UltraPulse CO₂ - Advanced Laser Skin Resurfacing

Questions & Answers

Is the treatment painful?
Most patients describe a very warm sensation during and immediately post treatment. Topical anesthesia and often oral medications are prescribed to ensure patients are relatively comfortable during their procedure. Keeping the skin cool and moisturized post procedure will also enhance comfort.

How long will my skin be pink?
Seven to ten days after your laser treatment, peeling and crusting has typically resolved and the underling smooth skin is pink. The healing redness fades dramatically over the next several weeks but may take several months to fully resolve. Make-up may be used to hide this healing erythema.

Will I be able to drive myself home after my treatment?
No. Some of the oral medications prescribed during your appointment have a sedating effect. You will need to have someone available to drive your home.

How long is the treatment?
Depending on the customized treatment plan you have decided upon, the treatment time can vary between 20 minutes to 1 hour. However, in most cases you will need to arrive 1 hour before your scheduled treatment and will want to allow for additional time to rest following your treatment. On average we suggest you plan on spending a minimum of 2 hours with us.

Ultrapulse is the most powerful CO2 laser in aesthetic medicine. This powerful ablative fractionated CO2 laser can be tailored to match your specific concerns. Active FX dramatically improves skin texture, skin tone and fine lines as well as removes brown spots. Deep FX can lead to dramatic skin tightening and improve deep wrinkles and scars. These treatments can be performed together (Total FX) in a single session to dramatically rejuvenate your skin and remove years of photodamage. SCAAR FX is a powerful and advanced laser technology to treat traumatic, surgical and acne scars.

How It Helps

Unlike old ablative laser resurfacing technology, deep chemical peels and aggressive dermabrasion which are very painful, require long recovery times of a month or more and frequently lead to scarring and hypopigmentation, Lumenis UltraPulse CO2 fractionated laser resurfacing can have you back out in Santa Barbara living your life within 7 days of your treatment. Lumenis UltraPulse CO2 fractionated laser resurfacing works by creating thousands of microscopic perforations in the skin which stimulate collagen and elastin fiber production. Because the skin between these perforations is unaffected, healing time is accelerated. Collagen and elastin production leads to skin tightening and improvement in fine lines, deep wrinkles and skin tone. Skin texture and brown spots are also dramatically improved by the UltraPulse laser. With SCAAR FX, the perforations are deeper leading to more collagen stimulation and scar remodeling which can greatly enhance the appearance of scars.

What to Expect

UltraPulse CO2 fractionated laser resurfacing can produce dramatic results in a single treatment session. To enhance your comfort during the procedure, both topical and oral medication will likely be prescribed. Healing time from this procedure varies depending on the treatment performed (Active FX, Deep FX, Total FX, SCAAR FX) and the site upon which it is performed. For most patients peeling and crusting has resolved by 7-10 days post procedure. The skin at this point then has some healing redness (pink) that fades over the next several weeks and may be covered with make-up. You will likely see dramatic improvement in your skin by 7-10 days post procedure. Improvements will continue over the next 2 years as your body continues to produce more collagen and elastin.

How to Prepare

To see if you are a candidate for UltraPulse CO2 fractionated laser skin resurfacing and learn more about the preparation, treatment, recovery and expected results from this procedure, schedule a consultation with Keith Llewellyn MD.

Post-Care Instructions

Detailed post care instructions will be provided at the time of your consultation and treatment.

What Patients Are Saying...

Thank you Aloe Dermatology!! I am very impressed with the results from my ActiveFX resurfacing treatment!

Dr. Keith Llewellyn treated my neck and chest areas, and there is remarkable improvement in my skin tone and tightening, especially in the neck area. Extensive damage from overexposure from the sun including brown spots, irregular pigmentation and fine lines on my chest and neck have virtually disappeared.

The laser resurfacing treatment was over in just a few minutes, and discomfort following the treatment was similar to a sunburn and common healing process. The down time was brief and manageable with my busy work schedule.

Once again I am very comfortable wearing low necklines, and have had many compliments on the healthy, youthful appearance of my skin. I am proud to recommend this treatment to everyone and I will continue to recommend the Lumenis ActiveFX treatment to my friends and colleagues.

Dr. Llewellyn’s high level of skill and years of experience were impressive, and the staff at Aloe Dermatology were fantastic and supportive throughout the process, from preparation through after care.


— Female Patient

Before & After Photos


Total Fx, Active FX on eyelids before treatment


Total FX Active FX on eyelids 1 week post treatment


Active FX on eyelids before treatment


Active FX on eyelids 1 month post treatment


Active FX before treatment


Active FX 7 days post treatment


Total FX before treatment


Total FX 2 years after treatment