Correct acne scars, age spots and skin texture with UltraClear cold fibre laser. Doctor-led skin rejuvenation in London. Book a consultation.
Every UltraClear session at Dr Joney De Souza Clinic begins with a VISIA skin analysis. Your clinician selects the right solution — 3DMIRACL, UltraClear or Laser Coring — based on your skin goals and available recovery time.
UltraClear laser resurfacing is suited to patients seeking meaningful skin improvement, with three solutions to match different levels of downtime and depth of treatment. At our Marylebone clinic, patients most commonly choose it for:
UltraClear is suitable for a wide range of skin tones and types. The cold fibre laser technology minimises thermal damage to surrounding tissue, making it more inclusive than traditional CO2 resurfacing lasers. Suitability is confirmed at consultation with a full clinical skin assessment. For patients with active acne, rosacea, or darker skin tones, the clinical team will assess the appropriate solution and settings individually.
UltraClear is a cold fibre laser resurfacing system that delivers controlled ablation of the skin surface with significantly less heat transfer to surrounding tissue compared to conventional CO2 lasers. It offers three treatment solutions — 3DMIRACL, UltraClear and Laser Coring — each calibrated to a different depth of resurfacing and recovery profile. This allows the clinician to match the treatment precisely to your skin goals and available downtime, from a no-downtime maintenance solution to a deep fractional resurfacing for significant scarring or textural concerns.
The technology works by directing highly focused laser energy to remove damaged surface skin cells and stimulate collagen remodelling in the deeper layers. The cold fibre delivery mechanism reduces collateral thermal damage, resulting in faster healing and more consistent outcomes compared to older ablative systems. At Dr Joney De Souza Clinic, all UltraClear treatments begin with a VISIA skin analysis and clinical assessment to determine the correct solution, energy settings and protocol for your skin and recovery schedule.
UltraClear uses cold fibre laser technology to resurface the skin with precision. Unlike traditional CO2 lasers that generate significant heat in surrounding tissue, UltraClear’s fibre delivery system ablates the skin surface while keeping collateral thermal damage to a minimum — allowing more targeted treatment, faster recovery and a wider range of suitable candidates.
Before any UltraClear treatment begins, your clinician performs a VISIA skin analysis to assess texture, pore size, pigmentation, sun damage and skin condition across multiple dimensions. This provides a data-driven baseline and informs the choice of treatment solution — 3DMIRACL, UltraClear or Laser Coring — as well as the energy settings and density of the treatment pass. Every session is planned individually to match your skin on the day.
For UltraClear and Laser Coring sessions, a topical anaesthetic cream is applied to the treatment area approximately 20 to 40 minutes before the laser session begins, ensuring comfort during resurfacing. For 3DMIRACL, the treatment is comfortable without anaesthetic and does not require a waiting period before starting. Your clinician will advise at the time of booking which applies to your planned session.
The UltraClear handpiece is moved across the treatment area following the clinician’s planned protocol. For 3DMIRACL, the laser delivers micro-ablative columns with minimal surface disruption and no formal downtime, stimulating renewal without visible peeling. For the UltraClear solution, a mid-depth resurfacing pass delivers more visible surface renewal with 3 to 7 days of recovery. Laser Coring targets deeper fractional resurfacing for significant scarring or established textural concerns and requires 7 to 14 days of downtime.
Following ablation, the skin’s wound-healing response triggers collagen synthesis in the treated area. This remodelling process continues for weeks to months after the session, with ongoing improvement visible beyond the initial surface healing phase. The cold fibre technology supports this process by limiting the zone of collateral thermal injury, allowing the deeper remodelling cascade to proceed without the recovery burden of conventional CO2 systems.
Immediately after the session, a cooling gel or barrier product is applied to the treated skin to reduce initial redness and support the healing environment. For resurfacing sessions with downtime, a full aftercare kit and written protocol are provided covering barrier cream application, cleansing method, SPF requirements and skincare reintroduction timelines. For 3DMIRACL sessions, aftercare is minimal — SPF and gentle moisturiser are the primary requirements.
