Fraxel DUAL Laser Resurfacing

Aura Skin Spa San Francisco offers Fraxel DUAL fractional laser resurfacing using both the 1550nm and 1927nm wavelengths to address fine lines, acne scars, sun damage, melasma, and actinic keratoses. Sessions take 30–45 minutes and a course of three to five treatments is recommended, spaced four to six weeks apart. Supervised by board-certified physicians, with topical numbing applied prior to each session to maintain comfort throughout.

Fraxel DUAL laser resurfacing at Aura Skin Spa San Francisco is one of the most clinically established fractional photothermolysis treatments available, using two distinct wavelengths on a single platform to target different skin layers and conditions simultaneously. The 1550nm Erbium-doped fibre laser creates microscopic thermal zones deep within the dermis, stimulating collagen remodelling and new skin cell production. This wavelength is particularly effective for acne scars, surgical scars, stretch marks, and deep wrinkles, producing a noticeable textural improvement after two to three sessions. The 1927nm thulium laser works at a shallower depth targeting the outermost epidermis, making it the primary wavelength for pigmentation concerns including sunspots, melasma, uneven tone, and actinic keratoses (pre-cancerous sun-damaged lesions). The two wavelengths can be used together in a single session or independently depending on the patient's skin concerns. Each session at the Jackson Square clinic lasts approximately 30–45 minutes. A numbing cream is applied 45–60 minutes before treatment begins to ensure comfort. Immediately after the procedure, the skin looks and feels like a moderate sunburn — red, mildly swollen, and warm. Over the next three to seven days, the skin will bronize as the treated microscopic zones exfoliate, taking damaged tissue with them. Most patients can return to normal social activities within one week. Sun protection is essential throughout the treatment course. For most skin concerns, three to five sessions spaced four to six weeks apart produce optimal outcomes, though individual results depend on the severity of the condition being treated. Patients managing melasma — a condition prone to recurrence with sun exposure — will be counselled on long-term maintenance strategies. All treatment plans at Aura Skin Spa are reviewed by board-certified physicians, distinguishing the clinic from medispa environments without physician oversight. Serving patients from across San Francisco, the Bay Area, Marin County, and the Peninsula.