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CO2 Laser Resurfacing

co2 laser in los angeles

One of the major advantages to the SmartXide CO2 laser is the SuperPulse mode (SmartPulse mode) that enables Dr. Karamanoukian to calibrate depth control of the laser so that he can target deep wrinkles in specific areas of the face such as the eyelids and the cheeks and maximize how deep the laser penetrates without causing collateral damage. 

The new fractional CO2 laser at Dr. Karamanoukian's office is affectionately known as one of the Deka TOP 10 lasers and is known worldwide for its excellent efficacy profile in cosmetic non-surgical rejuvenation of the face. This is likely why WebMD refers to the fractional CO2 laser as the "Number One Anti-aging Breakthrough of the Decade!"


Fractional CO2 provides outstanding results when used for wrinkle reduction and improvement of acne scars.  The indications for fractional CO2 laser resurfacing include the following:

  1. Non-surgical Facelift 
  2. Non-surgical Necklift
  3. Non-surgical Eyelid Lift
  4. Scar Resurfacing


The Smartxide Fractional CO2 system provides effective improvement in wrinkling, sun damage, and surface irregularities of the face and body.  Treatment is relatively quick, taking approximately 30 minutes for topical numbing treatments and 30 minutes for the laser treatment. Patients may request mild sedation under the supervision of a board certified anesthesiologist.  Please inquire with the office regarding the additional cost for an anesthesiologist and conscious sedation.  After treatment, the patients may feel a tingling or mild burning sensation that is tolerable.  For several days thereafter, the treated area will feel tight, very much like a sunburn. The benefits of the fractional CO2 laser is that only a fraction of the skin is treated, thereby minimizing recovery time.  Soon after treatment, the skin will begin to reepithelialize, thus revealing fresh new skin. 



Patients with acne scars will tell you how frustrating it is to improve acne scars. Multiple techniques exist to minimize scars, including surgical excision, punch excision, chemical peels, laser guided acne scar revision, and subcision.  Although many options abound, one of the most outstanding treatments for acne scars remains the CO2 laser for acne scar skin resurfacing.  Dr. Karamanoukian performs acne scar revision using a combination of techniques, including the most advanced fractional CO2 laser for skin resurfacing.  Using this modality, Dr. Karamanoukian will use an ablative fractional laser to resurface scar contour irregularities so that the skin appears smoother and more even toned. 




Once your CO2 laser is performed and you have fully recovered, many patients ask whether they can enhance their results with monthly or bimonthly treatments.  Dr. Raffy Karamanoukian, a board certified plastic surgeon, recommends a topical skincare regimen that includes Melaquin Skin Brightening Complex and regular visits for a new technique known as the Hydrafacial.  Hydrafacial incorporates dermolipoinfusion treatments to rejuvenate and maintain your skin quality. 


Seen on Daily Candy and The Real Housewives of Beverly Hills, the Hydrafacial is the latest innovation in facials and cosmetic skincare.  The Hydrafacial system incorporates key elements of skin rejuvenation, including microdermabrasion, dermolipoinfusion, enzymatic cleansing of large and clogged pores, and chemical peeling all in one.  In essence, the Hydrafacial system exfoliates dead skin cells and extracts impurities and blackheads with a vacuum-based skin abrasion tip while stimulating the blood and ymphatic flow.  The healthy underlying skin is then infused with key nutrients, antioxidants, and active serums that are specifically tailored to your skin type. 


In Dr. Karamanoukian's office, we utilize a specialized protocol for medical facials that incorporates the hydrafacial system.  Our medical facials use the dermolipoinfusion system contained within the Hydrafacial armamentarium as well as a specialized protocol of microdermabrasion and chemical exfoliation. Your skin will look refreshed and exhilarating for a party or event.


  1. Can Fractional CO2 laser skin resurfacing (SmartXide DOT) be used with Juvederm, Restylane, and Radiesse?



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