Co2 Tetra DOT Laser & PRFM

Advanced Resurfacing

Total Skin Transformation

Experience a dramatic improvement in skin texture, tone, and tightness by combining high-precision laser energy with the regenerative power of your own blood.

This "gold standard" treatment targets deep wrinkles, sun damage, and acne scarring by removing damaged skin layers and stimulating new collagen. By adding PRFM to the procedure, we harness your body's natural growth factors to speed up the recovery process and enhance the overall results. It is the ultimate solution for comprehensive skin renewal.

How Does It Work

Ablative Energy Meets Growth Factors

The Co2 Tetra DOT laser delivers ultra-short pulses of light in a fractional pattern, creating microscopic columns of thermal injury in the skin. This triggers the body’s natural healing response, leading to the production of fresh collagen and elastin. The "DOT" technology allows for precise control, minimizing heat damage to surrounding tissue.

Immediately following the laser treatment, PRFM is applied to the skin. PRFM is a concentrated form of your own platelets that releases growth factors over several days. This matrix acts as a biological "scaffold," promoting faster cellular repair and ensuring that the new skin is healthier, smoother, and more radiant than before.

Who Is It For

Candidates for Skin Renewal

This treatment is ideal for individuals with significant sun damage, deep-set wrinkles, or persistent acne scars. it is an excellent choice for those looking for a non-surgical way to tighten lax skin and even out skin tone. Candidates should have a skin type that is suitable for ablative laser therapy.

If you are looking for a "one-and-done" treatment that provides more dramatic results than traditional facials or light peels, this is for you. It is best suited for patients who can commit to a few days of downtime for the resurfacing process. We will assess your skin history and goals during your initial consultation.

Regenerative Radiance

Advantages of Co2 and PRFM

The combination of Co2 laser and PRFM offers a superior level of skin rejuvenation. While the laser addresses structural damage, the PRFM provides the biological fuel needed for rapid recovery, resulting in skin that looks younger, firmer, and more vibrant.

Significantly reduces the appearance of deep lines, wrinkles, and visible sun damage.

Smooths the texture of acne scars and other minor skin irregularities.

Thermal energy causes immediate contraction and stimulates long-term collagen production for firmer skin.

PRFM growth factors help reduce redness and shorten downtime compared to traditional resurfacing.

Targets hyperpigmentation and age spots for a clearer, more uniform complexion.

Skin quality continues improving for months as new collagen fibers form and mature.

Post-Laser Care

Maximizing Your Resurfacing Results

Because this is an ablative treatment, the skin will be sensitive and requires a strict regimen of hydration and sun protection to heal correctly and safely.

  • Apply the recommended healing ointments or moisturizers frequently to keep the skin hydrated and to prevent any crusting or scabbing during the first week.
  • Cleanse the treated area gently with cool water and a mild, non-abrasive cleanser as directed by your aesthetician to avoid irritating the new skin.
  • Stay indoors and completely avoid direct sun exposure during the initial peeling phase to protect the fresh, vulnerable layers of skin from UV damage.
  • Do not pick, peel, or scratch at the treated skin, as this can cause permanent scarring and lead to post-inflammatory hyperpigmentation or infection.
  • Avoid using any active skincare ingredients, such as retinols, Vitamin C, or exfoliating acids, for at least two weeks or until cleared by your provider.
  • Avoid using hot water, saunas, or steam rooms for at least one week, as excessive heat can increase swelling and discomfort in the treated area.
faqs

Any Questions?

We use topical numbing and cooling; you will feel heat during the procedure and a "sunburn" sensation after.

Fractional Co2 must be used carefully on darker skin; we will evaluate your skin type during a consult.

It is an advanced skin resurfacing that uses a laser to remove damaged skin and PRFM to speed up healing.

Patients typically feel a warm, prickling sensation; a topical numbing cream is used to ensure the session is very manageable.

The CoolPeel setting has a higher safety profile than traditional CO2, but a consultation is necessary to determine candidacy for darker skin.

Yes, it is one of the most effective treatments for deep acne scarring and skin texture issues.

Yes, it is excellent for tightening the fine lines (crepiness) around the eyes and mouth.

