Ultimate Duo

Ultimate Duo Overview

Treats: Fine lines and wrinkles, brown spots and pigmentation, enlarged pores, shallow scars, mild skin laxity, and skin irregularities

Length: Less than an hour

Anesthesia: Topical numbing cream used before the procedure

In/Outpatient: Outpatient

Side Effects: Skin redness, mild swelling for 2-4 days

Risk: Hypopigmentation or hyperpigmentation when used on darker skin tones

Recovery: Most patients return to activities right away

Duration of Results: May be long-lasting once treatment plan is completed

Remarkable Care, Exceptional Results


“The entire office staff is always so welcoming and professional! Beautiful office! Wouldn’t trust anyone else to do the amazing work that Heather does on my face with injectables and lasers. They are always keeping up with the newest and best techniques. Top tier skin care lines as well ! I always leave refreshed and happy.”

-Brittani P, Google Reviews


Patient consulting with a provider about Laser Genesis in Charlotte, NC

Aging presents itself in multiple ways, and sometimes, one kind of treatment is not enough to address all of them. For best results, we might recommend a combination of treatments to achieve your desired outcome. Consider it a form of multitasking –fitting more into your treatment session to save time and maximize results.

At Carolina Facial Plastics in Charlotte, NC, one facial laser treatment pairing that can give you amazing anti-aging results is our Ultimate Duo procedure – the combination of the CoolPeel laser and Virtue RF microneedling. Alone, these procedures are each already clinically proven to produce skin rejuvenation results. When combined, we can produce comprehensive improvements in fewer treatment sessions.

Virtue RF is the newest generation of FDA-approved radiofrequency (RF) microneedling treatment. It combines the rejuvenating benefits of microneedling with the stimulation of radiofrequency (RF) energy to renew the skin from the inside out with virtually no downtime.

Unlike regular microneedling devices, Virtue RF goes beyond creating micro-injuries in the skin to reduce fine lines and wrinkles. It can also address unwanted scars, improve the skin’s tone and texture, and refresh the skin with its collagen-boosting RF energy. Virtue RF pairs every procedure with the most innovative sheet masks to help soothe the skin and eliminate redness after treatment.

virtue rf laser

The Virtue RF provides superior, natural-looking results. You will enjoy fewer lines and wrinkles on the face and neck along with a clearer, tighter, and more radiant complexion.

ultimate duo treatment process

CO2 lasers are considered the gold standard in laser skin treatments of the face. They are known for producing dramatic results when it comes to improving skin texture, pigment, and wrinkles. However, it is an aggressive treatment that comes with a longer recovery period and higher risk profile than many patients want.

Cool Peel laser device in Charlotte, NC

The Cool Peel Laser is a game-changer. As the latest cutting-edge CO2 laser skin treatment in the country, Cool Peel treats the skin at a high-speed rate (0.3milliseconds), allowing for a higher energy level without damaging the skin. It effectively treats fine lines and wrinkles, brown spots, enlarged pores, and loose skin.

Ultimate Duo will improve:

  • Fine lines and wrinkles
  • Brown spots and pigmentation
  • Enlarged pores
  • Shallow scars
  • Mild skin laxity
  • Skin irregularities

patient consulting with a medical aesthetician at Carolina Facial Plastics about the Ultimate Duo treatment in Charlotte, NC

Each procedure boasts the most advanced technologies that allow the treatments to provide resurfacing results without the downtime and risk typically associated with more aggressive treatments.

Traditionally, CO2 lasers work in a geometric grid technique. This approach can leave markings after the treatment. Cool Peel has a faster application that prevents damage to critical surrounding structures, significantly decreasing downtime while still providing the expected results. Furthermore, Cool Peel does not attempt to get the final results in one aggressive treatment. Instead, the skin continues to improve over a series of approximately three treatments every four weeks. Spreading out the treatments allows for significantly less downtime, with typically only 24-48 hours of minimal redness after each session.

Virtue RF is the world’s first RF microneedling platform designed to maximize patient efficacy with its advanced interface and treatment delivery features. Specifically, its precise RF energy delivery can provide immediate results with continued improvement over time and is a virtually zero downtime treatment.

