SmartSkin CO2
SmartSkin® Fractional CO₂ Laser Skin Resurfacing in New Hampshire
Reverse years of sun damage, wrinkles, acne scars and skin aging with physician-supervised SmartSkin® fractional CO₂ laser resurfacing at Renew MediSpa in Derry, NH.
Multiple Benefits
Treat fine lines, texture and sun damage simultaneously
Smooth that Lasts!
Newer, smoother skin with benefits lasting for years
Fewer Treatments
Laser Skin Resurfacing accomplishes significant rejuvenation in even a single session
SmartSkin® fractional CO₂ laser resurfacing is considered one of the most effective non-surgical skin rejuvenation procedures available today.
Unlike treatments that only improve the skin’s surface temporarily, SmartSkin works by precisely removing damaged skin while stimulating new collagen production deep within the dermis.
The result is smoother texture, softer wrinkles, reduced sun damage, smaller pores, and healthier-looking skin that continues improving for months after treatment.
SmartSkin CO₂ Laser at a Glance
Best For
- Wrinkles
- Sun damage
- Acne scars
- Texture
- Pores
Treatment Time
45–90 minutes
Downtime
Approximately 5–10 days
Results
Visible within weeks with continued collagen remodeling over several months
Typical Treatments
Often one treatment for significant improvement
How SmartSkin® Fractional CO₂ Laser Skin Resurfacing Works
Your skin has an incredible ability to repair itself—but as we age, that process slows dramatically. Collagen production declines, sun damage accumulates, and the skin gradually loses its smooth texture, firmness, and youthful appearance. SmartSkin® fractional CO₂ laser resurfacing works by harnessing your body’s natural healing response to reverse many of these changes.
Unlike older resurfacing lasers that removed the entire surface of the skin, SmartSkin uses fractional technology, delivering thousands of precisely controlled microscopic laser beams into the skin. Each beam creates a tiny treatment column that vaporizes damaged tissue while leaving the surrounding skin untouched. These untreated areas act as reservoirs of healthy skin, allowing healing to occur more quickly than with traditional fully ablative CO₂ laser resurfacing.
Step 1: Remove Damaged Skin
The laser precisely removes tiny columns of aged, sun-damaged skin containing years of accumulated damage, including irregular pigment, rough texture, and damaged collagen fibers. This controlled resurfacing immediately refreshes the skin’s surface while preparing it for regeneration.
Step 2: Stimulate Your Body’s Natural Healing Response
The microscopic treatment zones trigger your body’s wound-healing cascade. Specialized repair cells migrate into the treated areas, replacing damaged tissue with new, healthier skin cells while stimulating fibroblasts—the cells responsible for producing collagen and elastin.
Step 3: Build New Collagen
This is where the real transformation happens.
Over the following weeks and months, your skin produces new collagen and remodels existing collagen deep within the dermis. As this process continues, the skin gradually becomes:
- Smoother
- Firmer
- More even in tone and texture
- Less lined and wrinkled
- More resilient and youthful in appearance
Because collagen remodeling continues long after the surface has healed, many patients notice ongoing improvement for three to six months following treatment.
Step 4: Reveal Healthier, Younger-Looking Skin
As healing progresses, damaged skin is replaced with healthier tissue. Fine lines soften, acne scars become less noticeable, enlarged pores appear smaller, and sun damage and pigmentation irregularities improve. The result isn’t simply skin that looks younger—it’s healthier skin that functions more like younger skin.
Why Fractional Technology Makes a Difference
One of SmartSkin’s greatest advantages is that it treats only a fraction of the skin at a time. By leaving microscopic bridges of healthy skin between the treated areas, healing is significantly faster than with older fully ablative CO₂ lasers while still delivering dramatic improvements in skin quality. The treatment can also be customized—from lighter resurfacing with minimal downtime to deeper treatments for more advanced wrinkles, scars, and sun damage.
What Can SmartSkin Improve?