It is Platelet-Rich Fibrin Matrix, made from your blood, which releases growth factors to heal the skin faster.

Most patients see dramatic results in just one session, though deep scars may need a second.

Usually 5–7 days of "social downtime" while the skin peels and heals.

Targeted Recovery Science

How Lymphatic Drainage Supports Your Transformation

To ensure the most comfortable and efficient recovery, we offer specialized facial lymphatic drainage massage as a clinical add-on to your CO2 Tetra DOT and PRFM treatment plan. This gentle, non-invasive technique stimulates the lymphatic system to flush out the metabolic waste and microscopic cellular debris created during the skin’s intensive remodeling process. By proactively managing the body’s inflammatory response, these sessions help to dissipate post-laser heat and prevent fluid stagnation, leading to a smoother and more predictable healing journey.

Beyond mere comfort, lymphatic massage is a critical tool for refining your final skin quality. By significantly reducing post-treatment swelling and redness, this therapy allows the regenerative power of PRFM to integrate more effectively into the dermal layers. It also promotes healthy circulation and improved skin texture, ensuring that your complexion appears clear, luminous, and refined as soon as possible. Integrating this specialized care into your post-treatment protocol provides a holistic path to both feeling and looking your best sooner.

Precision Post-Op Support

The Clinical Benefits of Lymphatic Integration

Integrating lymphatic drainage into your laser recovery provides targeted support for your body’s natural inflammatory response. This clinical add-on accelerates the clearing of internal debris, ensuring a faster transition from post-treatment swelling to final results.

Helps the skin cool down and recover its natural barrier function faster.

Rapidly flushes out excess interstitial fluid to minimize post-laser facial puffiness.

Assists the lymphatic system in removing microscopic waste after skin resurfacing.

Prevents the formation of temporary nodules or "rough spots" during remodeling.

Clears the inflammatory byproducts that can linger after intensive laser treatments.

Improved lymph flow boosts oxygenation for a healthier, more vibrant glow.

Targeted Recovery Science

How Lymphatic Drainage Supports Your Transformation

CO2 laser treatments trigger a localized fluid response as the skin works to build new collagen. Facial lymphatic drainage acts as a manual catalyst to move this fluid toward the nodes behind the ears and down the neck, preventing the "stagnation" that can slow your recovery.

  • Rapidly clears fluid around the eyes and mid-face, where laser-induced swelling is often most prominent.
  • By improving circulation and fluid movement, the "flushed" appearance of the skin can resolve more quickly.
  • Clearing inflammation creates a cleaner environment for the growth factors in PRFM to stimulate tissue repair.
  • Ensures the surface of the skin remains smooth and uniform by preventing uneven fluid pockets.
  • Helps both sides of the face heal at a similar rate for a more balanced recovery.
  • Reducing inflammation more quickly means you can see your skin's new texture and return to your routine sooner.
What Our Patients Say

Dr. Capraro is excellent, extremely talented and knowledgeable about what he does. His staff is also very welcoming and attentive.

Mishal Ayaz

I have been seeing Jamie Roth for over a year and she has greatly helped me step up my skincare game, as well as offered different treatment plans to help combat my perioral dermatitis. Not only is she the sweetest, but she is so knowledgeable and skilled at what she does! Thank you, Jamie!

Jessica McCarthy

I would give them 10 stars if I could! Nicole has been a life saver for my face. After kids and COVID, I started sleeping on one side of my face and it caused some asymmetry that she’s been able to fix and maintain over the past few years. She’s a pro at making you look your best without making you look overdone (that’s my personal preference). Most of my friends come here as well and love it ! I’ll be here for the long haul.

