AcuPulse is an ablative CO2 skin resurfacing treatment that is fast, effective and efficient for eliminating wrinkles, acne scars, and brown spots, as well as tightening of the skin. It removes dull, outer layers of the skin and, therefore, creates a fresh surface and dramatically stimulates collagen. The laser carefully and precisely vaporizes the outer layer of the skin, called the epidermis. The deeper layer, called the dermis, when heated, stimulates new collagen and provides new structure to the skin. Results are seen soon after completing the procedure, and continue to be seen over the next three to six months while collagen production takes place. Most people experience downtime lasting about one week. Redness after the procedure may last longer, but is easily covered with makeup. We recommend numbing with a topical anesthetic for 30 minutes prior to the procedure.