Everyone wants soft, beautiful skin. Unfortunately, our skin is subject to numerous experiences that leave it less than perfect such as, wrinkled and sun damaged skin, genetics, and environment. 

Since the 1990s, CO2 laser resurfacing has long been the gold standard for a safe and effective anti-aging treatment for fine lines, wrinkles, saggy, crepey or lax skin, sun damage, scars, uneven pigmentation and large pores.  Now, fractional CO2 laser resurfacing can provide non-surgical blepharoplasty like results with tightening of eyelid and under eye skin.  Now many treatments for eliminating festoons under eyes and eye bags can be improved with non-surgical eyelid surgery with fractional CO2 laser resurfacing with Smartxide DOT. 

Fractional CO2 Resurfacing

However, with the traditional CO2 laser there is a need for greater anesthesia, risk of scarring, pigmentary issues and lengthy recovery periods after the procedure that includes weeping and crusting of the skin. There is also a potential for prolonged facial redness that can last three months or more, hypopigmentation or lightening of skin color, and the potential for infection which can lead to scarring.

CO2 Skin Resurfacing Laser

Skin Rejuvenation CO2 Resurfacing

 "I had the CO2 Facial Laser resurfacing procedure done with Dr.Caglia in 10/2009, almost a year ago, and I still LOVE, LOVE, LOVE IT. What a positive change it made in my looks & self esteem. I did not realized that my face had so much irregularity and dark spots. We all just gradually age,and we see ourselves daily, so I really believe we do not notice it as much.I have been told I look 10 years younger. yeah !!! I am going to have my chest area done this year, and I am so excited. Run, do not walk, and schedule a free consultaion with Dr. Caglia, you will be sooooooo glad you did."

CO2 Resurfacing Face Before and After 

Now, there's good news.

Dr. Caglia uses a new breed of Fractional CO2 technology (SmartXide DOT Therapy) that has been designed to overcome all of these drawbacks. This new treatment is known as Fractional CO2 resurfacing. This technology treats zones of skin and leaves other sections in between undamaged which promotes the rapid healing and minimal downtime that has been a trademark of the fractional technologies. Fractional laser delivery means that some adjacent areas have untouched stem cells thereby the healing is much faster.  Dr. Caglia performs CO2 Fractional Skin Resurfacing for patients from Dallas, Plano, Allen, Frisco, Texas and surrounding communities. 

What is Fractional Repair?

Fractional Repair is a semi-ablative procedure that is based upon the skin's own healing purpose.  With SmartXide's technology power settings, pulse width and spacing of fractional laser dots that can all be greatly varied to distinctly tailor DOT Therapy treatments Microscopic laser "wounds" are spaced evenly across the treated skin. The deeper layer of skin is stimulated by the CO2 energy to renew and repair. Fractional Repair reaches deeper into the skin because it produces more effective wrinkle removal and skin rejuvenation. This advanced laser system delivers high precision microbeams of CO2 laser energy into the skin to smooth out fine lines, wrinkles, scars, remove brown spots and other irregularities, and tighten the skin getting rid of the creepy old skin. As the formation of new collagen continues to improve over time, most patients will see significant improvement in the appearance of sunspots, fine lines, wrinkles, pore size and acne scarring with a fresher, more youthful skin tone and texture.

How is Fractional Repair different from the old traditional CO2 resurfacing?

Instead of treating the whole skin surface and causing one large, red, oozing surface like the CO2 laser, the Fractional Repair treatment only heats "columns" of tissue and leaves most other areas of healthy skin intact. Because of this, Fractional Repair has an ongoing healing and rebuilding process that is more subtle, with significantly less downtime, adverse effects and recovery compared to traditional CO2 lasers.

The benefits of Fractional Repair:

  • Better results compared to non-ablative treatments
  • Minimal downtime
  • Safe and effective for all skin surface areas
  • Promotes tissue contraction and skin tightening
  • Your appearance continues to improve over a period of up to six months
  • Rare hypopigmentation (pigment loss)
  • Can be performed to delay more invasive surgery (facelift, browlift, eyelid surgery)

acne scarring before resurfacing acne scarring after resurfacing

Am I a candidate for Fractional Repair?

Any patient who would like to have smoother, tighter, younger-looking skin is a good candidate. For patients who are 40 - 50 years old this procedure can put off the need for a facelift.

Everyone wants soft, beautiful skin. Unfortunately, our skin is subject to numerous experiences that leave it less than perfect.

Since the 1990s, CO2 laser resurfacing has long been the gold standard for a safe and effective treatment for fine lines, wrinkles, sun damage, scars, uneven pigmentation (solar lentigines), crepey skin, acne scars, stretch marks, seborrheic keratosis and large pores.

Now, with CO2 Fractional Resurfacing with SmartXide DOT we are able to treat those same things that we did with traditional CO2 but now with a greater safety profile and less downtime.  The added advantage is that this technology can be used safely off face to resurface neck, chest (decolletage), eyelids, hands, arms and other body areas. This can also be used on skin types I-IV.

Wrinkle Treatment Plano - Co2 resurfacing results, fractional repair, facial laser treatment, facelift, dot therapy, new skin, anti aging, Plano, Dallas, Richardson, DFW, Allen, McKinney, Texas

How is my treatment performed?

Treatments are usually in one to two sessions depending on skin condition (photaging) or if the procedure is for acne scars.  Topical anesthesia is applied to the areas being lasered for about an hour and optional oral sedation for relaxation. In some cases where more aggressive resurfacing is needed for older patients with lax and photo damaged skin or in those patients with acne scars we may suggest IV sedation with our certified nurse anesthetists (CRNA) for your comfort. Generally, the treatment takes one hour or less. The physician scans the skin being treated with the Fractional Repair handpiece scanner in a computer-controlled pattern. This allows the physician to treat small areas of skin while leaving the surrounded areas intact.

What can I expect after treatment?

After your treatment is completed you will feel like you have a slight sun burn for a few hours and this will subside.  You will be instructed to keep your face covered with Aquaphor ointment and be seen the following day in the office. Depending on the depth and number of passes used by your physician the first 2 - 3 days following your treatment will most likely be redness, swelling, and possibly some crusting or oozing. Most patients rest the first few days before they return to normal activities and slightly longer if they had more aggressive resurfacing. Any mild or moderate redness can last from 1-2 weeks after which you can have some "pinkness" up to 6 weeks which can easily be covered with make-up, however, most patients like the "pink" look. Treatments are well-tolerated because the laser energy is placed deep in the dermis, where there are less pain receptors. What patients like the most about Fractional CO2 resurfacing is that the recovery time is shortened, there is less chance of having complications and the results last longer.

Laser skin resurfacing along with other therapies such as SlimLipo Liposuction and Botox Cosmetic are other procedures that can enhance your skin rejuvenation giving you the ultimate naturally youthful appearance you deserve! Come see the skin care experts for a consultation on the many non-surgical options for wrinkled and sun damaged skin available today.


Note: Please inform your doctor if you have recently received a wrinkle or filler treatment. 

Find out if you could benefit from Fractional CO2 Resurfacing with the SmartXide DOT.  Schedule your complimentary consultation with our office today. Call 972-690-7070



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