CO2 Laser Fractional Skin Resurfacing

Perfect for the Face and Body!

Silk Touch Cosmetic Surgery & Medspa is the first to bring the Fractional CO2 Laser SmartXide DOT therapy to Boise, Idaho. Renew your skin in about an hour!*

What are the Benefits of DOT Therapy™ CO2 Laser Skin Resurfacing?

Some of the benefits include:

  • Reverse the appearance of aged and sun-damaged skin*
  • Improve texture and firmness*
  • Smooth wrinkles and lines*
  • Reduce the appearance of acne and other scars*
  • Renew your skin*
  • Downtime adjustable by a physician

SmartXide DOT CO2 Laser Resurfacing – It’s about choice • It’s about control • It’s about the DOT!

What Exactly Is Dot Therapy?

Dot Therapy that is…the latest innovation for skin rejuvenation! DOT Therapy is performed using the SmartXide DOT CO2 laser system, featuring the unique DOT Scanner with Infinite Delivery Options for ablative skin rejuvenation with rapid healing. DOT Therapy is ideal for treatment of pigment, loose or sagging skin, wrinkles and acne scars.

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CO2 Laser Resurfacing – One treatment before and after

What exactly is the Smartxide DOT CO2 Laser?

The carbon dioxide CO2 laser has been the premier skin resurfacing tool for the past decade. Its primary advantage over peeling and other laser techniques is that it tightens the skin naturally while stimulating increased collagen production. The results approximate that of a mini-facelift, without incisions. CO2 laser resurfacing has been the “Gold Standard” for non-surgical facial rejuvenation and removal of facial skin wrinkles and photoaging since 1995. However, due to its power and

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CO2 Laser Resurfacing – before and after

complete removal of the skin, it requires intravenous or general anesthesia. It also has several limitations including a prolonged and difficult recovery period often lasting three weeks, prolonged facial redness that can last three months, hypopigmentation or lightening of skin color, and the potential for infection which can lead to scarring.

Fractional Laser Resurfacing

During the past five years, a new technology called fractional laser resurfacing has been developed which has dramatically shortened recovery time and lessened the occurrence of complications. With fractional laser resurfacing the laser beam is broken up or fractionated into many small micro beams (DOTs) which are separated so that when they strike the skin surface small areas of the skin between the beams are not hit by the laser and left intact. These small areas of untreated skin promote a much more rapid recovery and healing with less risk of complications. The small areas treated by the fractional microbeams, called micro treatment zones, cause sufficient laser injury to promote new collagen production and resultant facial skin rejuvenation. (See Diagram Below)

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The 2000s saw the development of lasers like Fraxel, which is a non-ablative fractional resurfacing laser. Although it offers less downtime, the results are subtle at best.  The Smartxide DOT CO2 laser represents a new generation of ablative fractional resurfacing lasers (see far right above). Unlike Fraxel, the Smartxide DOT actually removes the heated column of skin tissue (ablation) and provides more substantial wrinkle removal and deep skin tightening.

DOT Therapy (Dermal Optical Thermolysis) is the ideal micro-ablative approach to skin rejuvenation. It creates thousands of microscopic perforations, which induce immediate skin tightening and stimulate new collagen growth, improving the skin’s texture and tone to fight fine lines and deep wrinkles, and even acne scars. DOT Therapy also leaves the skin around each of the perforations intact, which allows the epidermis to heal from the edge of these tiny holes very rapidly, significantly decreasing downtime and promoting rapid healing. As a result, Smartxide DOT offers the results of the traditional CO2 laser, but under local anesthesia with less discomfort and less downtime!

What Does SmartXide DOT do?

The SmartXide DOT penetrates into the upper layer of the dermis. The dermis is the supporting layer of our skin and contains most of its collagen. SmartXide DOT targets water in the tissues resulting in tissue ablation inside the DOT. In addition, each DOT is surrounded by a zone of thermal tissue damage formed by the laser.

See What Our Patients Are Saying!

—- Original Message —-
“There is not a cosmetic treatment I could find that has made me this happy! The Dot Therapy not only erased my brown spots, uneven skin tone, and wrinkles, it also significantly improved the tightness and texture of my skin. The treatment took years off my face, allowing me to go without makeup and look more youthful with an even skin tone. I have seen even more improvement as the months go by. I love it when my friends and associates comment on how great I look. I would recommend this treatment over and over again…Thank you Dr Kerr for the wonderful treatment!”*

Stephanie, Boise

To read more patient testimonials, please click here!

Actual Skin Laser DOTs

This thermal damage is responsible for the most of the superior results seen with the old CO2 laser. SmartXide DOT is able to achieve a wide zone of thermal damage without removing the entire skin surface. This zone is thermal damage is responsible for most of the skin tightening and skin thickening that occurs following SmartXide DOT treatment.

co2 laser image

Collagen shrinkage as a result of thermal damage results in some immediate skin tightening. More importantly, further improvements in skin tightness and collagen density occur as a result of collagen remodeling and begin about 30 days after the treatment. These improvements continue for up to one year.

Timeline after DOT shows new skin at 1 week and skin tightening at 3-4 weeks

Where can SmartXide DOT be used?

