(828) 538-2425 46 Haywood St #11, Asheville, NC 28801

CO2 Fractionated Laser Resurfacing

We have the finest laser - the Matrix - for fractionated CO2 laser resurfacing of the skin on the face, hands and neck. This can be used as light, medium or aggressive for either quicker recovery or most significant improvement.

ReFirme™ Tightening

ReFirme is a laser-like technology that can tighten some of the loose skin around the jowls and neck. It has no down time, but must be repeated periodically for best results.

FotoFacial™ IPL treatment for Age Spots and Veins

FotoFacial™ is a hugely successful platform for reducing or eliminating age spots and broken capillaries on the face. There is no downtime following the treatment, you can return to your activities or work!

Replacing CO2 Laser with Facial Cellular Therapy


We have used CO2 laser peel rejuvenation for the face for almost a decade. But sometimes science has advances that make a process and procedure BETTER, and MORE EFFECTIVE.

Over the past year, at Mountain Radiance, though we still do offer CO2 laser resurfacing we have found that PRP- microneedling, a cellular therapy treatment is just as effective and has very little "down time" compared to the laser treatment. Further I feel that PRP microneedling and IPL "FotoFacial" provides complete rejuvenation for the face but minus the effect of fillers to replace volume lost from aging.

Volume replacement can be achieved with either mesenchymal fat transfer as performed as part of another cellular therapy or with fillers such as Vollure, Voluma or Juvederm. Each has it's advantage.

Our FotoFacial™ system also can smooth some of the very fine wrinkles while at the same time addressing both age spots and broken capillaries on the face.

Types of Laser Skin Rejuvenation

We have two types: CO2 fractionated laser. This takes a powerful beam of infrared laser light and "fractionates" it into 300 micro-spots. That's why it's called "fractionated". This leaves a very small lased area - but hundreds of them in a single centimeter. This "drills" down into the epidermis and creates an incredibly small wound that when healed tightens the skin. When these almost microscopic spots heal it produces collagen and tightens the skin.

After the laser causes these almost microscopic injuries, the dermis produces more skin which tighten as it heals.

Photorejuvenation or FotoFacial™ IPL  is an advanced treatment that helps clear undesirable pigment and vessels from your skin, revealing a clearer skin that you’ll be proud to show off. It can quickly and easily remove undesirable age spots, sun damage, and blood vessels from the face and body without surgery and with little discomfort or downtime.

Photorejuvenation is a nonsurgical approach to skin renewal that can transform your looks for the better—and it lets you return to your normal activities right away.

Photorejuvenation is FDA-cleared, so patients can take comfort in knowing they are receiving a credible treatment option for the removal of pigment and vascular lesions. For some patients, it may take just one treatment of this non-invasive procedure to reveal a younger-looking, clearer skin.

Why Choose Us for Your Laser Skin Rejuvenation

Dr. Zacher has had years of experience and advanced training for the use of these lasers.

The results speak for themselves.

Matrix CO2 Skin Laser Resurfacing

The Matrix uses an internal tube filled with carbon dioxide - CO2 gas (thus the name: CO2 Laser) The gas is used to coordinate broad light into a coalescent beam of laser light that is approximately 1 mm wide.

Laser light is "coherent" meaning the waves are organized and move together, like a column of soldiers marching. It is also a single wavelength. The wavelength of CO2 laser light is 1064 angstroms. Here's a schematic of how it works: 

The beam is strong enough to perform surgery. However, for cosmetic purposes this beam is "fractionated" into 300 microbeams by a device attached to the laser focusing tube.

The power of the beam, the time it is "on" in microseconds and the repeat cycle are all adjusted by Dr. Zacher to achieve the effect desired by the client: Light, Medium or Aggressive.

The potential client will ask, "Does it hurt?". NO! It would  hurt IF we did not use our prescription strength numbing cream. Additionally, for this procedure we give a mild sedative and pain pill for the procedure. After there procedure, there is mild heat in the skin for about an hour, but we re-apply numbing cream and it hasn't been a problem.

What are the benefits of Matrix CO2 laser skin resurfacing?

Rebuilding collagen in the dermis and epidermis is similar to a bed: the outer layer of the epidermis is like the sheet on a mattress. The deeper layer of epidermis and the dermis are like the mattress.

What this does is puff up the mattress a bit and tighten the sheet! This process leaves the skin smoother, tighter and brighter. The effects can be amazing!

The effects are permanent. Aging still occurs, sun damage still occurs, and it may be difficult to achieve the full desired result in one treatment, so additional treatments may be warranted. If a light effect is desired - a trial run so to speak, then a single treatment may be enough.

Matrix CO2 Laser Resurfacing Before and After




Hands Resurfacing

$ 500
30 Min Treatment
Only $200 if add-on to face treatment

Face Resurfacing

$ 1550*
30-60 Min Light Treatment
$1550 Light Treatment
$1750 Medium Treatment
$2200 Deep Treatment

Neck Resurfacing

$ 1,500
60 Min Treatment
Only $375 if add-on to face treatment

Not the way WE do it! We use prescription strength numbing cream, and probably unnecessary, but we have you take a sedative and a pain pill if you want.

