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Pearl Fractional Indicated for moderate to severe photoaging. The 2790 nm wavelength (YSGG) controls thermal damage to maximize ablation while maintaining thermal stimulation and coagulation. Controlled thermal zone minimizes risk of PIH and other complications. Single treatment results are possible because our large 300 micron spot size ablates enough tissue in one pass. Wound healing causes increased fibroblast activity and long term collagen deposition. Improvement is realized over six month period. A recent comparative study to other fractional devices demonstrated that Pearl Fractional was a more comfortable patient experience; further, the treatment is possible with only topical anesthetics and/or local nerve blocks.