How does the SmartXide DOT Fractional CO2 laser work?

The SmartXide DOT laser penetrates into the dermis, which is the supporting layer of the skin and which contains most of the skin’s collagen. SmartXide DOT targets water in these tissues, resulting in tissue ablation inside each dot. Each dot is surrounded by a zone of thermal tissue damage formed by the laser. This thermal damage is responsible for the superior results seen with CO2 laser facial treatments.

What areas can I treat with the SmartXide DOT Fractional CO2 laser?

Unlike previous CO2 laser facial treatments, which were restricted to the face, SmartXide DOT can be used on many areas of the body, including the eyelids, hands, elbows, neck, and décolletage. In addition to areas of loose, wrinkled, or crepe like skin, SmartXide DOT provides excellent results when used for scar revision and for treatment of pigmentation problems and stretch marks.

How quickly will I see results from the SmartXide DOT Fractional CO2 laser?

Collagen shrinkage as a result of thermal damage leads to some immediate skin tightening. More importantly, further improvements in skin tightness and collagen density occur as a result of collagen remodeling and begin about thirty days after treatment. These improvements can continue for up to six months after the procedure.

Does the SmartXide DOT Fractional CO2 treatment hurt?

We will numb the treatment area with topical anesthetic prior to treatment with the SmartXide DOT. We also use a Zimmer air cooling system to further minimize discomfort.

How is the SmartXide DOT laser different from older fully ablative CO2 lasers?

Fully ablative CO2 laser facials remove the entire skin surface, which results in a longer and more uncomfortable healing process with up to one month of downtime. Because the SmartXide DOT leaves the skin around each dot intact, the skin heals in from the surrounding tissue. Healing times are significantly reduced, and potential complications are less frequent.

How many SmartXide DOT Fractional CO2 treatments will I need?

We will customize your treatment protocol to best fit your current skin condition, desired outcome, and tolerance for social downtime. The more aggressive we are with our treatment settings, the less likely it is that you will need multiple treatments. Excellent results can often be achieved with a single session. However, patients with deep wrinkles, significant laxity, or deep scarring may need two to five treatments to achieve their desired result.

Laser Skin Resurfacing in Waltham, MA

Smoother skin starts here

CO2 laser treatment targets texture, tone, and firmness for visibly refined results.

Improve Scars, Texture, and Tone in a Single Treatment

You don’t need harsh chemical treatments to bring out the best in your skin.

With laser skin resurfacing in Waltham, Finesse Cosmetic Surgery uses CO₂ laser treatments to improve skin texture, tone, and firmness, going beyond short-term improvements to support your lifelong skin health.

Here’s why patients like you trust Finesse for skin improvements they can see and feel:

Care led by a board-certified plastic surgeon with 25+ years of experience
Boutique, small-volume practice for personalized skincare
Cynosure Lutronic eCO₂ laser to improve skin texture, tone, and firmness
A clinical team with 40+ years of combined medical and cosmetic experience
Helping patients feel confident in their skin since 2006

Don’t settle for abrasive skincare treatments or weeks of downtime. We’ll bring out your glow in just one session.

Real Results From Advanced Laser Technology

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Skin Concerns Laser Can Help Improve

Laser skin resurfacing targets multiple concerns at once, giving you smoother, clearer, more even-looking skin. By treating both the surface and deeper layers of your skin, our Cynosure Lutronic eCO₂ laser creates visible improvements where topical treatments fall short.

We treat the following concerns with laser resurfacing:

Acne scars and other textural irregularities
Uneven skin tone and discoloration
Sun damage and age spots
Fine lines and wrinkles
Rough or dull skin texture
Enlarged pores
Loss of firmness and elasticity

How Our CO₂ Laser Refreshes Your Skin

Our Cynosure Lutronic eCO2 3D fractional CO2 laser allows us to adjust the depth and strength of treatment based on your skin’s needs, creating noticeable improvements while keeping recovery manageable.

