Pixel CO2

Pixel CO2

Advanced technology with maximum versatility for dermatology & aesthetic procedures

The carbon dioxide (CO2) laser has been known to provide some of the most dramatic, age-defying results in the treatment of challenging skin imperfections including wrinkles, fine lines, photodamage, uneven skin tone and skin laxity, as well as in scar treatment, skin tags and benign tumors.
Using the power of the CO2 laser, the optimal mix of ablative and thermal effects and an array of applicators and treatment modes for highly tailored procedures, Alma’s Pixel CO2 brings unparalleled precision and innovation to the field of dermatology and plastic surgery.
Alma Pixel CO2 is a highly flexible system for char-free tissue ablation, vaporization, excision, incision and coagulation of soft tissue. It allows physicians full control of treatment parameters, including level and depth of ablation and thermal control via pulse duration and mode of energy delivery. This versatility maximizes precision and treatment results while minimizing unnecessary tissue damage.
• Multiple dermatological and cosmetic surgery indications
• Versatile applicators for targeted procedures
• Adjustable treatment patterns
• Exclusive non-ablative mode
• Unique Pixel technology
• Safe for delicate areas
• Precise&Fast treatment
• Versatile for high ROI



Pixel CO provides a complete, minimally-invasive solution for:
tr-icon01Skin Tighteningtr-icon01Skin resurfacing
tr-icon01Scar Remodelingtr-icon01Skin Rejuvenation
tr-icon01Skin Tags & Benign Skin Lesiontr-icon01Skin Imperfections

Laser incision and/or excision
of soft tissue for the performance of
upper and lower eyelid blepharoplasty

Pixel CO2


The CO2 laser uses a 10,600nm wavelength, which is ideal for collagen matrix renewal and an optimal choice for treating an extensive range of dermatological issues. The CO2 laser has the ability to perform efficient, highly precise fractional and non-fractional laser treatments using the widest assortment of advanced applicators.

Modes of Operation

The CO2 laser system offers 4 modes of energy delivery:
1. CW Mode (Continuous Wave):
Emits one continuous and consistent laser energy, typically used for excision or cutting.
2. Pulse Mode (Single pulse):
Produces a single pulse of laser energy for more supervised and accurate energy delivery.
3. Repeat Mode:
Produces a series of either short or long pulses of laser energy at variable speeds.
4. Super Pulse Mode:
Super pulse mode provides the highest peak power with the shortest pulse duration, enabling the deepest penetration with minimal residual thermal damage. This mode is designed for performing ablation without inflammation and achieves highly effective results with minimal downtime and enhanced patient comfort.

The Fractional Laser Method

Unlike traditional ablative laser resurfacing which removes the entire top layer of the skin, Alma Pixel CO2 deploys a fractional delivery method which creates pixel-sized perforations in the skin, leaving the surrounding tissue intact. The preservation of undamaged skin between the perforations allows for faster healing while the wound healing process promotes accelerated re-epithelization, generation of new collagen, tissue regeneration and contracture of existing fibers.
Fractional treatment controls and significantly reduces the risk of adverse side effects such as delayed hypopigmentation, scarring, post-inflammatory hyperpigmentation, infection and persistent erythema. Patients also benefit from much shorter downtime and increased patient comfort compared to traditional resurfacing.
The fractional method is ideal for skin resurfacing and rejuvenation treatments, including scar treatment,
improving skin tone, elasticity and texture and reducing superficial pigmentation

Applicators and Delivery Systems

A full range of treatment-specific applicators

Focus Applicators

Cut & Coagulate with perfect control, ideal for surgical applications
Alma’s Focus applicators combine cutting and coagulation into a single setting.
Both work synergistically, allowing physicians to perform both actions without having to switch applicators or parameters during procedures.
In “cut” (ablation) mode, short pulses emit high peak power, causing immediate ablation of tissue. In “coagulation” (thermal) mode, a longer pulse emits low to modest power, generating heat, which causes blood vessels and tissue to shrink. This sequential-action pulse allows physicians to achieve optimal tissue incision or excision cutting with minimal bleeding as well as reduced patient downtime. Fixed focus
applicators of the two spot sizes allow for precise and accurate soft tissue cutting.


Pixel Applicator

High thermal effect, short downtime, ideal for wrinkles and skin tightening
Pixel CO2The Pixel CO2 laser energy to the skin through a DOE (Diffractive Optical Element) which
pixelates the beam to either 49 or 81 pixels, creating simultaneous microscopic columns of micro-ablative damage. The energy is delivered
in a square pattern with an 11x11mm spot size.
This unique technology approach enables the use of much higher energy levels via longer pulse durations, creating a greater coagulation and thermal effect with minimal ablation and significantly less patient downtime.
The deep thermal effect of the Pixel applicator makes it ideal for skin rejuvenation, treating fin lines and wrinkles.



