CO2 ABLATIVE LASER

Ablative CO2 laser skin resurfacing lasers generate beams of coherent light that are absorbed by the body’s tissue as energy.

This energy is delivered through a narrow range of wavelengths, elevating the temperature in the targeted area, resulting in tissue evaporation or ablation. Ablative lasers effectively treat a broad range of skin conditions by removing all or only parts of the skin in a fractional manner. The body’s natural healing processes then drive the production of new elastin and collagen fibers, which help replace damaged skin with new and healthy tissue.
Although several types of ablative lasers exist, differing mainly by wavelength, CO2 ablative lasers have long been considered the industry’s “Gold Standard” for delivering an exceptional ratio between ablation and coagulation (heating tissue without evaporating it). This standard is backed by more than 30 years of extensive research.

HOW DOES A CO2 LASER WORK?

Exceptional Ablation/Coagulation Ratio

CO2 lasers produce light at a 10,600nm wavelength, which is absorbed by water molecules in the tissue. The laser energy heats up the water until it reaches a boiling point, causing the evaporation of the affected tissue. Some of the heat is absorbed by the tissue adjacent to the ablated target area, causing tissue coagulation which induces hemostasis (the cessation of bleeding) as well as thermal stimulation of deep skin layers, which induces fibroblast stimulation and neocollagenesis (the formation of new collagen).

The laser beam can also be transmitted through a scanner which is a device used to further control the delivery of energy. The scanner regulates the configuration of energy delivered onto the skin, which can range from covering the entire treatment area or just a fraction of it, leaving some areas of untreated skin that drive faster recovery (“fractional ablation”). The overall effect of ablation and coagulation, either full or fractional, is the removal of damaged skin and the stimulation of the body to replace it with newer, younger, and vibrant skin.

FULL RANGE OF ADVANCED CONTINUOUS CAPABILITIES

Lumenis CO2 utilized three types of pulse technology

UltraPulseTM

UltraPulse® technology delivers high peak power in a short pulse duration for deep penetration with ideal ablation and coagulation ratio – penetrating up to 4mm in a single pulse.

Highest Peak Power

Deepest Impact

Narrow, Controlled Thermal Zone

ULTRApulse® Alpha SCAARFX™ Mode
Spot Size: 120µm
Energy: 150mJ
Density: 3%
Not indicative of clinical results

Up to 4mm in a single pulse

SuperPulseTM

SuperPulse delivers High peak power in a short pulse duration for Deep penetration with ideal ablation and coagulation ratio.

Highest Peak Power

Deepest Impact

Narrow, Controlled Thermal Zone

AcuPulseTM DeepTM Mode
Spot Size: 120µm
Energy: 20mJ
Density: 15%
Penetration Depth: 700µm
Not indicative of clinical results

Up to 1mm in a single pulse

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Superficial and CW

Delivers Low peak power for superficial impact and wider coagulation zone, used for full ablation and fractional treatments.

Low Peak Power

Superficial Impact

Wider Thermal Zone

AcuPulseTM SuperficialTM Mode
Spot Size: 1.3mm
Energy: 170mJ
Density: 60%
Penetration Depth: 150-200µm
Not indicative of clinical results

Up to 1mm in a single pulse

~1-2

WEEKS
RECOVERY

89%

REALSELF
WORTH IT RATING

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30+

MEDICAL INDICATIONS CAN BE TREATED USING LUMENIS’ ABLATIVE CO2 LASERS

CO2 LASER TREATMENTS

DEEP WRINKLES
Lumenis’ CO2 ablative technologies enable a high rate of improvement for skin damage and skin tone with minimal downtime. This is due to their unique pulse technologies and tailored treatment modes.
SCAR REVISION

Lumenis’ CO2 devices allow advanced treatment of a variety of severely damaged skin lesions which require synergistic coagulation and ablation for advanced resurfacing.

