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CO₂ and Laser Skin Resurfacing

Clearer, Smoother, Tighter Skin. Powered by the Right Laser for You.
Doctor-led laser treatments that address a wide range of skin concerns, from wrinkles and scars to pigmentation, texture, and laxity.

Patient wearing protective eyewear during a laser and energy-based skincare treatment at PI Aesthetics Med Spa in Mill Creek,
A personalized, unrushed skin consultation between a medical provider and a patient at PI Aesthetics Medical Spa in Mill Cree

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.

Book Appointment

BEFORE & AFTER

Every Result Has a Story

Before and after CO2 laser treatment results showing reduced facial wrinkles and skin resurfacing at PI Aesthetics Medical Spa in Mill Creek, WA.

Treatment type: Laser Treatment for Pigmentation

Patient Concern: Pigmented sun-spots and freckling had become increasingly noticeable over time. She loved being outdoors but had grown self-conscious about the unevenness in her complexion and wanted to address it without significant downtime.

Treatment Plan: We designed a personalized series of non-ablative laser treatments targeting the pigmentation responsible for her uneven tone. The series approach allowed us to achieve progressive, controlled improvement while keeping her recovery minimal.

Results: The results exceeded what she had hoped for. Her complexion is now significantly more even, with the dark spots and freckling that had bothered her for years essentially resolved.

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

PI Aesthetics Medical Spa in Mill Creek, WA.
Roun Lee
average rating is 5 out of 5

via Google

My first time going to Medspa of any sorts, and I had the best time. Everyone is so attentive and friendly, and was not intimidated at all. I got laser done on my face for my freckles and pigmentation, and my skin has never felt better. I highly recommend this place!

Overview

Most people who come to us for wrinkle relaxers are not looking for a dramatic transformation. They want to look like themselves, just without the fatigue and tension that has quietly accumulated over time. What they want most is to feel confident and look their best, in a way that leaves people noticing something is different but unable to quite put their finger on why.

That is exactly the outcome we design for. At PI Aesthetics, every treatment is planned around your specific anatomy, your facial movement, and what makes you look like you. Our aesthetic-trained doctors bring both clinical precision and artistic judgment to every consultation, because knowing where to treat is only half of the work. Knowing how much, and when to stop, is what separates a result you love from one you don’t.

Wrinkle relaxers can also address TMJ-related jaw tension, teeth grinding, and chronic jaw discomfort by calming the muscles responsible for those patterns. If that is part of your picture, it is worth bringing up during your consultation.

Our Patients, In Their Own Words

average rating is 5 out of 5

My first time going to Medspa of any sorts, and I had the best time. Everyone is so attentive and friendly, and was not intimidated at all. I got laser done on my face for my freckles and pigmentation, and my skin has never felt better. I highly recommend this place!

Jessica Klos
Roun Lee

Every Result Has a Story

image45.png

Treatment type: Wrinkle relaxers for Forehead, between the brows (11's) and Crows Feet


Patient Concerns: She was getting enough sleep but her face was not showing it. The tension in her upper face made her look more tired and serious than she actually felt, and her  expressions were not reflecting how she wanted to come across.


Treatment Plan: We designed a personalized plan to relax the upper face and around the eyes just enough to soften that tension while keeping her expressions natural.


Results: She loves her results. She looks and feels more rested. People close to her noticed something was different and told her she looked great, but could not quite put their finger on why. That is exactly the outcome we design for.

crows feet 2 w BA (1).png

Treatment: Wrinkle relaxers for crow's feet.


Patient Concern: The lines around her eyes had deepened over time to the
point where they were the first thing she noticed in the mirror, making her look more tired and older than she actually felt on the inside. What bothered her most was that the tension around her eyes had gradually changed their shape, softening an almond shape she had always loved and that felt like a defining part of her face.


Treatment Plan: We focused treatment precisely around the outer eye area,
softening the muscles responsible for those deeper lines and that inward tension. Bringing her outside into alignment with how she feels inside, and to restore something she had quietly missed.


Results: The lines softened, the tension released, and the shape of her eyes came back in a way that felt completely natural. She looked rested. She finally felt like her face and eyes was matching the person she knew herself to be.

image31.png

Treatment: Wrinkle relaxers for the forehead and between the eyebrows (11's)


Patient Concern: She had noticed gradual changes in her face over time, but it was hearing from people close to her that she looked tired or seemed to be aging quickly that finally brought her in. Her face was not reflecting how she actually felt.