Only the Virtue RF pairs every procedure with the most innovative sheet masks to help soothe the skin and eliminate redness immediately following treatment.

medical aesthetician performing an anti-aging laser treatment in Charlotte, NC

Before your Virtue RF treatment begins at our medical spa, we will apply a numbing cream 30-45 minutes before your procedure to ensure a comfortable experience. You might feel slight pressure from the handpiece, especially on bony areas of the face. We can adjust the settings to minimize discomfort. You may have some redness, but the post-treatment mask, infused with antioxidants, vitamins, moisturizers, and anti-inflammatory properties, should soothe the skin and reduce side effects.

A full-face treatment will take approximately 20 minutes to perform. However, treatment time can vary depending on the treatment area’s size and the overall skin condition.

A Cool Peel treatment takes about 15-20 minutes to treat the face. Additional time will be needed if including additional areas, such as neck, chest, or hands. A handheld device will deliver short pulses of energy to the treatment area, creating a controlled injury with less heat buildup in the skin. It will only target the superficial skin to reveal the healthier-looking skin beneath the surface.

These two devices are completely safe to use together and offer superior results for patients who have more advanced signs of aging or want to see a more dramatic improvement in their skin.

Virtue RF and Cool Peel both require minimal to no downtime afterward. For Virtual RF, you may experience minimal redness and a warm sensation immediately following the treatment, but this should resolve within a few hours, especially if the treatment is accompanied by a sheet mask. Most redness will dissipate within 12-24 hours.

At the lightest setting, the Cool Peel will feel and look like a sunburn for one night. The next day, you might appear a bit sun-kissed but should experience no pain. Some patients may opt for higher settings to get faster and more impressive results. This approach would result in 2-4 days of mild swelling and redness.

In our office, we also offer exosome therapy to assist in accelerating the healing process after treatment. Applying exosomes to the skin following laser procedures has consistently demonstrated its effectiveness in reducing redness and expediting the recovery period. Many of our patients have shared their experience of a noticeable decrease in redness within just 24 hours after undergoing exosome therapy following their laser treatment. This compares favorably to the standard 48-72 hours for recovery. Additionally, exosomes contain growth factors that actively promote collagen production and work to diminish the appearance of pigmentation caused by sun damage, contributing to a more refreshed and rejuvenated complexion.

plastic surgeon consulting with a patient about PDO threadlifts in Charlotte, NC

Double board-certified facial plastic surgeon, Dr. Jonathan Kulbersh, leads the top aesthetic destination of the south, Carolina Facial Plastics. Along with his team of cosmetic experts, a fully accredited surgery center, and a private recovery retreat –all located in the heart of SouthPark, Carolina Facial Plastics is known for unparalleled and natural-looking results exclusively for the face. Courtney Whitley, FNC-PHeather Bryant, MPAS, PA-CAmanda Piligian, PA-C, Terri Edson, Medical Aesthetician, and Kim Williams, Medical Aesthetician, can all perform Ultimate Duo treatments.

All of our medical spa providers have extensive training and experience with aesthetics of the face and neck and are considered experts in their fields.

Frequently asked questions

At Carolina Facial Plastics, we believe the ideal candidates for Ultimate Duo are patients who:

  • Want to minimize fine lines and wrinkles on the face and neck
  • Have brown spots and pigmentation
  • Have enlarged pores
  • Have mild skin laxity but are not candidates for a surgical facelift
  • Are looking for non-surgical treatment for unwanted scars
  • Want to improve irregular skin tone and texture
  • Are in need of preventative treatment for aging symptoms

The procedure is comfortable and well-tolerated without anesthesia, but topical anesthetics are available, especially for Cool Peel’s higher laser settings. In general, you should only feel slight heat and pressure, plus a mild sunburn for one night.

The combination of procedures should allow you to start noticing subtle improvements within 7 days of your treatment as your skin renews itself. The results will progressively improve within the first 3 months after your procedure.

Ultimate Duo offers long-lasting results. You can enjoy your results for several months to several years, depending on your skin type and condition. Longevity will also depend on the precautions taken and your lifestyle after your treatment. We will work with you to create a maintenance plan to help optimize your results.

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Surgeon in Beverly Hills

Hear what Dr. Paul Nassif of Botched says about Dr. Kulbersh
Dr. Paul Nassif Hear what Dr. Paul Nassif of Botched says about Dr. Kulbersh

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