Lumenis AcuPulse in Calgary

Lumenis AcuPulseat Rejuvenation Dermatology Calgary South.

AcuPulse is a fractional carbon dioxide laser, the most powerful resurfacing tool in the clinic. It vaporises columns of damaged skin and heats the tissue around them, and the healing that follows produces the largest single-session improvement available in deep wrinkles, sun damage and scars, at the cost of a week of recovery. At Rejuvenation Dermatology Calgary South, Dr. Paul Kuzel, a board-certified dermatologist, decides who it suits and performs every treatment himself.

14Years of training FRCPCRoyal College certified VPAlberta Society of Dermatologists
What it is

A fractional CO2 laser with three modes.

Carbon dioxide laser at 10,600 nm is absorbed by the water in skin. Delivered in a fraction of a second at high power, it removes tissue cleanly and leaves a zone of heat that contracts collagen. The fractional pattern spares skin between the columns so it heals from within.

SuperPulseAcuPulse delivers very short, very high peak power pulses. Each removes tissue before heat spreads, so the result is precise ablation with a controlled thermal zone: enough heat to tighten, not so much that it scars or lingers in the skin.
Three depthsA shallow mode treats the surface for texture, pores and light sun damage with a few days of recovery. A deep mode reaches the dermis for wrinkles and scars with a week of healing. A very deep, sparse mode treats thick scars and contractures.
Also a surgical laserThe same laser, unfractionated, removes growths, moles, xanthelasma, warts and sun-damaged patches with a precision a scalpel cannot match.
AcuPulse or something else

CO2 against erbium, Fraxel and surgery.

CO2 sits at the top of the resurfacing ladder. Every rung below it trades result for recovery.

Deepest

AcuPulse CO2

Largest change in one session, with a week of healing and up to a month of pinkness. Tightens as well as resurfaces. For deep wrinkles, marked sun damage and deep scars.

Ablative, less heat

Fotona erbium

Removes skin with less heat, so it heals faster and carries less pigmentation risk but tightens less. Chosen for lighter resurfacing and for skin that pigments easily.

Fotona Dynamis
Non-ablative

Fraxel

Heats without removing skin. Three to five days of bronzing, a course of sessions, a smaller result each time. For moderate damage and patients who cannot take a week off.

Fraxel
Beyond the laser

Surgery

CO2 does not lift heavy jowls or excise deep ice-pick scars. Where those are the problem, surgical excision, subcision or a surgeon come first and CO2 follows.

Scar revision
Why a dermatologist

The most powerful resurfacing tool needs the most judgement.

CO2 resurfacing is a real procedure. Chosen well it produces the best result in the clinic; chosen badly it produces scarring, pigment change or a result that was never worth the recovery.

CandidacyFair, thick, sun-damaged skin with deep wrinkles is the ideal case. Darker skin, thin skin, a history of keloids, isotretinoin within a year, and active infection or inflammation change the plan or rule it out. Dr. Kuzel assesses each of these.
Depth and densityThe outcome is set by how deep each column goes and how many columns per square centimetre. Both are chosen for the damage and the skin, area by area across the face, rather than from a preset.
Diagnosis firstSun-damaged skin often carries actinic keratoses and sometimes early skin cancer. A dermatologist examines the skin before resurfacing it and biopsies anything suspicious, because a lasered cancer is a hidden cancer.
Aftercare and complicationsThe week after CO2 needs a physician who can recognise infection, cold sore reactivation and delayed healing early and treat them. Patients are seen the same day for any concern.
What it treats

Deep wrinkles, scars, sun damage and lesions.

AcuPulse is used on the face, neck, chest and hands for resurfacing, and anywhere on the body for lesion removal and scars.

Deep mode

Deep wrinkles

Lines around the mouth and eyes that filler and neuromodulator cannot smooth. The strongest indication for CO2.

Fine lines and wrinkles
Deep mode

Acne scars

Boxcar and rolling scars, usually after subcision for tethered scars. One or two sessions.

Acne scarring
Shallow and deep

Sun damage and texture

Marked photoageing of the face, neck and chest, with precancerous actinic keratoses cleared in the same pass.

Sun damage
Very deep, sparse

Surgical and burn scars

Thick, tight or contracted scars soften and flatten over a course. Best started once the scar has matured.

Scar revision
Surgical mode

Lesion removal

Moles, skin tags, seborrhoeic keratoses, xanthelasma and warts vaporised with minimal scarring. Anything that could be a cancer is excised instead.

CO2 laser lesion removal
Shallow mode

Eyelids and lips

Fine crepe of the lower eyelids and vertical lip lines, where thin skin makes a controlled shallow pass the safest option.

Your visit

Assessment, preparation, then one procedure.

A full-face CO2 resurfacing takes about two hours including anaesthesia. It is booked after consultation, with preparation beforehand.

