean it worked; mild flaking does not mean it did not.
Three to five, two to four weeks apart. Sun damage sometimes needs fewer, acne scars usually need the full course, and deeper skin tones are treated at lower settings, which means more sessions.
It improves them rather than removing them. Studies of nonablative fractional lasers show partial improvement in scar depth and appearance over a course. Deep icepick scars respond least and are often better treated by combining the laser with subcision or filler.
Plan for a week. Two days of redness and swelling, then a few days of rough, bronzed skin that flakes off. Most people cover it with makeup from day three and look normal by day seven.
With an hour of numbing cream and cold air, most people call it hot and strongly uncomfortable rather than unbearable, and it stops as soon as the laser does. The forehead and around the mouth are the worst.
It can be done, but differently. The main risk is temporary dark patches. Lower settings, more sessions, pre-treatment creams and strict sun protection all lower that risk, and the provider experience with your skin tone matters more than the device.
No, though one device sold under the Fraxel brand is a carbon dioxide laser. The Fraxel most people mean is nonablative, heating the skin without removing the surface. A carbon dioxide laser removes tissue, does more per session, and brings one to two weeks of downtime and more pigment risk.