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Deka Dot™ Fractionated CO2 Laser

Enter a new generation of CO2 lasers that offer surgery-like results without the risks or inconvenient downtime most patients consider to be a disadvantage. The CO2 laser is considered to be the most effective weapon for combating wrinkles, aging and many other skin imperfections. The Deka Smartxide™ Laser adds fractional technology that allows treatment from a light peel to deep full face skin rejuvenation. This fractionated CO2 laser makes thousands of microscopic wounds leaving normal bridges of skin that stimulate healing and collagen production. Results are almost comparable to a full face resurfacing with much shorter healing time. We can customize treatments to  your skin type, desired effect and allowable downtime.

Treated conditions with proven results:

  • Fine to deep facial and neck wrinkles
  • Facial scars, acne scars, facial pores
  • Overall facial skin tone, spots, discoloration, blotchiness

Since we can vary the depth of penetration of the laser, distance between “dots” and how long each area is treated, there is excellent control over healing time and clinical results. Many patients opt for multiple treatments spaced out over a few months to reduce downtime to less than a few days, yet with results akin to a much deeper treatment. Other revolutionary new options with the Dot™ laser now include treatment of the neck, eyelids, hands, and décolleté. Now your new face can compliment a neck, hands, and chest that look equally as youthful.

DekaDot before and after

•• Results may vary

Treatments using the Deka Dot™ laser range from one single treatment with up to a week of downtime to a light treatment after which you will look like you had moderate sunburn. We can literally fine tune the wattage and spacing  of the penetration points.

Available Treatment Versions

  • Summer Peel

    Treatments are performed every few weeks, up to 5 treatments. Since the benefits are additive they are grouped as a package. If you get  treated on Friday, you can be back to work Monday. Makeup can be applied immediately after treatments.

  • Weekend Peel

    A weekend peel is 3 peels. We call it weekend peel since it will take about 3 days to get over the redness and be able to apply makeup.  Three of these can almost equal one deep or ablative laser treatment  that would otherwise have a week or more of downtime.

  • Madonna Eye Lift

    Improves wrinkles around the eyes and dark circles, tightens and elevates the eyelids.  The Madonna Lift gained popularity due to treatment of its namesake. It uses the Deka Dot™ laser to treat upper and lower eyelid skin. Treatments take less than 10 minutes (after topical anesthesia is applied for 15 minutes). Patients are treated from three to five times once every three weeks. After each treatment, most patients can return to work or their daily activities in three days. Depending on how each individual patient heals after the first treatment and how much downtime they can afford, subsequent treatments can be planned accordingly.

  • Full Face And Neck Deka Dot™ Laser Fractionated Resurfacing

    For those who are ready for a more aggressive treatment with up to a week of downtime, we can use the laser to perform full face and neck resurfacing.

Pearl Lift®

The Pearl Lift® yields brighter, more taut and voluminous skin and is available exclusively at Pearlman Aesthetic Surgery. This exciting new approach to stackable treatments offers facial rejuvenation with outstanding results that can last as long as three or more years.  We start with Ultherapy and tightening the underlying facial structures including the SMAS and Platysma. (SMAS and Platysma are the actual structures Dr. Pearlman lifts and pulls to yield maximal, yet natural results during a surgical facelift.

After the deeper supporting structures of the face are treated, we then smooth surface wrinkles with the Dot™ fractionated CO2 laser. That way the skin is rejuvenated inside and out. Treatment starts with oral and topical sedation only. Recovery time depends on the depth of skin resurfacing with the Dot™ laser chosen (see above).

Nothing can substitute for a full facelift and ablative CO2 laser resurfacing; but for those who aren’t prepared for surgery and prolonged healing associated with treatments and downtime, the Pearl Lift® is for you.


  • Will it hurt?

    With oral sedation and a special chilling machine, patients tolerate the Dot CO2 laser treatment very well.

  • What will I look like immediately after the procedure?

    Right after the procedure you will look like you have a bad sunburn.

Deka Dot before and after

**Results may vary.

Before & After Photos

Pearlman Aesthetic Surgery Office

Park Avenue

Whether you are local or traveling from afar, our Concierge service will make youy as comfortable as possible from your first visit through your recovery period.