Your Consultation Is Where It All Starts
Before any treatment is discussed, your doctor sits down with you. Not a coordinator, not a patient intake manager. Your doctor.
Your doctor will begin by taking the time to understand what brought you in and what you are hoping to achieve. From there they will perform a comprehensive facial assessment, evaluating your unique anatomy, facial profile, skin condition, and movement patterns. They will share their findings, walk you through what they are seeing, and make sure you leave with a clear understanding of your options. This is not a formality. It is the foundation of everything that follows, because a plan that is right for someone else may not be right for you. We do not rush this part.
From there we walk you through your options honestly, discuss what we believe is appropriate, and build a personalized plan around your goals. We only recommend what we genuinely believe in, and we hold ourselves to the same standard we would expect for our own family.
You will leave with clarity, a plan you feel confident in, and every question answered. Whether you proceed with a treatment that day or not, you will leave informed.
BEFORE & AFTER
Every Result Has a Story
Treatment type: CO₂ laser resurfacing for peri-oral wrinkles
Patient Concern: She had been bothered by deep lines around her mouth and skin laxity for years. She had tried topical creams and had previously undergone dermal filler treatments, but neither had delivered the improvement she was looking for. The lines were persistent, and people around her had commented on them, mistaking them for smoker’s lines despite her never having smoked. Those comments stayed with her.
Treatment Plan: After a thorough assessment, we recommended a single session of CO₂ laser resurfacing. The depth and nature of her lines made ablative laser the right tool for this specific concern, offering a level of collagen remodeling and skin resurfacing that no topical or injectable treatment could achieve at the same level.
Results: The improvement after a single session was remarkable. The lines around her mouth are almost completely resolved, and the comments she had grown accustomed to hearing stopped entirely. More importantly, she stopped thinking about them. She told us she feels more confident in herself and in her appearance in a way she had not expected to feel so quickly.
FAQs
Frequently asked questions
What is laser skin resurfacing?
Laser skin resurfacing is a medical treatment that uses laser energy to improve skin texture, tone, and appearance and to reduce wrinkles. The laser creates controlled injury to the skin, activating your body's own healing pathways and stimulating collagen production for a more youthful, rejuvenated result.
What skin concerns can it treat?
Laser skin resurfacing is effective for a range of concerns, including fine lines and wrinkles, acne scars, surgical scars, uneven skin tone and texture, sun damage, and overall skin rejuvenation. Your doctor will assess your skin and recommend the most appropriate laser treatment for your specific concerns and goals.
What is the difference between ablative and non-ablative laser treatments?
Ablative lasers, such as CO2 and Er:YAG, work by removing the upper layers of skin and also heating the deeper layers to stimulate collagen production. This delivers more dramatic results but requires more downtime. Non-ablative lasers heat the skin without removing the surface layer, leading to more gradual improvement with significantly less downtime. Your doctor will help you determine which approach is best suited to your goals and lifestyle.
How many sessions will I need?
This depends on the type of laser treatment and your specific skin concerns. A single ablative treatment can deliver significant results, while non-ablative treatments typically require a series of sessions to achieve the desired outcome. Your doctor will recommend a personalized plan during your consultation.
What is the cost?
Cost depends on the type of laser treatment, the areas being treated, and the number of sessions recommended. Treatments at PI Aesthetics start at $815 per session for non-ablative treatments and $2,000 per session for ablative treatments such as CO2. Your doctor will provide an accurate estimate during your consultation once your treatment plan is established.
What are the risks?
Like all medical treatments, laser skin resurfacing carries known risks. We address these thoroughly during your consultation so you can make a fully informed decision. .
What should I avoid before my treatment?
In the weeks before your treatment, we recommend avoiding sun exposure and tanning. Certain medications and skincare ingredients may also need to be paused prior to treatment. Your doctor will review your full medical history and skincare routine during your consultation and provide you with specific preparation instructions tailored to your treatment plan.
What should I expect after treatment and is there any downtime?
This depends significantly on the type of laser treatment. Non-ablative treatments typically involve redness and mild swelling that resolves within a few days. Ablative treatments such as CO2 involve significant downtime, with healing typically taking one to two weeks, during which the skin will be visibly recovering. Your doctor will give you a clear and honest picture of what to expect based on your specific treatment during your consultation.
When will I see my results?
Non-ablative treatments produce gradual improvement over several weeks to months. Ablative treatments show improvement sooner once the skin has healed, but the full outcome of both treatment types continues to develop over several months as collagen production progresses. Your doctor will set realistic expectations during your consultation based on your specific treatment plan.