I’ve had people do it with just the numbing cream so they could drive and this was fine, but these are there for you if you wish.

While some results are seen in the near term – 4 weeks after the procedure, this particular procedure keeps getting better with time. The skin continues to improve for approximately a year!

Sometimes patience is needed to get to the 4 – 6 month period to see results.

The healing and further improvement can be had by adding the PRP preparation (see PRP section). This will enhance healing and increase the benefits of results. This is highly recommended.

The improvement seen with this technique contiues improving for a year and is permanent! Additional treatments may be required to achieve desired results.

If possible an aggressive treatment combined with PRP therapy is optimal.

Yes: Blistering, weeping, peeling, like a thermal burn are normal for 1 – 3 days following the aggressive treatment. The light treatment will have only some redness with perhaps very small areas of bleeding in the immediate post procedure period.

With the light treatment you can return to work in 1 – 2 days, with the aggressive treatment you may wish to take a week of recovery time.

Yes for the aggressive treatment you will need to take approximately 4 days off work, following which you will be peeling and the skin will be pink for a few more days. Some people take a week off.

With the light treatment you will be slightly pinkish for a day or two following the procedure but you may return to work.

An important note about pre and post treatment – you MUST avoid sun exposure and tanning for 1 month prior to treatment and at least 6 weeks following treatment. 

Not following this instruction can cause damage to the chromophores and pigment irregularities.

Refirme Skin Tightening

ReFirme™ is a revolutionary laser-like treatment that uses infrared light and radiofrequency (RF) to enhance collagen and tighten the skin as well. This is a non-ablative technique and can provide tightening of the jowls around the chin and help reduce wrinkles.

What are the benefits of Refirme Skin Tightening

ReFirm is less expensive than CO2 laser and there is no down time. It is not permanent and will need to be re-preformed at approximately 3 month intervals. It also will take several treatments approximately 1 - 2 weeks apart.

Refirme Tightening Before and After

Refirme Treatment

$ 65 - $250
30 min to 45 min
$250 60 min, which is enough time to treat the whole face and neck

Mild discomfort just during the impulses. In our hands we do not need numbing cream.

Immediately but increasing improvement over a 10 day period

None – However, please note: We cannot perform Botox treatments on the same day as ReFirme™ treatment.

Very slight redness for a few hours following the procedure.

None. Very slight redness for an hour following the procedure. There is NO post procedure discomfort.

This is one of the treatments for sagging, loose skin. It can be very helpful in mild cases. It is not right for everyone. It is not permanent, consider a complimentary consultation about your skin condition and concerns.

Foto Facial IPL Skin Rejuvenation

FotoFacial™ is an IPL treatment. IPL stands for Intense Pulsed Light. Unlike CO2 and the LightSheer hair laser, which use specific wavelengths of light, IPL is broad band, and includes the entire spectrum of visible light. This is pulsed into the skin.

FotoFacial addresses two significant concerns: Age spots and broken capillaries or fine veins on the face.

It usually takes 1 - 2 treatments for broken capillaries and 2 - 3 (or perhaps a few more) for age spots, depending on the darkness of the spot.

What are the benefits of Foto Facial IPL Skin Rejuvenation?

Additional benefits are that with multiple treatments (3 - 4) the skin has improved texture, not unlike the CO2 resurfacing laser.

The difference between CO2 laser and IPL: The CO2 laser is BETTER for fine lines and wrinkles. Although it DOES help age spots it is not as effective for them as IPL.

IPL is better at treating age spots and between the two, IPL is the only one that treats broken capillaries: The CO2 laser does not treat capillaries or redness.

Foto Facial IPL Skin Rejuvenation Before and After

Single Spot

$ 60
Single spot is actually rare. Most people presenting with single spot need additional treatment.

Full Face single

$ 250
Partial face (eyes down) is only $150
Avg $150-$250 IPL Face Treatment

Chest and neck area

$ 250
The chest and neck have as much area as the face and are the same price as full face
Only $150 if add-on to face treatment

No, again, usually like a light rubberband popping on the skin.

Until age and additional sun exposure cause it to re-occur. You must preserve your treatment of these areas by avoiding sun, and tanning. Eventually with time the spots will reoccur, but exquisite sun avoidance will help preserve the smooth appearance of the skin.

Usually the benefit will last about a year or more with good sun avoidance, use of high grade sun screen and perhaps a hat.

The age spots will darken for several days following the procedure. They will then exfoliate as the dead melanocytes are pushed out of the skin. This process will be complete usually in 2 weeks, sometimes 3 weeks.

There is no down time. You may return to work immediately. The spots will darken in 3 – 4 days or less and the pigment will exude out of the skin usually finish by 2 weeks but may take 3 weeks or longer for recovery.

If you have age spots on the face, neck or hands and/ or broken capillaries on the nose or cheeks then this is an excellent, low risk, relatively inexpensive procedure that will help these concerns.

Why Our Customers Love Us

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