A follow-up consultation is scheduled after your treatment to assess healing, review the result against your baseline VISIA images and plan any subsequent sessions. For patients undertaking a course of treatments, protocol adjustments and spacing are confirmed at this stage based on how your skin has responded. This structured review process ensures consistent progression towards your skin goals and allows the clinician to optimise each subsequent session.
Results from UltraClear laser resurfacing are visible from the first session and continue to improve as collagen remodelling progresses over the weeks following treatment. Images show results achieved at Dr Joney De Souza Clinic, Marylebone. Individual outcomes vary based on skin type, the treatment solution selected and the number of sessions.
Ultraclear Laser
6 weeks post 1 treatment
3DMIRACL
5 weeks post 1 treatment
Laser-Coring
5 months post 1 treatment
If this is your first laser resurfacing treatment, your initial session will begin with a VISIA skin analysis and clinical skin assessment before any treatment is performed. Your clinician will discuss your main concerns, tolerance for downtime, skin history and any previous laser treatments or active skincare ingredients in use. A patch test may be recommended for deeper resurfacing solutions depending on your skin type.
Most first-time patients attend a standalone consultation before their first resurfacing session, allowing time for a proper assessment and protocol planning. For 3DMIRACL treatments, a combined assessment and treatment visit may be possible depending on your skin presentation. Your clinician will advise at the time of booking. New patients begin with no obligation to commit to a course — the assessment itself is the starting point.
For patients incorporating UltraClear into a longer-term skin programme, the 3DMIRACL solution suits regular sessions every four to six weeks, maintaining an improved skin surface and stimulating ongoing collagen activity without the recovery of deeper resurfacing. For UltraClear and Laser Coring sessions, spacing of three to six months allows full collagen remodelling between treatments and ensures complete healing before the next session.
Many patients combine UltraClear resurfacing with injectable treatments — polynucleotides, skin boosters or anti-wrinkle injections — as part of a structured skin programme. Dr De Souza will advise on the most effective sequencing and spacing at consultation, ensuring each treatment contributes maximally to your overall result without compromising healing.
You will be asked to pause retinoid and acid-based skincare products in the days before your appointment, and to arrive with clean skin. Your clinician will perform a VISIA skin analysis before treatment begins to confirm the planned protocol and document your baseline. For deeper resurfacing sessions, topical anaesthetic is applied on arrival and you will wait approximately 20 to 40 minutes before the laser session starts — plan accordingly. No other special preparation is required, but avoiding sun exposure and using SPF in the week before treatment is strongly advised.
The experience varies by solution. For 3DMIRACL, the session is brief — typically 20 to 30 minutes — and comfortable throughout, with no significant sensation and no downtime required. For the UltraClear and Laser Coring solutions, topical anaesthetic ensures comfort during the resurfacing pass, which takes 30 to 60 minutes depending on the area treated. You may experience a mild warm or prickling sensation despite the numbing, which is normal and managed by the clinician during the session. The UltraClear handpiece moves across the skin in a systematic, controlled pattern, and your clinician will monitor your comfort and skin response throughout.
For 3DMIRACL, you can return to normal activities the same day. The skin may appear slightly pink for a few hours and requires only SPF and a gentle moisturiser. For UltraClear and Laser Coring, expect 3 to 14 days of visible healing. In the first 24 to 72 hours the skin will appear red, swollen and may weep slightly. As healing progresses the surface sheds to reveal new skin beneath — noticeably smoother, more even and more refined in texture. Your clinician will provide a full aftercare protocol at the end of your session, covering barrier cream application, cleansing method, SPF requirements and the timeline for reintroducing active skincare ingredients.
UltraClear laser resurfacing is available at a growing number of clinics across London. At Dr Joney De Souza Clinic, it is delivered within a doctor-led environment where every session begins with a thorough clinical skin assessment and VISIA skin analysis. The correct solution, energy settings and treatment depth are determined by your skin on the day — not selected from a standard protocol menu.
