Laser resurfacing is the gold standard for resurfacing and delivers CO2 or erbium laser energy to the superficial and deep layers of the skin to stimulate changes, while radiofrequency resurfacing uses radiofrequency energy to achieve the desired result. At JanigaMDs, we offer all three types of resurfacing, and these technologies can be tailored and combined to suit your skin type, desired recovery time, and optimal outcomes. JanigaMDs is also excited to offer ThreeForMe™, which targets three different skin problems with one treatment using a combination of intense-pulsed light and resurfacing laser energy.
The eCO2 3D is a next-generation fractional CO₂ laser system from Cynosure, designed to redefine skin resurfacing by combining power, flexibility, and precision. While CO₂ lasers have long been the gold standard in skin resurfacing, many traditional systems trade off between downtime, safety, and treatment flexibility. The new eCO2 3D addresses these limitations by offering a wide therapeutic range. From gentler “Precision Peel” sessions with 2-3 days of recovery, to deeper, more transformative resurfacing, all in one platform.
The CO2 laser is a fractional laser resurfacing technology that creates microscopic wounds in the skin to deliver concentrated pulsating beams of laser energy into the deep skin layers, stimulating collagen production and resurfacing the underlying skin. By targeting specific types of cells in the skin, resurfacing can significantly repair aged or sun-damaged skin, revealing smoother, brighter skin with a more youthful appearance.
Clinically, the eCO2 3D is cleared for a broad spectrum of skin conditions, including skin laxity (loose or mildly sagging skin), fine lines and wrinkles, surgical and acne scars, dyschromia (uneven pigmentation), sun damage, and textural irregularities.
This advanced laser platform is designed to deliver faster, more effective treatments while allowing for deeper ablation when needed. With three interchangeable handpieces, Dr. Janiga can precisely control laser penetration based on different skin types that may need more or less intensity. This allows treatment customization between different patients, but also in different areas of the face and neck on the same patient. Dual treatment modes further enhance flexibility by offering multiple levels of resurfacing, allowing smoother blending between treated areas for more natural, consistent results. Controlled scanning technology adds another layer of safety and precision by randomizing beam delivery to evenly distribute energy across the skin. This approach reduces hotspots, improves overall treatment safety, and supports more efficient, optimized healing.
Before receiving laser skin resurfacing, patients will schedule a consultation with Dr. Jennifer Janiga or her associates, where they will examine their medical history and discuss the laser procedure in more detail to determine whether they are a good candidate. Laser skin resurfacing works for most skin tones and skin types, but may not be a good option for those with darker skin, since there is an increased risk of pigmentation post-treatment. Patients with a history of melasma, keloid scarring, or an active skin infection may not be good candidates for this laser.
During your consultation, Dr. Janiga or one of her associates will assess your skin, concerns, desired recovery time, and goals. Based on that evaluation, the appropriate spot sizes, depth, and mode will be selected to deliver an optimal treatment plan. The treatment area is cleansed and numbed using a topical anesthetic to maximize patient comfort. For those who have a low tolerance to pain or would prefer the most comfortable procedure possible, we offer nerve blocks for the full face and neck for those patients, as well as the option for nitrous if desired.
The fractional CO₂ beam is delivered via microbeams in a pattern that leaves the outer layer of skin intact. There are two different modes: static and dynamic. Static is commonly used for deeper resurfacing to tighten skin and reduce the appearance of wrinkles, whereas dynamic delivers gentler, faster pulses for more superficial rejuvenation to even tone and smooth texture. Treatment can last anywhere from 30 minutes to 1 hour, depending on the number of areas treated, the size of the areas, and the intensity.
After treatment, a soothing ointment will be applied, and we will provide detailed instructions for aftercare, including sun protection and gentle skin management during recovery. You will receive a complimentary post-care package of sunscreen, gentle cleanser, and healing ointments with day-to-day instructions on how to take care of your skin afterward as part of your laser package.
