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Coolaser® Skin Resurfacing
Traditional CO2 resurfacing forced patients into an impossible trade: dramatic results in exchange for two or three weeks of raw, peeling recovery. Coolaser® was engineered to eliminate that compromise. By cooling the skin surface while precise light pulses reach the layers beneath, Dr. Simon Ourian's proprietary system delivers the depth of ablative resurfacing with recovery measured in days. It is the reason patients fly to Beverly Hills for a treatment they cannot get anywhere else.
The Laser Dr. Ourian Built
Coolaser® exists because the technology Dr. Ourian wanted did not. Conventional ablative lasers produced genuine transformation, but at a cost in downtime, discomfort, and risk that many patients simply could not accept. Non-ablative systems were gentler and safer, but rarely produced the depth of change patients were actually seeking. Neither category solved the problem. So he built one that did.
The system pairs a specialized cooling mechanism with a dual-mode fractionated CO2 platform, protecting the epidermis while energy reaches the deeper dermal layers where collagen is built. Damaged surface cells are cleared away and the regenerative cascade is triggered simultaneously. What patients experience is the level of renewal associated with aggressive resurfacing, with recovery typically running two to five days rather than the two to three weeks that traditional CO2 treatment demands.
Coolaser® is available exclusively at Epione Beverly Hills, and the reputation it has built comes from repeat outcomes rather than marketing. Patients who have tried resurfacing elsewhere consistently report that this is the first treatment that delivered what they were promised. When a technology is trusted by some of the most visible and image-conscious people in the world, that trust is grounded in results that hold up under scrutiny.
How Coolaser Works
The procedure begins with cooling. A specialized device brings the treatment area down in temperature before any energy is delivered, which protects the skin surface and makes the experience markedly more comfortable than patients expect. A series of precisely calibrated light pulses is then passed across the skin, reaching both the surface and the deeper dermal layers in the same pass.
Those pulses accomplish two things at once. Damaged, pigmented, and irregular outer tissue is cleared away, allowing fresh skin to surface in its place. Simultaneously, controlled energy delivered to the dermis triggers the body's natural repair response, prompting new collagen and elastin to form over the weeks that follow. This is why Coolaser® results continue improving well after the initial peeling and redness have resolved.
Depth, wavelength, and intensity are adjusted for every individual patient. Dr. Ourian evaluates skin tone, thickness, the nature of the damage present, and how much recovery time the patient can realistically accommodate before setting the parameters. A patient treating light sun damage before an event and a patient treating deep acne pitting are receiving the same technology configured in fundamentally different ways.
What Can Be Treated and Who It Suits
Coolaser® addresses the concerns that make skin look tired, weathered, or older than it should. Fine lines and wrinkles, accumulated sun damage, uneven pigmentation, enlarged pores, rough or irregular texture, dullness, and acne scarring all respond to laser resurfacing. The treatment is also effective around delicate areas such as the eyes, where many resurfacing systems cannot safely be used at all.
One of the most significant advantages is tone versatility. Older laser platforms carried real risk of pigmentary complications for patients with deeper skin tones, and many people were told outright that resurfacing was not an option for them. Coolaser® may be used safely on most skin tones, and specific wavelength and setting choices allow the experts at Epione to target damaged tissue while protecting the surrounding skin.
Ideal candidates are adults in good general health who are bothered by the quality of their skin rather than the shape of their face, though many patients pursue both concurrently. Patients who are pregnant or breastfeeding are not candidates, and anyone with active skin infection or certain photosensitizing conditions should discuss this at consultation. Every plan begins with a personal assessment by Dr. Ourian before any parameters are set.
Coolaser for Acne Scarring
Deep acne pitting is among the most stubborn concerns in aesthetic medicine, and it is where Coolaser® has built much of its reputation. Traditional CO2 lasers can reach the depth required, but the thermal spread involved often means substantial downtime and real risk for patients with medium to deep skin tones. Coolaser®'s cooling mechanism and specialized wavelength allow damaged tissue to be targeted with far less collateral heat, which changes both the safety profile and the recovery experience.
Dr. Ourian frequently pairs Coolaser® with Neustem™ when treating scarring, and the combination is deliberate. Coolaser® resurfaces and remodels from the surface down, softening the sharp edges of scars so they catch light less harshly. Neustem™ rebuilds volume and stimulates collagen from beneath, lifting depressions that resurfacing alone cannot reach. Together the two technologies address the full anatomy of a scar rather than one dimension of it.
Patients who arrive at Epione with scarring have usually tried a great deal already: peels, microneedling, over the counter regimens, and often laser treatment elsewhere. The difference here is not enthusiasm but calibration. Knowing precisely how deep to go, where to stop, and how to sequence sessions across a course of treatment is what separates a meaningful outcome from an expensive disappointment.
What to Expect During and After Treatment
Most Coolaser® appointments run between thirty minutes and an hour depending on the size of the area treated. Topical anesthetic is applied in advance and the integrated cooling makes the treatment itself considerably more tolerable than the reputation of laser resurfacing suggests. Most patients compare the sensation to warmth with brief snapping, followed by a feeling similar to sunburn once the session ends.
