Fractional Resurfacing (EndyMed Fractionated Laser + 3DEEP)

Fractional resurfacing at Berska Clinic uses the EndyMed Pro fractional applicator to combine ablative micro-column resurfacing with simultaneous 3DEEP volumetric RF heating in a single pass — addressing both surface texture and dermal collagen in one session. With a treatment depth of up to 2.9mm and individually adjustable intensity, this approach can treat skin texture, pore size, hyperpigmentation, wrinkles, and acne or traumatic scarring at varying degrees of aggressiveness. Preparation includes topical anesthetic cream; healing completes over approximately one week with mild peeling from days two to three.

Fractional resurfacing is an established approach to skin renewal that delivers energy in a grid of microscopic treatment zones (fractions), leaving surrounding tissue intact to accelerate healing. Unlike fully ablative resurfacing, fractional delivery significantly reduces downtime while still achieving meaningful skin remodeling. The EndyMed Pro fractional applicator used at Berska Clinic advances this modality by combining two energy types in a single session. The first is fractional ablation — micro-columns of tissue are thermally ablated to a depth of up to 2.9mm. The second is 3DEEP volumetric RF, which simultaneously delivers focused RF energy around and beneath the ablated columns, heating the surrounding dermal tissue to the therapeutic temperature that drives collagen contraction and neocollagenesis. This combination addresses surface irregularities (ablation) and dermal laxity (RF) simultaneously, producing results that neither modality achieves alone. The dual-modality approach is particularly effective for indications that have both surface and structural components: hypertrophic acne scarring (surface texture + underlying fibrosis), post-trauma scarring, and photoaged skin with both pigmentation changes and dermal collagen loss. Procedure protocol: skin is thoroughly cleansed, disinfected, and prepared with makeup removal. Topical anesthetic cream is applied before treatment. The active session varies in duration depending on the area being treated. Immediately post-treatment, the skin surface may appear red and slightly swollen. Mild peeling begins on days two to three and resolves over the following three to four days. Full healing typically completes within one week. Sun protection (SPF or sun avoidance) is mandatory for one month following treatment to prevent post-inflammatory hyperpigmentation. Intensity is adjustable per session, allowing MUDr. Běrská to calibrate the treatment to the patient's specific indication, skin type, and tolerance. Fitzpatrick skin type IV and above requires additional caution with ablative settings. Session frequency: typically spaced at intervals of four to eight weeks to allow full healing between sessions. A series of two to four sessions is generally recommended for significant scarring or texture concerns. Maintenance sessions may be scheduled annually.