CO2 Fractional Laser Resurfacing — ALMA PIXEL

ALMA PIXEL CO2 fractional laser at RAJSKA Clinic delivers precise ablative resurfacing in two distinct modes: superficial rejuvenation for overall skin renewal with minimal downtime, and deep fractional resurfacing for significant improvement in wrinkles, acne scars, and textural irregularities with five to seven days of visible recovery. The ALMA PIXEL system uses a fractionated pattern of microbeams — treating a percentage of skin surface while leaving surrounding tissue intact as healing reservoirs — allowing much more dramatic results than non-ablative treatments while maintaining a controlled recovery profile. The same device is used for benign lesion removal with surgical precision.

The ALMA PIXEL CO2 laser is a fractionated carbon dioxide laser system — meaning the beam is split into a grid of micro-beams by the PIXEL handpiece, each creating a small column of ablation and coagulation (a Micro-Thermal Zone, or MTZ), while the skin between columns remains intact. This fractional approach enables the aggressive resurfacing benefits of ablative CO2 (deep collagen remodelling, precise tissue removal, long-lasting results) while dramatically reducing the side-effect profile of fully ablative CO2 (prolonged recovery, hyperpigmentation risk, scarring risk in inexperienced hands). At RAJSKA Clinic, the ALMA PIXEL is operated in two clinical modes: **Superficial rejuvenation (laser peel) at 4,500 Kč per area:** Uses a lower fluence fractional pattern to remove the upper layers of the epidermis, stimulate epidermal turnover, and create a mild thermal stimulus in the papillary dermis. Indicated for overall dullness, superficial fine lines, minor pigmentation, and rough texture. Redness typically resolves within two to four days. Sessions can be repeated every four to six weeks, with two to three repetitions needed for appreciable improvement. **Deep fractional resurfacing at 15,000 Kč (full face):** Uses higher energy and deeper MTZ penetration to reach the mid-to-deep dermis, where significant collagen remodelling occurs. This is indicated for deeper wrinkles, significant photodamage, rolling and box-car acne scars, post-surgical scarring, hand rejuvenation, and neck or décolletage crepiness. Topical anaesthetic is required and applied pre-procedure; for very anxious patients, oral sedation may be discussed. Post-treatment, the skin will appear raw and weeping for one to two days, followed by five to seven days of crusting and peeling. Strict sun avoidance and a barrier repair moisturiser are essential during healing. The same ALMA PIXEL CO2 system is used for precise benign lesion removal — see the separate CO2 laser lesion removal treatment. Contraindications include active infection, isotretinoin use within six months, history of keloidal scarring, and pregnancy. Results from a single deep resurfacing session are substantial and long-lasting, with new collagen continuing to form for up to six months post-treatment.