Dot Fractional CO2 Laser

Price: $1,600

When you are serious about skin rejuvenation, DOT therapy is the answer. You get the combined effects of laser resurfacing as well as collagen stimulation and skin tightening. The results we have seen with DOT therapy over the years are astounding. DOT therapy is the gold standard for fractional laser resurfacing.


Basically, we use a laser to make millions of tiny perforations (hence the ‘DOT’) in your skin. We do this for two reasons. The upper layer of your skin, the epidermis is where we see most of the visible signs of sun damage and aging. About 3-4 days after the procedure, you will begin to peel this layer of skin. This means most of the fine lines, pigment and rough texture will be removed. You will be left with fresh new skin that will be pink for a week then will resolve. This alone will take years off your appearance!

The second, even more exciting effect of the DOT therapy is yet to come! Those Dots we make deliver heat deep down into the lower layer of your skin, the dermis. It is here that your skin cells manufacture collagen, the building block of your skin. As we age, mostly due to sun damage, we stop making collagen and even begin to break it down. This is why our skin begin to wrinkle and sag. The heat we deliver into the dermis causes some of the collagen bundles in the dermis to straighten and causes an immediate tightening effect. Furthermore, the heat stimulates the skin cells to make new collagen! This effect starts at about 3-4 weeks after the procedure and will go on for months. The collagen stimulation will actually turn back your clock and produce gradual skin tightening.


The old gold standard for laser resurfacing was the CO2 laser. This laser wiped the entire upper layer of skin from your face. It gave great results but you had to heal from what was an open wound. It had weeks of difficult downtime and was prone to infection and scarring. This is all changed with the introduction of fractional lasers. These lasers broke their beams up into small patterns or dots instead of total removal of skin. The result is that there is normal, untreated skin left between theses treatment zones. The advantages of this is are revolutionary. Since we are not removing all your skin, just perforating it, the old skin acts a natural band-aid. It peels off in 3-4 days when your new skin is ready and protects you from infection and scarring. We can still deliver the same amount of heat to the deeper layers for skin tightening but we lessen downtime, speed healing and decrease side effects!


You will arrive 1 hour prior to the treatment for application of topical anesthesia. Most patients tolerate the procedure well and report feeling some heat. Remember, we are trying to undo decades of sun damage with one procedure, so there may be mild-moderate discomfort. After the treatment, your skin will be cooled off and an ointment applied. We will send you home with all the skin care products you need as well as instructions. You may also be placed on an oral steroid to reduce inflammation and an anti-viral medicine to prevent cold sores. You should anticipate a week of downtime. During this time you will be peeling, red and swollen. We will follow-up with you by phone the next day and in office in 2 weeks.