Fractional CO2 Laser

Fractional CO2 laser resurfacing has revolutionized skin rejuvenation. This non-surgical treatment creates healthier and younger appearing skin. It promotes collagen growth and evens out skin tone and pigmentation. It improves wrinkles, irregular skin texture, skin laxity, acne scars, surgical scars, and pigmentation irregularities (such as brown spots and sun spots). Fractional CO2 laser treatments are very versatile. They can be tailored to the unique skin concerns and recovery schedule of each individual. During your consultation, Dr. Foulad will determine a custom plan based on your specific goals.

Dr. Foulad uses the Deka SmartXide DOT system to perform the fractional CO2 laser treatments. This is an advanced laser that has been evaluated extensively, including in a multi-center study. The laser system generates optimized and accurate energy pulses which can be precisely controlled for each patient. The DOT technology utilizes a fractional mode that generates an array of high-precision laser microbeams. These microbeams of energy treat the skin with tiny “dots”. Creating these tiny “dots” helps to increase collagen production and stimulate skin tightening as your skin heals itself following treatment. Since the skin surrounding the treated “dots” remains intact, the skin is able to heal much faster and with less risk of complication.

Recovery time usually ranges between days to a week and depends on the depth of treatment performed. Generally, the recovery process and the response to the treatment will differ from patient to patient. However, the following details provide a typical outlook of the two treatment types we offer.


Deka Light Treatment

This “light” treatment is an excellent option for patients who desire the least downtime and do not require major skin remodeling. This fractional CO2 laser treatment helps improve skin texture, reduce pore size, and smooth uneven skin pigmentation. Topical numbing cream is first applied to ensure that you are comfortable during this treatment. After the procedure, there is usually 1 to 2 days of redness and about 1 week of a rough skin texture and/or a bronzed skin appearance. We typically recommend a series of 2 to 4 treatments in order to to achieve meaningful results. You can usually receive treatments four weeks apart from the last one.

Deka Deep Treatment

This “deep” treatment is ideal for patients who are interested in more intense skin remodeling. This fractional CO2 treatment improves deeper wrinkles, skin texture, and uneven skin tone and pigmentation. A single treatment with this technique yields a much more profound result when compared to the “light” treatment. Depending on wrinkle severity, more than one session may be recommended. Commonly, Dr. Foulad applies topical numbing to the skin prior to your treatment. He also performs several numbing injections to ensure you are comfortable during the entire treatment. After the procedure, the skin will be red and feel warm, similar to a bad sun burn. It will also feel very dry and rough, similar to sandpaper. There can also be some minor swelling, oozing, and crusting. The downtime is usually 5 to 8 days. Following this, your new, fresher skin will begin to appear.

New collagen will continue to develop in your skin over the next 3-6 months. However, your skin will appear visibly tighter and smoother roughly 7-10 days after you receive your treatment.

A sample of before and after photographs can be viewed at the Deka Dot Laser Cases Photo Book.