SecretPRO Fractional CO2 Laser
Achieve dramatic skin resurfacing with the SecretPRO Fractional CO2 laser, a powerful ablative treatment that targets deep wrinkles, severe acne scarring, and significant textural irregularities. The CO2 fractional component of the Secret platform delivers controlled micro-ablative energy to stimulate profound collagen remodeling and skin renewal. At Advanced Skin MedSpa in Fishkill, NY, we use the SecretPRO CO2 to provide patients with one of the most effective resurfacing treatments available for transformative skin rejuvenation.
How SecretPRO Fractional CO2 Works
The SecretPRO Fractional CO2 laser uses a 10,600nm carbon dioxide wavelength to create precisely controlled micro-ablative channels in the skin. Unlike traditional full-field CO2 resurfacing, the fractional approach treats only a percentage of the skin surface during each session, leaving islands of untreated tissue between the ablative channels. This intact surrounding tissue serves as a reservoir of healthy cells that accelerates the healing process while still achieving dramatic resurfacing results. The controlled thermal injury triggers the body's wound-healing cascade, stimulating robust production of new collagen, elastin, and healthy skin cells.
What distinguishes the SecretPRO platform is its ability to deliver CO2 energy with exceptional precision and control. The system allows providers to customize the depth, density, and pattern of ablation based on the specific area being treated and the severity of the concern. Deeper settings can be used for pronounced wrinkles and severe acne scars, while lighter settings may be applied to more delicate areas like the eyelids and neck. This level of customization means that the treatment can be calibrated precisely to deliver the desired level of improvement while managing the recovery period appropriately for each patient.
What SecretPRO CO2 Treats
The SecretPRO Fractional CO2 is the treatment of choice for patients with concerns that exceed what non-ablative or mildly ablative lasers can adequately address. Deep wrinkles and lines, particularly around the mouth, eyes, and forehead, respond exceptionally well to the profound collagen remodeling that CO2 resurfacing stimulates. Severe acne scarring, including deep ice-pick scars, boxcar scars, and rolling scars, can be dramatically improved as the ablative channels break down scar tissue and the healing response generates new, healthier collagen architecture.
Significant textural irregularities, rough skin surface, enlarged pores, and advanced sun damage are all effectively treated with the SecretPRO CO2. The treatment is also highly effective for addressing skin laxity in the lower face and neck, as the thermal energy causes immediate tissue contraction followed by long-term collagen tightening. For patients in the Hudson Valley seeking the most impactful single-treatment resurfacing option available, the SecretPRO CO2 delivers results that can rival what might otherwise require multiple sessions of less aggressive treatments.
Your SecretPRO CO2 Treatment Experience
Due to the intensity of fractional CO2 resurfacing, patient comfort is a priority throughout the treatment process. A potent topical numbing cream is applied for approximately 60 minutes before the procedure. Depending on the treatment plan and patient preference, additional comfort measures may be utilized. Once the skin is adequately prepared, the SecretPRO handpiece is passed over the treatment area, delivering precise columns of CO2 energy into the tissue. Treatment time for a full face is typically 30 to 45 minutes. Patients will hear a rapid series of clicks and feel warmth and occasional stinging during the procedure.
Immediately after treatment, the skin will appear red, raw, and swollen. A soothing ointment or specialized post-treatment balm is applied to protect the open channels and support healing. The first three to four days involve the most significant redness, swelling, and weeping as the ablative channels close and the initial healing phase progresses. Between days four and seven, the skin develops a crusting or bronzing that gradually peels away. Full re-epithelialization typically occurs within seven to ten days, after which the new skin may remain pink for several additional weeks. Most patients plan for seven to ten days of social downtime and can return to their normal routine with mineral makeup by day ten to fourteen.
SecretPRO CO2 vs. SecretRF Microneedling
The SecretPRO platform is unique in that it offers both fractional CO2 laser resurfacing and radiofrequency microneedling in a single device. While both treatments stimulate collagen production and improve skin quality, they differ significantly in intensity, recovery, and the types of concerns they best address. SecretRF microneedling delivers radiofrequency energy through insulated needles into the dermal layer, providing excellent skin tightening, pore refinement, and mild to moderate scar improvement with two to four days of downtime. The SecretPRO CO2 component, by contrast, delivers ablative laser energy that physically removes damaged tissue, making it significantly more aggressive and effective for deep wrinkles, severe scarring, and dramatic resurfacing.
