Pixel CO2 Laser- Alma

Pixel CO2


The carbon dioxide (CO2) laser has been known to provide some of the most dramatic, age-defying
results in the treatment of challenging skin imperfections including wrinkles, fine lines, photodamage,uneven skin tone and skin laxity, as well as in scar treatment, skin tags and benign tumors.
Using the power of the CO2 laser, the optimal mix of ablative and thermal effects and an array of applicators and treatment modes for highly tailored procedures, Alma’s Pixel CO2 brings unparalleled precision and innovation to the field of dermatology and plastic surgery.
Alma Pixel CO2 is a highly flexible system for char-free tissue ablation, vaporization, excision, incision and coagulation of soft tissue. It allows physicians full control of treatment parameters, including level and depth of ablation and thermal control via pulse duration and mode of energy delivery. This versatility maximizes precision and treatment results while minimizing unnecessary tissue damage.

• Multiple dermatological and cosmetic surgery indications
• Versatile applicators for targeted procedures
• Adjustable treatment patterns
• Exclusive non-ablative mode
• Unique Pixel technology
• Safe for delicate areas
• Precise&Fast treatment
• Versatile for high ROI



Pixel CO provides a complete, minimally-invasive solution for:

tr-icon01 Skin Tightening tr-icon01 Skin resurfacing
tr-icon01 Scar Remodeling tr-icon01 Skin Rejuvenation
tr-icon01 Skin Tags & Benign Skin Lesion tr-icon01 Skin Imperfections


The CO2 laser uses a 10,600nm wavelength, which is ideal for collagen matrix renewal and an optimal choice for treating an extensive range of dermatological issues. The CO2 laser has the ability to perform efficient, highly precise fractional and non-fractional laser treatments using the widest assortment of advanced applicators.

Modes of Operation

The CO2 laser system offers 4 modes of energy delivery:

1. CW Mode (Continuous Wave):
Emits one continuous and consistent laser energy, typically used for excision or cutting.
2. Pulse Mode (Single pulse):
Produces a single pulse of laser energy for more supervised and accurate energy delivery.
3. Repeat Mode:
Produces a series of either short or long pulses of laser energy at variable speeds.
4. Super Pulse Mode:
Super pulse mode provides the highest peak power with the shortest pulse duration, enabling the deepest penetration with minimal residual thermal damage. This mode is designed for performing ablation without inflammation and achieves highly effective results with minimal downtime and enhanced patient comfort.

The Fractional Laser Method

Unlike traditional ablative laser resurfacing which removes the entire top layer of the skin, Alma Pixel CO2 deploys a fractional delivery method which creates pixel-sized perforations in the skin, leaving the surrounding tissue intact. The preservation of undamaged skin between the perforations allows for faster healing while the wound healing process promotes accelerated re-epithelization, generation of new collagen, tissue regeneration and contracture of existing fibers.

Fractional treatment controls and significantly reduces the risk of adverse side effects such as delayed hypopigmentation, scarring, post-inflammatory hyperpigmentation, infection and persistent erythema. Patients also benefit from much shorter downtime and increased patient comfort compared to traditional resurfacing.
The fractional method is ideal for skin resurfacing and rejuvenation treatments, including scar treatment,
improving skin tone, elasticity and texture and reducing superficial pigmentation

Applicators and Delivery Systems

A full range of treatment-specific applicators

Focus Applicators

Cut & Coagulate with perfect control, ideal for surgical applications

Alma’s Focus applicators combine cutting and coagulation into a single setting.
Both work synergistically, allowing physicians to perform both actions without having to switch applicators or parameters during procedures.
In “cut” (ablation) mode, short pulses emit high peak power, causing immediate ablation of tissue. In “coagulation” (thermal) mode, a longer pulse emits low to modest power, generating heat, which causes blood vessels and tissue to shrink. This sequential-action pulse allows physicians to achieve optimal tissue incision or excision cutting with minimal bleeding as well as reduced patient downtime. Fixed focus
applicators of the two spot sizes allow for precise and accurate soft tissue cutting.



