eCO2 is a new advanced fractional CO2 laser manufactured by Lutronic, Inc. of Princeton Junction New Jersey. Having recently gotten FDA approval, its uses include the reduction of fine to moderate lines and creases in the skin, resurfacing for a reduction of pigmented tissue caused by sun exposure and other types of pigmented lesions, and also the treatment of scar tissue. The advantages of the eC02 versus erbium fractional lasers, is the increased depth at which the laser beam penetrates the skin. Although usually requiring twilight sedation, the deeper penetration setting creates more damage to the sub dermal layers, thus giving a longer term, more complete repair as the skin recovers from the injury. The post procedure downtime is minimal compared to fully ablative lasers or deeper chemical peels. Usually patients can get back into make up within 5 to 7 days after treatment. The deeper penetration also negates the necessity to have to undergo multiple procedures with many patients achieving their desired goals with just one procedure. A major advantage of this type of laser is that normal pigment colors are not robbed from the skin after treatment so hypo pigmentation is not evident as is the case with many aggressive resurfacing procedures of the past. This makes it easier to treat regional areas such as the Perioral or Periorbital areas without creating visible lines of demarcation. Pixel Erbium Fractional Laser Skin Resurfacing The 2940 nm Pixel laser utilizes a fractionalized erbium beam to treat the skin to improve tone, texture and to reduce fine lines, scars, and superficial lesions of the face, neck, chest, arms and hands. The Pixel is a FDA-approved laser device by Alma Lasers, Inc. designed to improve the quality of the skin while stimulating collagen production. Safe and effective, it represents the best of both worlds in skin resurfacing. It combines the proven effectiveness of the ablative approach with the patient comfort level of a non-ablative approach. Patients receiving a pixel treatment will experience very little discomfort and virtually no downtime. Generally, 2 to 4 treatments are required at 4 week intervals. Compared to other treatments, Pixel saves patients time and is virtually pain free in attaining better looking skin.