Smaxel Fractional CO2 Laser
Smaxel Fractional CO₂ Laser Resurfacing
Renew the look and feel of your skin with Smaxel fractional CO₂ laser resurfacing at Skin Cancer & Dermatology Institute. This advanced ablative laser treatment is designed to improve visible signs of aging, sun damage, acne scarring, uneven skin texture, enlarged pores, and fine lines and wrinkles.
Smaxel uses fractional carbon dioxide laser technology to create precisely controlled microscopic treatment zones in the skin. This process resurfaces damaged skin while supporting the body’s natural healing response and collagen remodeling. Because the laser treats a fraction of the skin at a time, surrounding untreated tissue helps support recovery. Fractional CO₂ resurfacing can provide meaningful improvement in skin texture and photodamage, generally with less downtime than older fully ablative CO₂ resurfacing approaches.
At Skin Cancer & Dermatology Institute, your treatment plan is customized around your skin concerns, the area being treated, your skin type, and the amount of downtime you can accommodate.
What Is Smaxel?
Smaxel is a versatile CO₂ laser platform that can deliver fractional laser resurfacing treatments. In fractional mode, it divides CO₂ laser energy into thousands of tiny, controlled microbeams. These microbeams create microscopic channels in targeted skin while leaving bridges of untreated tissue between them.
The controlled treatment stimulates the skin’s natural repair process, encouraging collagen remodeling and the formation of healthier-looking skin over time. Smaxel is designed for aesthetic fractional resurfacing applications including visible acne scars, fine lines, wrinkles, textural irregularities, and certain pigmentation concerns.
Unlike non-ablative lasers, which heat skin beneath the surface without removing tissue, fractional CO₂ lasers are ablative. They treat both the surface and deeper layers of the skin, allowing for more substantial resurfacing when appropriate—but typically with a longer recovery period than non-ablative laser treatments.
What Can Smaxel Treat?
Smaxel fractional CO₂ laser resurfacing may be recommended to improve the appearance of:
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Fine lines and wrinkles
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Acne scars and certain surgical scars
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Sun damage and uneven pigmentation
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Rough or uneven skin texture
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Enlarged pores
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Age-related skin laxity and loss of firmness
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Stretch marks
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Dull, weathered, or photoaged skin
The Smaxel platform is marketed for skin resurfacing, scars, wrinkles, stretch marks, and other targeted dermatologic applications. Your provider will determine whether fractional CO₂ resurfacing is appropriate for your specific concern and skin type.
Benefits of Fractional CO₂ Resurfacing
Smaxel may be a good choice for patients seeking a more intensive skin-renewal treatment without surgery. Potential benefits include:
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More even-looking skin tone and texture
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Softer appearance of fine lines and wrinkles
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Improvement in the appearance of acne scars
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Smoother-looking pores and rough texture
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Collagen remodeling for firmer, more resilient-looking skin
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Precise treatment depth and density tailored to the treatment area
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Treatment options for the face, neck, chest, hands, and selected scarred or sun-damaged areas
Fractional CO₂ laser resurfacing is commonly used to address photoaging and acne scars. Published clinical literature notes that ablative fractional CO₂ lasers can deliver strong resurfacing results while reducing downtime and complications relative to older, fully ablative CO₂ treatments.
Your Smaxel Treatment Experience
Your experience begins with a cosmetic consultation at Skin Cancer & Dermatology Institute. Your provider will assess your skin, discuss your cosmetic goals, review your health history, and determine whether Smaxel fractional CO₂ laser resurfacing is a good fit.
Before treatment, your provider may recommend a skincare preparation plan, especially if you have a history of pigmentation changes, cold sores, or sensitive skin. A topical anesthetic and/or other comfort measures may be used depending on the area and intensity of treatment.
During the procedure, the Smaxel handpiece delivers controlled fractional CO₂ laser energy to the planned treatment area. Treatment time varies depending on the size of the area and the degree of resurfacing needed. You may feel warmth, prickling, or brief discomfort during treatment.
