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Skin Resurfacing, Rejuvenation and Tightening

All our Doctors have been trained by our Supervising Cosmetic Surgeon Dr Jayson Oates FRACS, who has performed thousands of Fully Ablative and Factional CO2 DOT laser treatments across body ares and skin types over nearly 20 years.

Ageing, sun, acne and busy lifestyles are not kind to our skin. The natural regeneration of skin cells and collagen slows down causing wrinkles, pigmentation, age-bumps and a decline in youthful plumpness and glow. Whilst sunscreen and moderation helps, no creams or peels can improve the long-term quality of your skin… you need something MUCH stronger for that!

Key benefits

  • Long term results
  • Dramatically improve skin texture
  • Plump scar tissues
  • Lighten dark pigments
  • Smoothen fine lines
  • Short procedure, 10 minutes to 1 hour

Results

Skin tightening and clarity are often observed immediately following recovery, but the full results take up to 6 months with the remodelling of new collagen and continues for up to one year.

In many cases, noticeable improvement in complexion is achieved with a single session. However, mature skins and patients with wrinkles, skin laxity or acne scars will require a series of treatments spaced at least one month apart. This will be explained during consultation.

The growth of fresh new skin plus the regeneration of healthy collagen results in a smoothing of fine lines, plumping of scar tissue and the clearing of pigment, providing a more youthful and fresher complexion.

To maintain your good results, it is possible to have a refresher CO2 DOT treatment every year or so. Other things you can do to extend your skin rejuvenation include:

  • Follow the recommended post-treatment care precisely
  • Wear sunscreen daily and avoid direct sunlight for extended periods
  • Adopt a daily skin regime appropriate for your skin type and condition
  • Eat a healthy diet
  • Stop smoking and moderate alcohol consumption

DOT laser is ideal to combine with Pure PRP for a super collagen boost or to prepare skin elasticity for a Thread Lift procedure.

Treatment Details

What to expect

CO2 DOT laser explained

The procedure delivers heat via thousands of tiny microbeams or DOTs that penetrate into the skin and trigger a natural healing process that forms new healthy collagen. By delivering the laser energy in fractionated DOTs surrounded by unaffected skin, rather than to the whole skin surface, the treatment is less intense and healing is much more rapid than traditional laser resurfacing. However, it may require multiple treatments for desired results, depending upon the intensity of each treatment.

The Fractionated CO2 DOT laser technology enables accurate selection of all the operating parameters, modulating treatments in line with the characteristics of the patient and the target tissues. Your procedure will be customised to your skin type and condition to obtain the best results for you. Adjustments can be made throughout the procedure to more accurately treat specific areas such as acne scars on the cheeks, fine lines around the mouth and even sebaceous spots and bumps.

What tissue can CO2 laser treat?

The CO2 fully ablative laser treatments tend to be restricted to the face and, despite the downtime, still produce exceptionally good results. The reason it is so successful on facial skin is due to the greater density of sebaceous glands and other deep tissue structures, which allow healing from below. Other parts of the body do not have the same tissue structure as the face and will not heal as well from full ablation. The DOT laser technique allows healing to occur from the remaining intact skin between each DOT – this has enabled us to treat almost any skin on the body.

Very recent technological advancements in the CO2 DOT laser (the V2LR) are now enabling us to treat mucousal surfaces, with the same exceptional, long-lasting results. The V2LR laser offers the unique “D Pulse” specifically designed for mucosal surfaces. It has a very brief (60 millionths of a second) high-energy pulse, which “drills” a very neat hole into the tissue to a depth of 1 – 1.5mm.

Then, there is a longer, lower energy pulse that heats deep down into the tissue and stimulates the formation of new collagen.

Pricing

Featured packages

EYES & MOUTH package – common for crepey skin and fine lines
- Morpheus8 and CO2 laser combined treatment with local anaesthetic.

$1,000 for light treatment with topical anaesthetic only (numbing cream).

$1,250 with local anaesthetic nerve block injected by Doctor – which is our recommendation as it allows for a stronger treatment that yields better results, and this approach makes it a more comfortable treatment experience compared to no nerve block.

Save $650 as a combined package.

From $1,000

FULL FACE package – for complete facial skin rejuvenation, skin tightening and skin resurfacing
- Morpheus8 and CO2 laser combined treatment with local anaesthetic.

$1,500 light treatment with topical Anesthetic only (numbing cream).

$1,750 with local anaesthetic nerve block injected by Doctor – which is our recommendation as it allows for a stronger treatment that yields better results, and this approach makes it a more comfortable treatment experience compared to no nerve block.

Save $650 as a combined package.

From $1,500

NECK package – combining RF Microneedling and CO2 Laser
- Morpheus8 and CO2 laser combined treatment with local anaesthetic.

- For ultimate skin tightening and resurfacing combined to rejuvenate the skin on the neck.

-Combining 2 state of the art technologies utilising unique benefits of both leads to skin tightening and fresh new skin.

$1,600 ( valued at $2,050 if treatments are purchased individually.

Your Questions Answered

Frequently asked questions

What to expect for your DOT Laser experience?

Consultation:

CO2 DOT Laser is an advanced cosmetic procedure and pre-consultation is essential to discuss your skin concerns, suitability and the ideal treatment plan. Where your skin condition is not deemed suitable for CO2 DOT laser, other treatment options can be recommended.

Pre-treatment preparation:

A topical retinoic acid or skin lightening cream can help prepare the skin, especially with sun damaged or darker skin types. If you are having laser treatment to the lip area and have been exposed to cold sores, anti viral medication will also be prescribed pre and post treatment to prevent an outbreak (as DOT laser does stimulate tissue).

Treatment:

A numbing cream will be applied approximately 30-60 minutes prior to the treatment. You may also wish to take some analgesic to minimise any potential discomfort.

