LA&HA - Journal of the Laser and Health Academy
Volume: 2025 | number: 1
ISSN (web): 1855-9921
SuperSMOOTH™: a Novel Hybrid Er:YAG Laser Modality for Fast, Effective, and Minimally Invasive Skin Rejuvenation – a Clinical Case Series
Tea Osterc Diwersy, Nensi Murovec Mišigoj, Irena Hreljac, Matjaž Lukač
Pages: onlineFirst
ABSTRACT
The SuperSMOOTH™ modality marks a significant advancement in laser technology, made possible by Fotona’s proprietary innovations in laser power supply technology. This cutting-edge novel hybrid approach integrates two well-known Er:YAG laser modalities from the multimodal Fotona4D® rejuvenation protocol into a single, streamlined treatment step, making the treatment faster, more effective and more comfortable. This clinical case series study introduces and evaluates the SuperSMOOTH™ treatment modality, which combines non-ablative thermal effects of Fotona SMOOTH® pulses with the superficial ablative peel of SupErficial™ micro short pulses in a single-step treatment. This dual-mode laser protocol for skin rejuvenation aims to enhance facial skin tightening, stimulate new collagen synthesis, and improve overall skin structure and function.
A prospective clinical case series was conducted on ten participants (Fitzpatrick skin types I–III) presenting mild to moderate signs of aging. Each participant underwent one or two SuperSMOOTH™ treatment sessions using either high or low pre-set parameters. Aesthetic outcomes were assessed using the Global Aesthetic Improvement Scale (GAIS), measurement of satisfaction with the treatment results, and responses to whether they would recommend the treatment to others.
Results showed improvement across all participants, with the highest mean GAIS scores observed for skin texture, softness and overall skin appearance (2). 9 out of 10 participants were “satisfied” or “very satisfied” with the treatment results, 1 felt “neutral”, and all would recommend the treatment to others. No adverse events beyond expected erythema and mild peeling were reported. The laser therapy procedure was well tolerated without the use of anesthetics, with minimal downtime.
The SuperSMOOTH™ modality demonstrates a promising, safe, and effective approach to minimally invasive skin rejuvenation. By combining the benefits of both non-ablative and ablative Er:YAG laser technologies, it offers an efficient minimal-downtime solution for improving skin quality with a rejuvenation effect. Further studies with larger, more diverse populations and extended follow-ups are recommended to validate these findings and explore long-term outcomes.
Key words: SuperSMOOTH™, Er:YAG, controlled thermal remodeling, superficial peel, skin rejuvenation.