ConsultationWhat concerns you, your skin history, sun exposure, medications, isotretinoin, keloids and cold sores.
Assessment and planDr. Kuzel examines the skin, confirms candidacy, and sets the mode, depth and density for each area. The price is confirmed before treatment.
PreparationStrict sun avoidance for a month. A prescription skin regimen for two to four weeks. Antiviral tablets starting the day before. Time off arranged.
TreatmentTopical anaesthetic, nerve blocks and, for full-face treatment, oral sedation. The laser pass takes thirty to sixty minutes with cold air cooling. Ointment applied before you leave.
Follow-upReview at two days, one week, one month and three months. Contact any time for concerns.
Aftercare and downtime

A week of healing, weeks of pink.

CO2 resurfacing has the longest recovery of any treatment on this site. Plan for a week at home and a month of visible pinkness.

After treatment

  • Days one to three: raw, weeping, swollen skin under ointment; vinegar soaks four times a day; sleep raised
  • Days four to seven: the surface re-forms; weeping stops; peeling begins; ointment continues until healed
  • Weeks two to four: new pink skin; gentle cleanser and bland moisturiser only; makeup from about day ten
  • Weeks four to twelve: pinkness fades; active skincare resumed gradually; collagen builds
  • Strict sun avoidance and daily SPF 50 for three months; the new skin pigments easily
  • Contact the clinic immediately for fever, spreading pain, pus, or clusters of small blisters, which can mean infection or cold sore reactivation
  • Not used with isotretinoin in the past year, in pregnancy, on a recent tan, with active infection, or in patients with a history of keloids without careful discussion

Booking and fees

No referral is needed for cosmetic resurfacing. Assessment of sun damage and precancer is covered by Alberta Health Care with a referral; resurfacing is not. AcuPulse is priced by area and mode, and quoted at consultation.

Referrals by fax to (403) 225-2914. Call (403) 286-6888 for current pricing.

What to expect

Expected outcomes.

The skin that emerges after a week is smoother, more even in colour and visibly tighter than before. Wrinkles are softened, sun spots and precancer are gone, and scars are flatter. The result improves for three to six months as collagen remodels, and is assessed at three months. For most patients one session is enough; deep scars and severe damage may need a second a year later.

The result lasts years. The skin continues to age, but from a better starting point, and is maintained with sun protection and lighter treatments such as Clear + Brilliant.

CO2 does not lift a heavy jowl or neck, does not replace filler for volume loss, and does not remove every wrinkle. It is the largest change a laser can make, and Dr. Kuzel says at consultation how large that is likely to be for you.

1Session for most patients 7Days of healing 3Months to full result
Questions

Questions about AcuPulse, answered.

How much does CO2 laser resurfacing cost in Calgary?

AcuPulse is priced by area and mode and quoted at consultation. Call (403) 286-6888 for current pricing.

How much downtime is there?

A week of healing at home, with raw skin under ointment for the first three days and peeling for the rest of the week. Then a month of pinkness that makeup covers from about day ten. Plan for seven to ten days off work.

Does it hurt?

The procedure is performed under topical anaesthetic and nerve blocks, with oral sedation for full-face treatment. Most patients feel heat and pressure rather than pain. The first two days afterward feel like a bad sunburn and are managed with soaks, ointment and simple pain relief.

How many sessions do I need?

One, for most patients. Deep scars and severe sun damage may need a second session a year later.

Is CO2 safe for darker skin?

CO2 carries the highest pigmentation risk of any laser in darker skin. Dr. Kuzel uses conservative fractional settings with prescription preparation in some patients, and recommends erbium or non-ablative treatment for others. This is decided at consultation.

CO2 or Fraxel?

CO2 for deep wrinkles, deep scars and severe sun damage in a patient who can take a week off. Fraxel for moderate damage in a patient who cannot, spread over a course with short downtime each time.

CO2 or erbium?

CO2 heats more, so it tightens more and heals more slowly. Erbium removes skin with less heat, heals faster and is safer in skin that pigments easily, but tightens less. Dr. Kuzel chooses by the damage and the skin.

Will it get rid of my scars?

It will flatten and soften them, often substantially. Scars do not disappear. Tethered scars need subcision first; ice-pick scars need punch excision first; then CO2 improves the surface.

How long does it last?

Years. The skin continues to age from a better starting point, and the result is maintained with sun protection and lighter treatments.

Who performs the treatment?

Dr. Paul Kuzel, MD FRCPC, a board-certified dermatologist and the founder and Medical Director of Rejuvenation Dermatology Calgary South, assesses every patient and performs every CO2 treatment personally. He sees patients in English and Czech.

Begin here

Book a consultation.

Book a consultation with Dr. Kuzel. No referral is needed for cosmetic treatment.

Rejuvenation Dermatology Calgary South
10201 Southport Rd SW #102
Calgary, AB T2W 4X9
Two blocks west of the Delta Hotel

(403) 286-6888
Referrals by fax: (403) 225-2914

Open seven days a week, with early mornings and evenings on weekdays.

Contact Rejuvenation Dermatology

Take the first step toward achieving healthy, radiant, and flawless skin. Contact Rejuvenation Medical Aesthetics today to schedule your personalized consultation and explore the advanced treatments tailored to your unique needs.