This laser creates thousands of microscopic treatment columns in the skin, which stimulates your body’s natural healing response and boosts collagen production. As your skin repairs itself, damaged cells are replaced with healthier tissue, leaving you with smoother texture and more even tone.

This treatment is especially effective for improving:

Fine lines and wrinkles
Acne scars and other types of scarring
Sun damage and age spots
Uneven skin tone and pigmentation
Rough or uneven skin texture
Enlarged pores
Mild skin laxity

What Makes CO₂ Laser Different From Other Laser Treatments?

Feature	Ablative CO₂ Laser (Our Approach)	Fractional Non-Ablative Lasers	IPL (Intense Pulsed Light)
How it works	Removes damaged outer skin while stimulating deep collagen renewal	Heats tissue beneath the skin without removing surface layers	Uses light energy to target pigment and redness
Depth of treatment	Deep, controlled resurfacing	Mild to moderate	Surface-level
Results	Dramatic improvement in texture, tone, firmness, and scars	Gradual, subtle improvement	Improves color irregularities only
Number of treatments	Often only one treatment for significant results	Multiple sessions required	Multiple sessions required
Downtime	Moderate recovery with visible payoff	Minimal downtime	Little to no downtime
Best for	Wrinkles, acne scars, sun damage, texture issues, loss of firmness	Early signs of aging, mild texture concerns	Redness, sun spots, uneven tone
Longevity of results	Long-lasting, structural skin improvement	Shorter-term improvements	Temporary maintenance results

What Makes Laser Skin Resurfacing So Effective

Laser skin resurfacing works beneath the surface to improve your skin’s structure, not just how it looks on the outside. By addressing the root causes of skin damage, our treatments create smoother, clearer, more resilient skin over time.

Stimulates Natural Collagen Renewal

CO₂ laser energy triggers your body’s natural collagen production, leaving your skin firmer and smoother as it heals.

Targets Damage Below The Skin’s Surface

Laser resurfacing reaches deeper layers of damaged skin caused by sun exposure, acne, and aging, improving texture and tone from within.

Improves Multiple Skin Concerns At Once

Laser skin resurfacing refines texture, softens fine lines, evens tone, and improves skin quality in a single treatment.

““Highly recommend this place to anyone — you’ll be in the best hands!” ”

      EXCELLENT  
   Based on 122 reviews 
    
 
 
 
   
 
 
       Posted on Google  
   
   Elliott Gordon 
 
 
 
 Trustindex verifies that the original source of the review is Google. I've been coming here for almost a decade now and I can't recommend them enough. Everyone who works here is so nice and professional, experts in their field.
  
 
      Posted on Google  
   
   Gail Coppola 
 
 
 
 Trustindex verifies that the original source of the review is Google. Owner and employees are excellent and friendly. I will continue going .
  
 
      Posted on Google  
   
   M D 
 
 
 
 Trustindex verifies that the original source of the review is Google. I am a 40 year old mother of 4 and tried everything to get rid of the extra fullness around my midsection and hips. I had SmartLipo and have never felt more confident than I do now. I am incredibly happy with my new body! I am forever grateful to Dr. Kruy, Kim, and his entire staff for changing my life. Keri was my nurse the day of my procedure and helped me feel comfortable and relaxed during the procedure. Everyone at the office is genuinely kind and caring. I highly recommend Dr. Kruy, and his team at Finesse Cosmetics. ⭐️⭐️⭐️⭐️⭐️My wife just had her smartlipo surgery with Sr Shektman and her results are incredible-natural, beautiful, and exactly what my wife had hoped for. Not only has her confidence soared, but I see her smiling more, standing taller, and just radiating happiness. If your considering cosmetic surgery, this is the place to go.🔥
  
 
      Posted on Google  
   
   Dalia Abourjeili 
 
 
 
 Trustindex verifies that the original source of the review is Google. I heard about Finesse from two of my friends and wanted to share my own experience—especially how amazing the staff has been! After leaving today’s follow-up appointment, I felt compelled to share how smooth and positive this journey has been from the very beginning. I’m now 3 weeks post-op from my Smart Lipo on my arms, back, and flanks. While I know it’s still early to see the full results, I can already see a huge difference when comparing my personal before-and-after photos. The downtime and recovery have been exactly as explained, and everything discussed during the pre-op and post-op consultations has been accurate. The team was honest about what to expect and what kinds of results I could realistically see. I really appreciated that transparency. Joanne has been incredible—answering every question and addressing all of my concerns both before and after surgery. I’m extremely happy with my experience so far and would highly recommend Finesse. I’d absolutely consider returning for another service in the future! Maddison in the front desk - Thank you for being amazing and always welcoming with a positive attitude and smile!
  
