Skin · Non-ablative fractional laser · 1540 nm and 1927 nm

FSX Laser Singapore

A multi-pass, non-ablative protocol

FSX is not a CO2 laser, and neither wavelength vaporises the surface. It does not lift a descended brow, replace lost volume or shrink pores. Results vary.

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In Brief

FSX laser treatment in Singapore is a non-ablative fractional protocol using 1540 nm erbium glass and 1927 nm thulium. It may suit fine lines, enlarged pores, superficial scars, post-acne redness and early laxity. It cannot treat deep scars or replace lost volume. Results vary.

At a Glance: FSX Laser Singapore

What it isA non-ablative fractional laser protocol; FSX is not a CO2 laser.
Device or product1540 nm erbium glass and 1927 nm thulium wavelengths, used under numbing cream.
Used forFine lines, enlarged pores, superficial scars, post-acne redness and early laxity.
Who should waitPregnancy, breastfeeding, sunburnt or tanned skin, cold sores or recent isotretinoin.
What it cannot doFSX cannot treat deep scars or replace lost volume.
Who performs itDr Sin Yong performs every session himself.

What the Research Shows: FSX Laser Singapore

  • A 2022 systematic review of 42 articles on low-fluence Q-switched Nd:YAG laser for melasma judged it generally effective, but reported mottled hypopigmentation occasionally persisting, hyperpigmentation with aggressive use, and a lack of long-term follow-up data. This laser is not FSX. [2]
  • A 2016 rater-reliability study with three raters found only 65% of scars classified identically across two sessions, and proposed size rather than shape as the primary criterion. [3]
  • A 2023 randomised trial of 60 women with melasma reported week-24 melasma severity (MASI) improvement of 35.9% with picosecond Nd:YAG, 25.5% with alexandrite and 24.0% with hydroquinone; four patients (6.8%) had recurrence. These lasers are not FSX. [5]

Figures describe published study groups, which may have used other devices or protocols. They do not predict your result. Updated 6 November 2026.

How FSX works

Two wavelengths work together. The 1540 nm laser reaches the dermis in narrow columns and leaves the skin between them intact. The 1927 nm laser works more superficially, on pigment and surface texture. It is non-ablative, so it is not a CO2 laser.

Simplified diagram, not to scale.
EpidermisDermisFatSMASMuscle1540 and 1927 nm
About This Treatment

What FSX is

FSX is Dr Sin Yong's own non-ablative fractional laser protocol, and he performs every session himself.

Two wavelengths work together. The 1540 nm erbium glass laser reaches the dermis in narrow columns, leaving skin between them intact. The 1927 nm thulium laser works more superficially, on pigment and surface texture.

How FSX laser sessions in Singapore work

01
Pass 1: surface pigment
Low-energy work directed at surface pigment.
02
Pass 2: pores
Work around the pilosebaceous unit, which is the pore and its oil gland.
03
Pass 3: dermal remodelling
A higher-fluence pass that aims to prompt collagen remodelling.
04
Pass 4: final sweep
A low-fluence sweep across the treated area.
05
Zone-by-zone adjustment
Energy changes with the tissue response Dr Sin Yong sees during the session. Settings are adjusted for your skin type at every visit, including Fitzpatrick V and VI.

What it may address

ConcernNote
Mild upper-eyelid laxityA non-surgical option for lax lid skin. Results vary. True ptosis is referred on
Fine wrinklesAround the eyes, mouth and cheeks
Active acne inflammationAlongside medical treatment where needed
Post-acne rednessReviewed over a planned course
Superficial scarsAcne scars, surgical marks and stretch lines
Early to moderate laxityFace, jowls and neck
PigmentationAssessed first. Melasma uses separate, more conservative settings
Enlarged poresAimed at how visible they look, not their size
Body areasIncluding stretch marks

FSX compared with related lasers

TreatmentWhat it isHow it differs
FSX LaserNon-ablative fractional 1540 nm and 1927 nmMulti-pass and multi-target, and non-ablative
S3 Resurfacing LiftFractional CO2 on the DEKA Tetra ProReaches deeper, with more downtime and darker areas while healing
Laser toningSingle-pass toningFSX is not single-pass toning
VF LiftMonopolar radiofrequencyUsed where a descended brow needs lifting

Who it may suit

FSX tends to suit fine lines, enlarged pores, uneven texture, superficial scars, post-acne redness, early laxity, lax upper-lid skin and assessed pigmentation. Settings are planned zone by zone, so one session can treat different concerns in different places. Active acne, melasma and pigment may need a different plan or something else first. Suitability, recovery and the choice between FSX and other options are decided at examination. If you are looking for a CO2 laser, ask which depth of treatment your skin needs, because FSX and CO2 are different treatments. Please bring your questions about depth, not only about brand names. A multi-pass session is built around what your skin needs on the day. If several concerns sit together, such as fine lines, redness and pores, FSX can be planned to address them in one visit, zone by zone. Where one deep concern dominates, another route may fit better.

Who should wait or discuss it first

Please wait

Pregnancy or breastfeeding, sunburnt or freshly tanned skin, active infection such as cold sores or impetigo, and current or recent isotretinoin.

Discuss first

Cold sore history, as antiviral cover may be advised. Photosensitising medicines, light-sensitive conditions such as lupus, and melasma. Timing or settings may change.

Weighed at assessment

Keloid tendency, active vitiligo, and poorly controlled diabetes or other causes of slow healing.