At Advanced Skin MedSpa, your provider may recommend the CO2 component alone, the RF microneedling component alone, or a combination of both depending on your specific concerns, skin condition, and tolerance for recovery. Some patients begin with a CO2 treatment for initial dramatic improvement and then maintain their results with periodic SecretRF sessions. Others may combine both modalities in a single session for maximum impact. This versatility is one of the key advantages of having the SecretPRO platform available at our Fishkill location.
Why Choose SecretPRO CO2 at Advanced Skin MedSpa
Customizable Depth and Density
The SecretPRO platform allows your provider to precisely control ablation depth, density, and pattern, tailoring every treatment to your specific concerns and skin condition for optimal results.
Dramatic, Transformative Results
Fractional CO2 delivers some of the most significant resurfacing improvements available in aesthetic medicine, visibly reducing deep wrinkles, severe acne scars, and advanced textural damage.
Immediate Tissue Tightening
The thermal energy from CO2 resurfacing causes immediate collagen contraction and tissue tightening, with continued improvement over the following months as new collagen matures.
Combined Platform Versatility
The SecretPRO offers both CO2 laser and RF microneedling in one system, allowing your provider to use either modality alone or combine them for a comprehensive treatment approach.
Fractional Safety Advantage
By treating only a fraction of the skin surface, fractional CO2 maintains the healing advantages of untreated tissue islands, allowing for faster recovery than traditional full-field CO2 resurfacing.
Experienced Provider Team
CO2 resurfacing demands advanced training and clinical expertise. Our team at Advanced Skin MedSpa has extensive experience with the SecretPRO platform to deliver safe, effective treatments.
Frequently Asked Questions
Plan for approximately seven to ten days of significant downtime after a fractional CO2 treatment. The first three to four days involve the most redness, swelling, and weeping. Days four through seven involve crusting and peeling as the new skin forms beneath. By day seven to ten, the skin has typically re-epithelialized and patients can apply mineral makeup to camouflage residual pinkness. The underlying pink tone may persist for several weeks but gradually fades as the skin fully heals and matures.
Many patients achieve significant improvement with a single fractional CO2 treatment. For deeper wrinkles or severe acne scarring, a second session may be recommended after the skin has fully healed, typically three to six months later. Your provider at Advanced Skin MedSpa in Fishkill, NY will evaluate your concerns and recommend whether one or more sessions would best achieve your goals. Call (845) 223-5900 to schedule your consultation.
Fractional CO2 resurfacing is more intense than non-ablative laser treatments, but significant comfort measures are employed to ensure the experience is manageable. A potent topical numbing cream is applied for approximately 60 minutes before the procedure. Most patients describe the sensation as a warm, stinging feeling during treatment. After the procedure, the skin may feel hot and tight, similar to a significant sunburn, but this typically diminishes within the first 24 hours as the healing process begins.
Fractional CO2 is best suited for patients with moderate to severe skin concerns including deep wrinkles, significant acne scarring, pronounced textural irregularities, and advanced sun damage. It is most appropriate for patients with lighter to medium skin tones, as the risk of post-inflammatory hyperpigmentation increases in darker skin types. Patients should be prepared for the recovery period and committed to diligent post-treatment care including strict sun avoidance. Your provider will assess your candidacy during a thorough consultation.
Post-treatment care is critical for optimal healing and results. You will be provided with detailed aftercare instructions including specific products to use during the healing phase. Generally, the treated skin should be kept clean and well-moisturized with approved ointments or balms. Strict sun avoidance is essential for several weeks after treatment, and daily broad-spectrum sunscreen must be worn once the skin has fully healed. Avoid picking or pulling at any peeling skin, as this can increase the risk of scarring or pigmentation changes.
Initial improvement is visible once the skin has healed, typically within two to three weeks. However, the most significant results develop over the following three to six months as new collagen matures, remodels, and continues to tighten. The progressive nature of collagen remodeling means that your skin will keep improving for several months after the treatment. Most patients see their final results approximately six months after their last session.