Smarter Laser Skin Resurfacing with DOT CO2 Fractional

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If you have moderate to severe wrinkles, age spots, melasma or acne scarring, there's a new skin resurfacing option that is more tolerable and much less of a shock to your social schedule than the CO2 laser: the DOT CO2 fractional.

for patients with skin conditions requiring more dramatic correction, we now have a 'next step' option in the new CO2 fractional, which is a safer, more comfortable treatment and recovery option than the traditional CO2 alone.

The aesthetic physician's gold-standard, until recently, for the patient with severe wrinkling and skin damage, has been the CO2 laser, due to its ability to heat-vaporize the outermost layers of skin across a large surface area. After some extended recovery, the newly-generated skin is remarkably smoother and suppler. However, the first hints of that reward come after 10 to 14 days as a social outcast dealing with the pain and swelling of oozing, second-degree burns. The skin tends to retain a pinkish/reddish hue for months, and there is risk of infection if aftercare instructions are not carefully followed. Additionally, a small percentage of patients experience adverse effects such as permanent, delayed-onset skin whitening or excess skin pigmentation.

In answer to this, two revolutionary medical technologies with diverse approaches to skin resurfacing have combined their abilities: fractional laser technology and the CO2 laser. This pairing provides the best of both scientific approaches: a resurfacing and rejuvenating treatment that goes deeper into the skin than current conventional fractional laser treatments, while providing a safer treatment option with significantly less social downtime and recovery than the traditional carbon dioxide ablation laser.

The fractional scientific approach utilizes the body's natural healing response in a unique way. By laying down rows of tiny, microscopic laser wounds, evenly spaced across the skin, leaving areas of untreated skin between them, the lower collagen layer of the dermis--instead of the epidermis, is stimulated to renew and repair. The surface of the skin now contains only tiny surface wounds, instead of one large, red, oozing burn. After only a few days, any outward evidence of the ongoing healing and rebuilding process is largely invisible, occurring in an area with few pain receptors, with the protective epidermal covering still relatively intact. The skin will now gradually repair and rebuild itself from the inside outward, stimulated to produce fresh, thicker and more resilient collagen, which over the next few months will fill out more evenly, for a tighter, smoother and more uniform surface appearance. The DOT (Dermal Optical Thermolysis) CO2's longer wavelength, combined with fractional laser technology takes the treatment deeper into the dermis than current, minimally-ablative fractional applications can. The inherent risks of the CO2 laser are thereby reduced by implementing the fractional delivery, while the fractional treatment results are improved. Additionally, there are no known reports of any delayed skin whitening or excess skin pigmentation associated with the DOT CO2 fractional laser treatment.

Jeffrey Adelglass, M.D., F.A.C.S., Medical Director and Chief of Surgery of SKINTASTIC™ Medical and Surgical Skin Rejuvenation Center of Plano, Texas, has experience working with the Fraxel® SR1500 and with the traditional CO2; he insists that the DOT CO2 fractional will not replace Fraxel® in his aesthetics practice, but instead, that one treatment picks up where the other leaves off. Dr. Adelglass says, "for patients with skin conditions requiring more dramatic correction, we now have a 'next step' option in the new CO2 fractional, which is a safer, more comfortable treatment and recovery option than the traditional CO2 alone."

Dr. Adelglass is one of the first physicians to introduce the new CO2 laser technology in the North Texas area. SKINTASTIC™ was selected to be a National Training Center, largely due to Dr. Adelglass' extensive experience with various skin lasers and other new science technologies. Dr. Adelglass received his own first-hand, in-depth DOT Fractional CO2 training under one of the Italian physicians who originally developed the technology.

The SKINTASTIC™ center in Plano, Texas ( focuses on providing the newest, most effective medical technologies and non- to minimally-invasive cosmetic treatments, including chemical peels, dermal fillers (temporary to permanent), laser body sculpting, radiofrequency (RF) thermal skin tightening, permanent fat reduction, improvement of cellulite, comprehensive nutrition, and various quick-recovery surgical options. SKINTASTIC™ is currently providing complimentary evaluations for those seeking information about the DOT CO2 fractional laser, along with a variety of other skin resurfacing and aesthetic options that can prescribed alone, or in combination, for maximum cosmetic correction requiring minimal social downtime and recovery.

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Pamela Fox, Communications Director
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