The laser procedure is performed in-clinic taking anywhere from 10 minutes to 1 hour, depending upon the area and condition being treated. Cold-packs or Cryoair (cooling) can be used after treatment to help dissipate the heat.

Many patients elect to apply topical PRP post-CO2 DOT Laser as this helps to stimulate collagen production and faster healing.

Post-Treatment:

You will be able to drive home following the treatment, but should avoid direct sunlight and active skin creams until the skin is fully healed. If your skin is stinging or hot after treatment, you may apply cold packs for several hours at home. Once the heat dissipates, the skin will feel much better.

Medication may be prescribed and supplied to you to take home as required. Post treatment care instructions will be supplied and you should follow these precisely. The best post-care is Stratacel gel for a few days followed by QV moisturiser until healed. Never pick at the area as there is increased risk of scarring the fresh skin.
Most patients take a couple days to 1 week off work, depending upon the intensity of treatment.

Side Effects:

You will experience the following:

– Mild swelling – mainly the first 2 days, this is normal and the inflammation is triggering a healing response. Avoid anti-inflammatories if possible White or brown DOTs will crust on the treated skin.
– Do NOT pick at these DOTs, allow them to shed naturally, which generally happens between Days 4-7. Topical PRP and special post-laser gels can assist with skin recovery
Itchiness of the treated area is quite common and you can take over-the-counter anti-histamines for this.
– Redness (erythema) – this will fade but can last up to 1-2 months in some patients. We can help reduce this with vascular laser/IPL if desired.

In rare cases, you may experience:

– Breakout during or after the healing period, generally related to blocked pores. If this occurs, do not scratch or pick at the treated area. We can provide or recommend medication to resolve these symptoms quickly.
– Pigmentation changes, particularly in darker skin individuals. This is for the most part temporary and will resolve with the use of our prescription lightening cream
– Scarring, blistering etc. – please contact our clinic immediately to receive post-treatment care.
– Persistent redness – this can be reduced with IPL and other skin calming treatments.

How long will results last?

Skin tightening and clarity are often observed immediately following recovery, but the full results take up to 6 months with the remodelling of new collagen and continues for up to one year.

In many cases, noticeable improvement in complexion is achieved with a single session. However, mature skins and patients with wrinkles, skin laxity or acne scars will require a series of treatments spaced at least one month apart. This will be explained during consultation.

How much does DOT laser cost?

The cost of CO2 DOT laser treatments depend upon the:

– Nature of your skin condition;
– Size of area being treated; and
– Type of treatment being performed
– Your consulting doctor or nurse will recommend the optimal treatment program for your skin condition and we will quote following consultation.

Am I suitable?

The following patients may not be suitable for CO2 DOT laser:

– Clients not wanting any downtime
– Special care is required for clients who tan frequently or with darker complexions
– Melasma may not respond well; and
– Unusual lesions require specialist clearance before treatment.

NB: please inform our Doctor if you have ever experienced or are prone to cold sores. A pre or post-treatment anti-viral may be recommended.

What about the Madonna Peel (for clear pigmentation)?

The Madonna Peel got its name because Madonna was rumoured to be using the treatment to keep her skin smooth and blemish free.

Light DOT laser treatment uses very short pulses but tight spacing so it’s not deep, but covers most of the skin. It produces a full laser peel over 3 – 5 days, removes a lot of pigment, brightens and smooths the skin – makeup is much easier to apply. It can be done over the face, neck, chest and backs of hands. As a light skin resurfacing treatment, it has a relatively fast recovery time.

A single Madonna treatment is all that is needed for a visible freshen up and many patients use this as their annual or bi-annual skin rejuvenation. Patient results may vary.

What is the Classic DOT laser for skin tightening and rejuventation?

ClassicDOT is the No.1 resurfacing laser treatment for anti-ageing. It can noticeably tighten skin, reduce wrinkles, firm skin around the eyes and improve overall skin texture.

ClassicDOT uses higher power but wider spacing. Optimal results are achieved with three sessions (more for scarring) spaced one to three months apart. The higher power generates more heat and gets deeper into the skin to stimulate more collagen, with more tightening and wrinkle reduction. The intensity of the treatment can be varied considerably – more intense means more downtime, but a more noticeable result. Collagen production continues for up to 6 months and results are long lasting. Patient results may vary.

What is Scarless DOT laser (for Acne Scars And Surgical Scars)?

ScarLess DOT can be used to soften and flatten acne, surgical and other scars. ScarLess DOT uses high power settings with very narrow beams and very short pulses that penetrate to a depth of 1.5 – 2mm to stimulate new collagen and tissue regeneration.

Raised (keloid) scars can be flattened with steroid injection and special silicone gel is applied post laser to enhance healing. Residual erythema (redness) is common but will fade or can be removed with IPL (vascular laser) if desired.

PurePRP treatment is often packaged with ScarLess DOT to further enhance skin and tissue regeneration. Patient results may vary.

Can DOT laser be used for stretchmarks?

Stretch marks are scars that form in an area of deep tissue that has weakened, usually during hormonal changes like puberty or pregnancy, combined with a stretching force on the skin such as weight gain or exercise. Stretch marks go through a red inflamed stage followed by the white ‘atrophic’ stage. StretchDOT laser can be useful in treating even the mature, pale stretchmarks. Four treatments spaced 4-6 weeks apart will make a noticeable improvement, however, it is very difficult to eliminate the stretchmarks all together. Patient results may vary.

GET IN TOUCH

Interested in CO2 laser for Skin Resurfacing or Skin Rejuvenation?

We welcome you to Pavilion Cosmetic Medicine Sydney for a consultation with our cosmetic practitioners, who'll tailor a treatment plan specific to your concerns and desires.

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