We offer all three UltraClear treatment solutions at our Marylebone clinic. Pricing reflects the depth of resurfacing, the session duration and the level of clinical oversight involved. All treatments include a personalised clinical skin assessment with VISIA imaging.
Final pricing depends on the treatment area confirmed at clinical assessment.
| Treatment | Price (£) |
|---|---|
3DMIRACL — Face | 850 |
3DMIRACL — Face & Neck | 1,050 |
3DMIRACL — Face, Neck & Décolletage | 1,250 |
UltraClear — Face | 1,900 |
UltraClear — Face & Neck | 2,100 |
UltraClear — Face, Neck & Décolletage | 2,300 |
Laser Coring — Face | 3,950 |
Laser Coring — Face & Neck | 4,500 |
Laser Coring — Face, Neck & Décolletage | 5,500 |
Laser Coring — Submental | 1,500 |
Laser Coring — Submental | 1,500 |
UltraClear Scars | 250 |
UltraClear laser works at the surface and mid-dermis, removing damaged tissue and stimulating collagen remodelling through the wound-healing response. Polynucleotides work at a deeper biological level, delivering purified DNA fragments into the dermis to activate fibroblast activity and support tissue regeneration from within. The two approaches address the same goal — improved skin quality and structure — from different depths and through different mechanisms.
Combining UltraClear with polynucleotides allows surface resurfacing and deep tissue regeneration to work in parallel over a structured programme. Dr De Souza will advise on the most effective sequencing and spacing — in most cases, injectable treatments are administered separately from laser sessions to allow independent healing and maximum benefit from both approaches.
UltraClear is one of the most advanced laser resurfacing systems available, yet patients often arrive with questions about how the three solutions compare, what to expect during recovery and whether it is the right choice for their skin. The answers below address the most common questions we hear at Dr Joney De Souza Clinic.
UltraClear is a cold fibre laser resurfacing system that removes damaged surface skin cells through controlled ablation while stimulating collagen remodelling in the underlying dermis. It offers three treatment solutions — 3DMIRACL (no downtime), UltraClear (3–7 days downtime) and Laser Coring (7–14 days downtime) — allowing the clinician to match the depth of treatment precisely to your skin goals and recovery availability. At Dr Joney De Souza Clinic, every UltraClear session begins with a VISIA skin analysis and a clinical assessment before treatment is planned.
3DMIRACL is the no-downtime solution. It delivers micro-ablative columns to the skin surface with minimal disruption and no formal recovery, making it suited to maintenance resurfacing and patients who cannot take time off. The UltraClear solution delivers mid-depth resurfacing with more visible surface renewal and 3 to 7 days of downtime, targeting fine lines, texture, pigmentation and mild scarring. Laser Coring is the deepest option, addressing significant acne scarring, established textural concerns and deeper lines with 7 to 14 days of downtime for comprehensive remodelling.
For 3DMIRACL, improvement in skin radiance and texture is visible within a few days as any initial redness settles. Results continue to build over several weeks as collagen remodelling progresses. For UltraClear and Laser Coring, the most significant visible improvement is seen once the healing phase is complete — typically 7 to 21 days after treatment — with progressive improvement in skin texture, tone and firmness continuing for three to six months as deep collagen remodelling takes full effect.
Results from a single resurfacing session are long-lasting. The surface improvements — in texture, tone and clarity — are durable and do not reverse, though ongoing sun exposure and natural ageing continue over time. The collagen stimulated by the treatment improves skin quality for 6 to 18 months following a single deeper session. Maintenance with 3DMIRACL treatments every 4 to 6 weeks helps preserve and build on the results of deeper resurfacing sessions over time.
For patients using 3DMIRACL for maintenance resurfacing, monthly sessions are appropriate. For the UltraClear solution targeting texture, fine lines or pigmentation, a course of two to three sessions spaced three to four months apart is typical. For Laser Coring addressing significant acne scarring, one to three sessions spaced four to six months apart is the usual approach, with the number determined by the severity of the scarring and the response to the first treatment. Your clinician will confirm the most appropriate plan at your consultation.
