The Rise of Medical Spas: When Technology Met Beauty
The Surgical Era | Aesthetic Medicine’s Early Foundations
Why the Industry Is Looking Beyond Traditional Lasers
Episode 01: The CO₂ Laser Is Back Here’s Why
For years, CO₂ lasers have been considered too aggressive for everyday aesthetic use especially in regions like the GCC, where darker skin tones and heat-sensitive clients are common. Long recovery, peeling, pain, and pigmentation risk meant many clinics limited its use or avoided it entirely.

But the landscape has changed.
In the first episode of Beauty Beyond Limits, Helia Radnaseri, Laser Physicist Specialist & Beauty Therapist, joins Aramed to share how the DEKA Tetra PRO is rewriting the CO₂ story. With CoolPeel® and SmartStack® technology, this new generation platform gives practitioners:
- Full control over heat and ablation depth
- Real safety improvements across all phototypes
- Faster healing with visible results and minimal trauma
The Fear Factor: CO₂ Lasers and Downtime Myths
When most patients hear “CO₂ laser,” their first thought isn’t rejuvenation, it’s fear. Fear of pain. They have fear of weeks hidden at home and looking worse before better. That perception didn’t come from nowhere. Early-generation CO₂ lasers delivered impressive results, but they also carried:- Deep tissue damage
- High risk of post-inflammatory hyperpigmentation (PIH)
- Long, uncomfortable recovery periods
How CoolPeel Changes the CO₂ Equation
CoolPeel is not just a marketing term, it’s a clinically engineered mode that minimizes the residual heat (thermal diffusion) typically left behind after traditional CO₂ pulses. That residual heat is what causes extended redness, peeling, and pigmentation in darker skin tones. By controlling heat spread, CoolPeel allows:- Precise superficial ablation with reduced inflammation
- Visible textural improvements with shorter healing time
- Treatment safety across phototypes I–VI, when used with appropriate settings
At 01:45, Helia says:
“We can control the ablation… same effect, less downtime, less PIH.” That single shift better control means providers can now offer resurfacing treatments to patients who were previously excluded from CO₂ protocols.What Makes Tetra PRO Different?
A CO₂ laser is only as safe as the control you have over it. That’s where Tetra PRO begins to stand apart not just because it’s powerful, but because it lets practitioners adjust every critical parameter based on the patient’s skin type, concern, and treatment area. Most traditional CO₂ systems offer limited flexibility: one preset, one pulse shape, one depth. That leads to two problems:- Overtreatment where the skin receives more thermal injury than needed
- Limited customization making it hard to treat smaller zones like periorbital or darker skin types
What the Tetra PRO System Gives You Control Over:
- Pulse Duration: How long the skin receives energy, affecting depth and heat
- Power & Density: Adjusted per zone to ensure uniformity and safety
- Ablation vs Coagulation Balance: Fine-tuned for delicate zones like eyelids or lips
- Spot Size & Stacking: From large areas to precision points, even on curved surfaces
Hammer, Not Wrecking Ball: The SmartStack Advantage
One of the biggest fears in CO₂ laser treatments has always been going too deep or creating unnecessary trauma. That’s where SmartStack changes everything. Instead of hitting the skin with a single, high-powered pulse like a wrecking ball, SmartStack delivers a series of smaller, layered pulses at the same treatment point. This is where the “hammer” analogy comes in. “Think of hammering a nail gently, not smashing the wall.” — Helia Radnaseri Each pulse in the stack creates a controlled column of thermal energy, allowing the laser to reach the dermis where collagen is formed, but without damaging the epidermis on the surface.What SmartStack Means Clinically:
- Epidermis stays mostly intact = faster recovery, reduced risk of PIH
- Thermal energy reaches deeper collagen layers = longer-lasting results
- Treatment is better tolerated = no numbing in many cases
- Stronger collagen stimulation
- Firmer, tighter skin over time
- Fewer side effects, especially in sensitive or melanin-rich skin types
Results Patients Can Feel and See
With the Tetra PRO CO₂ laser, visible change isn’t just about what happens right after the session, it’s about how skin improves over time. Many patients expect dramatic results in a few days. But with non-overheating CO₂ technology like CoolPeel and SmartStack, the true transformation unfolds gradually and biologically. “Two months after is better than one… collagen keeps building.” — Helia Radnaseri This is because the laser initiates a controlled healing response in the dermis. That response triggers fibroblasts to produce new collagen and elastin, the proteins responsible for firmness, bounce, and skin thickness.Timeline of Results with Tetra PRO:
- Day 1–3: Mild redness, makeup-safe by Day 3 in most cases
- Day 4–10: Light peeling or flaking, varies by skin type and protocol depth
- Week 2–4: Skin looks clearer, smoother; texture starts improving
- Week 4–8: Collagen synthesis peaks, firmness and glow increase
