DOT Therapy (CO₂ Laser Resurfacing)

Transformative Skin Resurfacing for Scarring, Wrinkles & Sun Damage in Sydney

DOT Therapy is one of the most advanced laser treatments for skin resurfacing, acne scarring, and sun damage. This fractional CO₂ laser treatment is ideal for patients seeking real change — not just at the surface, but deeper within the skin’s architecture.

Dr Wines uses DOT Therapy (Dermal Optical Thermolysis) to deliver safe, precise, and powerful skin renewal, tailored to your skin type, condition, and downtime preferences.

What Is DOT Therapy?

DOT Therapy is a fractionated CO₂ laser treatment that creates thousands of microscopic thermal channels in the skin. These laser columns trigger your body’s natural wound healing and collagen remodelling response — helping to replace damaged skin with smoother, healthier, more even-textured skin.

Unlike older ablative lasers, DOT works by treating only a fraction of the skin at a time — allowing for faster recovery, fewer risks, and customisation for each individual’s skin needs.

What Can DOT Therapy Treat?

DOT Therapy is particularly effective for patients with:

  • Acne scarring, including rolling, boxcar, and atrophic scars

  • Surgical or trauma scars

  • Fine lines and deeper static wrinkles

  • Sun-damaged skin with rough texture

  • Crepey skin around the eyes, cheeks, or neck

  • Uneven pigmentation or texture after prior treatments

It is also a valuable tool for laser scar revision, photodamage repair, and textural skin rejuvenation.

How Does DOT CO₂ Laser Resurfacing Work?

DOT uses a CO₂ laser beam that is broken into fractional micro-columns. These penetrate into the skin, removing damaged tissue and triggering new collagen production — without treating the entire skin surface.

Key parameters we customise include:

  • Pulse shape and energy — deeper for scarring, lighter for texture

  • DOT density — tighter spacing for intense results, wider for gentle rejuvenation

  • SmartStack mode — controls how many laser pulses are delivered per spot

  • SmartTrack motion guidance — ensures consistent, even coverage

This level of precision means we can carefully tailor the intensity based on your skin type, treatment goals, and recovery tolerance.

What Is the Recovery After DOT Laser?

Because DOT is a deeper treatment than superficial peels or light-based lasers (like BBL or Moxi), the recovery requires planning — but the results are worth it. We can make adjust the parameters and outcomes based on your skin and desired downtime and outcome

Immediately after treatment, expect:

  • Redness and pinpoint grid-like dots

  • A dry, bronzed appearance by day 2–3

  • Peeling and flaking from day 3–7 (10-14 days if a more aggressive treatment is performed)

  • Possible mild swelling or tightness

Ongoing recovery includes:

  • Smoother skin within 1–2 weeks

  • Gradual improvement in scars and wrinkles over 3+ months

  • Long-term collagen stimulation that continues to improve your skin quality over time

Enhancing Results with Post-Treatment Care

Right after DOT Therapy, your skin is in an ideal state to absorb active skincare ingredients. As part of your personalised post-laser protocol, we may apply:

  • Scar-repair compounds (peptides, silicone-based gels, growth factors)

  • Anti-pigment ingredients (e.g. tranexamic acid, azelaic acid, niacinamide)

  • Barrier repair agents and anti-inflammatories to support healing

This step can significantly improve results and reduce risks like post-inflammatory pigmentation.

Why Choose a dermatologist for CO₂ Laser Resurfacing?

CO₂ laser resurfacing is a powerful medical procedure — and its results depend entirely on how it's performed. At Northern Sydney Dermatology and Laser, your treatment is planned and supervised by fully qualified dermatologists who understand both the science of skin and the art of laser precision.

We don’t take a one-size-fits-all approach. Every treatment is customised based on your skin type, medical history, pigmentation risk, and desired outcomes. As doctors, we also screen for underlying skin conditions, including undiagnosed skin cancers, to ensure your safety.

Choosing a dermatologist-led clinic means:

  • Greater accuracy in diagnosis and treatment planning

  • Access to prescription-based pre- and post-care protocols

  • Safe treatment of complex skin concerns and scarring

  • Medically supervised healing and complication management

Your skin deserves expert care — and lasting results start with the right team guiding you.