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The Cutera Secret Duo is a dual non-ablative fractional technology treatment that combines 1540 nm erbium glass laser and radiofrequency microneedling. This innovative approach allows for precise, controlled energy delivery, targeting common signs of aging such as pigmentation, texture, fine lines, stretch marks, and scars. The treatment can be used individually or in combination, offering a customizable solution for various skin concerns. It is safe and Canadian FDA-cleared for  procedures requiring coagulation of soft tissue and skin resurfacing. Is non-ablative with miminal downtime.

The Secret Duo is particularly effective for treating acne, improving skin texture, and reducing the appearance of fine lines and wrinkles. 

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 How It Works

 RF Microneedling

• Tiny, medical-grade microneedles puncture the skin to a controlled depth (often adjustable, e.g. 0.5 mm to ~3.5 mm).

• Once the needles are inserted, radiofrequency energy is delivered into deeper skin layers, producing heat that stimulates collagen and elastin production. This helps to “remodel” the dermis increasing firmness, elasticity, and improving underlying structure.

 

1540 nm Erbium Glass Fractional Laser

• The laser delivers fractional energy into the skin, creating controlled microscopic thermal zones, but because it's non-ablative, the outer epidermis remains largely intact. 

• This helps improve skin surface appearance: texture, tone, fine lines, pigmentation irregularities, and superficial scarring with less downtime than more aggressive ablative lasers.
   

Because the two technologies target different layers (deeper dermis vs more superficial layers), the combined effect aims to give deeper structural improvement and visible surface rejuvenation.

 

What It Does​

• Boosts collagen

• Improves fine lines and wrinkles

• Improves skin firmness / skin laxity /and mild sagging

• Improves skin texture and tone

• Decreases enlarged pores

• Improves acne scars, surgical scars, and other types of scars

• Improves sun damage, pigmentation irregularities

• Improves stretch marks 

• Can be used on neck, décollete, stretch-mark prone areas, and body parts.

 

What to Expect: Treatment & Recovery

• Treatment sessions typically take 30 – 60 minutes, after application of a 45 minute application of topical numbing cream (since microneedles are used).

• Because the laser is non-ablative (doesn’t vaporize the top skin layer), and the RF microneedling is controlled, downtime is relatively minimal compared to fully ablative lasers. Many people see mild redness or swelling, but recover quickly. 

• Collagen remodeling happens gradually: while you might notice some early improvements, the full benefits often emerge over weeks to months as new collagen and elastin build up.

• For some concerns (scarring, laxity, deeper wrinkles), clinics may recommend a series of treatments spaced out for best results.

 

Pros & Considerations

Advantages:

• Comprehensive approach: treats both deep and superficial skin layers, so you get structural support and surface improvements.

• Good for multiple concerns (texture, tone, scars, laxity, pores, pigmentation).

• Less downtime and risk than aggressive ablative lasers (because it’s non-ablative).

• Customizable: needle depth, laser and RF settings, and treatment intensity can be adjusted to your skin’s needs & tolerance.

 

Considerations:​​

• Multiple sessions may be needed depending on your skin issues.

• Results build over time: patience and good aftercare (sun protection, gentle skincare) are key.