SmartXide CO2™

The DEKA Smartxide CO2 laser is used for fractional and ablative skin resurfacing to improve the appearance of damaged or aging skin.

About SmartXide CO2™

Overview

The laser combines traditional CO2 laser technology with fractional scanning capabilities to provide customizable treatment options for different skin conditions.

Key features of the DEKA Smartxide CO2 laser include:

  • Both fractional and ablative capabilities: DEKA Smartxide CO2 laser delivers precise, targeted fractional and ablative treatments by creating tiny microthermal zones while providing more aggressive resurfacing when necessary.
  • MultiPulse technology: This technology delivers multiple micro-pulses within each laser pulse, offering greater control over the depth of ablation and coagulation, resulting in improved tissue vaporization and collagen remodeling while reducing side effects and promoting faster healing.
  • Scanner-based technology: This feature enhances treatment efficiency and ensures consistent and uniform coverage, reducing the risk of missed spots or overlapping areas.
  • Adjustable spot size and energy settings: This provides more flexibility to customize treatments based on the patient’s skin condition, desired outcome, and tolerance for downtime.
  • Integrated smoke evacuation system: This system efficiently removes the vaporized tissue particles and smoke generated during treatment to maintain a clear field of view for the practitioner and reduce potential health hazards associated with laser plume inhalation.
Advantages

The best DEKA Smartxide CO2 laser candidates are those seeking skin rejuvenation and improvement in specific skin conditions, such as:

  • Fine lines and dynamic wrinkles: DEKA Smartxide CO2 laser effectively reduces the appearance of signs of aging, such as crow’s feet and forehead lines.
  • Acne scars: Smooths out and minimizes the appearance of acne scars.
  • Sun damage: The laser targets and removes pigmented skin, reducing the appearance of sunspots and age spots.
  • Skin texture: The laser can smooth rough or uneven skin texture caused by aging or scarring.
  • Skin laxity: The DEKA Smartxide CO2 laser helps stimulate collagen production, resulting in tighter and smoother skin.
Pros
  • Precise and effective: Uses highly precise and controlled energy pulses, effectively targeting problem areas without causing damage to the surrounding skin.
  • Versatility: Improves various conditions, including rough skin, wrinkles, scars, and hyperpigmentation.
  • Deep penetration: Penetrates deep into the skin layers, stimulating collagen production and promoting overall skin rejuvenation, even for patients with deep wrinkles, acne scars, and other complex skin conditions.
  • Customizable settings: Precise control of energy settings, pulse duration, and spot size enables customization based on the needs of each patient.
  • Minimal downtime: Advanced fractional technology minimizes downtime and reduces the risk of complications, making it suitable for busy individuals seeking efficient treatments.
Cons
  • Mild discomfort: Some patients experience mild or burning sensations during treatment. Topical anesthesia or cooling techniques can help minimize discomfort.
  • Post-treatment side effects: In rare cases, side effects such as post-inflammatory hyperpigmentation, temporary redness, swelling, and itching may occur. Appropriate energy settings and pre- and post-treatment skin care can reduce these risks.
  • May cause skin sensitivity: Laser treatment may result in temporary sensitivity, making it essential to protect the skin from sun exposure and follow post-treatment care instructions carefully.
  • Higher cost: The DEKA Smartxide CO2 Laser is a high-end technology, so its costs are higher than those of older technology.
What to Expect

CO2 laser resurfacing is typically an outpatient procedure lasting 30 minutes to two hours, depending on the treatment area size and desired intensity.

Before the procedure, your provider administers local anesthesia to numb the area and may provide an oral sedative for relaxation. General anesthesia may be used for fully ablative treatments, requiring transportation arrangements afterward.

During the procedure, the handheld laser device is moved across the treatment area, emitting a powerful beam of light in a grid-like pattern. Under general anesthesia, there’s no sensation. With local anesthesia, you may feel a snapping sensation.

Afterward, your skin is coated with ointment and dressings.

Recovery

Downtime varies from several days for fractional treatments to over two weeks for fully ablative ones. During this period, expect swelling, scabbing, and discomfort. You can manage pain with over-the-counter or prescribed medication.

To reduce swelling, use a combination of prescription steroids and ice packs, and elevate your head while sleeping. Follow your doctor’s cleansing and moisturizing instructions, possibly using medical-grade products they recommend.

Moisturize regularly to promote healthy skin turnover and prevent scabbing. After initial healing, expect pink skin for weeks. You can resume using makeup once the area fully heals.

When outdoors, protect your skin from the sun with SPF 30+ sunscreen to prevent damage to the delicate regenerated skin.

Results

Visible outcomes depend on treatment intensity and healing duration. Noticeable results typically appear after skin restoration and redness resolution, taking weeks for fractional treatments and months for fully ablative ones.

Clients see immediate improvements post-healing, but collagen-enhancing effects take a few months to develop as new cells and proteins form fully.

With proper skin care and sun protection, results can last several years. Regular hydration and antioxidant-rich products, along with high-SPF sunscreen, are recommended to prevent recurring damage.

However, skin aging is inevitable, necessitating ongoing maintenance. Continuous laser treatments or other rejuvenation therapies can help sustain results over time.

Safety Profile

Fully ablative CO2 treatments pose significant risks, including burning and scarring due to the complete removal of surface of skin layers. This treatment is not indicated in darker skin types. Healing can be intense, with weeks of swelling, scabbing, and redness. Adhering strictly to post-treatment instructions, including cleansing and moisturizing, is crucial to minimize infection risk. Your provider may prescribe antibiotics post-treatment.

Fractional CO2 treatments carry lesser risks but can still cause burning and scarring, particularly for those with medium to deep skin tones. Following a doctor’s guidance is essential for healthy healing and infection prevention.

Avoid CO2 lasers for active acne as they can exacerbate inflammation and bacterial spread. Those on Accutane therapy or completed within the last 6 months should refrain from CO2 treatment due to impaired healing capabilities.

Inform your doctor of any history of cold sores so that you can receive antiviral medication before treatment to prevent flare-ups.

Cost

$1,500-$3,000 per session. Prices vary depending on the area treated and geography.

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