Can I Use AHA After Fraxel Laser Treatment? Expert Answers Inside - Dermatology

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Can I apply tretinoin after undergoing fractional CO2 laser treatment?


Hello, doctor.
I have been using first-generation retinoids for over a year with satisfactory results, and I no longer experience redness or peeling.
I paused the retinoids for five days before my fractional laser treatment today.
I have a few questions:
1.
After the laser treatment (without any obvious wounds), can I rest for a day and continue applying retinoids?
2.
Does applying retinoids after the laser treatment enhance collagen production?
3.
Since I have been using retinoids long-term, can I skip pausing their use before my next laser treatment?
Thank you, doctor.

wei, 30~39 year old female. Ask Date: 2022/08/25

Dr. Wu Yuxin reply Dermatology


It is recommended to refrain from any stimulating activities for at least one week after the injection.

Reply Date: 2022/08/25

More Info


After undergoing Fraxel laser treatment, the use of AHA (Alpha Hydroxy Acid) or A-acids like tretinoin (commonly referred to as A acid) requires careful consideration. Here’s a detailed response to your questions based on medical knowledge and practices.

1. Can I resume using A-acid one day after Fraxel laser treatment?
It is generally recommended to wait at least one week after laser treatments before resuming the use of A-acids. This is because laser treatments can cause temporary skin sensitivity and irritation, and applying potent active ingredients like A-acids too soon can exacerbate these effects. Even if you do not see any obvious wounds, your skin may still be in a healing phase, and introducing A-acids could lead to increased irritation, redness, or peeling. Therefore, it is advisable to allow your skin to recover fully before reintroducing any strong topical treatments.

2. Does using A-acid after laser treatment enhance collagen production?
A-acids, particularly tretinoin, are known to promote collagen synthesis and improve skin texture over time. However, applying them immediately after laser treatment may not yield the desired effects and could potentially hinder the healing process. After the initial healing period (usually about a week), incorporating A-acids can indeed help enhance collagen production and improve the overall results of the laser treatment. It is essential to consult with your dermatologist to create a personalized post-treatment skincare regimen that includes A-acids at the appropriate time.

3. If I have been using A-acid long-term, can I skip stopping it before my next laser treatment?
While long-term use of A-acids can be beneficial for maintaining skin health and preventing acne, it is still advisable to pause their use before undergoing laser treatments. The reason for this is to minimize the risk of skin irritation and ensure that your skin is in the best possible condition for the procedure. Typically, a break of about 5 to 7 days before the treatment is recommended. However, your dermatologist may provide specific guidance based on your skin type and treatment history. If you have been using A-acids without any adverse effects, your doctor might allow a shorter pause, but this decision should be made collaboratively.

In summary, while A-acids can be beneficial for skin health and collagen production, their use should be carefully timed around laser treatments to avoid complications. Always consult with your dermatologist for personalized advice tailored to your skin's needs and treatment goals. They can help you establish a safe and effective skincare routine that maximizes the benefits of both A-acids and laser treatments while minimizing potential side effects.

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