CO2 Fractional / Dot Therapy

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Dot Therapy that is...the latest innovation for skin rejuvenation! DOT Therapy is performed using the SmartXide DOT CO 2 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, skin laxity/texture, wrinkles and acne scars.

The signs of an aging face include lines, wrinkles, age spots and a downward drooping of facial features.  Although surgery can help reposition aging tissue into the correct, youthful position and contour, it cannot rejuvenation the skin to the young, healthy glow you once had. Rejuvenation of the aging face therefore needs to be addressed in a two-fold fashion; returning both the facial structures and the facial skin to its natural, youthful appearance. 

If you are over 40, your skin may be telling some tales about you -- about your time as a smoker (lip lines), those long, lazy sun-worshipping summers (dry, rough skin, wrinkles, freckles and age spots), or perhaps you're seeing a little more of Mom and Pop in the mirror each day than you'd care to. Yes, part of what you're seeing is normal skin aging, but most of it is likely to be sun and other environmental damage. It's ugly -- and it's not just on the surface, either.

Laugh lines, crow's feet, brown spots, and wrinkles are inevitable signs of aging, but all that is about to change thanks to the most advanced technology in laser skin resurfacing. Through a newly-formed alliance between Eclipse Medical, one of the country's leading aesthetic laser distributors since 1993, and DEKA, one of the world's largest and best-known laser manufacturers, DOT Therapy (Dermal Optical Thermolysis) is now the state-of-the-art procedure in laser skin resurfacing.

Two revolutionary medical technologies with diverse approaches to skin resurfacing are merging their strengths: fractional laser technology and the CO2 laser. The two heavy-hitter beauty treatments are now being combined to provide a resurfacing and rejuvenating treatment that goes deeper into the skin than current conventional fractional laser treatments, while offering a safer treatment with considerably less social downtime and recovery than the traditional CO2 (carbon dioxide) ablation laser.

Thanks to a new,  revolutionary technology, Laser, Beauty and Wellness Center now offers the new gold-standard for moderate to severe wrinkles, age spots, and acne scarring; DOT Therapy, the fractionated CO2 laser.  The fractional scientific approach utilizes the body's natural healing response in a unique way.  Instead of blasting away entire portions of skin, the new technology allows the laser to lay down rows of tiny, microscopic laser wounds, evenly spaced across the skin, leaving areas of untreated skin between them.  The surface of treated skin now contains only tiny pixilated surface wounds, instead of one large, red, oozing burn.  This breakthrough in science and technology allows patients to take advantage of the incredible results from traditional CO2 laser resurfacing while greatly minimizing the risks of developing hypo or hyperpigmentation and scarring from traditional CO2 lasers.  Compared to the older CO2 lasers, downtime is only a few days, not a few weeks.  Within a week there is minimal evidence of having undergone the procedure outside of having new, tighter, fresh skin that continues to improve over the next several months.

For the patient with deeper wrinkling and skin damage, the aesthetic physician's gold-standard, until recently, has been the CO2 laser, because of its ability to vaporize the outermost layers of skin across a large surface area. After some recovery, the newly-generated skin is remarkably smoother and suppler. The other side of the CO2 coin is that that reward generally comes after 10 to 14 days or so of hiding away as a social pariah, the first few days of which one will likely benefit from a potent pain medication. The skin tends to retain a pinkish/reddish hue for months afterward (the longer the redness, the better the final result), and there is, naturally, with any larger, weeping and crusting open wound surface, risk of infection if an aftercare regimen is not carefully followed. Additionally, a small percentage of patients may experience permanent, delayed-onset skin whitening or excess skin pigmentation.

Now, enter fractional technology. The fractional scientific approach is predicated upon the body's healing response to injury. By creating thousands of tiny, microscopic laser wounds, spaced in an even pattern across the skin, but leaving areas of healthy, untreated skin between them, the lower collagen layer of the dermis is stimulated to renew and repair. The surface of the skin now contains only microscopic surface wounds, instead of one large, red, oozing burn. With the fractional treatment, the evidence of the ongoing healing and rebuilding process is more subtle, taking place deep in the dermis (where there are less pain receptors), leaving the protective epidermal covering much more intact. After a few days (instead of weeks) of your face appearing sun-blistered, the skin will now gradually repair and rebuild itself from the inside outward, stimulated to produce a fresh, thicker and more resilient layer of 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 treatments can. The inherent risks of the CO2 laser are reduced considerably 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.

