Halo Hybrid Fractional Laser

Halo Hybrid Fractional Laser best provider in Columbus, Ohio is Mary Beth Mudd, M.D. who introduced the procedure to the state. Dr. Mudd has produced two studies on its effects for presentation to the American Society for Laser Medicine and Surgery.

What is Halo Hybrid Fractional Laser?

Halo® is a new category of fractional laser that is referred to as “Hybrid Fractional Laser” or HFL that combines two pulsed wavelengths the promote both a surface effect while getting deeper, broader results where many skin problems are but without the long recovery time and extensive healing associated with deeper skin laser therapies.

How does Halo Hybrid Fractional Laser work?

Up to now lasers have basically worked in one of two categories. Ablative lasers work by removing layers of skin. The treatments are more involved, have some bleeding, are more extensive, and better long term results. You have fewer sessions but more downtime.  However, ablative lasers require lots of healing (If any of you have seen my pictures in the hallway at New You or my comparison pictures at My Halo® Story and My Halo® Story 2.0 where I compare my fractional laser to the same day effects of Halo Hybrid Fractional Laser you know what I mean.) and you have to wear that heavy “goop” to protect your skin. Your skin appears very red and it feels hot for days or weeks afterward depending on how deep the treatment goes.

Non-ablative lasers is the second category and these lasers work by generating heat down into the skin. The treatments are easier and there is no bleeding. However because the skin is less challenged the results are limited and more subtle. You have more sessions, and less downtime, but also limited results.

The other problem with fractional (ablative) lasers is that there is always the problem of over/under treatment; go too fast and areas are skipped, go too slow and you over treat. Halo has built-in software that measures how fast the hand-piece I use is moving relative to your skin and adjusts the scanning speed to guarantee a uniform treatment. This capability is called “dynamic thermal optimization”(DTO). (1) It continually measures your skin temperature and automatically changes the laser’s density and pulse so the laser’s output always stays aligned to the desired specifications. Think of it like a gyroscope that keeps your Halo treatment in balance all the time. This uniformity also means that Halo works well with patients of all skin types and is effective on acne scars. (2)

Halo Hybrid Fractional Laser combines the best of both ablative and non-ablative wavelengths together in one pulsed application. At 2940 nm wavelength, the ablative part of Halo® can work on removing superficial skin at 0-100 microns, to make room for newer, fresher skin replacement. At the 1470nm wavelength Halo® works at 200-700 microns and targets deep skin pigmentation problems as well as stimulates collagen and elastin production and new skin cells.

Halo Hybrid Fractional Laser works by creating channels in the skin much like when you aerate your lawn. These channels that are created in your skin focuses cell development in hard to treat areas, resulting in rapid growth and increased healing factors. The surrounding skin “tailgates” on these channels getting a “free ride” as the healing factors that are created in the channels generalize to the untreated skin.

Halo® FAQs

See what my good friends, and colleagues,  Dr. Jason Pozner and Dr. Jill Waibel have to say about Halo Hybrid Fractional Laser and their patient experiences.

What are the benefits of Halo®?

Based on my two studies of the effects of Halo, as well as other confirming studies I’ve discovered Halo offers the following benefits:

  • Greater precision. With the hybrid laser I can more tightly control the depth, degree of penetration, and the amount of heat applied not only to the surface but also to the deep skin at the same time.
  • Greater customization. I can adapt the laser more readily to each person’s skin category and type, rather than “one size fits most.”
  • I have greater control over the portion of the portion of the dermis, or deep skin, I treat nonablatively.
  • Healing times are consistently the same. Whether you go to 200 microns, or 400 microns you still end up with the same level of healing on the same day.
  • Greater comfort for you. Healing begins in just 1 hour after treatment.
  • You can get more aggressive treatment and greater results with only minor differences in appearance.
  • No more wearing heavy skin “goop.”
  • No more heavy swelling.
  • No more heavy skin sloughing.
  • No more heavily inflamed skin.
  • No more having to be out of the public eye or people knowing what you’ve had done.
  • No super dry skin afterward. (3)

What results will I see from Halo®?