Pixel CO2

iPixel Roller

Pixel roller for fast, ablative treatments – ideal for larger areas

Pixel CO2 roller

The iPixel roller releases a 7 sequential laser pixel beams as it is rolled across the skin, enabling fast treatment of large areas. The movement of the roller triggers a high power laser pulse, channeled into a horizontal line of seven evenly-spaced thermal and ablative channels.
The treatment achieves effective tissue remodeling and skin resurfacing with the benefit of faster healing time associated with the fractional treatment method. It is ideal for skin rejuvenation and treating skin pigmentation in larger areas.

iPixel CO2

LiteScan CO2


Versatile fractional scanner for efficient ablative procedures, ideal for skin texture and pigmentation

CO2 LiteScan

LiteScan is a handheld microprocessor-controlled laser scanner for char-free ablative procedures that allows for rapid coverage of large areas. It is designed for use in a variety of dermatological, cosmetic and surgical applications. Multiple scanning options are available including square or circle, in a spiral, grid or circumferential pattern as well as straight or curved lines.
LiteScan optimizes treatment efficacy by providing higher energy output per pixel in shorter pulses for ablative procedures. The galvanometric scanning motor delivers energy more quickly per scanning area than the CO2 focus applicators, for faster and more efficient coverage of large surface areas.


Non-ablative laser with zero downtime, for skin tightening
The new and uniquely designed SkinTight applicator is a CO2 probe created specifically for skin tightening. It features a large, 6mm spot size and uses a defocused low fluence laser beam to gently heat tissue without ablation; effectively heating the dermal layer and triggering neocollagenesis. Energy is applied to the skin without contact and is suitable for treating fine lines, wrinkles and for skin tightening of the face, neck and dיcolletי.

SkinTight CO2

TruScan applicator

The TruScan applicator combines the advantages of the TruSpot and LiteScan applicators.
Similar to the TruSpot applicator, this applicator is attached to a microscope* and performs lasing from a distance of 20-45cm, which is optimal for different micro surgery applications in ENT and gynecology.
This extraordinary applicator allows automatic scanning and lasing in the different patterns. This functionality achieves precise lasing and fast coverage for different indications and especially beneficial with line and circle patterns.
*only compatible microscopes for Alma TruScan


CO2 Applicators FootPrint

Listen to The Experts

Dr Tania Meneghel









“Pixel CO2 with the Roller applicator is an unbeatable combination when treating scars and stretch marks.”

Dr. Tania Meneghel MD, Dermatologist, Brazil

Dr. Eyal Kramer

“I’ve seen very impressive results for skin tightening with the dedicated SkinTight applicator. It’s light weight and ergonomic structure makes
it easy to operate, and the immediate results show that this applicator truly delivers on its promise.”

Dr. Eyal Kramer, Plastic Surgeon

Dr. Carolyn DeLucia

“Alma’s Pixel CO2 technology achieves excellent results for skin rejuvenation. The deep thermal effect of the Pixel applicator stimulates collagen renewal, making it ideal for treating fine lines and wrinkles. The iPixel roller offers high speed capabilities,allowing us to treat larger areas far more quickly, easily and effectively.”

Dr. Acky Friedman, MD., Dermatologist

Prof. Dr. Uwe Paasch

“Alma’s Pixel CO2 is one of my favorite platforms; i have been using it in my clinic for several years now.
The LiteScan applicator is spectacular – an ideal combination of great clinical results and a high-speed procedure”

Prof. Dr. Uwe Paasch, MD, Jesewitz OT Gotha,









“These non-invasive treatments are the future and as technology improves, so do the results.”

Taimur Shoaib, MD
Plastic Surgeon, Edinburgh, UK


“The iPixel CO2 is brilliant; it is a must have device for all dermatologists and plastic surgeons.”

Michael Shochat, MD

Before & After

CO2 Nevus

Courtesy of Dr. Dinko Kaliterna, Dermatologist, Poliklinika Poliderma, Zagreb, Croatia

Skin Resurfacing CO2

Courtesy of Dr. Michael Gold, Medical Director, Gold Skin Care, Nashville TN

CO2 Wrinkels

Courtesy of Dr. Guilherme de Almeida, Hospital sirio libanes,Sao Paulo, Brazil

CO2 Skin Laxity

Courtesy of Dr. Mario A. Trelles, MD, PhD, Instituto Medico Vilafortuny,Tarragona, Spain

CO2 Melasma

Courtesy of Dr. Michael Shochat, MD, Dermatologist.

CO2 Skin Rejuvenation

Courtesy of Dr. Dinko Kaliterna, Dermatologist, Poliklinika Poliderma, Zagreb, Croatia

Scars removal | CO2

Courtesy of Dr. Uwe Paasch, MD, PhD. Dermatology Department, University of Leipzig, Germany

before and after - skin resurfacing with Pixel CO2 laser

Courtesy of Dr. Guillermo Badaracco, Dermatologist, Argentina

before and after - skin resurfacing with Pixel CO2 laser

Courtesy of Dr. Guillermo Badaracco, Dermatologist, Argentina

anti aging - skin resurfacing with Pixel CO2 laser

Courtesy of Dr. Guillermo Badaracco, Dermatologist, Argentina

before and after - skin resurfacing with Pixel CO2 fractional laser

Courtesy of Dr. Guillermo Badaracco, Dermatologist, Argentina