UltraPulse fractional CO2 laser by Lumenis is a laser resurfacing technology with customized single treatments for each patient, that can be used to treat fine lines, texture, discoloration , as well as treat deep wrinkles and scars. The fractional procedure ablates discrete columns of tissue, deposits heat and promotes regeneration throughout the underlying layers of skin. The heat that is produced results in new collagen formation with a single treatment. We see substantial photographic improvement in fine lines and wrinkles. The procedure is performed in the office, patients have approximately 1 week down time, before they are allowed to wear makeup. The effects of CO2 laser resurfacing are immediate and ongoing as a heat stimulates regeneration of collagen that is maximized at approximately 6 months.