Fine Lines
CoolPeel resurfaces the outer layer of the skin, where fine lines sit. VirtueRF supports collagen beneath them. Many clients see lines look softer as the skin heals and renews.
CoolPeel® + VirtueRF is a combination treatment offered at Wise Aesthetics in Carmel, Indiana. It pairs CO₂ laser resurfacing with radiofrequency microneedling in the same visit, addressing surface texture and deeper skin firmness together. It can be performed on the face, neck and chest. Plan for 2 to 4 days of recovery. Individual results vary.
Under the medical direction of Dr. Rajiv Sood, board-certified plastic surgeon.
Each device does a different job. These are the concerns most often discussed when the two are planned together.
CoolPeel resurfaces the outer layer of the skin, where fine lines sit. VirtueRF supports collagen beneath them. Many clients see lines look softer as the skin heals and renews.
Resurfacing removes a fraction of the outer layer so that smoother skin can form in its place. Texture and the look of pores may improve over the weeks after treatment.
Radiofrequency energy warms the deeper layers of the skin, which prompts new collagen. Firmness changes gradually, over a period of months.
CoolPeel treats the surface layer, where much sun-related discolouration is found. Your provider will tell you whether a light-based treatment would suit your pigment concerns better.
Face: full face, including around the eyes and mouth
Neck
Chest
Your provider will confirm which areas are appropriate for you at consultation.
Before, during and after your CoolPeel® + VirtueRF appointment at Wise Aesthetics.
Stay out of direct sun and avoid tanning beds and self-tanning products for at least 2 weeks before treatment. Wear a broad-spectrum sunscreen of SPF 30 or higher every day.
Stop retinoids, exfoliating acids such as glycolic and salicylic acid, and vitamin C serums 5 to 7 days before your appointment.
Avoid chemical peels, microneedling and laser treatments in the area for 2 weeks beforehand.
Your provider will advise whether to pause aspirin, ibuprofen, fish oil, vitamin E or other products that can increase bruising. Do not stop any prescribed medication without speaking to the prescriber.
If you have a history of cold sores, tell your provider in advance. An antiviral medication may be prescribed.
Come with clean skin and no makeup, lotion, oil or sunscreen on the treatment area.
Your skin is cleansed and a topical numbing cream is applied. Numbing typically takes 30 to 45 minutes.
Your provider treats the area with the VirtueRF handpiece, adjusting needle depth and energy to your skin and concerns.
The CO₂ laser pass follows. You will wear protective eyewear while the laser is in use.
Most clients describe warmth, pressure and a prickling sensation. The numbing cream makes treatment more comfortable, though you should expect to feel it.
A soothing product may be applied, and you will be given aftercare instructions to follow at home.
Redness, mild swelling and a warm, sunburn-like feeling are common and typically settle within 2 to 4 days. As the skin heals it often feels dry and rough, like fine sandpaper.
Avoid direct sun for at least 2 weeks and wear a broad-spectrum sunscreen of SPF 30 or higher every day.
Use a gentle cleanser and a hydrating moisturizer. Avoid retinoids, exfoliants and other active products for 7 to 10 days, or as your provider directs.
Skip hot showers, saunas and vigorous exercise for 48 hours.
Let dry or flaking skin come away by itself.
Contact the practice promptly about increasing pain, blistering, signs of infection or anything that concerns you.
Once redness and dryness settle, many clients notice smoother, brighter-looking skin.
Collagen forms slowly. Changes in firmness and fine lines continue to develop over several months.
How much change you see depends on your skin, your age, your sun exposure and the number of treatments in your plan.
Individual results vary.
Your provider will recommend the number of sessions and the time between them after examining your skin. Some clients have one treatment; others plan a series. Maintenance is discussed once you have seen how your skin responds.
Appointment length is confirmed at your consultation, based on the areas treated.
Your provider will recommend the number of sessions in your plan.
A consultation is required before treatment to confirm that it is appropriate for you and to give you the treatment fee.
Please follow the pre-treatment instructions you are given. If they have not been followed, your provider may need to reschedule your treatment.
The cost of CoolPeel® + VirtueRF depends on your goals and the plan your provider recommends. Your provider will confirm your plan and its cost at consultation, before any treatment.
CoolPeel + VirtueRF pairs two energy-based treatments in one appointment. Each works on a different layer of the skin, which is why they are often planned together.
VirtueRF is radiofrequency microneedling. Fine needles enter the skin to a set depth and deliver radiofrequency energy there. The warmth prompts the skin to produce new collagen over the following months.
CoolPeel is a fractional CO₂ laser treatment. It delivers energy in very short pulses that treat the outer layer of the skin while limiting the heat that reaches the tissue beneath.
Changes in the skin rarely sit at one depth. Fine lines, rough texture and sun-related uneven tone are largely surface concerns. Loss of firmness begins deeper. Using both devices in one visit lets your provider address both layers and plan a single recovery period.
Not everyone needs both. If your concern is mainly surface texture, CoolPeel alone may be enough. If it is mainly firmness, VirtueRF alone may suit you better. Your provider will examine your skin and tell you plainly which approach fits.
This treatment may suit:
Both devices are FDA-cleared.
Individual results vary.
Your provider reviews your medical history and discusses risks and alternatives with you before recommending treatment.
Read more about each treatment: CoolPeel® and VirtueRF Microneedling.
More questions? Read our full FAQs, or call or text 317-569-6448.
| Monday | 9am to 5pm |
| Tuesday to Thursday | 9am to 6pm |
| Friday | 9am to 5pm |
| Saturday and Sunday | Closed |
Carmel, Fishers, Westfield, Zionsville and the greater Indianapolis area.
Individual results vary. This page is general information and is not medical advice. Treatments are provided under the medical direction of Dr. Rajiv Sood, board-certified plastic surgeon.
Use Cherry in our office to break up payments. Apply here.
Call or text us at 317-569-6448 to reach a patient coordinator.
Refer a friend and you'll both get $50 in credit added to your account!*
*Subject to terms of the Referral Program as described in the Terms of Service.
Your payment information is processed securely.