 
      Posted on Google  
   
   Agus Sumpena 
 
 
 
 Trustindex verifies that the original source of the review is Google. Top-notch care and attention to detail. Dr. G and team made me feel comfortable and confident. Very happy with my results!
  
 
      Posted on Google  
   
   M T 
 
 
 
 Trustindex verifies that the original source of the review is Google. Staff, office, journey start to finish was fantastic. So grateful for Finesse!
  
 
      Posted on Google  
   
   D B 
 
 
 
 Trustindex verifies that the original source of the review is Google. I recently had a SmartLipo procedure, and I couldn’t be more thrilled with the results — absolutely amazing! From start to finish, the entire experience exceeded my expectations. The team is truly the best — incredibly professional, knowledgeable, and supportive every step of the way. They made me feel completely comfortable and confident throughout the process. The office itself is beautiful, clean, and welcoming, which only added to the great experience. I highly recommend this practice to anyone considering SmartLipo — it’s been a life-changing decision!

What To Expect Before, During & After Laser Treatment

Your Consultation: You’ll meet with us one-on-one to talk through your skin concerns, review your medical history, and determine whether laser skin resurfacing aligns with your goals.

During Your Appointment: Laser skin resurfacing treatments typically take 30–60 minutes, depending on the area treated. You may feel warmth or a tingling sensation as the laser works, and we’ll keep you as comfortable as possible during the process.

After Your Treatment & Recovery: Your skin will begin its renewal process immediately, and you’ll see visible improvements as healing progresses. Most patients recover within several days to a week, depending on treatment depth and intensity.

You may experience any of the following side effects as you heal:

Redness and warmth similar to a sunburn
Mild swelling or tightness
Dryness, flaking, or peeling as skin renews
Temporary sensitivity to sunlight

We’ll provide clear aftercare instructions, recommend soothing products, and guide you on sun protection to help your skin heal comfortably.

Wondering If Laser Skin Resurfacing Is Right For You?

Laser skin resurfacing can create noticeable improvements in your skin when topical products and lighter treatments aren’t enough.

Laser skin resurfacing may be right for you if:

You’re frustrated with acne scars, fine lines, or uneven skin texture
Sun damage or discoloration has affected your skin tone
Your skin looks dull or lacks firmness
You want visible, long-lasting improvement from a single treatment
You’re looking for a non-surgical option with lasting results

Laser skin resurfacing may not be the best option if:

You have an active skin infection, open wounds, or inflammation in the treatment area
You’re currently pregnant
You’re unable to avoid sun exposure during the healing period
You have certain skin conditions that affect healing

Why Clients Trust Finesse With Their Skin

Don’t gamble with your skincare—you need an expert’s touch. At Finesse, we’ve been helping patients like you bring out their best skin since 2006, earning a trusted reputation across Waltham and surrounding communities.

Boutique Practice

We’re a small, boutique practice, so you’ll never be rushed or treated like just another case. Your care is personal, attentive, and centered on what your skin truly needs.

Over 20 Years Of Trusted Care

For decades, patients like you have trusted Finesse for consistent results and honest guidance rooted in clinical experience.

Led By A Board-Certified Surgeon

Every laser treatment is overseen by Dr. Arthur Shektman, a board-certified plastic surgeon with 25+ years of experience and an eye for natural-looking improvements.

