Advanced Technology, Thoughtfully Applied

At SF Bay Area Plastic Surgery, every technology we offer is selected for its ability to deliver controlled, reliable results across a range of skin concerns.

The TetraPro CO2 laser allows our team to perform both in-office CoolPeel treatments and more advanced resurfacing procedures in the operating room, depending on the level of correction needed. Treatment settings and approach are carefully determined based on your skin’s condition, goals, and expected healing response.

With Dr. Fazilat’s surgical background guiding overall treatment philosophy, our providers focus on measured, precise resurfacing—prioritizing skin quality, balanced results, and a natural appearance at every level of treatment.

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What is the TetraPro CO2 Laser?

The TetraPro laser by Cartessa is an advanced CO2 laser system designed to resurface and rejuvenate the skin with exceptional precision. It offers a versatile range of treatment intensities—from lighter options like CoolPeel to deeper, fully ablative resurfacing—allowing a highly customized approach tailored to your goals.

CO2 laser technology works by delivering controlled thermal energy into the skin, which:

  • Removes damaged outer layers
  • Stimulates collagen production within the deeper dermis
  • Encourages natural skin renewal and regeneration

As collagen rebuilds over time, the skin appears smoother, firmer, and more even in tone and texture.

The TetraPro system elevates this process through advanced control and customization, allowing us to:

  • Adjust treatment depth and intensity with precision
  • Address both early and more advanced signs of aging
  • Tailor each treatment to your unique skin type and concerns

This level of precision ensures refined, natural-looking results with a treatment plan designed specifically for you.

What is CoolPeel?

CoolPeel offers a refined approach to CO2 resurfacing, providing effective skin renewal without the harshness of traditional ablative treatments.

Utilizing the TetraPro system, CoolPeel precisely targets only the superficial layers of the skin with controlled energy. This method removes damaged skin while minimizing excess heat, allowing for effective resurfacing with minimal downtime.

CoolPeel helps to:

  • Refresh dull, sun-damaged skin
  • Smooth early texture and fine lines
  • Support natural collagen renewal

Benefits of TetraPro CO2 Laser & CoolPeel

  • Improves skin texture and smoothness
  • Reduces fine lines and wrinkles
  • Minimizes sun damage and pigmentation irregularities
  • Softens acne scars and other textural concerns
  • Stimulates natural collagen production
  • Enhances overall skin tone and radiance
  • Offers customizable treatment depth and intensity
  • Provides options for both minimal downtime and more dramatic correction
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Are You a Good Candidate for TetraPro Laser Treatments?

During your consultation, we carefully evaluate your skin to ensure both safety and optimal results.

You may be a good candidate if you have:

  • Good overall skin health without active infections, irritation, or uncontrolled acne
  • Concerns such as fine lines, sun damage, uneven pigmentation, or textural irregularities
  • Mild to moderate skin laxity or acne scarring
  • Realistic expectations about results and recovery

We also consider:

  • Your skin type and tone, as certain laser settings are better suited for specific skin types
  • Your medical history, including any history of scarring or delayed healing
  • Current medications or skincare products that may affect healing
  • Your ability to follow post-treatment care and protect your skin during recovery
    Your tolerance for downtime, which helps determine whether CoolPeel or a deeper ablative treatment is more appropriate

CoolPeel is often recommended for patients seeking lighter resurfacing with minimal downtime. At the same time, more intensive CO2 treatments may be better suited for those looking to address deeper lines, texture, or more advanced sun damage.

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Why Choose SF Bay Area Plastic Surgery?

Laser resurfacing outcomes depend on how well the treatment is matched to your skin—and how carefully it is performed. At SF Bay Area Plastic Surgery, each patient undergoes a detailed evaluation to determine the appropriate depth, energy settings, and treatment type.

At our practice, this means:

  • Treatment decisions are based on skin quality, structure, and healing capacity
  • Settings are selected to achieve improvement without unnecessary trauma
  • We focus on controlled resurfacing rather than aggressive treatment
  • Both in-office and operating room options are used when appropriate for more comprehensive results

This approach is designed to improve the skin in a way that feels consistent, refined, and natural over time.

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What to Expect Before, During, and After

Consultation

During the initial consultation, we will assess your skin's thickness, sun damage, depth of lines or scarring, and healing expectations. We’ll also consider your goals and tolerance for downtime to determine whether a lighter treatment like CoolPeel or a deeper CO2 approach is more suitable.

A staged treatment plan may be suggested for more gradual, natural-looking improvement.

Costs vary based on treatment depth and setting; CoolPeel is done in-office per session, while deeper CO2 resurfacing in an operating room entails higher costs due to increased intensity and anesthesia. You'll receive a personalized quote after your evaluation.

Procedure

CoolPeel (In-Office):

  • Skin is cleansed and prepped
  • Laser energy is delivered in quick, controlled passes
  • Treatment typically takes 15–30 minutes

Ablative CO2 (Operating Room):

  • Performed under appropriate anesthesia for comfort
  • Damaged skin layers are carefully removed
  • Deeper collagen stimulation is achieved for a more significant correction

Recovery and Results

CoolPeel:

  • Mild redness similar to a sunburn for 1–2 days
  • Skin may feel dry or slightly rough for several days
  • Noticeable improvement within 1–2 weeks
  • Continued collagen production over time

Ablative CO2 Resurfacing:

  • Downtime typically 7–10 days, depending on intensity
    Redness and peeling during early healing
    Gradual improvement over several weeks
    Continued refinement for several months as collagen rebuilds

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Alternative & Related Treatments

  • Microneedling (SkinPen or RF-based treatments)
  • Morpheus8 for deeper collagen remodeling
  • Chemical peels for surface-level rejuvenation
  • Laser and light therapies for pigmentation and tone
  • Medical-grade skincare to maintain and enhance results

Resurface and Refine

Healthy skin is achieved through thoughtful planning, precise execution, and respect for how your skin responds over time. SF Bay Area Plastic Surgery approaches TetraPro treatments with that long-term perspective in mind. Every recommendation is made to improve skin quality in a way that remains balanced, consistent, and natural.

Schedule your consultation to explore how a carefully tailored resurfacing plan can support clearer, smoother, more resilient skin.

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FAQs

Is there an ideal time of year to have this treatment?

Many patients choose to undergo CO2 resurfacing during the fall or winter months when sun exposure is more limited. However, treatments can be performed year-round with careful sun protection and adherence to post-treatment guidelines.

Will I need to adjust my skincare routine before or after treatment?

Yes. Certain products—such as retinoids, exfoliants, or active ingredients—may need to be paused before treatment and reintroduced gradually afterward. You will receive specific guidance tailored to your regimen.

Does the treatment feel uncomfortable?

Comfort levels vary depending on the depth of treatment. In-office treatments like CoolPeel are generally well-tolerated, while deeper resurfacing procedures are performed with appropriate anesthesia to ensure comfort.

What are the risks and potential side effects?

As with any resurfacing treatment, there are potential risks. These may include temporary redness, swelling, sensitivity, or dryness. In some cases, patients may experience prolonged redness, changes in pigmentation, delayed healing, or, rarely, scarring or infection. Careful patient selection, precise treatment settings, and proper aftercare are essential in minimizing these risks.

How should I prepare for my treatment?

Preparation typically includes avoiding sun exposure, discontinuing certain skincare products, and following any pre-treatment instructions provided during your consultation. Proper preparation helps support a smoother recovery and more predictable results.

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