How to eliminate wrinkles with lasers and without surgery?
Written and reviewed by Dr Bernard Hayot, ophthalmologist, RPPS 10003926226.

Rejuvenation without surgery
Numerous creams help to prevent and delay ageing, but it is now established that only aesthetic medicine can rejuvenate the face without a scalpel, an operating theatre or oculoplastic surgery.
Among the most effective treatments, everyone knows about hyaluronic acid and Botox injections, but one effective anti-ageing treatment is often forgotten: rejuvenating laser sessions.
Fractional laser: the anti-ageing treatment
For patients who cannot face injections, and for whom being given a chemical product such as botulinum toxin or hyaluronic acid is frightening and off-putting, anti-ageing laser sessions are a good alternative.
On the market for over 15 years, the fractional laser works like a “skin smoother”. Each session produces a more or less deep abrasion of the epidermis.
But how exactly does the fractional laser work?
Invisible to the naked eye, fractional laser light creates a series of microscopic wells and leaves the skin intact between them. These tiny wells then heal gradually: as they close, the surface of the skin becomes more even and smoother. Wrinkles disappear from the face.
Facial laser: indications and contraindications
Before treating wrinkles with the fractional laser, also known as Fraxel, an initial consultation with a laser aesthetic physician is essential in order to check that the treatment is feasible.
This anti-ageing treatment is recommended for anyone wishing to reduce the depth of their wrinkles and make them fade gradually. FRAXEL is generally no longer indicated for people over 60, as sagging skin calls for a more powerful treatment for an optimal result: mini lift, lower eyelid blepharoplasty, lipofilling…
The laser physician assesses the elasticity of your skin and the ageing of your face, and checks that you are not taking antibiotics or photosensitising medication.
Fractional laser treatment is not recommended in the following cases:
- pregnant women
- people with heart disease
- people with skin pigmentation disorders
After laser treatment, sun exposure should be avoided for several weeks to prevent any risk of hyperpigmentation or depigmentation.
Side effects and results of the Fraxel laser
The after-effects of laser sessions vary with each patient’s indications and skin reaction. Redness is generally observed for several hours after the session, and can last up to 48 hours. This is a perfectly normal reaction, caused by the heating of the skin by the fractional light emitted by the laser.
Make-up can, however, be applied immediately after the treatment to camouflage any redness.
The aesthetic physician prescribes a sun cream with a high protection factor, to avoid exposure to UV rays after the treatment.
Other benefits of Fraxel
As well as eliminating superficial wrinkles, the Fraxel laser offers many other advantages and can repair many types of skin damage:
- acne scars
- brown spots and melasma linked to sun exposure, skin ageing or hormonal changes
- sagging skin and loss of elasticity
- oily, acne-prone and seborrhoeic skin
It should be noted, however, that the fractional laser has no volumising effect, so it should be combined with hyaluronic acid injections or anti-wrinkle lipofilling for an overall facial rejuvenation.
Fraxel laser prices
Fraxel treatment prices vary with each patient’s indications and with the number of sessions decided by the practitioner at the initial consultation.
The larger the area treated, the longer the session and the higher the price of FRAXEL.
A personalised estimate is provided at your first consultation with the laser physician.
Are you a good candidate for laser rejuvenation?
To find out, ask Dr Hayot for advice or book an appointment directly with Centre Esthétique Trémoille.
This page is for information. It does not replace a consultation: every situation is judged on examination.