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ACNE SCARS
Lumenis CO2 ablative technologies may dramatically decrease scars, even very deep ones, as well as repair damaged skin and improve skin tone.
Syringomas
Syringomas are benign tumors, typically found clustered on eyelids, although they may also be found in other body parts. These can be treated by CO2 laser in a safe, and nonscarring method.
BLEPHAROPLASTY
Lumenis offers a complete laser blepharoplasty solution that combines an incisional solution with complementary eyelid resurfacing. With laser assisted incisions, bleeding during the procedure as well as post-surgery bruising are reduced. Providers may also consider resurfacing the eyelids as an alternative to surgical treatment.
FRACTIONAL ABLATIVE RESURFACING
Ablative skin resurfacing procedures use lasers to reduce the signs of aging, improve skin texture, laxity and tone, and reduce scars and stretch marks. Ablative resurfacing is ideal for patients seeking a dramatic improvement in a single session.
RHINOPHYMA
Rhinophyma is a disorder causing the development of a large, bulbous nose associated with granulomatous infiltration, commonly due to untreated rosacea. This can be treated with CO2 laser in a single treatment or a series of treatments, depending on patient preference
WOMAN`S HEALTH
Women’s health application on AcuPulse™ and ULTRApulse Alpha (depending on local registration) offers a range of minimally invasive solutions for women coping with gynecologic conditions that affect their well-being, confidence, and intimacy.

CLINICALLY
VALIDATED

Ablative Laser Therapy of Skin (Duplechain, 2023)

Laser skin rejuvenation was introduced in the mid-1990s. Early ablative laser devices relied on scanner technology that provided significant ablation and longer time on tissue treatments. These early treatments provided significant improvement in the appearance of the skin, but because of the longer treatment times and in some cases excessive treatment, complications such as scarring, and hypopigmentation were significant. More recent advances in skin resurfacing technology have now minimized these risks providing certain key principles are observed. These parameters are reviewed in detail to improve the reader’s ability to propose and execute proper skin resurfacing treatments.

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Efficacy and Adverse Reactions of Fractional CO2 Laser for Atrophic Acne Scars and Related Clinical Factors: A Retrospective Study on 121 Patients (Bingyan, et al., 2022)

Fractional CO2 laser was effective in the treatment of atrophic acne scars, without serious adverse reactions. Scar type and laser energy were independent clinical factors affecting its efficacy. Scar course, scar type, and fractional laser mode were independent clinical factors affecting its adverse reactions.

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Laser Treatment of Traumatic Scars and Contractures: 2020 International Consensus Recommendations (Seago, et al. 2020)

Lasers are a first-line therapy in the management of traumatic scars and contractures, and patients without access to these treatments may not be receiving the best available care after injury. Updated international treatment guidelines and reimbursement schemes, additional high-quality research, and patient access should reflect this status.

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Prospective randomized controlled study to determine the effect of topical application of botulinum toxin A for crow’s feet after treatment with ablative fractional CO2 laser (Mahnmoud, et al. 2015)

Objective: To determine the effect of BoNT A solution applied topically on the skin surface immediately after ablative fractional CO2 laser treatment.
Conclusion: Topically, noninjectable form of BoNT A applied on the surface of the skin after ablative fractional CO2 laser is effective in the treatment of lateral periorbital wrinkles.

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(2014) Laser treatment of traumatic scars with an emphasis on ablative fractional laser resurfacing: consensus report

Objective: To provide a synthesis of our current clinical experience and available literature regarding the laser treatment of traumatic scars with an emphasis on fractional resurfacing.
Conclusions and relevance: Laser scar therapy, particularly fractional ablative laser resurfacing, represents a promising and vastly underused tool in the multidisciplinary treatment of traumatic scars. Changes to existing scar treatment paradigms should include extensive integration of fractional resurfacing and other combination therapies guided by future research.

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Expert Consensus on Clinical Recommendations for Fractional Ablative CO2 Laser, in Facial Skin Rejuvenation Treatment (Levy, et al., 2024)

There are numerous FACL currently available in the market, and not all CO2 lasers are equal regarding safety and performance. To establish consensus‐based clinical recommendations, a known platform (UltraPulse) was chosen as a reference device…

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Hear and Watch the Experts

TESTIMONIALS AND TREATMENTS

“When I first started, I would put the eye shields on my patients, and then I’d whip out my notes – ‘oh oh, what settings?!’… So now, scanning your QR codes and giving you recommended settings – it’s brilliant! And if you are a new user, there’s no laser that does that.”

