Pearl Laser

The Pearl Laser is an ablative fractional laser manufactured by Cutera. Referred to as Pearl Fractional or Cutera Pearl, this laser resurfacing treatment improves signs of aging by stimulating collagen production for plumper, younger looking skin.

Pearl Laser Overview - Everything You Need to Know

The Skinny

Pearl Laser
avg. recovery
18 days
Laser/Light Therapy
$1200 - $3000

About the Procedure

Last Updated: 09.18.2021

The Pearl Fractional Laser is a type of ablative skin resurfacing treatment that improves the appearance of fine lines, wrinkles, and other skin blemishes. The Pearl Laser is named for the smooth, radiant, pearl-like texture of the skin after treatment and recovery. This laser is unique in that it is neither a CO2 nor an Erbium laser, but rather an Er:YSGG laser system, which stands for erbium:yttrium-scandium-gallium-garnet. Cutera's Pearl Laser is an ablative, fractional laser. Ablative describes the laser's tissue wounding aspect and fractional meaning the laser's energy is focused into targeted microchannels. Before treatment begins, the skin will evaluated, cleansed, and numbed with a topical anesthetic cream. Additional numbing agents such as lidocaine may be administered as needed as well as oral sedatives to improve patient comfort. When the skin is completely numbed, the cream will be removed and treatment will begin. The Pearl hand piece will be applied to the skin where a scanner controls the placement of 300 microchannels. Multiple passes may be made over concern areas. Treatment of the entire face is completed in as little as 20 minutes. Three to four days after the procedure, the skin will begin to peel and shed. Results continue to improve over the course of 3-6 months.

The goal of a Pearl Laser treatment is to improve the appearance of aged skin, diminishing fine lines, wrinkles, and age spots.

Recovery Notes

Recovery after a Pearl Laser treatment will consist of the patient managing redness, swelling, and skin peeling. Most healing is complete within 1-2 weeks although residual redness may persist for several months. Patients should keep the skin moisturized with a thick ointment such as Vaseline or Aquaphor until skin peeling is complete. To prevent irregular pigmentation always use a broad spectrum SPF to protect skin from sun exposure.

Ideal Candidate

The ideal candidate for a Pearl Fractional Laser treatment has mild to moderate skin damage and blemishes such as sun spots, brown spots, fine lines, wrinkles, and acne scars.

Not Recommended For

Pearl Laser treatments are not recommended for use on darker skin tones due to risk of hypopigmentation.

Side Effects

Side effects from Pearl Laser skin resurfacing may include burns, scarring, changes in the skin's pigmentation, infection, and temporary redness, skin peeling, and discomfort.


  • smooths skin
  • tightens skin
  • lasting results
  • improve skin quality
  • improve skin texture
  • effective
  • improved recovery time


  • scarring
  • pigmentation changes
  • exacerbate skin disorders
  • more invasive

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