Alma Hybrid CO2 Laser in Maidenhead

Clinical overview

The Alma Hybrid system combines two laser wavelengths in a single platform. The CO2 (10,600nm) wavelength provides ablative resurfacing — removing the outermost damaged skin layers to stimulate renewal. The 1570nm wavelength delivers non-ablative energy deeper into the dermis to stimulate collagen remodelling without surface disruption. By combining both wavelengths, the system aims to achieve meaningful resurfacing results with a shorter recovery period than traditional fully ablative CO2 lasers. The treatment is used for concerns including acne scarring, surgical scars, stretch marks, sun damage, pigmentation irregularities, fine lines, wrinkles and overall skin texture improvement. Treatment depth and energy settings are adjusted based on the area being treated, skin type and the specific concern. Downtime is more significant than with non-ablative treatments alone. Patients should expect 5–10 days of social downtime with redness, swelling, crusting and peeling as the skin heals. Strict sun avoidance is essential during recovery. The treatment is not suitable for very dark skin tones without specialist assessment due to an increased risk of post-inflammatory hyperpigmentation, and is contraindicated in pregnancy and active skin infections.

Key Benefits

• Reduces the appearance of scars (acne, surgical, stretch marks)
• Improves skin texture, tone and surface irregularities
• Treats fine lines, wrinkles and sun damage
• Stimulates deep collagen remodelling
• Customisable treatment depth and intensity
• Reduced downtime compared to traditional fully ablative CO2 lasers

Suitable For

• Those with acne scarring, surgical scars or stretch marks seeking improvement
• Patients with sun-damaged skin, pigmentation irregularities or photoageing
• Adults seeking significant skin texture improvement and willing to accept downtime
• Those with fine lines or wrinkles who want more intensive resurfacing than non-ablative options
• Patients with lighter to medium skin tones (Fitzpatrick I–IV; darker tones require specialist assessment)

Not Suitable For

• Very dark skin tones (Fitzpatrick V–VI) without specialist assessment and modified protocols due to higher PIH risk
• Those with active skin infections, cold sores (herpes simplex) or open wounds in the treatment area
• Pregnant or breastfeeding women
• Patients with a history of keloid or hypertrophic scarring
• Those on isotretinoin or who have used it within the past 6–12 months (depending on protocol)
• Anyone unable to commit to the required downtime and strict sun avoidance aftercare

Final suitability is confirmed during a medical consultation and assessment.

When we don't recommend it

• If your skin type carries a high risk of post-inflammatory hyperpigmentation and appropriate precautions cannot be taken — we may recommend an alternative treatment with a better safety profile for your skin.
• If you have active herpes simplex (cold sores) or skin infection in or near the treatment area — treatment must be delayed and antiviral cover may be considered.
• If you cannot commit to 5–10 days of social downtime and strict sun avoidance — less intensive options may be more practical.
• If your concerns would be better addressed by a different modality — for example, chemical peels for superficial texture issues, or dermal fillers for volume loss.
• If you are on isotretinoin or certain photosensitising medications — these need to be discontinued for an appropriate washout period before laser treatment.

What Happens During Treatment

1. 1Comprehensive skin consultation, medical history review and suitability assessment
2. 2Application of topical anaesthetic cream (typically 30–60 minutes before treatment)
3. 3Laser treatment delivered across the target area (30–45 minutes depending on area size)
4. 4Cooling and soothing gel or dressing applied after treatment
5. 5Detailed aftercare instructions and follow-up plan discussed

Downtime & Aftercare

• 5–10 days of social downtime with redness, swelling, crusting and peeling
• Swelling is usually most noticeable in the first 48–72 hours
• Skin may crust and peel as the healing process progresses
• Strict sun avoidance for at least 4–6 weeks; SPF 50 must be used consistently once skin has healed
• Use only the recommended gentle skincare products during recovery

Results Timeline

• Immediately after: redness, swelling and a sunburn-like sensation (expected).
• Days 2–7: swelling peaks then subsides; crusting and peeling occur as healing progresses.
• Weeks 2–4: new skin emerges; residual pinkness may persist.
• Months 3–6: collagen remodelling continues; full improvement develops gradually.

Individual results vary. View our results and photography standards

Risks & Side Effects

Common, Usually Temporary

• •Redness, swelling and tenderness (expected during healing).
• •Crusting and peeling as the skin regenerates.
• •Temporary sensitivity and dryness in the treated area.

Frequently Asked Questions