Recovery depends on how aggressive your treatment is and somewhat on your personal ability to heal. For lighter peel treatments, you can expect mild redness for up to 2-3 days and very minimal social downtime. For moderate to deep resurfacing, the healing process can last for up to a week or more, with mild discomfort and swelling. These deeper resurfacing sessions are reserved for those with more severe sun damage and deeper wrinkling. Your provider will walk you through expected downtime, recovery care, and guidelines for sun exposure and skin maintenance based on your specific treatment and skin type.
Deeper treatments will see transformative changes in just a single session, though lighter treatments will see results over time and may require repeated treatments to achieve desired results. Patients may see continuing improvement for up to a year. As the treated skin heals, new skin is revealed, new collagen fibers develop, and patients will see a significant improvement in the texture, tone, and firmness of their skin.
At JanigaMDs, we are committed to offering our patients cutting-edge, effective, and safe aesthetic technologies. The eCO2 3D laser brings us a versatile and powerful tool that can be tailored to each patient’s goals, whether that’s gentle refreshment or dramatic resurfacing.
Patients benefit from the expertise of board-certified dermatologist Dr. Jennifer Janiga, whose education and professional recognition make the practice a trusted destination for advanced laser resurfacing and comprehensive skin care. Dr. Janiga earned her medical degree from the University of Nevada School of Medicine and completed her dermatology residency at the Henry Ford Health System. She further enhanced her expertise through a fellowship focused on light therapy and lasers, providing her with a strong foundation in laser technologies and their application for dermatologic treatments, including erbium lasers and ablative lasers. This specialized training allows her to precisely assess and recommend the most appropriate laser resurfacing options to address individualized concerns and deliver safe, effective results.
Dr. Janiga’s commitment to patient care and clinical excellence has been recognized through numerous regional and national awards, including honors such as Best of Reno Dermatologist, Top Dermatologist, America’s Most Honored Professionals — Top 5%, and multiple awards for Castle Connolly Top Doctor in Dermatology. Additionally, she is an elected member of the exclusive Alpha Omega Alpha, Medical Honor Society. These distinctions underscore her dedication to achieving high-quality outcomes and her leadership in the field of dermatology.
JanigaMDs has earned a strong reputation in Northern Nevada for providing personalized aesthetic and medical dermatology services with a patient-centered approach. Our practice uniquely offers the expertise of both a board-certified dermatologist and a board-certified plastic surgeon, allowing for collaborative evaluation and tailored treatment planning that enhances results and supports long-term cosmetic goals. With a combination of advanced laser technologies, individualized care, and a highly experienced team, JanigaMDs is a trusted choice for patients seeking advanced laser resurfacing and comprehensive skin rejuvenation.
If you’re seeking smoother skin, refined texture, reduced wrinkles or scars, or an overall refreshed look, the team at JanigaMDs is here to discuss your goals and decide whether eCO2 3D is appropriate for you. Call our office at 775-364-0224 or schedule a consultation online today to get started with your laser resurfacing in Reno, NV.
Dr Jennifer Janiga is 5 stars in my mind. Always very professional and caring. I am a RN an refer her to all coworkers and friends.
My family and I have seen Dr. Jennifer Janiga many times. She is knowledgeable, caring and honest. Dr. Tim Janiga has cared for me several times and I feel very confident in his skills. They both seem like they are genuinely interested in their patients. They are both very nice people and fine physicians.
As a patient of both Dr. Jennifer and Tim Janiga, I have the utmost praise for the care I have received. They are fantastic at what they do. The attention to detail and going ‘above and beyond’ is very much appreciated.
Amazing office, staff and doctors. During my consultation I felt very comfortable and could tell how extremely knowledgeable the providers were. All of my questions were answered and acknowledged. The treatment I received exceeded my expectations. 10/10 recommend!
Discover Clearing Up Skin Care by Dr. Jennifer Janiga—a no-nonsense guide to understanding your skin, choosing the right products and treatments, and building a routine that truly works for you. Pick up a copy in our office or purchase online to start building a routine that works.
JanigaMDs is the only practice in Reno where patients can consult with both a board-certified dermatologist and a board-certified plastic surgeon in one visit.
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Founded in 2010, the team at JanigaMDs has been proven to provide the utmost care for all patients. With a 4.7 rating over almost 700 reviews, JanigaMDs is the premier aesthetic practice in Northern Nevada.
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