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Laser skin resurfacing with Moxi and CO2 laser
As we age, our skin loses its fresh and smooth appearance because we lose collagen, develop areas of hyperpigmentation from sun exposure, and form wrinkles and creases. Today more people than ever are avoiding invasive procedures like the facelift because there are effective non-surgical options that allow them to return to work quickly with little downtime and discomfort.
Fractional ablation with a CO2 laser uses energy in the form of heat to precisely remove layers of damaged skin, which can be used to treat sun damage, fine and deep wrinkles, scars, and skin lesions.
Nonablative lasers like Moxi are a less aggressive approach to CO2 lasers that can treat similar conditions with less downtime and discomfort, and can help patients avoid more invasive treatments like plastic surgery.
What is Moxi and how does it work?
Moxi is a nonablative fractionated laser made by the manufacturer Sciton that delivers energy in the 1927nm wavelength, which targets water within cells to stimulate the natural healing processes in skin. Because the laser is nonablative and is limited to the superficial layers of the skin (up to 200nm), it can delivery energy comfortably to treat the initial signs of sun damage and aging regardless of the skin type. This laser is also perfect prejuvenation, which helps prevent the signs of aging in younger patients and helps them maintain beautiful skin with little to no downtime or discomfort. Moxi is optimally paired with BBL Hero.
What can Moxi be used to treat?
The nonablative Moxi laser can be used to treat the following conditions:
- Pigmentation and sun damage including freckles, sun spots, and hyperpigmentation
- Uneven skin tone and texture
- Signs of aging
- Large pores
Moxi can also be performed on body parts other than the face, including the neck, decolletage, chest, arms, hands, and legs for skin rejuvenation.
How does a CO2 laser work?
Lasers used in aesthetics can have a variety of applications with the CO2 laser serving as one of the most widely used because its wavelength is well absorbed in water (also known as the chromophore). As skin contains a very high percentage of water, this makes the CO2 laser ideal for precise, safe ablation with good hemostasis or control of bleeding. When lasers are used for aesthetic purposes, we use laser energy to ablate or vaporize tissue while minimizing damage to the surrounding tissue.
Fully ablative treatment with a CO2 laser involves removal of the entire epidermis, which stimulates the regrowth of a younger-looking epidermis, collagenesis and remodeling of the dermis. The aim of fully ablative resurfacing is to ablate the epidermis cleanly off the dermis and leave a zone of dermis that would promote the wound healing process, which gives great results but comes with significant discomfort and downtime, as well as the risk of infection and scarring.
Fractional ablation is a newer approach that uses microablative columns of vaporization involving both the epidermis and dermis, which stimulates re-epithelialization in the normal surrounding undamaged skin and wound healing under the protection of an intact epidermis to give similar results to full ablation without the discomfort, downtime or risk of complications.
Nonablative methods are not considered as effective as the ablative methods because they leave the epidermis intact, limiting the healing response.
Click here to read a review article about CO2 laser treatments
What conditions can be treated with a CO2 laser?
Fractional ablation with a CO2 laser can be used to treat the following conditions:
- Sun damage including freckles, sun spots, and hyperpigmentation
- Fine and deep wrinkles
- Acne and acne scars
- Skin laxity and uneven texture
- Scars
- Large pores
- Stretch marks
Fractional ablation can also be performed on body parts other than the face, including the neck, decolletage, chest, arms and hands for skin rejuvenation.
What is Coolpeel® with a CO2 laser?
CoolPeel® is an advanced way to safely and comfortably deliver the benefits of a traditional CO2 resurfacing treatment by targeting just the superficial layer of skin tissue, damaged skin is removed using heat, revealing younger and healthier looking skin. Many advances have been made to improve the side effects of CO2 treatments but ONLY the CoolPeel® can deliver a fractional ablative treatment without the downtime. There is minimal risk of hyperpigmentation, demarcation or induced infection.
Can laser treatments be performed on any Fitzpatrick skin type?
Moxi can be used on any skin type from Fitzpatrick I-VI, any time of the year.