Patient Testimonials
Our Patients, In Their Own Words
Arezo Murady
via Google
I can’t say enough good things about PI Aesthetic. After trying many places, I finally found a clinic that not only delivered professional treatments but also gave me the confidence to trust the process. I started with CO₂ laser and am now undergoing microneedling focused on deep acne scars — each step has been handled with expertise and care. The staff are genuinely friendly and welcoming; they took time to explain the expected outcomes, timeline, and aftercare so I knew exactly what to expect. Dr. Thoa is exceptional — attentive, skilled, and honest about results. What stood out most was their realistic, patient-first approach no overpromising, just clear guidance and steady support. I have no regrets about choosing PI Aesthetic for my skin journey and look forward to the continued improvements. If you want a clinic that combines technical skill, and transparent communication, this is it!
Zoe Tabobo
via Google
When I first met Dr.Thoa, she made sure I was welcomed and comfortable coming in for my appointments. She was 100% supportive and honest with what I was trying to achieve which was trying to remove my dog bite scar I got from a very early age. I have seen a difference from my before and after and my scar is more lifted, lighter and less noticeable. She doesn’t waste your time and wants you to leave feeling your very best. As someone who has struggled to love myself and feel more beautiful from an early age, I have grown more confident now as an adult. Dr. Thoa is certainly someone who cares deeply about her patients and is truly someone who is passionate about her work.
"CO₂ and lasers produce some of the most dramatic and rewarding results we achieve. Ablative laser resurfacing is the most effective non surgical option for treating diffuse wrinkles, stubborn pigmentation, and skin laxity, and in most cases a single treatment delivers results that other modalities simply cannot match. What I always tell my patients is that the provider matters as much as the technology. The level of precision required, knowing how aggressively to treat and exactly where, demands a deep understanding of laser physics, skin anatomy, and clinical judgment.”
- Federico Fenton, MD
Provider & Co-Founder
"Non-ablative laser treatments have a way of transforming skin that years of topical products simply cannot achieve. Watching decades of sun damage and uneven pigmentation fade over just a few treatments is genuinely exciting to me. The way the skin tone evens out and that dullness lifts, it is one of those results that consistently reminds me why I love this work. I especially love hearing how some of my patients end up throwing out their heavier coverage makeup because they simply do not need it anymore."
- Thoa Fenton, DNP
Medical Director, Provider & Co-Founder
What our doctors have to say about CO₂
and Laser Skin Resurfacing
Overview
Some skin concerns respond well to gradual treatment. Others have reached a point where a more powerful intervention is the right answer. Laser skin resurfacing sits in a category of its own because of what it can accomplish: meaningful reduction in wrinkles, significant improvement in skin tone and pigmentation, and a level of skin tightening that few other treatments can match. For the right patient with the right concern, it is one of the most transformative options in aesthetic medicine.
At PI Aesthetics we offer two distinct laser resurfacing approaches, each with its own clinical profile, recovery expectation, and range of results. Ablative laser resurfacing, including CO2 and Er:YAG, works by precisely removing the outer layers of skin while stimulating deep collagen remodeling, delivering superior improvements in wrinkles, scars, skin tone, and laxity. It requires a recovery period of one to two weeks, during which the skin is visibly healing, but for patients who are ready for that commitment the results are in a different league. Non-ablative laser resurfacing works beneath the skin surface without removing the outer layer, making it an excellent option for improving pigmentation, texture, and overall skin quality with significantly less downtime, typically one to two days of redness and mild swelling.
You do not need to arrive knowing which approach is right for you. That is exactly what your consultation is for. Your doctor will assess your skin, understand your goals and your lifestyle, and recommend the path that makes the most sense for you specifically. What matters is that both options are performed with the same standard of clinical care, the same commitment to honest expectations, and the same goal of delivering results that are genuinely worth it.
What Makes Us Different
Results Worth the Investment
Laser skin resurfacing produces real, visible improvements in skin quality that continue to develop over months as collagen production progresses. For the right patient and the right concern, it is one of the most effective skin treatments available.
Two Technologies, One Personalized Plan
We offer both ablative CO2 and non-ablative laser resurfacing. Your doctor will assess your skin, your goals, and your lifestyle to recommend the right approach for you.
Physician Guided, Expert Delivered
Your treatment parameters are established by our aesthetic-trained doctors, ensuring every session is grounded in clinical expertise and personalized to your skin.
Honesty Is Part of Our Care
Before any treatment is recommended, your doctor will give you a clear and honest picture of what to expect, including results, recovery, and the number of sessions needed. No surprises.