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XTRAC® Laser Therapy

In Melbourne, FL

At Dermatology + Plastic Surgery, led by board-certified dermatologist Anita Saluja, MD, and double board-certified plastic surgeon Rebecca Novo, MD, we are now offering XTRAC® 308nm excimer laser therapy for residents of Melbourne, Indialantic, Viera, Satellite Beach, Cocoa Beach, Brevard County, and surrounding areas in Central Florida.

Before and after photos showing skin clearance one year after XTRAC 308nm excimer laser treatments

XTRAC is an FDA-cleared, targeted UVB phototherapy that treats affected skin directly while sparing the surrounding healthy skin. It is dermatologist-recommended for mild to moderate psoriasis, vitiligo, and atopic dermatitis (eczema), including cases that have not responded well to topical treatment or that involve localized or difficult-to-treat areas of the body.

WHAT IS XTRAC® 308NM EXCIMER LASER THERAPY?

XTRAC uses a focused 308nm excimer laser to deliver precise doses of UVB light exactly where it is needed, without exposing uninvolved skin to unnecessary ultraviolet light. This targeted approach allows for a more concentrated, effective dose than traditional full-body phototherapy, with less overall UV exposure.

The XTRAC excimer laser has been FDA-cleared since 2000 and is recommended by dermatologists nationwide, including our own Dr. Anita Saluja, Dr. Alexandra Grammenos, and Dr. Akhil Gupta, as a safe, drug-free option for patients managing chronic inflammatory skin conditions.

HOW DOES XTRAC® WORK?

During treatment, the excimer laser’s beam targets the T-cells and inflammatory processes driving the affected skin, calming the overactive immune response behind psoriasis and eczema. For vitiligo, the laser stimulates melanocyte activity to encourage repigmentation in depigmented areas. Because the beam can be precisely directed, XTRAC can be used virtually anywhere on the body, including hard-to-reach areas like the scalp, elbows, knees, hands, and feet.

WHAT CAN XTRAC® TREAT?

XTRAC is FDA-cleared for the treatment of:

  • Plaque psoriasis, including difficult-to-treat areas such as the scalp, elbows, knees, hands, or feet
  • Guttate and other forms of psoriasis, including cases that have not responded adequately to topical therapy
  • Vitiligo, including localized areas where targeted phototherapy may help restore pigment
  • Atopic dermatitis (eczema) in patients who are candidates for targeted phototherapy

If you have a condition you think may benefit from XTRAC, or you simply are not sure whether it is a good fit, we are happy to discuss it with you during a consultation.

Progressive repigmentation of facial vitiligo after multiple XTRAC excimer laser treatments

BENEFITS OF XTRAC® THERAPY

  • No anesthesia required, and most patients describe the treatment as pain-free
  • No systemic drug side effects, and no more messy daily creams or ointments
  • Safe for children, teens, and pregnant patients
  • Can be used on any location on the body, including hard-to-reach areas like the scalp, knees, and elbows
  • Symptoms are often reduced in as little as four weeks
  • Generally covered by most major insurance plans, including Medicare and Medicaid, when medically necessary
Scalp psoriasis before and after 12 XTRAC excimer laser treatments

WHO IS A GOOD CANDIDATE FOR XTRAC®?

Good candidates include patients with localized or treatment-resistant psoriasis, vitiligo, or eczema, particularly those who would prefer a targeted, non-systemic treatment over broader-body phototherapy or ongoing topical medications. XTRAC may be appropriate for patients of nearly any age, including children, and is often considered when topical therapy alone has not provided adequate relief.

The best way to find out if XTRAC is right for you is through a consultation with our team. We will review your diagnosis, treatment history, and goals, and confirm insurance coverage before beginning treatment.

WHAT TO EXPECT DURING XTRAC® TREATMENT

XTRAC treatments are performed in our office and typically take just a few minutes, depending on the size and number of areas being treated. No numbing or anesthesia is needed, and there is no downtime, so you can return to your normal activities right away.

Most patients are treated two to three times per week, with the total number of sessions depending on the condition being treated, your skin type, and how you respond. Many patients notice improvement within the first several treatments.

RESULTS YOU CAN EXPECT

In clinical studies cited by the manufacturer, XTRAC has achieved up to 95% clearance in patients with mild to moderate psoriasis, 75% improvement in repigmentation for patients with vitiligo, and an 81% reduction in itch for patients with eczema within four weeks. Results vary by individual, and most patients experience several months free of symptoms following a treatment course. As with any UVB-based treatment, some patients experience a sunburn-like reaction or blistering at the treatment site, and a temporary increase in pigmentation can occur. We will talk through what results and side effects to expect for your specific skin type and condition.

INSURANCE COVERAGE

XTRAC is available by prescription and is generally covered by most major insurance plans, including Medicare and Medicaid, when the treatment is medically necessary and appropriately coded. Our team will verify your coverage as part of your consultation.

To find out if XTRAC® is right for you, call our office at (321) 395-3298 or contact us online to schedule a consultation. Our experienced team will help guide you through the process to ensure you have the safest and most effective care.

Residents of Melbourne, Indialantic, Viera, Merritt Island, Brevard County, the beaches, and surrounding communities in Central Florida who want to explore XTRAC® for psoriasis, vitiligo, or eczema can contact Dermatology + Plastic Surgery, led by Drs. Anita Saluja and Rebecca Novo.

Frequently Asked Questions

What is XTRAC® and how is it different from other treatments?

XTRAC is an FDA-cleared 308nm excimer laser that delivers a concentrated dose of UVB light directly to affected skin, sparing the healthy skin around it. Unlike creams or full-body phototherapy, it targets only the area that needs treatment.

How many XTRAC® sessions will I need?

This varies by condition, skin type, and how you respond to treatment. Most patients are treated two to three times per week, and many notice improvement within the first several sessions, with continued treatment recommended for the best results.

Is XTRAC® covered by insurance?

XTRAC is available by prescription and is generally covered by most major insurance plans, including Medicare and Medicaid, when it is medically necessary. We verify coverage for you as part of your consultation.

Does XTRAC® hurt, and is there any downtime?

No. Most patients describe XTRAC as painless, with no anesthesia or numbing needed. You may notice mild warmth during treatment, and there is no downtime, so you can return to your normal routine immediately afterward.

Is XTRAC® safe for children and during pregnancy?

Yes. XTRAC is considered safe for children, teens, and pregnant patients, since it delivers no systemic medication and has none of the drawbacks associated with oral or topical drug therapies. We will still confirm it is the right fit for your specific situation during a consultation.

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