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Precision Laser Technology

At the practice of Dr. Andre Panossian, MD, FACS, our Deka Tetra Pro SmartXide CO2 laser represents the forefront of aesthetic dermatology, offering patients in Pasadena, Glendale, and throughout the greater Los Angeles area access to advanced skin resurfacing technology.

Dr. Panossian brings unparalleled expertise to every laser treatment through:

  • Over two decades of surgical experience in cosmetic and reconstructive procedures
  • Advanced training from Harvard Medical School and a fellowship with facial paralysis pioneer Dr. Ron Zuker
  • A unique blend of technical precision gained from complex craniofacial surgery and artistic sensibility
  • Recognition by Maxim Magazine as the "go-to" Los Angeles plastic surgeon for rhinoplasty
  • Featured appearances on TLC's "About Face," "The Doctors," and "Good Morning America"

Our commitment to delivering natural-looking results extends from our cosmetic surgical procedures to our non-surgical offerings, ensuring that every patient receives personalized care tailored to their unique skin concerns and aesthetic goals.

What Is CO2 Laser Skin Resurfacing?

CO2 laser skin resurfacing is an advanced dermatological procedure that uses carbon dioxide laser technology to remove damaged outer layers of skin while stimulating collagen production in the deeper layers. The SmartXide Tetra CO2 laser by Deka utilizes a wavelength of 10,600 nanometers, which is precisely absorbed by water molecules in skin tissue. This targeted energy creates controlled micro-injuries that trigger the body's natural healing response, encouraging the regeneration of fresh, healthy skin cells.

The Deka Tetra Pro features exclusive PSD (Pulse Shape Design) technology, allowing Dr. Panossian to customize treatment parameters, including:

  • Pulse modality selection: Choose from S-Pulse, D-Pulse, H-Pulse, or continuous wave delivery for optimal tissue interaction.
  • Treatment depth control: Adjust penetration from superficial (CoolPeel) to deep ablative resurfacing.
  • Thermal effect management: Precisely balance vaporization and collagen stimulation.
  • Scanning patterns: Utilize SmartStack algorithm and Scattered Modality for even coverage and minimized heat accumulation.
  • Specialized handpieces: DOT PRO for facial treatments, Scar 3 PRO for deeper scar revision, and Derma Scan for larger body areas.

Whether addressing superficial texture issues or deeper wrinkles and scars, this versatility ensures optimal results for each patient's unique needs.

The laser can be adjusted to perform traditional ablative treatments for dramatic rejuvenation or configured for CoolPeel treatments that target only the most superficial skin layers with minimal heat transfer, significantly reducing downtime.

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Benefits of SmartXide Tetra CO2 Laser Treatment

The SmartXide Tetra CO2 laser addresses multiple skin concerns with precision and efficacy:

  • Wrinkle Reduction: Effectively diminishes fine lines and deeper wrinkles around the eyes, mouth, and forehead through collagen stimulation and skin tightening.
  • Acne Scar Improvement: Significantly reduces the appearance of atrophic acne scars by breaking down scar tissue and promoting new collagen formation.
  • Scar Remodeling: Improves the texture and appearance of surgical scars, injury scars, and other skin irregularities.
  • Sun Damage Correction: Addresses photodamage, including age spots, uneven pigmentation, and rough texture caused by UV exposure.
  • Skin Tightening: Stimulates the production of elastin and collagen for firmer, more youthful-looking skin.
  • Pore Size Reduction: Minimizes the appearance of enlarged pores for a smoother complexion.
  • Customizable Intensity: Treatment can be adjusted from aggressive resurfacing to gentle CoolPeel sessions, allowing you to balance results with your lifestyle needs.
  • Versatile Application: Effective on the face, neck, chest, and hands.
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Are You a Candidate for CO2 Laser Resurfacing?

Ideal candidates for SmartXide Tetra CO2 laser treatment typically include individuals who:

  • Have fine lines, wrinkles, or moderate to severe signs of aging
  • Experience acne scarring or other facial scarring
  • Notice sun damage, age spots, or uneven skin tone
  • Desire improved skin texture and tightness
  • Maintain realistic expectations about results
  • Are in overall good health without active skin infections or conditions
  • Can commit to proper post-treatment care and sun protection

Why Choose Dr. Panossian for Laser Skin Resurfacing?

Dr. Andre Panossian has an extensive background in complex reconstructive surgery and craniofacial techniques, which provides him with an unparalleled understanding of facial anatomy and skin physiology. 

This comprehensive knowledge, gained through fellowship training with facial paralysis pioneer Dr. Ron Zuker at Harvard Medical School and the Hospital for Sick Children in Toronto, translates directly to superior outcomes in cosmetic procedures.

Dr. Panossian's credentials and recognition include:

  • Board-certified plastic surgeon with over 20 years of experience
  • Fellowship training at Harvard Medical School and the Hospital for Sick Children in Toronto
  • Trained under Dr. Ron Zuker, a pioneer in facial paralysis reconstruction
  • Named "Top Doctor" by US News and World Report, Pasadena Magazine, and Los Angeles Magazine
  • International reputation for excellence in both cosmetic and reconstructive procedures

What to Expect Before, During, and After Treatment

Consultation and Cost

You start with a comprehensive consultation where Dr. Panossian will examine your skin, discuss your concerns and goals, and determine the most appropriate treatment approach. He'll explain the difference between traditional ablative CO2 resurfacing and the gentler CoolPeel option, helping you understand which best suits your needs and lifestyle.

