Fraxis DUO in Hilton Head Island, SC

Improve Skin Texture and Firmness With Fraxis DUO at Hilton Head Dermatology and Skin Cancer Center

Uneven texture, acne scars, fine lines, and skin laxity can be difficult to address with skincare alone. Fraxis DUO combines fractional CO₂ laser resurfacing and radiofrequency microneedling to improve skin texture and stimulate collagen production. 

Hilton Head Dermatology and Skin Cancer Center offers this skin-rejuvenating treatment to patients in Hilton Head Island, Bluffton, Okatie, and Sun City.

Fraxis DUO: Combined CO2 Laser and RF Microneedling

Fraxis DUO is an advanced dual-modality treatment that pairs fractional carbon dioxide (CO2) laser resurfacing with micro-needle radiofrequency (RF) energy in a single system. By targeting both the superficial skin layers and the deep dermis, this combination addresses surface irregularities, sun damage, deep-set wrinkles, and tissue laxity within a single treatment protocol.

How the Dual Technology Works

Fraxis DUO treats multiple skin depths in a single session by pairing surface resurfacing with deep-tissue remodeling:

  • Fractional COâ‚‚ Laser (Surface Renewal): Delivers micro-beams of thermal energy to the epidermis and upper dermis. This process removes damaged outer cells, fades hyperpigmentation, and smooths uneven skin texture while leaving surrounding tissue intact for faster healing.
  • Radiofrequency (RF) Microneedling (Deep Remodeling): Uses insulated micro-needles to deliver thermal energy directly into the deep dermis, bypassing the surface layer. This heat stimulates new collagen and elastin production to firm the skin, reduce wrinkles, and soften scars.

Depending on your treatment goals, both modalities can be combined in a single appointment or used separately to address specific concerns.

Conditions Treated with Fraxis DUO

By treating surface tissue and deep dermal layers simultaneously, Fraxis DUO addresses:

  • Acne & Surgical Scars: Remodels rigid scar tissue and stimulates collagen to elevate pitted, atrophic scars.
  • Deep Lines & Wrinkles: Softens stubborn expression lines, perioral wrinkles, and forehead creases.
  • Skin Laxity: Firms mild-to-moderate skin laxity along the jawline, submentum (neck), and lower face.
  • Sun Damage & Pigment: Fades sun spots, mottled discoloration, and photoaging common in coastal Lowcountry climates.
  • Pore Size & Texture: Constricts enlarged pores and refines coarse, uneven skin texture.
  • Stretch Marks: Stimulates structural dermal repair to diminish the depth and texture of body marks.

Common Treatment Areas

Fraxis DUO settings can be calibrated for delicate facial zones as well as body skin:

  • Face: Full-face resurfacing for fine lines, enlarged pores, and acne scarring.
  • Neck & Jawline: Tightening mild laxity and smoothing horizontal neck bands.
  • DĂ©colletage (Chest): Correcting chronic sun damage and crepey texture common from sun exposure.
  • Hands: Fading age spots and smoothing thin, aging skin.
  • Body: Targeted revision of surgical scars, injury marks, or stretch marks.

Real Patient Results: Fraxis DUO Before & After 

Explore our Fraxis DUO before-and-after photos to see real patient transformations, showcasing improvements in acne scar revision, sun spot clearance, wrinkle reduction, and skin tightening across various skin types.

Who Is a Good Candidate for Fraxis DUO?

Because Fraxis DUO allows independent control of both the COâ‚‚ laser and RF microneedling, treatment plans can be customized for diverse skin tones and skin sensitivities:

  • Fair to Light-Medium Skin (Fitzpatrick Types I–III): Typically ideal candidates for the combined protocol, safely receiving both surface COâ‚‚ resurfacing and deep RF remodeling in a single session.
  • Medium to Deeper Skin Tones (Fitzpatrick Types IV–VI): Often treated using the RF microneedling component alone. Because radiofrequency energy bypasses the surface pigment layer, it builds dermal collagen and smooths scars without triggering post-inflammatory hyperpigmentation (PIH).

