Precision Laser Technology
Advanced skin rejuvenation using cutting-edge CO2 laser technology to address wrinkles, acne scars, sun damage, and uneven texture with customizable treatment intensity and minimal downtime options.
At the practice of Andre Panossian, MD, our Deka Tetra Pro SmartXide CO2 laser represents the forefront of aesthetic dermatology, offering patients in Pasadena, Glendale, and the San Gabriel Valley access to advanced skin resurfacing technology.
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. For patients seeking skin tightening with less downtime than ablative resurfacing, Morpheus8 radiofrequency microneedling is another option Dr. Panossian offers.
His approach to laser treatment draws on:
- Over two decades of surgical experience in cosmetic and reconstructive procedures
- Fellowship training in pediatric plastic surgery at the Hospital for Sick Children in Toronto under Dr. Ronald Zuker
- Featured appearances on TLC's "About Face," "The Doctors," and "Good Morning America"
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: S-Pulse, D-Pulse, H-Pulse, or continuous wave delivery
- Treatment depth control: penetration from superficial (CoolPeel) to deep ablative resurfacing
- Thermal effect management: balancing vaporization and collagen stimulation
- Scanning patterns: 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 suits a range of concerns.
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.
Benefits of SmartXide Tetra CO2 Laser Treatment
The SmartXide Tetra CO2 laser addresses multiple skin concerns with precision and efficacy:
- Wrinkle reduction: diminishes fine lines and deeper wrinkles around the eyes, mouth, and forehead
- Acne scar improvement: reduces the appearance of atrophic acne scars
- Scar remodeling: improves the texture and appearance of surgical and injury scars
- Sun damage correction: addresses photodamage, age spots, and uneven pigmentation
- Skin tightening: stimulates elastin and collagen production
- Pore size reduction: minimizes the appearance of enlarged pores
- Customizable intensity: from aggressive resurfacing to gentle CoolPeel sessions
- Versatile application: face, neck, chest, and hands
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 Andre Panossian, MD?
Dr. Panossian has an extensive background in complex reconstructive surgery and pediatric plastic surgery techniques, which informs his understanding of facial anatomy and skin physiology.
This knowledge comes from fellowship training in pediatric plastic surgery at the Hospital for Sick Children in Toronto under Dr. Ronald Zuker, and informs his approach to cosmetic procedures.
What to Expect Before, During, and After Treatment
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 will explain the difference between traditional ablative CO2 resurfacing and the gentler CoolPeel option, helping you understand which best suits your needs and lifestyle.
Preparing for Treatment
- 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
| Treatment | Details | Recovery |
|---|---|---|
| CoolPeel |
|
|
| Full Ablative Resurfacing |
|
|
Following treatment, a soothing ointment or cooling mask may be applied to minimize discomfort and support healing.
Results Timeline
- Immediate: improvements in skin texture and tone once initial healing is complete
- 1 to 3 months: continued enhancement as collagen production increases
- 3 to 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 a schedule, which may include periodic CoolPeel treatments
Cost
SmartXide Tetra CO2 laser treatment ranges from $1,850 to $2,800 per session, depending on treatment type, areas treated, and whether you purchase a multi-session package. Dr. Panossian will give you an exact quote at your consultation.
Schedule Your Consultation Today
Whether you are 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) 765-6885 or visiting us at 39 Congress St. #402, Pasadena, CA 91105.
Frequently Asked Questions
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 a Consultation
Dr. Panossian has received “Top Doctor” recognition from US News and World Report, Pasadena Magazine, and Los Angeles Magazine, and brings his expertise and perspective to every treatment. He has spent thousands of hours in the operating room dissecting facial planes, repairing nerves, and repositioning tissue. That anatomical understanding informs how he approaches non-surgical treatment. Whether you are exploring SmartXide Tetra CO2 laser for the first time or maintaining prior results, you are in a surgeon’s hands. Schedule your consultation today.
Take the next step toward your aesthetic goals. Schedule a consultation with Dr. Panossian to discuss SmartXide Tetra CO2 laser and explore your options.