Following your appointment, skin may feel warm and appear red, swollen, or bronzed. Peeling and flaking can occur as the skin heals. Your provider will give you detailed aftercare instructions, including how to cleanse, moisturize, protect treated skin, and avoid sun exposure during recovery.
Results and Recovery
Recovery after Smaxel fractional CO₂ laser treatment depends on the settings used, the areas treated, your skin’s healing response, and the depth of resurfacing. Redness, swelling, sensitivity, and peeling are expected parts of recovery for many patients. The initial healing period may require several days to more than a week, while residual pinkness can last longer for some individuals.
As skin heals, it may look smoother, clearer, and more even. Collagen remodeling continues over the following weeks and months, so results often develop gradually rather than appearing all at once.
Results and downtime vary. More aggressive treatment settings can produce greater resurfacing effects but may require a longer recovery period. Your provider can help you balance your desired level of improvement with your available downtime.
Is Smaxel Right for You?
Smaxel fractional CO₂ laser resurfacing may be an excellent option if you want to address moderate skin texture concerns, visible photoaging, wrinkles, acne scars, or uneven tone and are prepared for the healing process associated with an ablative laser treatment.
A consultation is important because not every patient is an ideal candidate. Active skin infection, impaired wound healing, certain inflammatory skin conditions, recent tanning, and a history of abnormal scarring may affect eligibility or require treatment modifications. Fractional CO₂ laser literature identifies active skin infection and conditions that impair healing as important contraindications to consider.
Patients with darker skin tones or a history of post-inflammatory hyperpigmentation may still be candidates, but they need a careful evaluation and customized pre- and post-treatment plan to reduce pigmentation risk. Be sure to disclose your complete medical history, medications, previous cosmetic treatments, and history of cold sores to your provider.
Smaxel CO₂ Laser in Reno–Tahoe
Skin Cancer & Dermatology Institute provides cosmetic dermatology services for patients throughout the Reno–Tahoe area. Our providers can help you compare laser-resurfacing options and determine whether an ablative fractional CO₂ laser treatment such as Smaxel, or a lower-downtime non-ablative option, best matches your goals.
For example, the practice’s Fraxel Restore treatment is a non-ablative fractional laser option designed to improve sun damage, fine lines, texture, pigmentation, and acne scars with minimal downtime. Smaxel fractional CO₂ resurfacing may be a better match for patients seeking a more intensive resurfacing approach and who can plan for more recovery time.
Schedule a Smaxel Consultation
Ready to improve the appearance of acne scars, wrinkles, sun damage, rough texture, or uneven tone? Schedule a Smaxel fractional CO₂ laser consultation with Skin Cancer & Dermatology Institute.
Your provider will recommend a treatment approach based on your skin, goals, lifestyle, and desired recovery timeline. Call 775.336.3645 or request a cosmetic consultation online.
Frequently Asked Questions
Is Smaxel the same as Fraxel?
No. “Fractional” describes the way laser energy is delivered in tiny treatment columns while leaving surrounding skin untreated. However, Smaxel is a fractional CO₂ laser platform, while Fraxel treatments may use different wavelengths and may be non-ablative or ablative depending on the specific system. At Skin Cancer & Dermatology Institute, Fraxel Restore is identified as a non-ablative fractional laser treatment with minimal downtime.
How many Smaxel treatments will I need?
Some patients benefit from a single more intensive treatment, while others may need or prefer a series of less aggressive sessions. The recommended number of treatments depends on your concern, skin condition, treatment depth, and desired outcome.
Is fractional CO₂ laser treatment painful?
Treatment comfort varies. Topical anesthetic and other comfort measures may be used. During the procedure, patients may experience heat, stinging, or prickling. Your provider will review comfort options before treatment.
How long is recovery after Smaxel?
Recovery varies based on treatment intensity and individual healing. Many patients experience several days to more than a week of visible redness, swelling, and peeling, with additional redness possible as the skin continues to heal. Your provider will give you individualized recovery guidance.
When can I wear makeup after treatment?
Do not apply makeup until your provider confirms that the skin has healed enough. Applying makeup too early can irritate treated skin and may increase the risk of complications. Follow the exact aftercare plan provided by your Skin Cancer & Dermatology Institute provider.

