

Consultation & skin assessment
We evaluate your concerns and your skin type to set safe, effective parameters (and decide CoolPeel® vs. deeper resurfacing).
Cleanse & numb
The area is cleansed and topical numbing is applied for comfort.
Laser pass
The Tetra PRO is passed across the treatment area at the depth chosen for your goals.
ProNox™ available
Patient-controlled comfort option for deeper treatments.
Cool & soothe
Calming post-treatment care applied before you leave.
Aftercare plan
We send you home with a clear recovery and sun-protection routine.
CoolPeel® is a light, superficial CO2 treatment delivered by the Tetra PRO that refreshes tone and texture with minimal downtime. Traditional, deeper CO2 resurfacing reaches further into the skin for more dramatic correction but requires more recovery. The same device does both — we tailor the depth to your goals.
It depends on depth. A CoolPeel® usually means a day or two of mild redness; deeper resurfacing involves several days of redness and peeling. We’ll tell you exactly what to expect for your chosen treatment at consultation.
We apply topical numbing beforehand, and ProNox™ is available for deeper treatments. Most patients describe a warm, prickling sensation that’s very manageable.
It requires extra care. Deeper CO2 carries a higher risk of pigment change in medium-to-deep skin tones, so we assess your skin carefully and often recommend a conservative CoolPeel® approach or an alternative treatment. Your provider will guide the safest option for your skin at consultation.
Skin typically looks fresher within a couple of weeks, with continued improvement over one to three months as collagen rebuilds.
Avoid sun exposure and certain active skincare before treatment, and follow a gentle recovery routine with strict SPF afterward. We provide a complete pre- and post-care plan.
At Aviva Medical Spa in Miami’s Design District, CO2 resurfacing is performed by providers who treat depth as a decision, not a default. We match the Tetra PRO’s settings to your skin type, your concerns, and how much downtime you can spare and we’ll recommend a gentler path or a different treatment when that’s the smarter call. Precision over aggression, always.
Your Glow Starts Here


Your Glow Starts Here