Trusted Aesthetic Care in Waltham and Surrounding Areas

Our practice welcomes patients from across Greater Boston, offering convenient access to advanced cosmetic and reconstructive care. Individuals from surrounding communities choose our Waltham office for personalized treatment, exceptional outcomes, and a trusted board-certified plastic surgeon.

Other Treatments That Pair Well With Laser Resurfacing

The Laser Skin Resurfacing Questions We Hear Most

How long do laser skin resurfacing results last?

Results can last for many years as new collagen forms and skin quality improves. With proper skincare habits and sun protection, you’ll continue to see smoother, firmer skin over time.

How many sessions does laser resurfacing take?

Many patients see noticeable improvement after a single CO₂ laser treatment, though some skin concerns may benefit from additional sessions. We’ll create a personalized treatment plan based on your goals and skin condition.

Is Laser Skin Resurfacing safe for all skin types?

Laser skin resurfacing can be safe for a wide range of skin types when performed by an experienced medical team. During your consultation, we’ll evaluate your skin and recommend the safest, most effective approach for you.

Are there any risks involved with laser skin resurfacing?

Temporary redness, swelling, and sensitivity are common as your skin heals. We’ll provide clear aftercare guidance and schedule follow-up appointments if needed to support your healing process.

Let’s Talk About Your Skin Goals. Schedule Your Free Consultation.

Don’t let fine lines, acne scars, or uneven texture hold you back anymore. With laser skin resurfacing, we’ll improve skin texture, tone, and firmness in just one session, bringing out the best in your complexion.

Glowing skin is closer than you think. Get started today with a consultation.

Elliott Gordon

I've been coming here for almost a decade now and I can't recommend them enough. Everyone who works here is so nice and professional, experts in their field.

Gail Coppola

Owner and employees are excellent and friendly. I will continue going .

M D

I am a 40 year old mother of 4 and tried everything to get rid of the extra fullness around my midsection and hips. I had SmartLipo and have never felt more confident than I do now. I am incredibly happy with my new body! I am forever grateful to Dr. Kruy, Kim, and his entire staff for changing my life. Keri was my nurse the day of my procedure and helped me feel comfortable and relaxed during the procedure. Everyone at the office is genuinely kind and caring. I highly recommend Dr. Kruy, and his team at Finesse Cosmetics. ⭐️⭐️⭐️⭐️⭐️My wife just had her smartlipo surgery with Sr Shektman and her results are incredible-natural, beautiful, and exactly what my wife had hoped for. Not only has her confidence soared, but I see her smiling more, standing taller, and just radiating happiness. If your considering cosmetic surgery, this is the place to go.🔥

Dalia Abourjeili

I heard about Finesse from two of my friends and wanted to share my own experience—especially how amazing the staff has been! After leaving today’s follow-up appointment, I felt compelled to share how smooth and positive this journey has been from the very beginning. I’m now 3 weeks post-op from my Smart Lipo on my arms, back, and flanks. While I know it’s still early to see the full results, I can already see a huge difference when comparing my personal before-and-after photos. The downtime and recovery have been exactly as explained, and everything discussed during the pre-op and post-op consultations has been accurate. The team was honest about what to expect and what kinds of results I could realistically see. I really appreciated that transparency. Joanne has been incredible—answering every question and addressing all of my concerns both before and after surgery. I’m extremely happy with my experience so far and would highly recommend Finesse. I’d absolutely consider returning for another service in the future! Maddison in the front desk - Thank you for being amazing and always welcoming with a positive attitude and smile!

Agus Sumpena

Top-notch care and attention to detail. Dr. G and team made me feel comfortable and confident. Very happy with my results!

M T

Staff, office, journey start to finish was fantastic. So grateful for Finesse!

D B

I recently had a SmartLipo procedure, and I couldn’t be more thrilled with the results — absolutely amazing! From start to finish, the entire experience exceeded my expectations. The team is truly the best — incredibly professional, knowledgeable, and supportive every step of the way. They made me feel completely comfortable and confident throughout the process. The office itself is beautiful, clean, and welcoming, which only added to the great experience. I highly recommend this practice to anyone considering SmartLipo — it’s been a life-changing decision!