Brittany Goodwin

Jamie Roth and Nicole are absolutely amazing!! Jamie is my aesthetician and she absolutely nailed my skin type and concerns on the first visit. A lot of aestheticians I’ve had in the past haven’t really understood my highly sensitive and reactive skin or how to treat it, but Jamie got it right away. And she really listened to my concerns as well. She’s very collaborative and treats you like an individual, not a one size fits all. She recommends products that work for you, but never pushes anything on you. She’s highly professional but also kind and empathetic. I can’t recommend her highly enough. Nicole is also amazing, her surgical background and level of knowledge when it comes to injectables is incredible. She also listens to you, and will treat you as an individual. I want subtle adjustments and that’s exactly what she gives me. She’s really an artist. She can achieve any look you want, but I really appreciate that she leans towards the more natural results, and knows all the best ways to achieve long lasting results. She knows all the latest products and techniques and is so good at recommending what will be best for you based on your needs. Her results are really flawless because she has such an extensive knowledge of muscle anatomy. She’s also a lovely person and is great at putting you at ease. Don’t think, just book!

Kathryn Scott

Excellent experience with Dr. Philippe A. Capraro and the entire team. The nurses were amazing—so kind, attentive, and supportive throughout my care.

Samantha

I cannot say enough wonderful things about Dr. Capraro and his entire staff. I have been treated with the utmost care and respect. Dr. Capraro listens well, connects well with his patients, is patient, highly skilled and meticulous in his practice. He goes above and beyond to create the most favorable outcome.

Tanisha Palermo

I cannot speak more highly of this team of doctors, nurses, techs and all the other behind the scene girls. I flew in from Hawaii just to have Dr. Capraro perform a tummy tuck, lipo, breast lift and implants on me. I personally work in the medical field alongside surgeons and Dr. Capraro is by far the kindest and most genuine doctor I have ever met. The Grossman Capraro Plastic Surgery clinic is classy, uplifting, and made me feel worthy of wanting to fix my body after child birth. Jo Jo, who did all of my scheduling was beyond accommodating with my busy life and our time zone difference. Alli, Dr. Capraro’s nurse is such a gem. She took so much time with me during my IV’s, post op appointments, and was my rock through my post-op emotional ups and downs. And Jamie!!!…this girl has got a gift! She pampered me with a post op facial and fillers and made me feel beautiful even though I’m still recovering. I honestly feel like these girls and the entire team have become my friends through this exciting but vulnerable time. I feel blessed to have found them and encourage anyone thinking about plastic surgery to reach out to them.

Ali Koski

LOVE NICOLE!!! she’s very knowledgeable and has great energy— recommended Renuva an I have done one treatment and LOVE IT— it’s done all that was promised and is so natural looking — no recovery to speak of ! YAY!

Suvi Miller

Dr. Capraro completely exceeded my expectations. From the first consult to post-op care, I felt genuinely seen, supported, and safe. He listened so thoughtfully to what I wanted and helped me feel confident every step of the way. The results are absolutely beautiful—natural, balanced, and exactly what I hoped for. I’ve never felt more confident in my body. I’m so grateful to Dr. Capraro and his incredible team. This experience has been life-changing!

Alli Rosati

Dr. Capraro and his entire staff are all amazing. They are all so patient, kind and very professional! They make you feel like family. Dr. Capraro is worth every penny!

Cece Davey

Dr. Capraro is a very knowledgeable and efficient surgeon. He always puts the patient's wishes and feelings first. And I would recommend him to anyone that has concerns about their skin.

Marsha Havengar

I had my breast implants of 20 years, removed and replaced by Dr. Capraro, and I could not be happier! The surgery went well and the results have exceeded my expectations. Dr. Capraro is not only a great surgeon, an artist if his trade, but a wonderful person, whom I am honored to have met. Dr. Capraro staff, Libi, Allie, Nicole, Jojo, Sandy, Lucy and everyone there is so kind, welcoming and available for any question, and I sure had quite a few. Thank you, Dr. Capraro!

Michal Ravid

Simply. The. Best. The front desk staff is warm, welcoming, and incredibly organized—they make scheduling and paperwork effortless. Every team member I encountered was professional, kind, and clearly cared about patient comfort and satisfaction. Dr. Capraro is not only an outstanding plastic surgeon but also an attentive listener. He took the time to understand my goals, answer all of my questions thoroughly, and made sure I felt informed and confident every step of the way. The consultation was detailed, never rushed, and I truly appreciated how honest and transparent they were about the procedure and expected results. Post-op care was just as impressive. The nurse & PA [Nicole is the best] and medical team followed up diligently and made sure I was healing well, which gave me peace of mind throughout the recovery process. I have been into the office many times post-surgery for facials, Botox & and occasional filler. Nicole & Jamie are simply outstanding at what they do. If you're considering any kind of plastic surgery or aesthetic procedure, I can’t recommend Dr. Capraro and his team highly enough. They combine professionalism, artistry, and compassion in a way that truly sets them apart.