We offer two primary types of fractional ablation with a CO2 laser at Studio R Aesthetics, with the primary difference being how deep we perform the ablation.
The Coolpeel treatment is limited to the epidermal layer and does not reach the epidermal-dermal junction, where the melanocytes are found. Because we are limiting treatment to the epidermis, the Coolpeel can be performed on any skin type with minimal risk of postinflammatory hyperpigmentation. Downtime is minimal and patients typically look like they have a sunburn with rough skin for 2-3 days.
The Deka treatment goes deeper into the dermis, beyond the epidermal-dermal junction. This treatment can only be performed on Fitzpatrick I-III patients because of the risk of PIH in patients with a higher Fitzpatrick type. Patients typically experience seeping and skin crusting for up to 10 days after more aggressive treatments.
Is treatment with lasers painful?
At Studio R Aesthetics, we ensure that our patients have access to treatments without fear of intolerable discomfort.
Topical anesthetic is only needed for Moxi treatments when we use more aggressive settings. Topical anesthetic is applied for 30 minutes prior to Coolpeel treatements and 60 minutes for Deka treatments.
We apply the strongest topical anesthetic available to the treatment site for at least 30-60 minutes prior to performing the procedure, which desensitizes the nerve endings in the epidermis and reduces sensations from laser treatments.
We can use a Chiller device to blow cold air at -30 degrees on the treatment area, which further desensitizes the nerve endings and reduces pain. Pronox cannot be used during laser treatments due to the risk of fire.
Are there any side effects or complications related to a CO2 laser treatment?
There are both risks and complications associated with all laser treatment procedures of the skin.
Infection: Although infection following laser skin treatment is unusual, bacterial, fungal, and viral infections can occur. Herpes simplex virus infections around the mouth or other areas of the face can occur following a more aggressive laser treatment. This applies to both individuals with a past history of Herpes simplex virus infections and individuals with no known history of Herpes simplex virus infections in the mouth area. We typically prescribe valacyclovir prior to aggressive fractional ablation treatments.
Scarring: Although normal healing after the procedure is expected, abnormal scars may occur both in the skin and deeper tissues. In rare cases, keloid scars may result. To minimize the chances of scarring, it is critical that all patients follow the post-treatment instructions provided by our staff.
Burns: Laser energy can produce burns. Burns are rare yet represent the effect of heat produced within the tissues by laser energy. Additional treatment may be necessary to treat laser burns.
Redness/Swelling/Bruising: Redness (erythema) or swelling (edema) of the treated area is common and may occur. There also may be some bruising.
Color Change: During the healing process, there is a slight possibility that the treated area may become either lighter (hypopigmentation) or darker (hyperpigmentation) in color compared to the surrounding skin. This is usually temporary, but, on a rare occasion, it may be permanent.
MOXI
Starting at $250
CO2 Laser
Starting at $750
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How does fractional ablation work?
Dr. Itri introduces the Coolpeel laser
CO2 Laser Ablation FAQs
Christina Shifflett November 24, 2023
I recently received my first platinum hydrafacial done by Michelle and it was absolutely phenomenal! She took her time and really focused on making it an incredible experience, one of the most relaxing things I have ever done! Not to mention my skin looks and feels amazing!! I will be recommending this to everyone I know and I will absolutely be back for more!
Jordan Stang November 11, 2023
Today was my first Hydrafacial done by Michelle! Studio R Aesthetics exceeded my expectations. The staff was extremely nice, the office was adorable and I was very comfortable. My facial was very relaxing. Michelle was terrific, Answered all of my questions and my skin felt amazing afterward. I already can’t wait for my next experience at Studio R Aesthetics. I can not recommend them enough.
Latasha Breckenridge October 24, 2023
I had a brow wax and tint. Not only did my brows look AMAZING but I never had someone rub the area around my brows! It was the most calming and relaxing experience! 10/10 recommend!