  • You’ll see tighter pores; from 80% down to 37% have been reported.
  • If you have acne scarring you can see improvement in 1 week.
  • With Halo® I can go deeper than BBL (150-200 microns) to erase photo aging caused by sun exposure.
  • Because Halo® builds collagen and elastin, it can help restore fullness to your skin.
  • Halo® smoothes both fine lines and creases.
  • Based on my research, 96-100% of patients were either very satisfied or satisfied with the treatment process and results.
  • Patients were particularly please with their improved skin texture, pores, and luminosity.
  • Improvement in acne scars was also seen within 1 month of treatment
  • Patients reported significantly less downtime, discomfort, and side effects (like swelling) than what is usually experienced with ablative treatment.
  • The rapid onset of results created high levels of patient satisfaction. (4)

What does Halo® feel like?

Based on my own experience I can say (Keep in mind comfort levels differ from person to person.) with nominal anesthesia, the treatment felt like prickly hot needles; certainly nothing to cause me to go screaming from the room. The sensation of intense heat was gone in about a day. If comfort levels are important to you, Halo® with a topical anesthetic and an optional oral medication should help open up laser peels to you if you’re anxious about comfort during the procedure. In addition I can also give you prednisone to control the little swelling that might appear (unless of course it is counter indicated by your past medical record).

How long until I see the results from Halo®?

After your treatment your face will feel hot for about an hour. Your skin will dry some as it heals. You will look like you’ve had a little too much sun for the first day. (I got kidded for that, “Dr Mudd! You were outside without your sunscreen!) Some minor swelling may occur but cold packs and prednisone can control that. You’ll need to apply Cicalfate, a protective cream that acts like a liquid band-aid to cut down on irritation. But don’t worry it has the same consistency as regular cold cream and no one can see it. (My hubby didn’t even know I had it on!)

On day 2 your skin will start to show little brown spots that look like freckles. These are the dead cells coming up through the little channels the laser created. Your skin will have a really fine dusting of dead skin, sort of a “micro-dandruff” by day 3-4. It is easily wiped away and isn’t obvious to others. This dermal remodeling seems to stimulate collagen production on a level comparable to more invasive and aggressive treatments but without the more negative complications (5). Patients experience significant increases in their skin’s ability to maintain and support collagen, elastin and turgidity (bounce) as well as keep protein fibers in balance and proportion, and to better retain moisture. (6) Within a week your new results are in place.

How many Halo® treatments will I need?

Because your skin heals faster on the second treatment I recommend getting two treatments a month apart. This is another benefit of Halo®. Using a pro fractional laser alone you would have to wait 6 months or more for a second treatment. Your first treatment will probably be lighter and serve to get your skin healing factors pumped up. Your second treatment can be deeper to take advantage of the base of newer healthier skin. Of course this is only generally speaking. Each person has different goals in pursuing this type of treatment.

Halo vs Fractional Laser/MicroLaserPeel

Halo Hybrid Fractional Laser provides the best of both ablative and nonablative laser therapy without the downtime and with lots of flexibility, so you the patient can more easily determine the results you want to see. Suppose you have an important event in a week and you want to see the results but don’t want to run the risk of heavy skin sloughing or skin redness associated with a deep peel. With Halo you can begin with a series of lighter peels, and still look good for your event. Fractional laser isn’t a dated treatment so don’t think of as and “either/or” choice. Depending on your skin condition some fractional laser may be called for depending on the nature of your problem. What is important is now with Halo, you have more choice in your treatment.


1. “New Device for Fractional Laser Resurfacing”

2. “Hybrid laser allows simultaneous ablative, nonablative treatments”Dermatology Times, October 13, 2014,John Jesitus

3. “Evaluation of a Singe Treatment of 1470nm/2940nm Hybrid Fractional Laser for Facial Rejuvenation” Presentation at the annual National Conference of the American Society for Laser Medicine and Surgery, March 2016, by Mary Beth Mudd, M.D.

4. “Efficacy of a Single Treatment of Novel 1470nm/2940nm Hybrid Fractional Laser”Presentation at the annual National Conference of the American Society for Laser Medicine and Surgery, March 2015, by Mary Beth Mudd, M.D.

5. “Intraepidermal erbium:YAG laser resurfacing: impact on the dermal matrix.”Orringer JS, Rittié L, Hamilton T, Karimipour DJ, Voorhees JJ, Fisher GJ.J Am Acad Dermatol. 2011 Jan;64(1):119-28.

6. “Ex-vivo study of hybrid energy technology using a human skin model.”Boisnic S, Branchet MC.Eur J Dermatol. 2014 Jan-Feb;24(1):46-52.