SmartSkin® fractional CO₂ laser resurfacing is commonly used to improve:
- Fine lines and deeper wrinkles
- Sun-damaged skin
- Uneven skin texture
- Acne scars
- Surgical scars
- Enlarged pores
- Age spots and pigmentation irregularities
- Crepey skin around the eyes and mouth
- Overall skin tone and firmness
Think of It This Way…
Imagine replacing thousands of tiny damaged bricks in a weathered wall instead of demolishing the entire structure. The healthy bricks help stabilize the wall while the damaged ones are replaced. SmartSkin works much the same way—renewing microscopic areas of damaged skin while preserving surrounding healthy tissue to support faster healing and more natural-looking results.
The end result is skin that doesn’t simply look smoother on the surface, but has been renewed from within through your body’s own collagen-building process.
Frequently Asked Questions
About SmartSkin CO2
Using what’s known as fractional laser resurfacing, the laser treats the skin in “micro-columns”. Each treatment micro column receiving the precise amount of laser energy needed to vaporize the aged skin, while also stimulating new collagen growth from the surrounding untreated skin. Over time, this will build up the support structures (collagen and elastin) of your skin resulting in a younger and smoother looking appearance.
The first step is getting you numb, with a combination of topical and injectable lidocaine. That takes approximately 45 minutes. Thereafter the duration of the treatment depends on how large an area is being treated and how many passes are being done with the laser. A full face plus eyes procedure takes approximately 45 minutes to an hour.
- History of Keloid Scarring
- Active skin infection in the treatment region
- Immunocompromised patients
- Pregnant or breastfeeding women
- Poorly controlled diabetes mellitus
- Some autoimmune disorders
- Active malignancy or receiving chemotherapy
- On anticoagulant medication (blood thinners)
- Dark Skin Types: Skin Types V and VI on the Fitzpatrick Scale
- Darker skin types will need to pre-condition their skin with hydroquinone cream for 4 to 6 weeks prior to treatment. A test spot may also need to be performed.
- We recommend pre-conditioning the skin also with Alastin Skin Nectar as it tends to reduce the swelling and redness which occur naturally post-procedure.
There is often some pinpoint bleeding, as well as redness and swelling. Skin will be red and puffy for a variable period of time depending on the settings used and the area treated. Redness can last to some degree for as long as a couple of months, but after the first week it is generally easy to conceal with makeup. The swelling usually resolves within the first 5 to 10 days (again, setting dependent). If you need a shorter downtime, we can use lighter settings and you will need to do more treatment sessions potentially to achieve your desired result.
- We provide you with a post-care kit containing all of the skin care you will need for several weeks post procedure.
This laser-based service is performed by Dr. Lisa Vuich or by Nurse Practitioner Victor Pena Duval.
For most we recommend 1 to 2 sessions, 12 or more weeks apart. The exception would be the eye region, which may require more sessions as the settings are lighter here due to the thinness of the skin. Improvement becomes evident within the first few weeks, and continues for several months.
Speak with our skin care experts about what you might want to use to support your new collagen once you have completed using your post-procedure skin care kit! Sunblock is also very important to protect your skin from UV rays. Do not schedule this treatment if you will soon be in an environment with high level sun exposure as you may be more prone to sunburns.
The answer to this varies. The eye region in particular often requires multiple session due to the lighter end settings we have to use. Many clients who do a full face and eyes treatment will then go on to do “Periorbital (eyes) only” until they achieve their desired smoothing in this region. The peri-oral area may also require more sessions if lines there are very deep. Our laser nurse will advise you regarding the number of sessions she expects you will need based on your skin condition and your goals and the settings planned.
We can do “spot treatments” for things like acne scarring.
Before and After
Beautifully smooth skin is within reach with
SmartSkin CO2 Laser Skin Resurfacing.
SmartSkin CO2 achieves in 1 or 2 sessions what would take many other devices 5 or more sessions, and it can treat delicate areas such as the eyelid region which many devices cannot. It is also our go to treatment for even the most advanced textural concerns, such as acne scars.
Stop hiding from the camera or trying to cover up skin imperfections with makeup. SmartSkin CO2 laser can get you the smooth and clear skin you desire in the shortest amount of time.