Treatment Plan: We focused on the forehead and the area between the brows, where years of expression and tension had created lines that were reading as tiredness. We designed a plan to soften that tension precisely while preserving her natural expressiveness.


Results: The lines softened, the heaviness between her brows lifted, and her face came back into alignment with how she actually felt. The comments from people close to her shifted too. Instead of asking if she was tired, they told her she looked great. She left feeling like the outside had finally caught up with the inside.

What our doctors have to say about wrinkle relaxers

"Neuromodulators, also known as wrinkle relaxers, are one of my favorite treatments. The results require a higher degree of artistry than most people realize. There are plenty of standard approaches out there, but the best results come when your doctor has the experience and knowledge to adjust the treatment to your individual muscles and anatomy, creating something that is truly tailored to you. The difference it makes in appearance is remarkable, especially over time."

– Federico Fenton MD

"Wrinkle relaxers truly make a difference, and not just in how people look. When those lines soften and that tension releases, something shifts. Patients carry themselves differently, feel more at ease, and show up to their day with a quiet confidence they had been missing. My favorite moments are when patients come back and tell me that people close to them have been asking if they went on vacation or are getting more rest, or commenting that they look great but cannot quite put their finger on why. That is exactly what we are going for. It is our little secret."

– Thoa Fenton DNP

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.

Book Your Consultation

FAQs

  • Wrinkle relaxers, also known as neuromodulators, are injectable treatments that work by gently relaxing targeted facial muscles to soften fine lines and wrinkles while preserving your natural expression. At PI Aesthetics, we carry multiple brands to ensure we select the right product for your specific goals and anatomy.

  • For many first-time patients, the biggest hesitation is seeing frozen or expressionless results in others and worrying that the same could happen to them. At PI Aesthetics, natural-looking results are not just a goal, they are our standard. 

  • Results typically last between 3 and 4 months, though this varies depending on the areas treated, the product used, and individual factors such as muscle activity and metabolism. Around week 6 you will gradually begin to notice movement returning, with full baseline muscle activity resuming by the end of the cycle.

  • The most commonly treated areas are the forehead, the lines between the brows, and crow's feet. Wrinkle relaxers can also be used to treat jaw tension and teeth grinding by calming overactive chewing muscles, as well as other areas, depending on your goals. Your doctor will assess which areas are appropriate for you during your consultation

  • Cost depends on the areas treated and the amount of product required. Wrinkle relaxer treatments at PI Aesthetics typically start at $400 per session. During your consultation, we will assess the amount needed and provide you with an accurate price.

  • Like all medical treatments, neuromodulators carry known risks. We address these thoroughly during your consultation so you can make a fully informed decision. Our team is specifically trained to manage possible complications, and we approach every treatment with a high degree of clinical care and thoughtfulness.

  • In the days before your treatment, we recommend avoiding alcohol and, if medically able, NSAIDs such as ibuprofen and other medications that can increase bleeding.

  • There is no expected downtime. Some mild redness or tenderness at the injection sites is normal and typically resolves quickly. 

  • Results typically begin to appear within 3 to 5 days and continue to develop over the following two weeks, by which time the full effect can be appreciated. We schedule your follow-up appointment after that point to assess your results once they have fully settled.

Whats included

  • Comprehensive consultation with an aesthetic-trained doctor

  • Personalized treatment plan tailored to your anatomy and goals

  • Treatment on the same visit if appropriate

  • Follow-up appointment to assess results

Portrait of a smiling medical aesthetic provider at PI Aesthetics Medical Spa in Mill Creek, WA.

"CO₂ and Er:YAG 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

Portrait of a smiling medical aesthetic provider at PI Aesthetics Medical Spa in Mill Creek, WA.

What our doctors have to say about wrinkle relaxers

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.

Starting from

$815 (for Non-Ablative)  
$2,000 (for CO2)

Book Appointment

Comprehensive consultation with an aesthetic-trained doctor

Personalized treatment plan tailored to your anatomy and goals

​Treatment on the same visit if appropriate

Follow-up appointment to assess results

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.

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