Leysa Sallie-Hall October 21, 2023
I had a awesome experience last week with Studio R Aesthetics, first thing was just how amazing the inside of the building was, it was gorgeous and full of light, so comfortable. I was shocked when I found out about all of the services that they provide, so many! Very impressive! I was also impressed by my doctor- Dr.Segura was a delight and very professional but down-to-earth , I felt very comfortable telling her my issue's she made me feel like I was being heard when I was speaking of my problem with my hair thinning, and falling out drastically, I got a bit emotional talking about my hair and she just made me feel like she really understood what I was going through, it was an amazing experience and I definitely will be going back for a long,long time. Thank you Dr. Segura for your kindness and your compassion for me, you are very special.
Trevor and Taylor H October 16, 2023
Had a great experience with Dr. Segura! She is very knowledgeable and reassuring. All of the staff were friendly and professional.
Skylar Coates October 14, 2023
Amazing practice! Both doctors and staff are very knowledgeable and skilled at what they do! I look forward to every appointment!
Sylvia Trueman October 10, 2023
I’ve been a patient of Dr. Segura for a year now, and I’ve had several procedures done by Brandi. Her calm and caring demeanor always brings me great comfort when she can sense my insecurities and difficulty in talking about the things I would like to improve or change. To her, I am the most important person in the world while I’m in her care, she goes into great detail of all procedures, and what they entail. She is very patient, kind and has my best interest in mind at every consultation. She is truly an artist and has given my beauty, and confidence back both inside and out. ❤️ Can’t wait for my next treatment!
Lawrence Conell October 7, 2023
Good experience! As a traditional medical person I was a little leery of the spa like setting for what I felt was more of a medical procedure (bioidentical hormone treatment). However, I was treated very professionally by Dr. Itri, who I found to be knowledgeable, competent, and very forthcoming and accommodating in responding to my questions & concerns.
SIDNEY BLAIR October 6, 2023
I love coming here! I’ve been seeing Brandy & Michelle for about 3 years. They are so sweet and personable! The studio is GORGEOUS and the whole staff is talented! Highly recommend coming to see them for all of your aesthetic needs!!
Mary Ashley Cook October 4, 2023
They were able to get me in same day! Excellent customer service and beautiful office❤️
Jenna Joseph October 2, 2023
I started semaglutide in April and finished in August. I went from 171lbs to 133lbs and couldn’t be happier. Everything was so easy, everyone on staff was incredibly kind, and I am so glad I invested in myself. Well worth the money! Thank you, Studio R!
strykr strykr September 28, 2023
My name is Matt Street. I have been a client and patient with Studio R for well over a year. Over this time, I have used many of the services provided by Dr. Segura, and Dr. Itri. All of the services have been top-notch. Recently, I received a hydro-facial from Michelle. To say it was an amazing and invigorating experience would be an understatement. Michelle uses cutting edge technology to meticulously treat the face and neck area. I typically get about 3-4 facials a year and Michelle is, by far, the best to ever do it. Her expertise includes deep knowledge on how to maintain healthy skin. She provided me with many cost-effective options to continue to maintain a healthy skin routine. I highly recommend Michelle for all your facial needs. I will be exclusively using her services going forward. Thanks, Matt
Kim and Jim Mason September 22, 2023
Jason and Brandi are the experts in promoting optimal health. They understand bioidentical hormone replacement inside and out!! If you're showing the signs of aging: tired, achy, lack of libido, etc. call them right now! They can help you get your vitality back!
Summer Layton September 22, 2023
Dr. Segura is one of the kindest, most patient, and skilled physicians I have seen in all my years receiving fillers and Botox. I have not been happy in the past with the results of tox and fillers from others. Dr. Segura has made such a difference in how I feel. Definitely do not pay attention to the very few negative received as I can only assume they are from her competitors.
Jennifer September 11, 2023
Dr. Segura exceeded all of my expectations from start to finish. I simply cannot recommend her enough for the most thorough, professional and impressive results.
Jillian Loughran September 11, 2023
Dr. Segura and the team are so thorough. She took her time explaining every option and providing a breakdown of cost, time, healing, etc. Will definitely come again.