Referred elsewhere

Deep ice-pick, boxcar or rolling scars go to the S3 Resurfacing Lift or subcision. Heavy upper-eyelid or neck skin excess, true ptosis and lost volume also need other routes.

What it cannot do

FSX is not an ablative laser, and it is not single-pass toning. It does not lift a descended brow. It does not replace lost volume or raise descended tissue. It does not shrink pores, though they may look less visible. It cannot treat deep ice-pick, boxcar or rolling scars. Heavy skin excess and true ptosis of the eyelid are beyond its reach. If your concern is one of these, read about droopy eyelids or 4D scar planning. No result can be promised, and the course depends on your skin. It is also worth knowing what FSX is not meant to be. It is a skin-quality laser, and it works on the surface and dermis. If tissue has dropped or volume has gone, laser will not put it back.

Risks and side effects

Expected

Redness, warmth, mild swelling and sometimes fine scabbing, which should shed naturally.

Less common

Acne-like breakouts, cold sore outbreaks, lingering redness and temporary darkening.

In darker skin

Darkening after non-ablative fractional laser is more frequent in darker skin.

Lowering the risk

Skin-type assessment at each session, matched settings, antiviral cover where indicated, gentle skincare and strict sun protection.

Tell the clinic

Lingering redness, breakouts or darkening are reviewed, and settings are adjusted. See complication care.

Preparing for your session

Declare isotretinoin, photosensitising medicines and recent lasers or peels. Mention pregnancy, breastfeeding, cold sores and keloid history. Avoid sun and tanning, and pause retinoids, acids or exfoliants if advised. Bring skin photographs, a list of your products and past laser records. On the day, numbing cream is applied for comfort. If you have had cold sores, antiviral cover may be advised, so please raise this ahead of time.

Recovery, in phases

Straight after

Redness, warmth and mild swelling. Skin may feel tight.

First evening

Gentle skincare only. A cool compress may help. Make-up is usually possible once the skin is calm.

Following days

Redness usually settles on its own. Fine scabs may form after higher-intensity passes.

Following weeks

Any collagen remodelling develops gradually, and post-acne redness is reviewed over a planned course. Sun protection continues.

Follow-up

Any lingering redness, breakouts or darkening is reviewed, and settings are changed for the next visit. Duration depends on settings, area and you.

How the fee is set

No price is stated. The fee depends on the areas treated, the concerns addressed, the number of passes and zones, consumables, and whether FSX is combined with another treatment. A written quote follows assessment, and the consultation also decides whether treatment is advised at all. Read how we quote. FSX may also be paired with R2 Glow Laser in the same session, if your plan calls for it.

Frequently Asked Questions

No. FSX uses 1540 nm erbium glass and 1927 nm thulium. Neither wavelength vaporises the surface.
Yes, it varies. Redness and fine scabbing can occur. Duration depends on settings, area and your skin.
No. Deep ice-pick, boxcar or rolling scars go to the S3 Resurfacing Lift or subcision.
No. Enlarged pores may look less visible, but they do not shrink.
It may help mild laxity of the lid skin. True ptosis and a descended brow need other approaches. Results vary.
Melasma is discussed first and uses separate, more conservative settings.
Settings are adjusted for skin type at every session, including Fitzpatrick V and VI. Darkening remains a risk.
SY
Dr Sin Yong
MBBS (NUS) · MRCS (Edinburgh)
MSc Aesthetic Medicine (QMUL) · MSc Practical Dermatology (Cardiff)
Aesthetic physician registered with the Singapore Medical Council.

Ask whether FSX suits your skin

Dr Sin Yong will examine you, explain your options and give any fee in writing.

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References

  1. Harnchoowong S, et al. Cosmetic Considerations in Dark-Skinned Patients. Clin Cosmet Investig Dermatol. 2024;17:259-277. View source · DOI · PMID 38321987
  2. Lee YS, et al. The Low-Fluence Q-Switched Nd:YAG Laser Treatment for Melasma: A Systematic Review. Medicina (Kaunas). 2022;58(7):936. View source · DOI
  3. Kang S, et al. New Atrophic Acne Scar Classification: Reliability of Assessments Based on Size, Shape, and Number. J Drugs Dermatol. 2016;15(6):693-702. View source · PMID 27272075
  4. Puaratanaarunkon T, Asawanonda P A Randomized, Double Blinded, Split-Face Study of the Efficacy of Using a Broad Spectrum Sunscreen with Anti-Inflammatory Agent to Reduce Post Inflammatory Hyperpigmentation After Picosecond Laser. Clin Cosmet Investig Dermatol. 2022;15:331-337. View source · DOI
  5. Liang S, et al. Comparison of the efficacy and safety of picosecond Nd:YAG laser (1,064 nm), picosecond alexandrite laser (755 nm) and 2% hydroquinone cream in the treatment of melasma: A randomized, controlled, assessor-blinded trial. Front Med (Lausanne). 2023;10:1132823. View source · DOI
  6. Connolly D, et al. Acne Scarring—Pathogenesis, Evaluation, and Treatment Options. J Clin Aesthet Dermatol. 2017;10(9):12-23. View source · PMID 29344322

Studies may involve other devices or protocols, and they do not predict your own result. See our evidence library and editorial policy.

Related Treatments

Last updated 6 November 2026. General information only. Results vary between individuals.