Various Spot Sizes (VSS)

Flexible spot size adjustment, ideal for individual skin tags and lesions

The VSS applicator can change the size of the laser spot from 1mm to 4mm using a single applicator. This allows physicians to work with
larger spot sizes while maintaining work stability during treatment. It is ideal for removing skin tags and other benign skin growths as well as individual pigmented lesions.

Pixel Applicator

High thermal effect, short downtime, ideal for wrinkles and skin tightening

Pixel CO2The Pixel CO2 laser energy to the skin through a DOE (Diffractive Optical Element) which
pixelates the beam to either 49 or 81 pixels, creating simultaneous microscopic columns of micro-ablative damage. The energy is delivered
in a square pattern with an 11x11mm spot size.
This unique technology approach enables the use of much higher energy levels via longer pulse durations, creating a greater coagulation and thermal effect with minimal ablation and significantly less patient downtime.
The deep thermal effect of the Pixel applicator makes it ideal for skin rejuvenation, treating fin lines and wrinkles.



Pixel CO2

iPixel Roller

Pixel roller for fast, ablative treatments – ideal for larger areas

Pixel CO2 roller

The iPixel roller releases a 7 sequential laser pixel beams as it is rolled across the skin, enabling fast treatment of large areas. The movement of the roller triggers a high power laser pulse, channeled into a horizontal line of seven evenly-spaced thermal and ablative channels.
The treatment achieves effective tissue remodeling and skin resurfacing with the benefit of faster healing time associated with the fractional treatment method. It is ideal for skin rejuvenation and treating skin pigmentation in larger areas.

iPixel CO2

LiteScan CO2


Versatile fractional scanner for efficient ablative procedures, ideal for skin texture and pigmentation

CO2 LiteScan

LiteScan is a handheld microprocessor-controlled laser scanner for char-free ablative procedures that allows for rapid coverage of large areas. It is designed for use in a variety of dermatological, cosmetic and surgical applications. Multiple scanning options are available including square or circle, in a spiral, grid or circumferential pattern as well as straight or curved lines.
LiteScan optimizes treatment efficacy by providing higher energy output per pixel in shorter pulses for ablative procedures. The galvanometric scanning motor delivers energy more quickly per scanning area than the CO2 focus applicators, for faster and more efficient coverage of large surface areas.


Non-ablative laser with zero downtime, for skin tightening

The new and uniquely designed SkinTight applicator is a CO2 probe created specifically for skin tightening. It features a large, 6mm spot size and uses a defocused low fluence laser beam to gently heat tissue without ablation; effectively heating the dermal layer and triggering neocollagenesis. Energy is applied to the skin without contact and is suitable for treating fine lines, wrinkles and for skin tightening of the face, neck and d×™collet×™.

SkinTight CO2

Listen to The Experts

Dr Tania Meneghel









“Pixel CO2 with the Roller applicator is an unbeatable combination when treating scars and stretch marks.”

Dr. Tania Meneghel MD, Dermatologist, Brazil

Dr. Eyal Kramer

“I’ve seen very impressive results for skin tightening with the dedicated SkinTight applicator. It’s light weight and ergonomic structure makes
it easy to operate, and the immediate results show that this applicator truly delivers on its promise.”

Dr. Eyal Kramer, Plastic Surgeon

Dr. Carolyn DeLucia

“Alma’s Pixel CO2 technology achieves excellent results for skin rejuvenation. The deep thermal effect of the Pixel applicator stimulates collagen renewal, making it ideal for treating fine lines and wrinkles. The iPixel roller offers high speed capabilities,allowing us to treat larger areas far more quickly, easily and effectively.”

Dr. Acky Friedman, MD., Dermatologist










“These non-invasive treatments are the future and as technology improves, so do the results.”

Taimur Shoaib, MD
Plastic Surgeon, Edinburgh, UK


“The iPixel CO2 is brilliant; it is a must have device for all dermatologists and plastic surgeons.”

Michael Shochat, MD

Before & After

Skin Resurfacing CO2

Courtesy of Dr. Michael Gold, Medical Director, Gold Skin Care, Nashville TN