Dr Isolde Hertess discusses CoolPeel and DOT therapy with suitable patients on the Gold Coast after an assessment of your skin type, your medical history, and what can be done safely. The plan also includes a clear discussion about expected redness and healing time, as well as risks such as pigment change and scarring.
What Are CoolPeel And DOT Therapy?
CoolPeel and DOT therapy are both CO₂ laser treatments that use a “fractional” method. This means the laser treats the skin in lots of tiny dots, leaving small areas of untreated skin between them. Those untreated areas help the skin heal, but you still need to follow aftercare closely.
The main difference is the treatment depth and how much heat is used. CoolPeel works closer to the surface of your skin, while DOT therapy treats further into the skin. Because the depth and settings are different, recovery can also differ, including how long redness, peeling, and sensitivity last. The option recommended for you depends on your skin type, what you want to address, and how much recovery time you can allow.
What Concerns Can Be Addressed With These Treatments?
CoolPeel and DOT therapy may address concerns such as:
- Changes in skin texture
- Fine lines
- Acne scarring or other scarring, depending on scar type
- Sun-related skin changes
- Enlarged pores
It is also important to understand what laser resurfacing may not change. Pigmentation, redness from visible vessels, and changes related to facial structure or loss of volume may need other options. In some cases, more than one treatment type is used over time.
More than 30 years of experience, Female support Dr Isolde Hertess – Plastic Surgeon
Offering a female perspective, with more than 30 years of experience in plastic and reconstructive surgery. Dr. Hertess is dedicated to providing patients with information, support, and guidance to help them make informed decisions about their surgical options.
Who May Be Suitable?
Suitability depends on your skin type, pigment risk, your healing history, and your general health. These treatments may be considered when:
- Your skin has been assessed for pigment change risk
- You can allow time for redness, peeling, and recovery
- You do not have an active infection in the treatment area
- You can follow aftercare closely, including strict sun avoidance
Some factors can increase risk and may change the plan, or make CO₂ resurfacing unsuitable. These can include recent tanning, a history of pigment change after inflammation, certain medications, and a history of poor wound healing. If you have a history of cold sores, this also needs to be discussed because resurfacing can trigger a flare in some patients.
Planning CoolPeel And DOT Therapy With Dr Isolde Hertess
The treatment plan is chosen based on the concern being treated, your skin type, and how much recovery time you can allow. At the Gold Coast clinic, Dr Isolde Hertess will assess your skin and explain which option is more suitable for you and why.
Key points that are usually discussed include:
Skin Type And Pigment Risk
Your skin type can affect the risk of darkening or lightening after CO₂ laser resurfacing. This is why settings and treatment depth are chosen carefully, and why sun protection and aftercare are important. Your history of pigmentation changes after irritation or past treatments is also taken into account.
Treatment Depth And Downtime
How deep the treatment is will affect what recovery looks like. Deeper resurfacing can involve more swelling, more peeling, and redness that lasts longer, while a lighter treatment usually settles sooner. If you want a lighter approach, more than one session may be considered over time rather than a single deeper treatment.
Treatment Area
The face is often treated, either as a full face or selected zones. Around the mouth and around the eyes may be discussed in selected cases. The neck and chest can be more reactive in some patients, so settings and recovery planning need extra care if those areas are included.
What Happens During The Treatment?
These treatments are usually performed with numbing cream, and the type of numbing used depends on the depth and coverage being treated. During treatment, you may feel heat and a sharp, brief sensation in some areas. Comfort varies between patients and between treatment plans.
After treatment, the skin commonly looks red and feels warm. With deeper treatment, oozing and crusting can occur in the early days, and careful wound care is needed. You will be given clear aftercare instructions to follow.
Recovery And Aftercare
Recovery depends on the treatment depth, how much skin is treated, and how your skin responds during healing. The recovery pattern can vary even with the same treatment settings. In the first few days, it is common to see redness and swelling, and you may also notice dryness, crusting or peeling as the surface heals.
Aftercare usually includes gentle cleansing and using the products you have been advised to use, while avoiding picking, rubbing, or friction on the treated skin. Sun protection is important during healing because your skin can be more prone to pigment change after treatment. During your consultation on the Gold Coast, Dr Hertess will explain what to do during recovery and when to contact the clinic if you have concerns.
CoolPeel And DOT Therapy Risks
All procedures carry risks. CO₂ laser resurfacing involves controlled injury to the skin, so the risk needs to be taken seriously, especially for deeper treatment or for patients with higher pigment risk.
General risks may include:
- Pain or discomfort during recovery
- Prolonged redness that lasts longer than expected
- Swelling
- Infection
- Delayed healing
- Scarring
- Skin sensitivity or irritation that lasts longer than expected
CO₂ laser-specific risks may include:
- Pigment change (darkening or lightening)
- Cold sore flare in patients with a history of herpes simplex
- Persistent redness
- Texture change during healing
- Visible line between treated and untreated skin
- Need for further treatment in the future
Your individual risk profile depends on your skin type, treatment depth, medical history, and aftercare. These risks should be discussed in detail before you decide to proceed.