Yes. UltraClear laser — particularly the UltraClear and Laser Coring solutions — is one of the most effective treatments for acne scarring because it combines surface ablation with deep collagen stimulation. The ablative pass removes the damaged surface layer while the heat-induced remodelling response reshapes and fills indented or rolling scars over subsequent weeks and months. Cold fibre technology allows deeper fractional ablation with a more controlled thermal profile than older CO2 systems, reducing the risk of post-inflammatory hyperpigmentation in more melanin-rich skin tones.
Yes. UltraClear is effective for fine lines and surface wrinkles, particularly around the eyes, mouth and forehead where epidermal texture and superficial skin quality are the primary concern. The 3DMIRACL solution provides progressive improvement with repeated sessions and no downtime. The UltraClear solution delivers more pronounced results per session for patients with more established lines or overall textural ageing. For deeper lines or significant skin laxity, the clinical team may recommend combining laser resurfacing with injectable treatments for a more comprehensive result.
UltraClear is suitable for a wider range of skin tones than conventional CO2 lasers because the cold fibre delivery mechanism reduces collateral thermal damage — the primary cause of post-inflammatory hyperpigmentation in patients with higher Fitzpatrick skin types. Suitability is assessed individually at consultation, taking into account your skin tone, current condition, previous laser history and any relevant medical factors. Not every solution is appropriate for every skin type — your clinician will confirm which treatment option is safe and effective for you.
For 3DMIRACL, the treatment is comfortable and does not require anaesthetic. For UltraClear and Laser Coring sessions, topical anaesthetic cream is applied before the session to ensure comfort during the resurfacing pass. Most patients describe a mild warmth or prickling sensation during treatment despite the numbing, which is normal and managed by the clinician. Discomfort after the session varies by solution — 3DMIRACL requires only SPF and moisturiser, while deeper sessions involve a healing period with redness, swelling and sensitivity that peaks in the first 24 to 72 hours and settles progressively over the following days.
UltraClear is a clinically validated laser resurfacing system with a well-established safety profile. The cold fibre technology reduces the risk of thermal complications compared to conventional CO2 lasers, and the three-solution structure allows depth and intensity to be calibrated to each patient’s skin. At Dr Joney De Souza Clinic, all treatments are preceded by a clinical assessment and VISIA analysis to confirm suitability and plan the correct protocol. Patients with certain skin conditions, medications or health factors may not be suitable candidates — this is assessed and discussed before any treatment is undertaken.
For 3DMIRACL, aftercare is minimal — apply SPF and a gentle moisturiser daily and avoid active skincare for 48 hours. For UltraClear and Laser Coring sessions, your clinician will provide a written aftercare protocol covering: barrier cream application, gentle cleansing method, strict SPF use throughout healing and beyond, avoidance of heat, exercise and swimming until healing is complete, and a timeline for reintroducing retinoids, acids and other active ingredients. Following the aftercare protocol precisely is essential to achieving the best result and preventing complications.
Once patients understand what UltraClear laser does, the next questions are usually about how it compares to CO2 laser and microneedling, how it fits alongside other treatments and whether it is the right choice for their specific concern. The answers below address the most common comparisons we hear at Dr Joney De Souza Clinic.
UltraClear and CO2 laser are both ablative resurfacing systems, but they differ in how they deliver energy and manage heat. Traditional CO2 lasers use a mid-infrared wavelength that generates significant heat in the tissue surrounding the ablation zone, which can prolong healing and increase the risk of pigmentation complications in darker skin tones. UltraClear uses cold fibre technology to reduce collateral thermal damage, allowing for more precise ablation, faster recovery and a wider range of suitable candidates. The clinical outcome — resurfacing, texture improvement and collagen stimulation — is comparable, but the safety and recovery profile of UltraClear is generally more favourable.
Microneedling and UltraClear both stimulate collagen production through a controlled injury response, but they work through different mechanisms and address different skin concerns. Microneedling uses fine needles to create micro-channels in the dermis, stimulating collagen without ablating the surface — it is well suited to skin laxity, fine lines and mild scarring in patients who prefer no visible surface recovery. UltraClear ablates the skin surface as well as stimulating deep collagen remodelling, making it more effective for textural irregularity, acne scarring, pigmentation and surface quality improvements that require removal of the damaged epidermal layer. For significant scarring or established textural concerns, UltraClear typically produces more pronounced results per session.
