Pulse Characteristics: Very low energy, ultra-short pulses

Mechanism:

• Delivers thermal energy below the epidermis

• Heats the dermal collagen without disrupting the skin surface

• Stimulates fibroblast activity, triggering neocollagenesis and elastin remodeling

•No open wounds, minimizing risk and minimizing downtime

Clinical Effects:

• Smoother texture, refined pores, mild lifting/tightening*

• Gradual improvement over weeks post-treatment

• Downtime: Minimal to no downtime.

*through soft tissue coagulation

Mode: Micro-ablative (light epidermal vaporization)

Pulse Characteristics: Moderate energy, short pulse duration

Mechanism:

• Creates microcolumns of vaporization (tiny ablation channels) in the epidermis

• Surrounding tissue remains intact, allowing rapid re-epithelialization

• Thermal injury extends slightly into the dermis, promoting:

• Collagen contraction

• Neocollagenesis

• Elastin remodeling

• Preserves stratum corneum in some areas, resulting in shorter downtime and faster recovery than fully ablative settings

Clinical Effects

• Smoother skin texture

• Reduction in pigmentation and fine lines

• Mild tightening* and pore refinement

• Downtime: 1–2 days redness/flaking (minimal)

*through soft tissue coagulation

Mode: Deep ablative (fully ablative)

Pulse Characteristics: Higher energy, longer dwell time

Mechanism:

• Creates deep, columnar microthermal zones (MTZs) of ablation and coagulation

• Fully vaporizes vertical columns of tissue through the epidermis and into the dermis

• Surrounding untreated skin promotes:

• Enhanced Skin Recovery

• Tissue remodeling

• New collagen/elastin production

• Induces tissue shrinkage and remodeling via controlled thermal injury

Clinical Effects:

• Significant reduction in:

• Deep wrinkles

• Severe texture irregularities

• Visible skin tightening* due to collagen contraction

• Downtime: 5–7 days (erythema, crusting, possible oozing in denser treatments)

*through soft tissue coagulation