Another important feature of SmartXide DOT therapy is its ability to be used on body areas other than the face. Previous CO2 laser treatments were restricted to the face. The greater density of sebaceous glands and other deep skin structures allowed healing from below to occur on the face. This allowed complete ablative treatments that could not be done on other parts of the body. SmartXide DOT allows healing to occur from the intact skin to the side of the DOTs. This allows SmartXide DOT to be performed on almost any body area. The ability to treat any area of the body allows the treatment of problems such as loose skin, scars and stretch marks. This makes SmartXide DOT much more useful to patients.

What is a SmartXide DOT treatment like?

Treatment begins with understanding the patient’s desires and needs. The laser settings Dr. Kerr chooses are determined by the problem the patient wishes to emphasize. While most treatments will improve both skin color and provide skin tightening or scar improvement, Dr. Kerr has the ability to emphasize one area over another. Superficial problems like pigment disorders or mild wrinkles are treated with close DOTs. Deeper problems such as scars or deep skin creases are treated with more distance between DOTs and fewer overall DOTs, greater depth and longer times with dwell times. Patients whose primary concern is overall skin laxity and general wrinkling are treated between the two extremes. Treatments off the face generally use the similar

dot laser therapy

distance between the DOTs and depth settings as the face but dwell times approximately one half the settings of facial treatments. Upper eyelids can be done with laser eye shields in place. The area is first covered with a topical anesthetic. The topical anesthetic is allowed to stay in place for about an hour. Using the topical anesthetic allows the SmartXide DOT treatment to be done with little discomfort. Immediately after having the procedure, the area we treated will feel hot. Therefore, we cool the area down with ice and a special cooler for about 30 minutes. Altogether, you should plan on about 2 hours for your SmartXide DOT treatment.

So how well does SmartXide DOT actually work?

The results from SmartXide DOT treatments are impressive and approach those of full CO2 ablative treatments. Skin crease improvements are substantial. Pigment improvements are also excellent, and generally better than other treatments such as intense pulsed light. Scar revision results are substantial (figure 13). However, one of the more exciting features of scar revision is the ease with which multiple treatments can be performed in an area. Overall, clinical results confirm the promise of SmartXide DOT therapy and position it to dominate the skin resurfacing market for the next decade.

So what does all of this mean?

SmartXide DOT laser therapy represents the marriage of two important skin resurfacing technologies, CO2 laser ablation and fractional skin resurfacing. While the CO2 laser has represented the “gold standard” for results, the prolonged and difficult recovery time and inability to use the CO2 laser off of the face have greatly reduced its popularity and utility. Fractional resurfacing has become one of the most popular types of skin resurfacing treatments in the last 2-3 years. However, fractional treatment with mid infra-red lasers has been plagued by less than satisfactory results in many cases. SmartXide DOT laser therapy promises to remedy both of these problems. Recovery time is decreased to 7-10 days on average, with redness lasting around 14-21 days. Results challenge those of conventional CO2 ablation and significantly exceed those of current fractional treatments. The ability to work off the face adds many additional applications and benefits. Finally, the ability to perform multiple treatments on difficult areas promises to yield results not previously available with any cosmetic treatments. SmartXide DOT CO2 laser treatment should replace conventional CO2 resurfacing as the “gold standard” of treatment and dominate a large part of the cosmetic market for many years to come.

So, what kind of anesthesia and downtime are we talking about?

The DOT Smartxide treatment requires only local, topical anesthesia that is applied approximately 45 minutes prior to the procedure. After this period of time, the treatment is virtually painless. At approximately 3-4 days after the procedure, you will peel the upper layers of skin, revealing a fresh, new surface. We provide you with medications during this period to promote wound healing and minimize discomfort. After this phase, there may be some residual redness but most patients can resume their normal activities. The new collagen production doesn’t begin for 3-4 weeks after the procedure and we would like you to follow up at this point.

Who is a candidate for Smartxide DOT CO2 Laser Treatment?

DOT therapy can be used to treat the skin of all ages and most skin types. It is ideal to treat the signs of sun-damage including pigment irregularities, wrinkles, skin laxity/sagging, and rough texture. It also can be used to treat all types of acne scarring and stretch marks. We have several other treatments that we couple with DOT therapy to maximize results.  Please call for a free consultation to discuss this exciting, new treatment!

Compared to other ablation lasers

The size of the treatment dots varies from 120 to 1,250 microns, but average dot size is 300 microns. Some other laser units offer heads with different spot sizes (Lumenis Active FX). SmartXide Dot offers surgical heads that allow the device to be used for surgical incisions as well as skin resurfacing applications. Unlike Fraxel Repair, which features continuous tracking across the treatment area, SmartXide Dot allows various patterns lined up to complete the treatment. Other treatments which feature this approach include Quanta MIXto and Lumenis FX. Unlike most competing technologies, SmartXide Dot does allow a complete ablation option.

Dr. Kerr’s extensive work with DOT therapy technology has given us the experience to provide an exceptional level of care for our patients.

Schedule a client Consultation

Silk Touch Cosmetic Surgery & Medspa proudly serves patients in Boise, Idaho and surrounding areas with the CO2 laser for laser skin resurfacing. Call today for your consultation at 208-939-3110 or complete a Contact Form here!

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