The traditional standard that all treatments for severe wrinkling and skin damage are measured against has been the CO2 laser.  Due to its ability to heat-vaporize the outermost layers of skin across a large surface area it gives your skin a tremendously more youthful, tighter and smoother appearance.  However, with such great results comes recovery; often times patients do not return to a social environment for 10-14 days. Additionally, patients needed to undergo anesthesia in a surgical center because of the intensity of the treatment.

The inherent risks and potential complications of the CO2 laser are minimized with the fractional delivery, while still offering lifetime results with one treatment.  This procedure can be performed in the office with simple topical anesthesia in about 30 minutes. 

Laser, Beauty and Wellness Center understands that the best long-term results from laser resurfacing require more than just laser treatment.  That is why Laser, Beauty and Wellness Center's skin care specialists examine and educate each patient prior to and after the DOT therapy.  A specialized skin care plan will adequately prepare the skin for the laser procedure, take care of the skin during the healing phase, and maintain the tremendous gains achieved from the procedure.

The SmartXide DOT system is an advanced CO2 (carbon dioxide) laser made in Italy by DEKA and has received clearance from the Food & Drug Administration. The CO2 laser is the most common type of laser used for skin resurfacing: thoroughly proven and tested. CO2 lasers of the past covered the entire surface of the skin, resulting in a significant amount of downtime to heal, discomfort for the patient and prolonged redness of the skin. In addition, the old CO2 lasers could not treat non-facial areas like the neck and décolletage easily because skin in these areas did not heal as well as the face.

DOT Therapy is taking laser skin resurfacing to a whole new level. The new procedure precisely delivers CO2 laser energy to targeted areas on the face or non-facial areas like the neck and décolletage, and effectively treats sun damage, wrinkles, fine lines, and acne scarring. Unlike any other skin resurfacing CO2 laser, the DOT system is unique because it ablates a customized pattern of tiny, micro-sized dots, rather than the entire skin surface.

After a DOT Therapy procedure, thousands of microscopic perforations stimulate new collagen growth to improve skin's texture and tone. DOT Therapy leaves the skin around each of the perforations intact, allowing the epidermis to regenerate, resulting in a more youthful appearance. Although the DOT Therapy technology is brand new, the benefits are proven. Downtime for patients undergoing this procedure is minimal. There is no pain or discomfort, redness lasts a few days versus a few weeks, and the results are remarkable - DOT Therapy virtually takes years off the face.

DOT Therapy's innovative new technology allows a greater level of precision and control, to customize the treatment for the patient. "I can specifically target problem areas on the face or non-facial areas like "crepey" neck and hyperpigmentation on the décolletage.

Only a topical anesthetic is needed for the treatment and patients can immediately apply makeup after the procedure. In addition, the SmartXide DOT system has no consumables and costs significantly less to buy and operate, saving doctors thousands of dollars annually.

The SmartXide DOT laser with DOT Therapy is ideal for the treatment of dyschromia, skin laxity and texture, wrinkles, dermal lesions, photoaging, acne scarring and scar reduction.

DOT Therapy (Dermal Optical Thermolysis) is the ideal fractional 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 improving overall complexion.

High Patient Satisfaction

  • Clinical results approach those of traditional CO2 laser skin resurfacing,
  • Minimal patient down time approaches that of non-invasive laser
  • procedures (patients typically put on make up and return to normal activities in 48 hours)
  • Requires little or no anesthesia

DOT Therapy and Beyond

  • Multiple treatment modes for infinite combination of patient treatment options including, fractional DOT Therapy, traditional laser skin resurfacing, tissue coagulation and ablation, as well as various combinations of these modes.

