Possible risks or side effects may include pain, burning, bruises, blister formation, stinging sensations, infection, pigmentary changes including decrease or increase in skin color at the site of treatment, scar formation, laser induced “cold-sore-like” blistering, skin eruptions known as “herpetic” skin eruptions at the site of treatment, and poor cosmetic outcome. Although these effects are rare and expected to be temporary, redness and swelling may last up to 3 weeks (especially when higher treatment settings are used), and are part of a normal reaction to the treatment. Burns and resulting pigmentation change and scarring are rare and may happen in skin that is not taken care of according to instructions. Tiny scabs appear on the face for a few days as part of a normal healing, however make-up may be applied as soon as 1-3 days after the session to mask them and residual redness. Any adverse reaction should be reported immediately. Patients may be given an oral antiviral medication (Acyclovir) prior to treatment, or to take after if you are prone to herpes outbreaks.

Although very, very rare, some patients can experience a reaction to the topical anesthetic applied prior to treatment. Patients may experience redness, itching, and/or blistering, which is short-lived and treated with mild topical cortisones. It does not leave any scarring or have permanent effects.

For any of the treatments, there may also be possible hair removal at the site of treatment even if this was not the intended purpose of treatment.

Our specific plan for post care is below:


What to expect immediately when you leave:

After the treatment, the skin becomes red, comparable to a sunburn. Some crusts may also appear in deeper penetrated areas. The erythema (redness) will subside usually within a day. Some slight swelling can also occur. The redness will last longer if your treatment was done on higher settings. Your skin may feel dry and slightly tight.

What to expect post-procedure:
Your face will be red over the entire treated area and some swelling can occur. It is rare but you may also have some light bruising. These will usually resolve within a day or two.

Your skin will feel dry for a few days. You need to make certain you treat your skin gently, and that you only apply the lotion we give you in the office, as often as you’d like, for the first two days. It is fine to apply makeup, even immediately after the treatment, but it can look different than normal due to the dryness of your skin. This will resolve. You should also make certain you are using sunscreen in the mornings each day.

You may return to your normal skin care regimen (minus Retin A and scrubs) after 2 days. If you use glycolic or retinol products, wait a week before resuming use of them.

Contacting the office:
You should contact the office immediately if you have any concerns or issues occur that we haven’t discussed with you. You may also reach Dr. Rueckl on his cell phone with any emergency.



Happy Patient

I am a happy patient of Dr. Rueckl.  I have had Fractora several times.  Couldn’t be happier.
– S.P.


Hi everyone at Lakes Dermatology!!!

Wanted to say “Thank You” to everyone for helping me look my best for my competition this past Saturday July6th.
I WON!!! Took first place ? on both of the categories I competed and took overall on both which I broke record, no-one has won 2 overalls in one show.
Thank you ??


I Love This Place!

I love this place. My first step in their office, I was like, whoa! It’s beautiful! I was sent here by the VA for some skin issues and the doctors here are truly amazing. He listens to every single complaint I’ve had without any judgment and is very positive about my treatment plan! Even the nurses and ladies behind the desks were super friendly. I definitely recommend this place!!


Does The Best Lips!

Does the best lips! He’s also a really skilled injector. I don’t even think he numbed me, but I barely felt anything. It was nice not to do a dental block. He gave me the exact (natural) look I was going for. Not obviously fake at all but I DID get compliments on my lips from a few of my doctor friends!


The Best Doctor Ever!

The best Doctor ever! I’ve been dealing with rosacea for years and he was the only doctor who really help me. Im really glad that i find this amazing person he’s so kind, professional humble

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