Dermatologists Dr. Jill S. Waibel, and Dr. Ofir Artzi, discuss the technological leap of ULTRApulse Alpha

Not all CO2 lasers are created equal! What makes ULTRApulse Alpha a one-of-a-kind device?

Lumenis Aesthetics

The CO2 laser in my experience and belief is the first laser that should be incorporated into an aesthetic Dermatology practice. In my clinic it is the first Laser I turn on in the morning and the last laser I turn off. It is without a doubt the biggest profit generator among the many energy devices I own! Since my first CO2 laser I purchased in 1979, I have treated over 85,000 patients with some type of energy device.

I have now performed over 10,000 UltraPulse CO2 laser Blepharoplasties since the launch of the UltraPulse 5000C laser in 1996. The UltraPulse in my hands is the Best in Class! I would highly recommend the Lumenis UltraPlulse or AcuPulse to any physician looking to add a laser to their practice.”

Dr. B. Kent Remington, Dermatologist

The Lumenis UltraPulse fractional blade of CO2 is an extremely versatile device that I use primarily for laser resurfacing and the treatment of flat scars atrophic scars or hypertrophic Scars. The device has been designed to provide very high peak power, the highest energy fractional device on the market – with excellent depth of penetration and remarkable ablation to coagulation ratio, which makes the treatment essentially far safer than other fractional technologies in terms of scar treatments.”

Dr. Daniel Friedman and two satisfied patients talk about the advantages of using UltraPulse for wrinkle reduction and facial resurfacing

“There are very few happy scars in life… every time any scar patient wakes up and showers and sees their scar, they’re usually reminded of something very bad. The UltraPulse is a really nice device – it’s easy to use, it’s user-friendly, it’s a very versatile Laser. Another advantage of the UltraPulse, each scar requires a certain recipe for success – patients after treatment often tell me what a difference the laser treatment made to their lives and noticed a difference almost immediately”.

Dr. Jill S. Waibel, Dr. Rox Anderson, Dr. E. Victor Ross, Dr. Nathan S. Uebelhoer, Dr. Tina Alster, Dr. Matthias B. Donelan, and Dr. Peter R. Shumaker, restoring hope to their patients with the UltraPulse.

“The AcuPulse is a different kind of device it incorporates both superficial and deep into one device, but even more different than the other devices out on the market – it does that with one hand piece so it’s a lot more user-friendly per se than some of the other devices that may be out there claiming to do a superficial or do fractional treatment… So, for me this is a wonderful device to be able to treat anything that I want on the superficial side, anything I want on the deep side, anything I want combination wise without having to stop”.

Learn what Dr. Michael Gold thinks about his AcuPulse system and how he uses it.

Chris underwent various scar revision treatments with different laser devices but did not achieve the results he was hoping for. Now treated by dermatologist Dr. Thomas M. Beachkofsky in Tampa VA, FL, he achieves tremendous improvement in range of motion in a single ULTRApulse Alpha treatment. This is his story.

Dr. Thomas M. Beachkofsky, MD, FAAD | James A. Haley Veterans Hospital, Tampa, FL

Watch Dr. J. Kevin Duplechain perform a rhinophyma excision using ULTRApulse Alpha’s incisional handpiece. A single treatment that changes a life, not only looks.

Dr. J. Kevin Duplechain, MD, FACS | Cosmetic Surgery for the Face & Body, Lafayette, LA

WOW results in just one treatment is not just a statement, but a reality! Watch Prof. Ofir Artzi, Head of Center for Aesthetic Dermatology at Tel Aviv Medical Center (Tel-Aviv, IL), perform a life-changing full-face resurfacing on 71-year-old patient, focusing on her deep peri-oral wrinkles

Prof. Ofir Artzi, MD | Head of Center for Aesthetic Dermatology at Tel Aviv Medical Center (Tel-Aviv, IL)

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