It's About Optimization

  • CO2 laser technology has been the gold standard in skin resurfacing for over 15 years. DOT Therapy is the newest evolution of laser skin resurfacing, yielding outstanding CO2 results, with only a fraction of the down time.
  • Only DOT Therapy uses the optimal spot size for better energy distribution to treat a wider range of patients for both collagen remodeling and the appearance of aging.
  • Patented, computerized DOT Scanner has been specifically designed for high efficacy-low downtime CO2 skin resurfacing
  • Outstanding results are achieved in a single treatment

The SmartXide Dot Therapy treatments represent the very latest in tissue rejuvenation laser technology. This great breakthrough by DEKA Lasers utilizes a CO2 fractional system with a super-fast scanner that allows the doctor to do a "Dot Resurfacing". By removing a customized pattern of dots and not the entire skin surface, unlike other CO2 lasers, this technology combines the best of both worlds - the great and proven results of a traditional ablative laser, but without the pain and the traditional downtime. The SmartXide Dot Therapy treatment causes a rapid tightening of the skin, reduces blemishes and softens irregularities and scarring. It also stimulates collagen production, giving the skin a younger plumper look and feel. The collagen produced helps to prolong the effects of the treatment, and gives a more even result. What also sets SmartXide Dot Therapy apart from other treatments is that each treatment can be tailored to each person’s skin-type and degree of damage.

If you have always desired to rejuvenate your skin but have had fears of traditional laser resurfacing, you should consider this laser treatment. The results surpass any other laser technology on the market and blow away commonly known treatments like microdermabrasions and skin peels.

Lengthy recovery times and face-only applications are a thing of the past for CO2 laser resurfacing thanks to new DOT Therapy (Dermal Optical Thermolysis) technology from Eclipse Medical and DEKA. The companies’ Italian-made SmartXide DOT system has received FDA clearance and offers relief for laugh lines, crow’s feet, brown spots and wrinkles. The system precisely delivers CO2 laser energy to targeted areas on the face, neck and décolletage in a pattern of tiny, micro-sized dots to speed healing and reduce downtime. The thousands of microscopic perforations stimulate new collagen growth to reduce sun damage, signs of aging and acne scarring.

Schedule for an appointment by calling or emailing us and Dr. DeVera will discuss with you the treatment process. This free consultation will help you learn more about how Dot Therapy works and also the cost and the necessary preparations you will need for your Dot Therapy treatment. Just imagine how you would look with less wrinkles and a youthful face!

Laser, Beauty and Wellness Center at Orange County Medical Spa is only a few minutes away from cities such as Anaheim, Buena Park, Cerritos, Garden Grove, Irvine and Tustin. Our facility is the ideal place to go for your non-surgical medical cosmetic procedure and aesthetic spa treatment if you live in or near Orange County.

Frequently Asked Questions (FAQs) about CO2 Fractiona / Dot Therapy

  • What does it treat?

It is a safe and effective way to treat sun damage, stubborn pigmentation, acne scars, rough texture, enlarged pores, fine lines, wrinkles and skin laxity on the face, neck, chest, arms and hands and surgical scars, with essentially no downtime.

  • How many treatments will it takes to see the best results?

Depending on the degree of damage to your skin and desired results, most patients require 1-3 treatments, spaced 4 - 6 weeks apart.

  • How much improvement can I expect?

Patients can expect to see improvement in the color, texture and quality of the skin within a week or two after the treatment; however, more significant improvement will be seen after the series of treatments is complete. Skin laxity can be furthered improved by combining SmartXide with radio frequency skin tightening and in some cases adding a feather lift procedure for very loose skin.

  • What does the treatment feel like?

There is virtually minimal, if any, discomfort during the procedure. Rarely, a mild burning sensation may occur. No topical anesthetic is required. However if we are working near the eye, say in the lower lids to create tightening there, then we would put protective eye shields in the eye with anesthetic eye drops as a precautionary measure to protect the eye itself.

  • What can I expect after the treatment?

Most people have some pinkness and some even a small amount of edema/swelling in the skin which settles in 24 hours and can therefore return to work the next day. Make-up can be worn the next day. We would advise that if you work in the public eye, or on television, then it may be advisable to plan to take off 5 working days, as studio cameras are unkind at the best of times! We recommend regular application of moisturizers during the day for the first 5-7 days as the skin may feel a little dry.

Any body surface area and all skin types and colors can be treated. The following is a list of conditions that can be treated with SmartXide Dot:

  • Wrinkles
  • Poor texture
  • Large skin pores
  • Sun damage
  • Sun spots
  • Brown spots
  • Acne scars
  • Surgical scars
  • Traumatic scars
  • Melasma
  • Uneven pigmentation
  • Stretch marks

Ready to Schedule your Dot Therapy Treatment? Contact us.

Laser, Beauty and Wellness Center also offers Acne Treatment, Restylane, Juvederm, Photorejuvenation, Laser Hair Removal and Microcurrent holistic approach.


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