My derm recommended Fraxel to me for my crow's feet. Five treatments and $4000 later I developed horrible hyperpigmentation all over my face, which was once very nice. I literally looked like I had a mustache and beard. I spent the next eight months and several more thousand dollars clearing the hyperpigmentation only to see that under the dark spots were hundreds of broken capillaries. I went to the top doctor in Columbus Ohio who has " no idea" why this happened to me. ANY amt of sun on my face will bring this all back - for the rest of my life. I have now undergone 5 Vbeam and 3 IPL treatments to try to reduce the broken caps. Fraxel also caused large spots of HYPO pigmentation on my face. I would not wish this on my worst enemy. Please do not do this to yourself.

7/10/08
I had 3 Fraxel treatments a couple years ago for my Melasma. Since then I've developed larger brown pigmentation that makes me look like I have dark makeup on all the time! I used to have nice skin with a few pigmentation spots. I don't sunbath and use sunscreen religiously, the only thing Fraxel did was tighten the skin a tiny bit and spread the melasma out over the whole face instead of in spots! It wasn't a bad experience but I'm now faced with seeking more laser treatments to get rid of all the hyperpigmentation.
I wouldn't recommend it if your skin is light and very sensitive to UV and hormonal changes, or if you have freckled in the past.
I can't stay out of the sun, just stepping out the door to the car does it, even with sunscreen slathered on!
:(