- Week 8+: Full results visible; some continue improving for 12+ weeks
Myths, Hesitations, and Home Care
Even with today’s advanced CO₂ systems, many patients still walk into the clinic with anxiety. They’ve seen online horror stories. They’ve heard about burning, scabbing, and weeks off work. But with Tetra PRO, that narrative is shifting, and patients are often surprised by how manageable it actually is. “Patients say ‘never again’ then ask, ‘what’s next?’” — Helia Radnaseri That’s because when the treatment is done correctly and post-care is followed properly, the experience is not only tolerable but also empowering. Patients feel in control of their outcomes.Home Care = 40–50% of the Result
Even the best laser can’t deliver optimal results if post-treatment habits undo the benefits. Helia emphasizes this in the episode, and it’s a message worth repeating to every patient.Key aftercare principles:
- Hydration is critical inside and out (drink water + use barrier creams)
- Strict SPF application even indoors, especially during the first month
- No UV exposure or heat saunas, tanning, and direct sun must be avoided for 4–8 weeks
- Hands off healing skin avoids exfoliating, picking, or peeling manually
Protocols That Go Beyond the Face (23:58)
While most clinics think of CO₂ lasers as “facial only,” Helia Radnaseri shares how she expanded Tetra PRO’s use far beyond the traditional zones, creating protocols that rejuvenate the entire body, not just the face. This is where Tetra PRO’s customizable depth, pulse control, and spot size become game-changers. Whether it’s delicate tissue like the lips or more resilient areas like the abdomen, the system adapts, and the results speak for themselves. Here are some of the off-face protocols Helia uses regularly:Lip Rejuvenation
“Plumpy, hydrated lips no filler.” Using ultra-low settings and shallow ablation, Helia treats lip tissue to improve vertical lines, dryness, and dull color. The outcome is subtle volume and smoother texture without injectables.Intraoral Tightening (360° Rejuvenation)
“No pain, no numbing needed.” By treating from inside the mouth, she targets the nasolabial fold and midface from a new angle. It’s an advanced approach for lifting and tightening that avoids any surface injury, making it ideal for those who want results without social downtime.Non-Invasive Blepharoplasty
The periorbital area (upper and lower eyelids) responds well to precision-mode CO₂. With proper stacking and ablation depth, Tetra PRO stimulates tightening and skin smoothing, no incisions needed.Intimate Rejuvenation
“The second face of a lady.” One of the fastest-growing requests in aesthetic clinics, intimate laser treatments are now being approached with discreet protocols. Tetra PRO allows for external and internal rejuvenation, improving skin tone, firmness, and sensitivity. These expanded protocols make Tetra PRO not just a facial tool, but a whole-body skin regeneration platform ideal for clinics looking to diversify services without expanding their device lineup.Frequently Asked Questions (FAQs)
What is CoolPeel and how does it reduce downtime?
CoolPeel is a setting on Tetra PRO that delivers superficial ablation with minimal thermal damage, meaning the skin heals faster, with less redness and peeling.
Is Tetra PRO safe for dark skin tones (Fitzpatrick IV–VI)?
Yes. Thanks to adjustable pulse control, lower heat settings, and SmartStack, Tetra PRO is safe for diverse skin types when protocols are followed correctly.
What is SmartStack and why does it matter?
SmartStack delivers multiple micro-pulses at the same spot spaced apart to let the skin cool reducing injury while reaching collagen-producing layers.
What areas can Tetra PRO treat beside the face?
Tetra PRO protocols include the lips, eyelids, neck, chest, axilla, abdomen, and intimate zones. Settings can be adjusted per zone for safe, and targeted results.
What’s the real downtime like?
Most patients resume normal life within 2–3 days. Peeling may continue for 5–10 days, but discomfort is minimal, and makeup is often safe by Day 3.
How long do results last?
Collagen production continues for weeks post-treatment. Most patients see peak results around 8–12 weeks, with improvement continuing for up to 6 months.
What’s the patient experience like?
The treatment is generally painless, with many protocols done without numbing. Anxiety quickly shifts to satisfaction as healing begins.
Can LED therapy replace laser skin treatments?
LED and photo biomodulation are excellent for maintenance, post-laser recovery, and light rejuvenation, though not a full replacement for high-intensity protocols. They’re best used as adjunctive therapies.
Will lasers become obsolete in aesthetic medicine?
Not obsolete but part of a broader toolkit. Lasers will remain useful for specific indications, but non-ablative, regenerative systems are becoming the standard for long-term care.
How do I transition my clinic to next-gen skin rejuvenation?
Partner with distributors like Aramed who offer devices, training, compliance, and marketing support ensuring a safe, scalable shift into the regenerative era.