Erbium Laser Resurfacing — Fractional, Fully Ablative & TRL

Erbium laser resurfacing remains the gold standard in advanced skin rejuvenation — especially for patients who need precision, power, and customizable depth control. Whether you need a light refresh, deep wrinkle correction, scar remodeling, or full-field resurfacing, Matthew Onassis, DNP uses both fractional ProFractional™ erbium and fully ablative Erbium TRL (Tunable Resurfacing Laser) to create transformative results.

At Onassis Skin Health, erbium can be a standalone resurfacing treatment or part of a combination therapy protocol with Tribrid™, BBL, microneedling, or injectables — depending on each patient’s goals.

What Is Erbium Laser Resurfacing?

Erbium:YAG lasers target water in the skin with extreme precision, making them ideal for controlled resurfacing. Unlike CO₂, erbium results in:

• Cleaner ablation
• Less thermal damage
• More controlled depth targeting
• Faster healing

Erbium resurfacing is perfect for smoothing texture, refining pores, lifting pigment, softening wrinkles, and improving scars.

Two Powerful Options: Fractional & Fully Ablative Erbium

1. Fractional Erbium (ProFractional™)

ProFractional creates microscopic channels in the skin, leaving surrounding tissue intact to promote rapid healing. This option provides:

• Collagen + elastin stimulation
• Significant scar remodeling
• Texture refinement
• Pore tightening
• Reduced lines and pigmentation

Fractional erbium is ideal for patients who want powerful results with moderate downtime and highly customizable density + depth settings.

2. Fully Ablative Erbium (TRL — Tunable Resurfacing Laser)

TRL (Tunable Resurfacing Laser) allows Matthew to precisely vaporize the skin’s surface at depths ranging from light resurfacing to full-field deep ablation. This is the technology used worldwide for:

• Deep wrinkles
• Severe photodamage
• Perioral and periocular etched lines
• Skin tightening through collagen contraction
• Pigment removal

TRL is incredibly powerful and can deliver dramatic results in one treatment.

What Erbium Laser Resurfacing Can Treat

Both fractional and ablative erbium options can be tailored to address a wide range of conditions:

• Acne scars (ice pick, boxcar, rolling)
• Irregular texture
• Enlarged pores
• Pigmentation (sun spots, discoloration)
• Fine lines + deep wrinkles
• Crepiness around eyes and mouth
• Skin laxity
• Photoaging and sun damage

Erbium is one of the most versatile and effective resurfacing tools in modern aesthetics.

How Matthew Customizes Your Erbium Treatment

No two erbium treatments at Onassis Skin Health are ever the same. Using the Sciton platform, Matthew tailors:

• Depth (microns of ablation)
• Density (percentage of fractional coverage)
• Energy stacking for scars + deep lines
• Field blending for smooth transitions
• Combination modalities (BBL, Tribrid™, fillers, microneedling)
• Full-field or fractional patterns

This degree of control allows Matthew to treat delicate areas (eyes, mouth) with precision while selecting deeper settings for areas that need significant correction.

Erbium as a Standalone or Add-On Treatment

Depending on the concern and desired results, erbium can be used:

• Alone for resurfacing + rejuvenation
• With Tribrid™ for multi-depth correction
• With BBL™ for pigment and redness correction
• With Sculptra® or fillers for structural support
• With microneedling RF for deeper tightening

This adaptability is what makes erbium one of the most powerful tools in Matthew’s global technology library.

What to Expect During Your Appointment

Your erbium session includes:

• Topical numbing and/or nerve blocks for comfort
• Customized erbium passes based on depth + density
• Targeted treatment around eyes, mouth, or scars
• Post-laser cooling and repair
• Onassis-exclusive healing protocol

Downtime varies:

• Fractional erbium: 3–6 days
• Fully ablative TRL: 7–12 days

Redness may persist for several weeks depending on settings.

Results & Timeline

Initial improvement: visible within 7–10 days.
Texture + pore refinement: 3–6 weeks.
Collagen remodeling: continues for 4–6 months.
Deep resurfacing: often one treatment is transformative.

Fractional erbium may require 1–3 sessions; Ablative TRL is typically a one-time procedure for deep wrinkles and severe texture issues.

Who Is a Candidate?

✔ Ideal Candidates

• Those seeking significant skin smoothing
• Patients with deep wrinkles or etched lines
• Individuals with acne scars
• Patients with sun damage + pigmentation
• Anyone wanting more dramatic results than Halo or Moxi

⚠ Not Recommended For

• Pregnant or breastfeeding patients
• Patients with very recent tan or sunburn
• Active infections or open wounds

Why Patients Choose Matthew Onassis, DNP

Matthew is internationally recognized for his expertise in **laser engineering, advanced resurfacing, and aesthetic technology integration**. His approach is grounded in:

• Global training across Korea, Europe, and the Middle East
• Precision settings tailored per patient, per area
• Safety-first protocols for optimal healing
• A luxury experience with evidence-based results

Whether performing a light fractional polish or a full-field ablative resurfacing, Matthew blends science, artistry, and technical mastery to deliver skin that looks natural, smooth, and rejuvenated.