Recovery is typically two to five days for standard protocols, with most patients comfortable returning to work within three to five days. Redness, mild swelling, tightness, and flaking as the treated skin sheds are all expected and are the visible evidence that the treatment worked. Deeper protocols require proportionally more recovery. Dr. Ourian will tell you clearly which category your plan falls into so that you can schedule around it rather than be surprised by it.
Aftercare is specific and worth following closely. Epione provides a post-treatment ointment to support healing and reduce redness, and patients are advised to avoid sun exposure, harsh actives, picking or scratching the treated skin, and smoking during the healing window. Diligent sun protection afterward is what preserves the result, because newly resurfaced skin is both the best and the most vulnerable skin you will have.
"Dr. Simon Ourian is recognized as one of the world’s leading cosmetic dermatology doctors, known for his precise, natural approach to aesthetic medicine.
His work is defined by restraint, balance and unwavering commitment to safety, delivering results that enhance without appearing treated."
The Californian
Benefits of Coolaser Resurfacing
Coolaser® delivers the depth of ablative resurfacing with a fraction of the downtime, clearing damaged tissue while stimulating new collagen beneath. Benefits include:
Results that speak for themselves
We perform every treatment with precision and care to achieve the results you want. Achieve stunning results through proven treatments matched to your unique beauty.
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Begin Your Consultation at Epione Beverly Hills
Searching for laser skin resurfacing in Los Angeles returns an overwhelming number of options, and almost none of them are offering this. Coolaser® is proprietary to Epione Beverly Hills, developed by the physician who performs it, and refined across decades of treating patients with every skin tone and every category of damage. That combination is not something a clinic can purchase.
A consultation with Dr. Ourian is the right starting point whether you are considering resurfacing for the first time or arriving after a treatment elsewhere that did not deliver. Your skin is assessed in person, your goals and your schedule are both taken into account, and a plan is built around what will actually work for you, with no obligation to proceed.
Patients frequently describe the moment the treated skin finishes shedding as the first time in years that they have looked in the mirror and seen clarity rather than accumulation. Booking a consultation is the single step that begins that process, and the team at Epione Beverly Hills is ready to welcome you.
Frequently asked questions
How is Coolaser different from a regular CO2 laser?
The cooling is the difference. Coolaser® chills the treatment area before delivering light pulses, which protects the epidermis and limits the thermal spread that makes traditional CO2 resurfacing so punishing. The practical outcome is comparable depth of correction with recovery of roughly two to five days instead of two to three weeks, and a considerably safer profile for patients with deeper skin tones.
How much downtime should I actually plan for?
For most standard protocols, two to five days, with the majority of patients returning to work within three to five days. Expect redness, some swelling, tightness, and flaking as the treated skin sheds. Deeper treatments require more time. If you have a specific event, tell Dr. Ourian at consultation and the protocol can be planned backward from that date, ideally allowing a seven-day window so the new skin has peaked.
Is Coolaser safe for darker skin tones?
Yes, and this is one of the reasons it was developed. Many patients with medium to deep skin tones have been told that laser resurfacing carries too much risk of hyperpigmentation for them. Coolaser® may be used on most skin tones, and the experts at Epione select specific wavelengths and settings based on your individual skin profile to target damaged tissue while protecting surrounding pigment.
Does it hurt?
Topical anesthetic is applied beforehand and the cooling mechanism does a great deal of work during the session itself. Most patients describe warmth with brief snapping sensations. Afterward the skin feels like a sunburn, which is manageable with over the counter pain relief and the healing ointment provided. Avoid aspirin and aspirin-like medications around the treatment window.
How many treatments will I need?
It depends entirely on what you are treating. Patients addressing dullness, mild sun damage, or early fine lines often achieve their goal in one session. Deep acne pitting, significant photodamage, or extensive pigmentation typically require a series spaced several weeks apart to allow full remodeling between sessions. Dr. Ourian gives an honest number at consultation rather than an optimistic one.
When will I see results?
The first change appears as soon as the treated skin finishes shedding, usually within the first week, revealing brighter and smoother skin underneath. The deeper improvement takes longer, because collagen remodeling continues for weeks to months after the appointment. Firmness and texture generally look better at three months than at three weeks.
Can Coolaser be combined with injectables?
It routinely is. Coolaser® addresses the quality of the skin while injectables address the structure beneath it, and treating both produces a far more complete result than either alone. Dr. Ourian combines Coolaser® with Neustem™ in his non-surgical facelift and Invisible Facelift protocols, and regularly sequences the two within a single treatment plan.
How is Epione Beverly Hills different from other laser providers in Los Angeles?
Most clinics purchase a laser platform and follow the manufacturer's settings. Dr. Simon Ourian designed his. The difference shows in the decisions that a protocol sheet cannot make for you: how deep to go on this specific skin, where to ease off, how to sequence sessions, and when a different approach would serve the patient better. That judgment, applied to proprietary technology, is what patients travel across the world to access.
