Aesthetic Medicine
Aesthetic Medicine


Keep your cool

According to the American Society for Dermatologic Surgery, more than 70% of patients are bothered by signs of ageing such as fine lines and wrinkles, as well as skin texture and discolouration.1 Since its introduction onto the market in the mid-1990s, CO2 laser skin resurfacing has been the “gold standard” for cutaneous facial rejuvenation of photo-damaged skin.2 Over recent years, consumer demand for less invasive and problematic procedures has led to a myriad of non-ablative devices for reducing wrinkles and improving photodamaged skin. However, ablative devices should not be discounted; they have been shown to offer superior clinical results with lower risk profiles verses nonablative therapies.4


As with most technologies, innovation creates improved outcomes. DEKA SmartXide CO2 offers practitioners the opportunity to decrease patient downtime while maintaining the high clinical efficacy of traditional CO2. This is achieved with its unique Pulse Shape Design (PSD) technology, offering extreme flexibility of pulse shape selection, output power, dwell time, stacking power, scanner shapes and distance between the dots, as well as the spray mode of emission that eradicates the concern of demarcation lines typically found with many CO2 treatments currently available.

With the advent of PSD technology, the range of super pulses, ultra pulses, and hyper pulses are now outdated, opening up a new frontier for CO2 lasers. The new pulse control allows specific layers of the dermis to be targeted while the high pulse delivers ablation with minimal thermal damage, protecting the skin from unwanted heat and stimulating the basal layer without any associated risks.

SmartXide has a proven efficacy profile in a whole host of indications, such as periorbital rejuvenation,5 postpartum abdominal laxity,6 rhinophyma,7 and scars, even in darker skin types.8

The newest addition to the SmartXide range, PUNTO, is designed to be an affordable CO2 that meets the needs of the practitioner who demands efficacy in rejuvenation and a highly flexible toolbox for both non-invasive procedures and minor surgical ops such as blepharoplasty. The innovation in PSD technology – in particular the H-PULSE and SPRAY modes – allows a “cool” treatment protocol; CoolPeel. Renowned US dermatologist Dr Emil Tanghetti says: “With CoolPeel we are using much lower energy but it’s achieving comparable results to other, more aggressive treatments. The other advantage is less pain and discomfort during treatment; most patients don’t need topical anaesthesia at all.”

A CoolPeel treatment doesn’t require any social downtime, it takes only 15 minutes to perform due to the ultra-fast scanner, and it effectively treats photo-ageing, fine lines, open pores, pigmentation and telangiectasia. Many younger patients are more open to considering this long-standing skin resurfacing option because of the CoolPeel setting. Thus, with the SmartXide, practitioners are able to cater to growing consumer populations like millennials looking to eliminate sunspots and improve skin texture and fine lines.

Depending on desired treatment options, practitioners can utilise the SmartXide PUNTO or the SmartXide TOUCH for advanced surgical, gynaecology, and hairrestoration applications.

Both devices are exclusively available in the UK from Lynton, and come with the company’s award-winning post-purchase support. Existing SmartXide users can contact Lynton today to find out how they can upgrade their existing device.


1. American Society for Dermatologic Surgery (ASDS). asds.net practice-resources/asds-consumer-survey-on-cosmetic-dermatologic-procedures

2. Gotkin, R. H., & Sarnoff, D. S. (2014). A preliminary study on the safety and efficacy of a novel fractional CO 2 laser with synchronous radiofrequency delivery. Journal of drugs in dermatology: JDD, 13(3), 299-304.

3. Mirza, Humza N, Mirza, Fatima N, & Khatri, Khalil A. (2021). Outcomes and adverse effects of ablative vs nonablative lasers for skin resurfacing: A systematic review of 1093 patients. Dermatologic Therapy, 34(1), E14432-N/a.

4. Guida et al. (2018). Resurfacing with ablation of periorbital skin technique: indications, efficacy, safety, and a 3D assessment from a pilot study. Photomedicine and Laser Surgery, 36(10), 541-547. DOI: 10.1089/pho.2018.4479

5. Bonan, Paolo, & Verdelli, Alice. (2021). Combined microwaves and fractional microablative CO2 laser treatment for postpartum abdominal laxity. Journal of Cosmetic Dermatology, 20(1), 124-131.

6. Bassi, Campolmi, Dindelli, Bruscino, Conti, Cannarozzo, & Pimpinelli. (2016). Laser Surgery in Rhinophyma. Giornale Italiano di Dermatologia e Venereologia, 151(1):9-16.

7. Ibrahim, Shady M, Saudi, Wael M, Abozeid, Mohamed F, & Elsaie, Mohamed L. (2019). Early fractional carbon dioxide laser intervention for postsurgical scars in skin of color. Clinical, Cosmetic and Investigational Dermatology, 12, 29-34.

This article appears in the September 2021 Issue of Aesthetic Medicine

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This article appears in the September 2021 Issue of Aesthetic Medicine