Treatments are not recommended for patients who are pregnant, have active skin infections or open wounds in the treatment zone, or have taken oral isotretinoin (Accutane) within the past 6 months.

What to Expect During Fraxis DUO Treatment

Treatment begins with a skin assessment to determine which Fraxis DUO technology best addresses your concerns. A topical numbing cream is applied for 30 to 45 minutes prior to treatment. Most patients feel mild pressure accompanied by localized prickling and heat.Your provider then performs the selected procedure, using either fractional CO₂ laser resurfacing or radiofrequency microneedling. 

Treatment time and sensations vary depending on the area treated and the technology used.

Fraxis DUO Recovery and Aftercare

Recovery depends on whether you receive fractional CO₂ laser resurfacing or radiofrequency microneedling. Redness, swelling, sensitivity, and temporary skin texture changes may occur, with more downtime typically expected after CO₂ resurfacing. 

Follow your provider’s aftercare instructions, avoid irritating skincare products while your skin heals, and protect treated skin from sun exposure. Your provider will explain when you can resume your usual skincare routine and activities.

Cost of Fraxis DUO Treatments in Hilton Head

The cost of Fraxis DUO in Hilton Head, SC, depends on the treatment area, the technology used, and the number of sessions recommended. Hilton Head Dermatology and Skin Cancer Center provides a cost estimate during your consultation. 

Financing and payment options are available for eligible patients to help manage cosmetic treatment expenses.

Why Choose Hilton Head Dermatology and Skin Cancer Center for Fraxis DUO?

Fraxis DUO treatments at Hilton Head Dermatology and Skin Cancer Center are supported by a cosmetic dermatology team led by triple board-certified dermatologist Dr. A. Thomas Bundy, MD, FAAD, FACMS. Because we are a multi-doctor dermatology practice rather than a medspa, your healing is monitored directly by clinical providers. If you have questions about redness or aftercare, medical guidance is always available.

Patients can benefit from physician-led cosmetic care, a range of skin rejuvenation treatments, and recommendations based on their skin concerns and treatment goals. With offices serving Hilton Head Island, Bluffton, Okatie, and Sun City, the practice offers access to cosmetic dermatology care throughout the Lowcountry.

Frequently Asked Questions

How many Fraxis DUO sessions are required?

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Most patients achieve their treatment goals in 2-4 sessions spaced 4-6 weeks apart. Mild sun damage may show noticeable improvement after a single session, while deep acne scars or moderate tissue laxity require repeated sessions to build adequate dermal collagen.

Is the procedure painful?

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Discomfort is managed with a topical numbing cream applied for 30-45 minutes prior to the procedure. Patients typically experience a warm prickling sensation during treatment, followed by a mild sunburn-like sensation for several hours afterward.

When will I see results?

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Initial improvements in skin tone, clarity, and texture appear within 1-2 weeks as the skin sheds micro-crusts. Progressive firming and scar smoothing continue over the following 3-6 months as new collagen fibers form.

Can Fraxis DUO be combined with other skin treatments?

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It may be possible to combine Fraxis DUO with other cosmetic treatments, depending on your skin condition, treatment goals, and recovery needs. Your provider can recommend an appropriate schedule to avoid irritating the skin.

Where can I receive Fraxis DUO treatments?

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Consultations, treatments, and follow-up care are available at both practice locations. Our main office on Hospital Center Boulevard serves Hilton Head Island and Bluffton, while our satellite office on Okatie Center Boulevard South provides convenient access for patients in Okatie, Sun City, and southern Beaufort County.

Schedule Your Fraxis DUO Consultation

Address acne scars, fine lines, and uneven skin texture with Fraxis DUO at Hilton Head Dermatology and Skin Cancer Center. Schedule a consultation to discuss your skin concerns, explore your treatment options, and determine the right approach for your goals.