Emz Run

Dr. Capraro and his team are amazing! I can't say enough good things about the exceptional results and care that I've received over the 15 years that I have been a patient at Grossman Capraro. Dr. Capraro is professional, knowledgeable and takes his time explaining cosmetic options. At the end of my visits, I have a greater understanding of procedures available and a well laid out plan to achieving the best result. I've referred many family members to Dr. Capraro and they all agree that Dr. Capraro went above and beyond their expectations. His team is great and his PA has a fantastic knowledge base of in office procedures and at home skin routines. Dr. Capraro and his staff will not disappoint. They are the best!

Stephanie Scavuzzo

Dr. Capraro is the BEST plastic surgeon EVER!!! He fixed my botched breast reduction and implant exchange surgery from a couple years ago and I couldn’t be HAPPIER. I HIGHLY recommend Dr. Capraro!!! Also, his staff, is the BEST too!!

Cindy Macek

Dr. Capraro is nothing short of amazing. I was nervous before my consultation in general and also because of just being self conscious. Dr. Capraro and Allie were both so nice and welcoming during the consult. He spent so much time making sure any and all of our questions were answered and that we were comfortable. Livia was wonderful during all of my pre op appointments and so patient with all of my questions. My procedure was smooth and the visits from Nicole and Allie in the hospital were so nice. All of my follow up appointments have been wonderful and everyone is just so friendly and sweet. I get excited to come see everyone. The office has been accommodating with my schedule because I live over 3 hours away. I only have my 6 week follow up and one more follow up after that, but I will be sad to not see them after that. Overall, Dr. Capraro and his whole team are the only ones I would recommend for any type of procedure of this nature. I have been a mom since 16 years old and felt like I’ve had my grandmothers body since then. So this mommy makeover was hugely important to me to feel good about myself after I’ve worked so hard to lose weight 3 kids later. I am beyond happy with my results and the whole entire process from consult to the very end.

Tionna Jones

Dr. Capraro, Nicole PA, and all the staff are wonderful, caring, knowledgable, warm people. Dr. Capraro has done surgeries for me over the past 15 yrs; Abdominoplasty, Breast Reduction, and 3 weeks ago a Brachioplasty. His precision, expertise, and genuine care for the very best outcome is amazing. I trust him fully and would recommend him and his team highly. Sincere thanks to the whole wonderful group for making the process so positive!

C Burke

I had a breast lift with implants and lipo, and the entire experience with Capraro Plastic Surgery & Regenerative Aesthetics has been amazing. The staff is incredibly professional, on top of every detail, and always quick to answer my questions — even after surgery. I’m just over two weeks post-op and already so happy with my results. Highly recommend!

Kerry Kraft

I highly recommend Capraro Plastic Surgery & Regenerative Aesthetics and Nicole Kenyon, PA-C, MHS, for anyone looking for an aesthetic injector. Nicole is truly an artist who understands facial anatomy deeply. She took the time to listen to my goals and delivered results that are refreshed and youthful without looking 'done.' The entire office environment is professional and welcoming. If you want natural-looking results from a true expert, go see Nicole!

Beth Lucas

why choose us?

Superior Quality Plastic Surgery Care

Our team pursues continuous training to stay current with evolving techniques, safety standards, and aesthetic advancements, ensuring every recommendation reflects thoughtful, modern judgment. Dr. Capraro remains personally involved from consultation through recovery, offering calm guidance, clear communication, and consistent, patient-centered care throughout treatment.

Take the First Step Toward Confident Results

Book a personalized consultation and receive clear, physician-led guidance focused on your goals, comfort, and long-term results, with thoughtful recommendations designed to feel natural, intentional, and never rushed.