What is the Fractional CO₂ Laser?
The Fractional CO₂ laser, also known as fractional CO₂ or ablative CO₂ laser, is a state-of-the-art medical technology that allows us to treat a wide variety of skin imperfections with precision, safety, and visible results from the very first session.
Through micro-columns of energy, the laser acts on the deepest layers of the skin (dermis) to stimulate the production of collagen and elastin, regenerating the skin from within.
At the Dr. Marco Romeo clinic, we work with the SmartXide Punto system by DEKA, which incorporates the exclusive PSD (Pulse Shape Design) technology. This advancement allows us to personalize the shape and energy of each pulse, guaranteeing controlled and effective action.
Your Fractional CO₂ Laser Specialist in Madrid
At the Dr. Marco Romeo clinic, laser rejuvenation treatments are performed by Dr. Melanie Gracia.
As an aesthetic doctor and expert in managing advanced laser platforms, Dr. Gracia masters the SmartXide Punto (DEKA) technology. Her specialization allows her to design personalized protocols that combine the ablative fractional mode with the innovative CoolPeel®, precisely treating wrinkles, acne scars, and laxity to achieve excellent results with maximum safety and comfort.
Fractional Technology and How It Acts on the Dermis
The term “fractional” means the laser does not treat the entire skin surface at once. It divides the light beam into thousands of microscopic columns, treating only a fraction of the tissue and leaving healthy skin zones between these micro-lesions.
These intact areas accelerate healing, improve tolerance, and reduce the risk of side effects.
The thermal energy triggers the production of new collagen and elastin, visibly improving the skin’s texture, firmness, and uniformity.
Benefits of Fractional CO₂ Laser in Aesthetic Medicine
Dr. Gracia’s Fractional CO₂ Laser protocol offers multiple benefits tailored to each patient:
Reduction of wrinkles and fine lines, decrease in skin laxity, and a general improvement in skin tone and texture. Ideal for those seeking a non-surgical lifting effect with natural and long-lasting results.
Effective treatment for sun spots, acne scars, and atrophic scars. It is also used to remove moles and warts under medical supervision and improve the appearance of stretch marks.
Achieves deep dermal remodeling and a progressive, natural tightening effect. The skin looks visibly younger starting 20–30 days post-session, with results that continue to improve for months.
How is the Fractional CO₂ Laser Treatment Performed?
- Apply a depigmenting cream for 10–15 days to prepare the skin.
- Strict daily use of sun protection (SPF 50+).
- Topical anesthesia is applied to the treatment area for total comfort.
- Protective eyewear is used throughout the procedure.
- The session duration varies between 20 and 60 minutes, depending on the size of the area being treated.
- Dr. Gracia will prescribe specific regenerating and soothing creams to apply after the session.
- Mild redness and swelling are normal for 2–4 days.
- Complete re-epithelialization (new skin) is typically finished in 5 to 7 days.
- 💡 Medical advice: avoid direct sun exposure, makeup, and irritating products during the first week.
CoolPeel® with CO₂ Laser in Madrid: Rejuvenation with No Downtime
The CoolPeel® mode, exclusive to the SmartXide Punto (DEKA) system, is the most advanced evolution of the fractional CO₂ laser.
It allows you to get the benefits of CO₂ (skin renewal, improved wrinkles and texture) without the traditional recovery time. CoolPeel® uses high-peak-power, ultra-short pulses that act only on the superficial layer of the skin, reducing thermal damage.
The result is a facial rejuvenation that allows you to return to your routine in 24–48 hours, without discomfort or medical leave.
Indications for CoolPeel® Mode
It is the ideal treatment for patients looking to improve:
- Fine lines and wrinkles.
- Acne scars or small lesions.
- Sun spots and irregular pigmentation.
- Enlarged pores and uneven skin texture.
- Skin with mild laxity or photoaging.
Thanks to its millimetric precision, CoolPeel® is suitable even for sensitive skin and can be performed year-round (following medical sun protection guidelines).
SmartXide Punto Technology: The Science Behind the Result
At the Dr. Marco Romeo clinic, the effectiveness of our treatments is based on cutting-edge technology. The SmartXide Punto by DEKA system is the most advanced CO₂ platform on the market.
Its superiority is based on the combination of three unique technologies:
- PSD (Pulse Shape Design) Technology: Allows Dr. Gracia to adjust the shape, energy, and duration of each laser pulse, ensuring controlled action.
- SmartStack: Emits energy in several pulses on the same spot (DOT) for high-precision thermal control.
- CoolPeel®: The superficial and pseudo-random emission mode that renews the skin with no downtime, an exclusive DEKA advancement.
Official DEKA technology at our clinic in Madrid.
Frequently Asked Questions about Fractional CO₂ & CoolPeel®
It is performed with topical anesthesia. Dr. Gracia adjusts the parameters to ensure the mild sensation of heat or stinging is perfectly tolerable.
Generally, 1 to 3 sessions are recommended. Dr. Melanie Gracia will determine this in your personalized assessment, based on your goals and skin type.
Yes, with the CoolPeel® mode, recovery is practically immediate (redness for 24-48h). For more intensive fractional CO₂ treatments, 3 to 5 days of rest are recommended.
The results from collagen stimulation are maintained for months or even more than a year, depending on your skin type and post-treatment care.
The price of the CO₂ Laser treatment depends on the size of the area (full face, periocular, scars) and the mode used (CoolPeel® or deep fractional). In your free valuation consultation at our clinic in Madrid, Dr. Melanie Gracia will assess your skin and provide you with a personalized quote.
It is a very safe procedure in expert hands. Dr. Gracia will conduct a complete medical history to rule out contraindications (such as pregnancy, active infections, or photosensitive medication). The most common effects, like redness, are temporary and controlled.
Medically Validated Content
All information on this page has been written and reviewed by Dr. Melanie Gracia, an Aesthetic Medicine specialist and laser technology expert at the Dr. Marco Romeo clinic in Madrid.
Rejuvenate Your Skin with Advanced Medical Technology
Discover if Fractional CO₂ Laser and the CoolPeel® mode are the ideal treatment for you. Request a personalized medical assessment with Dr. Melanie Gracia at our clinic in Madrid and take the first step toward firmer, brighter, and more uniform skin.