Tiarra Young September 11, 2023
I had a facial done by Michelle she done fantastic. And I had botex by Dr segura very informative and gentle. Definitely will be a repeat customer!!!
Robert Hicks September 5, 2023
Outstanding service. It was my first time doing this and Michelle was great! She answered all my questions and I learned a lot during the sugaring!
Zeljka Peric Zorc September 4, 2023
My eyebrows have never looked as good as when Michelle does it! She listens and does exactly what you want!
Terrie Wood August 29, 2023
I have been a client here for over a year now. I recall my first visit with Dr. Segura and how nervous and intimidated I was. Not for long though! Her quiet, calm and confident manner set me at ease and assured me that I was at the right place and in the right hands. The professional team at Studio R are so friendly and customer focused. I’m not even sure how I came to find them but I am certainly glad I did!!
Mackenzie Fredricks August 26, 2023
Dr. Segura was so kind and informative. She took her time to explain everything to me and even made some recommendations based on my goals.
Shannon Beasley August 26, 2023
Michele is a very talented aesthetician who has taken a great deal of time educating me about all of the options that align with my skin care goals for aging and sensitive skin. She is incredibly skilled and adjusts the methods she uses based on what works. She’s top notch; can’t recommend enough.
Erika Chicas August 25, 2023
Love this place and there snacks! Michelle is absolutely the best waxer ever! She has been waxing me for years and always leaves me with amazing results. (:
Charlot Claudon August 22, 2023
I recently had the RHA filler procedure done by Dr Brandy Segura. I had my lips, corners of my mouth and chin area worked on. I was numbed up before the procedure, which made it very comfortable. The procedure went very well,and I was very pleased with the filler used. It’s been three weeks now and I am very pleased with the end results.
Leah Michelle August 11, 2023
I love the space and the staff! Michelle does my facials lashes and brows. I absolutely enjoy my time with Studio R!
Meredith Farmer August 9, 2023
I decided to make a Brazilian waxing appointment at Studio R Aesthetics after a friend highly suggested them to me. I was not disappointed. The area is posh, welcoming, and luxurious. Michelle was patient with me as I asked questions and made sure I felt at ease during the wax. She was conversational enough to where I felt less tense, but not so much that I felt like I couldn’t enjoy the experience. I could tell she was very knowledgeable and she gave me a detailed 101 in sugaring vs. waxing. I’ve only dipped my toe into one small area of services here… they have so many more to offer! I’ll definitely be back!
Lindsey Tennyson August 7, 2023
What a tranquil environment! Walking into a very calm and clean reception area I was greeted almost immediately and taken back for my appointment fairly quickly. Michelle provided my services of a hydrofacial and waxing. Michelle was very professional and continued to educate me throughout the entire process. I learned so much about my skin and not only was rejuvenated but relaxed and at times, dozed off. I would highly recommend Studio R for any needs. All staff I came in contact with were friendly and beyond helpful.
Sarah Snyder August 3, 2023
I just recently moved (to Lynchburg) and was looking for an injector in a reasonable distance. I found Dr. Segura and loved the fact that she prefers to do the injecting work herself! I had Botox and fillers and when I asked about fillers she was very honest with me about what would help and make me happy. She didn’t try to sell me on more filler even when I thought it’s what I wanted! She was thorough, kind, and extremely gentle. And I’m obsessed with the results! Easily the best experience I’ve had! 10/10
Janna P August 3, 2023
Dr. Segura is fantastic. She has a wide range of minimally invasive options and during my initial consultation discussed the pros and cons of the treatments. I’ve had 2 of the 3 CoolPeel treatments that I purchased and I’m so happy with the results so far.
Alexis Hamilton August 2, 2023
If I could give 10 stars I totally would! For starters this office is GORGEOUS with an amazing vibe and quality music if I might add. Most importantly, Dr. Segura is AMAZING. Not only is she super kind and walks you through every step, but she listens to you and what YOU want and that is super important. I am OBSESSED with my lips and I plan to return for filler and other services in the future. You can tell Dr. Segura knows what she's doing & I love that 👏 The front desk staff were also super kind and did I mention, the office is BEAUTIFUL 🤩 I 100% recommend. If you're on the fence, do it! You won't regret it.
