Fraxel repair skin rejuvenation is a premiere fractionated carbon dioxide (CO2) laser treatment. I have now treated 100 patients. My experience has confirmed that the treatment is safe and effective when performed properly using meticulous technique. The treatment results in patients looking years younger, rested, healthy, and importantly a natural version of themselves. The true downtime after an aggressive treatment is 7 days, granted that patients look as if they forgot to use their sun block after a day on Santa Monica Beach by the 7’Th day. With the application of a skin tinted sun block, my patients are back to work after a week. It then takes from 2 to 3 additional weeks for the skin color to return to normal. There has been no hypo- or hyper-pigmentation of the skin. The post-treatment recovery period has been very smooth without pain or allergic reactions in the last 50 patients. Patients are now seen in the office after about one week instead of every few days. The most consistent findings have been tightening of neck skin laxity (which improves over time); lifting of the mid-face cheek both posterior-superiorly, as well as anteriorly giving the appearance of increased facial volume; "wow" improvement of eye lid skin redundancy (upper folds and lower lid skin crepe-ness) resulting in "fresh, rested" eyes; improvement of the contour of the jaw line (it will not "remove" jowls); the improvement of acne scars and skin irregularities; and improvement of skin red and brown discolorations. If patients desire further rejuvenation, another treatment may be performed any time after the first 4 to 6 months. Patients may have a "Lite" procedure at very low settings which acts as a booster effect of the initial treatment, or they may elect to have another "full" treatment. I have treated two patients aggressively twice, and they both have had amazing results. Fraxel re:pair is a rejuvenative tool that is ahead of its time. To insure maximum benefits from the treatment, I encourage all of my patients to live a healthy lifestyle, exercise, diet, and use good skin care products before and after their treatment. Beauty never goes out of style, and the best item that a person can wear is their own face. Many patients are finding that for a few thousand dollars, the "bang for their buck" is well worth the years removed from their aging face, neck, and chest. With the ability to communicate via the internet, digital photographs, and the telephone we are able to treat patients from all over the world. Recent patients have been from Dubai, London, Hong Kong, New York City, Charlotte, San Diego, and San Francisco. I will be presenting the findings of our first 100 Fraxel repair patients at Facial Cosmetic Surgery 2009, a multi-disciplinary scientific medical meeting in Las Vegas this June, and possibly at The American Academy of Facial Plastic and Reconstructive Surgery meetings in San Diego this September.