Yes, and combining UltraClear with injectable treatments often produces a stronger overall result than either approach alone. Polynucleotides and skin boosters pair well with UltraClear resurfacing — the laser addresses surface quality and texture while the injectables support deeper tissue hydration and regeneration. Anti-wrinkle injections and dermal fillers are typically administered as separate appointments with appropriate spacing from laser sessions to allow independent healing. Dr De Souza will advise on the most effective combination and sequencing for your skin goals at consultation.
Downtime depends entirely on the solution selected. 3DMIRACL requires no formal downtime — you can return to normal activities the same day. The UltraClear solution involves 3 to 7 days of visible healing with redness, swelling and surface shedding as new skin emerges. Laser Coring requires 7 to 14 days of downtime with a more pronounced healing phase. Your clinician will confirm the expected recovery timeline for your planned treatment at consultation so you can plan accordingly.
3DMIRACL is the no-downtime solution within the UltraClear system. It delivers micro-ablative laser energy in a fractional pattern that stimulates collagen renewal and improves surface quality without disrupting the full skin surface — so you can return to work the same day. The UltraClear solution is a deeper resurfacing pass that removes the full surface layer in the treated area, producing more significant per-session results at the cost of 3 to 7 days of visible healing. Both use the same UltraClear cold fibre technology; the difference is in the depth, density and coverage of the treatment.
Laser Coring is the deepest treatment solution within the UltraClear system. It delivers high-energy fractional ablation to target deep acne scarring, significant textural irregularity and established dermal concerns that do not respond adequately to surface-level resurfacing. The treatment requires 7 to 14 days of downtime and produces a more substantial remodelling response than the 3DMIRACL or UltraClear solutions. Laser Coring at Dr Joney De Souza Clinic is priced from £3,950 for face and eyes, and is reserved for patients where the clinical assessment confirms it is the appropriate solution for their concern.
3DMIRACL starts from £850 per session with courses of 3 available. The UltraClear solution starts from £1,500 per session. Laser Coring is priced from £3,950 for face and eyes. All sessions include a clinical assessment with VISIA skin analysis. Current pricing is confirmed at consultation.
For patients with skin concerns that have not responded to topical treatments or lower-intensity procedures, UltraClear represents strong value as an investment in meaningful, lasting improvement. The 3DMIRACL solution offers a cost-effective entry point with no recovery time. For patients prepared for the recovery period, the UltraClear and Laser Coring solutions can achieve results — particularly for acne scarring and deep textural irregularity — that would require significantly more sessions of less intensive approaches. The clinical assessment ensures you understand the expected outcome and the number of sessions required before committing to treatment.
At a doctor-led clinic, UltraClear is delivered within a clinical framework with a full skin assessment, VISIA imaging, appropriate solution and protocol selection, and structured aftercare and follow-up. Dr Joney De Souza and the clinical team assess each patient individually, confirm suitability for each treatment solution, calibrate settings to match your skin on the day and provide clinical oversight throughout your programme. This is particularly important for deeper resurfacing sessions and for patients with higher skin sensitivity or pigmentation risk — where clinical judgement and experience directly affect the safety and quality of the outcome.
For 3DMIRACL, the treatment is comfortable and requires no anaesthetic. Most patients describe a mild warmth or gentle prickling sensation. For UltraClear and Laser Coring, topical anaesthetic is applied before the session. During the resurfacing pass, patients may feel a warm or prickling sensation despite the numbing, which is normal and monitored by the clinician. After a deeper resurfacing session, the skin feels tight, tender and sensitive for the first 24 to 72 hours — similar to a sunburn — before settling progressively as healing progresses.
Our patients return to us year after year for natural, balanced results. Every review reflects our commitment to precision, safety and a personalised approach to aesthetic care.
