Laser Skin Resurfacing

Dr. Rodriguez-Feliz offers advanced laser skin treatments using the DEKA SmartXide CO2 fractional laser for skin resurfacing, texture improvement, and scar reduction, and the Vbeam pulsed dye laser for vascular lesion treatment, rosacea, and pigmentation. Both lasers are physician-operated in the Coral Gables facility, and treatments are planned in the context of the practice's broader approach to comprehensive facial rejuvenation — often deployed as adjuncts to surgical procedures or as standalone skin quality treatments.

Laser treatments at Dr. Jose Rodriguez-Feliz's Coral Gables, Miami practice centre on two complementary platforms that address different aspects of skin quality and surface appearance: the DEKA SmartXide CO2 fractional laser for resurfacing and textural improvement, and the Vbeam pulsed dye laser for vascular and pigmentation concerns. The DEKA SmartXide CO2 system delivers fractional carbon dioxide laser energy in a pattern of microscopic treatment columns across the skin surface, creating zones of controlled thermal injury separated by bridges of intact untreated tissue. This fractional approach triggers an intensive wound healing response — including collagen remodelling, new collagen synthesis, and skin tightening — while the preserved tissue bridges between treatment columns accelerate re-epithelialization and limit downtime compared to fully ablative CO2 resurfacing. The clinical result is meaningful improvement in skin texture, fine lines, pore size, acne scarring, surgical scars, and sun damage over a recovery period of approximately five to ten days of social downtime depending on the treatment density and depth chosen. The DEKA SmartXide platform's DOT (Dermal Optical Thermolysis) technology allows precise control of energy delivery, pulse duration, and spacing, giving Dr. Rodriguez-Feliz the ability to customise the treatment from a light refresh to a deep resurfacing pass depending on the patient's skin condition, downtime tolerance, and aesthetic goals. In the surgical context, CO2 laser resurfacing of the lower eyelid and periorbital skin is a recognised complement to blepharoplasty or can be performed as a standalone treatment for periorbital skin quality improvement, capitalising on the skin tightening effect of the laser alongside removal of superficial dyschromia. The Vbeam pulsed dye laser targets oxyhaemoglobin, making it the standard of care for vascular skin concerns including facial telangiectasias (broken capillaries), rosacea, diffuse facial redness, port wine stains, and hypertrophic or red scars. The 595nm wavelength is selectively absorbed by haemoglobin in blood vessels while sparing the surrounding tissue, leading to vascular coagulation and fading of visible redness without skin damage. At Dr. Rodriguez-Feliz's Coral Gables practice, both laser platforms are operated by the surgeon in a controlled clinical setting, and treatment plans are tailored to each patient's skin type, Fitzpatrick classification, and treatment indication. Laser treatments are available as standalone appointments or as planned components of a comprehensive surgical and non-surgical facial rejuvenation program.