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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  

Laser diagram

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.

How does fractional ablation work?

Play Video

Dr. Itri introduces the Coolpeel laser

Play Video

CO2 Laser Ablation FAQs

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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

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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!

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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.

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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.

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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.

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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!!!

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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!

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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!

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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!!

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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.

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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.

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Dana Warby
August 26, 2023

Beautiful studio, lots of great services!

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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. (:

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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.

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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!

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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!

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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.

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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

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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.

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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.

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E A
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.

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Rose Vielandi
July 31, 2023

Dr Segura was extremely knowledgeable and helpful!

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!

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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.

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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.

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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.

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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.

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Rebecca Leonard
June 24, 2023

Fabulous relaxing and restorative facial tailored just for my needed.

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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.

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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.

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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.

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Lauren Girouard
June 17, 2023

Always a great experience at Studio R. Aesthetics!

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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.

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Tianna brown
June 15, 2023

Such an awesome staff!! So sweet and informative. I’ll definitely be coming back!

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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!

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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!!

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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!

I got a facial done by Ms. Morris a few weeks ago. I am trying to heal my skin more natural since i got off my prescriptions. She is absolutely fantastic! I am getting facials done until she says i can get a chemical peel to help with my acne. So excited for it. Even if you don't have skin issues, treat yourself! It is worth it. I wish i could afford to go every week haha i totally would. Edit: not sure if she is "dr or md" but she's a licensed esthetician 🙂

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Kyleigh Falls
May 29, 2023

Very thorough and informative! The best!!

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Theresa Guiff
May 26, 2023

EVERYTHING WAS WONDERFUL!!

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Cory Trese
May 26, 2023

Excellent source for peptide treatments in Charlottesville.

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Katie Martin
May 22, 2023

I love it here! I was new to the area and needed someone I can trust with all of my aesthetic needs. I had been to another medspa and wasn't quite impressed. So I scheduled a Botox appointment with Dr. Segura and after discussing my concerns I decided to go with Xeomin instead. Dr. Segura was so gentle and made sure I was comfortable the whole time. My comfort mattered to her! I've never experienced that before. She was so amazing that I decided to schedule an appointment with Michelle. I received a HydraFacial and brow wax and was blown away with how meticulous she is. I'm looking forward to my next visit!

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Kourtney Dudley
May 20, 2023

August 2023 I am so glad I found this place. Sollepelle has relieved all of my symptoms. I have not felt this great in years. Last week, some of my symptoms returned as I am likely ready for new pellets. Dr. Itri responded to my email within minutes and had my lab orders at the lab soon thereafter. It is absolutely the best service I have received in a very long time! Get your hormones checked! It’s life changing. May 2023 I started Sollepelle in May as the compound drug prescribed by my doctor made me feel worse. I continue to feel great. I’m so thankful I found this practice.

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Carrie Hodgkins
May 16, 2023

Thrilled Michelle has joined this MedSpa, she’s a lash magician.

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Jade
May 12, 2023

Studio R Aesthetics is amazing! I get my lash extensions done by Michelle and she is so wonderful. The extensions are beautiful and long lasting. Dr. Segura and staff are all so sweet and professional. The studio is beautiful and flawless as well!

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martha thomas
May 11, 2023

I had been scheduling my facials with Michelle Morris at her previous place of employment, so was thrilled to “find” her at Studio R. There are many options in Charlottesville for facial treatments, but none I have found with Michelle’s passion for, and commitment to, continuing to educate herself in all things skin care. So glad she landed in such a wonderful environment- I thoroughly enjoyed my experience there and look forward to getting my daughter booked with her as well.

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Heather Glass
May 8, 2023

Beautiful office and great service! I felt very comfortable and able to discuss treatment options to choose the best for me. Can’t wait to come back!

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Margaret Haley
May 6, 2023

I have been coming here even when she was at the old location. The best work done and they ensure that you feel comfortable during any spa treatment.

Dr. Segura is simply amazing! She took all my worries and concerns into account and gave me honest feedback. Not to mention she does an incredible job! I have not felt this good about myself in many years! She gave me back confidence and I could not be more appreciative of her! The staff are amazing and treat you with such kindness! Fantastic place with remarkable results!

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Kylie
May 5, 2023

Amazingly awesome service—wonderful experience!!

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