Pre-Treatment Preparation:

  • Discontinue retinoids and other active skincare products as directed
  • Avoid sun exposure for several weeks before your procedure
  • Stop smoking if applicable, as it can impair healing
  • Arrange for transportation if sedation will be used
  • Follow any additional skincare recommendations from Dr. Panossian's team

The cost of SmartXide Tetra CO2 laser treatment varies based on the treatment area, intensity level, and number of sessions required. During your consultation, our team will provide a detailed cost estimate and discuss financing options to make your treatment accessible and affordable.

Procedure Steps

For CoolPeel Treatments:

  • Procedure duration: 15-30 minutes for a full face
  • Laser delivery: Quick pulses using proprietary H-pulse technology
  • Sensation: Mild warming or tingling described by most patients
  • Minimal thermal damage to surrounding tissue
  • Can often be performed during a lunch break

For Traditional Ablative Treatments:

  • Procedure duration: 30 minutes to two hours depending on areas treated
  • Systematic removal of damaged skin layers while stimulating deeper collagen remodeling
  • Integrated smoke evacuation systems maintain a clear treatment field
  • More intensive anesthesia or sedation for patient comfort
  • Requires planning for recovery time

Following treatment, a soothing ointment or cooling mask may be applied to minimize discomfort and support healing.

Recovery and Results Timeline

CoolPeel Recovery:

  • Days 1-3: Mild redness similar to a sunburn, some dryness or light flaking.
  • 24-48 hours: Makeup can typically be applied.
  • Next day: Most individuals return to normal activities.
  • Social downtime: Minimal to none.

Traditional CO2 Resurfacing Recovery:

  • Days 1-7: Redness, swelling, and peeling as damaged skin is replaced.
  • Week 1-2: Active healing phase requiring meticulous wound care.
  • Weeks 2-8: Gradual fading of pinkness and continued skin improvement.
  • Months 2-6: Redness typically fully resolves as new collagen matures.
  • Social downtime: Plan for 7-14 days away from public activities.

Results Timeline:

  • Immediate: Improvements in skin texture and tone visible once initial healing is complete.
  • 1-3 months: Continued enhancement as collagen production increases.
  • 3-6 months: Full benefits realized as skin remodeling progresses.
  • Longevity: Results can last several years with proper skincare and sun protection.
  • Maintenance: Dr. Panossian will recommend an optimal schedule, which may include periodic CoolPeel treatments to sustain your rejuvenated appearance.
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Frequently Asked Questions About SmartXide Tetra CO2 Laser

Can CO2 laser resurfacing be combined with other procedures?

Is there a best time of year to have CO2 laser treatment?

Will the treatment hurt?

How long do results last?

What should I avoid after treatment?

Can CO2 laser treat active acne?

Can the laser treat my neck, chest, or hands?

Can CO2 laser resurfacing be combined with other procedures?

Yes, CO2 laser treatments can be strategically combined with complementary procedures for enhanced results. Many patients pair laser resurfacing with BOTOX to address dynamic wrinkles, dermal fillers to restore volume, or treatments like Morpheus8 for deeper tissue tightening.

Is there a best time of year to have CO2 laser treatment?

Fall and winter are often preferred seasons for traditional CO2 laser resurfacing because reduced sun exposure during healing minimizes complications and supports better outcomes.

Will the treatment hurt?

Discomfort levels vary by treatment intensity. CoolPeel sessions involve minimal discomfort, often described as mild warmth or tingling, and typically require only topical numbing cream. Traditional ablative treatments are more intensive and may use local anesthesia combined with oral or IV sedation for comfort.

How long do results last?

Results from CO2 laser resurfacing can last several years, though individual outcomes vary based on factors including age, skin type, sun exposure, and skincare habits. The collagen stimulation triggered by treatment provides long-lasting structural improvements.

What should I avoid after treatment?

Post-treatment care is crucial for optimal healing and results. You should avoid direct sun exposure, hot tubs, saunas, and vigorous exercise for at least one week, picking or scratching treated skin, harsh skincare products including retinoids, acids, and exfoliants until cleared by Dr. Panossian, and makeup application until your skin has adequately healed.

Can CO2 laser treat active acne?

CO2 laser resurfacing is not recommended for active acne breakouts, as treating inflamed skin increases the risk of complications and scarring. However, once acne is controlled, CO2 laser treatment is highly effective for improving acne scars and preventing future breakouts by reducing pore size and improving skin texture.

Can the laser treat my neck, chest, or hands?

Absolutely. While facial treatments are most common, the SmartXide Tetra CO2 laser effectively treats the neck, décolleté, and hands, areas that often show significant sun damage and aging.

Schedule Your Consultation Today

Whether you're ready for dramatic transformation through traditional CO2 resurfacing or prefer the gradual improvement of monthly CoolPeel sessions, our Pasadena practice offers the expertise and personalized care you deserve.

Schedule your consultation today by contacting our office at (626) 385-4659 or visiting us at 39 Congress St. #402, Pasadena, CA 91105.

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