Erich Arnold August 1, 2023
Very thorough explanation of services and offerings, allowing the patient to come to an informed, personal decision as to their treatment. Excellent.
Victoria Milchling July 31, 2023
Every aspect of my experience at Studio R was amazing! The studio is incredibly clean and gorgeous - creating a relaxing, luxurious experience. All the staff are friendly, accommodating, and professional. My Botox and filler consultation with Dr. Segura was extremely informative and honest. This was my first time getting Botox/filler so she walked me through the basics, what to expect, pricing, areas of my face to prioritize over others, etc. She spelled everything out for me so there were no surprises! My Botox/filler combo appointment went extremely well. She made sure I was comfortable the entire time by checking in frequently. To her credit, it was a lot less painful than I anticipated due to the numbing cream and distraction device/methods she uses. It’s been a week since my appointment and I am SO happy with my results! She reduced my “gummy” smile with lip filler and also reduced TMJ related pain I was having with Botox. Studio R is a 1000 / 10!
Lee Talbott July 20, 2023
I am 75 years old and never thought it's possible to have that younger look. With the pleasant attention and treatment, I have received from the qualified staff, at Studio. R Aesthetics, It is possible. I am a happier 75-year-old and younger looking than before.
Noman Vohra July 18, 2023
My visit to studio R Aesthetics was great very clean environment and friendly staff. I went in for a chemical peel for my melasma and hyperpigmentation. Physician Michelle Morris took her time listening and explain me that it’s better if I wait not to get a chemical peel since I have rosacea. I like her honesty that she was worry about my skin rather than doing some procedure that I don’t need. So she recommended a facial which I really liked my skin felt much smoother and brighter main thing my rosacea did not flair up either after the procedure. All there products are great at the clinic she suggested to get some daily power defense moisturizer by zo which works great on my skin. I would Definitely recommend studio R.
Mitchell Hubbard July 18, 2023
I had my eyebrows tinted and shaped by Michelle. It was my first time having my eye brows professionally shaped and I was nervous. Michelle was wonderful and spend an hour and 20 minutes with me. I was so impressed and will make this a monthly part of my self care routine now.
kbr3pz July 2, 2023
I love how upscale and comforting this salon feels. Every team member I've worked with has been very happy to help me as well.
Laquisha Taylor June 17, 2023
The BEST in Charlottesville for lip filler and lash extensions! Dr. Segura and Michelle are so amazing to work with and my results are always perfection. I recommend Studio R to all of my friends and family.
Claudia Gutierrez June 17, 2023
I met with Dr. Segura to learn more about semglutide. The entire experience was lovely, their receptionist was super friendly and the office is beautiful. Dr. Segura was very informative and thorough.
chelsea schafer June 17, 2023
I love coming here! I’ve been coming here for the past year for a variety of things and have always had a positive experience.
Jenny X June 16, 2023
Dr. Segura is the best! She is very patient explaining all procedures to me carefully and thoroughly, and her results are terrific. I am often nervous before procedures and she is supportive of an incremental approach. Highly recommend.
Tianna brown June 15, 2023
Such an awesome staff!! So sweet and informative. I’ll definitely be coming back!
Giles June 12, 2023
Had a great experience at Studio R. Received a facial from Michelle who is an incredible aesthetician, and the front desk staff, Cat and Emily, were extremely friendly and courteous as well. 10/10 highly recommend!
Brittany Grooms June 10, 2023
Studio R Aesthetics is amazing! Michelle has been my go to for my waxing needs for many years and I’m super happy to have found this wonderful place. It’s absolutely gorgeous and welcoming. And everyone is so sweet! I had a facial done today with Michelle and it was hands down the BEST facial ever. 5 stars isn’t enough, I would definitely recommend!!
Laurel Fortier June 9, 2023
Amazing salon and very personable staff. Will absolutely return! Michelle was great and the sugaring process was as painless as possible!
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