eCOTone is CO2 laser treatment that resurfaces the skin, enhancing appearance with minimal downtime.

eCOTone can be applied to multiple areas of the body (eyelids, face, neck, hands, etc) and can help improve the appearance of wrinkles, fine lines, pores, skin texture, and pigmented or discolored areas.

For more information and before and after photos, visit the Lutronic instagram and website.

CO2 laser should NOT be used if you:

Have used Accutane in the past year.

Have a history of excessive scarring and pigmentation disorders.

Are using blood thinners: Such medications include but are not limited to aspirin, ibuprofen, or other NSAIDs, Plavix, coumadin, Eliquis, Pradaxa and others.

Are on immunosuppressive therapy as there may be an increased risk of infection.

Are pregnant or breastfeeding.

Patients with darker skin tones have higher risk of post inflammatory hyperpigmentation and should thus weigh treatment risks and benefits more carefully.

The procedure may result in the following adverse experiences or risks:

Pain: The sharp, burning sensation of each laser pulse may produce a moderate to severe amount of discomfort. Topical anesthetics and anesthetic injections may be used to help with pain during the procedure. There may also be pain after the procedure.

Swelling and oozing: Areas most likely to swell are around the eyes and neck. A clear fluid may be present in the lasered areas and may create a crust (or scab) if the areas are not kept moist. Within about 2 days, you may appear to have an exaggerated tan with slight micro-crusting that may last as long as two weeks depending on how aggressive your treatment is. It is recommended that a healing ointment be kept on the skin during this period.

Prolonged skin redness: the laser-treated areas may initially appear bright red in color depending on how aggressive your treatment is. Any redness will fade to pink over the following couple of weeks, and normal skin color will return but prolonged redness is possible.

Skin darkening (hyperpigmentation): Hyperpigmentation of the skin can occur in the treated areas and will usually eventually fade within a few months. This reaction is more common in patients with olive or dark skin tones. The risk is increased if the laser-treated area is exposed to the sun.

Skin lightening (hypopigmentation): Light spots can appear soon after treatment or can be a delayed response to the laser resurfacing. The pale areas can darken or re-pigment in several months, but could be permanent.

Scarring: The risk of this complication is minimal, but it can occur whenever the skin’s surface is disrupted. Strict adherence to all advised postoperative instructions will reduce the possibility of this occurrence. Do not pick as this causes scarring.

Infection: A skin infection in the postoperative period can result. This risk is minimized by strictly following postoperative care.

Allergic reaction: It is possible that an allergic reaction to an aesthetic, topical cream, or medication can occur.

Ectropion: In rare instances, an outward rotation of the eyelids can result after eyelid laser resurfacing.

Acne or milia formation: Flare-up acne or formation of milia can occur in the postoperative period.

If any of these occur please contact our office.

You can read the consent form for laser resurfacing here.

You can read the CO2 financial agreement here.

Use sunscreen and other forms of sun protection and avoid extended sun exposure at least 10 days prior to treatment.

Obtain supplies for pre and post op care. See and shop our recommendations below.

Avoid tanning lotions, self-bronzers, and tanning beds at least 10 days prior to treatment.

Stop use of any retinol and skincare products with active chemical exfoliants (BHAs/AHAs) such as salicylic acid, glycolic acid, and lactic acid at least 10 days prior to treatment.

Over the counter supplements such as vitamins may also have products that make your blood thinner. These medications increase the likelihood of bruising and bleeding and should be discontinued at least 10 days prior to treatment.

Do not wear any makeup or skin care products to the procedure. Come to the appointment with a clean face.

Bring a sun hat and sun glasses with you to the appointment for immediate use post procedure.

One of the main benefits of eCOTone treatment, is that there is less downtime. Depending on the treatment plan and patient characteristics, on average, there is tenderness and swelling for ~1-3 days and redness for ~1-5 days.

The treatment can be repeated after ~4-6 weeks if desired. A series of treatments will yield optimal results.

Post Treatment Care:

Follow the recommended protocol in the section below (printable instructions can be found here).

Sleep with a clean pillow case. Elevate your head slightly (with an extra pillow) for at least 2 nights. This will help with swelling.

Avoid sun exposure while you are healing.

Use a sun blocking hat and sunglasses with UV protection as needed.

Avoid intense workouts and sweating until the skin is no longer raw, dry, or scaly.

Avoid the use of hot water (use lukewarm water) while showering or other steamy/moist environments (e.g. saunas) until the skin is no longer raw, dry, or scaly.

Tylenol can be used for pain. A cool misting spray may be used for comfort as well, if needed.