What layer of skin does Clear and Brilliant Laser get to?

The Clear+Brilliant laser is a fantastic option for treatment of pigmented sun spots/freckling, fine lines, and general skin rejuvenation. There’s no downtime and no downside to using it. It stimulates collagen and gives a smoother more radiant appearance to the complexion as well as improving skin texture. 
There are two handpieces and each one goes to a different depth. The 1927 nm is called the Permea, and it targets pigment more superficially. It creates microscopic channels in the skin which allow for deep penetration and  highly multiplied uptake of pure molecules such as vitamin C. By both targeting pigment directly and allowing amazing uptake of antioxidants, this treatment will brighten skin and gives an overall radiance. 
The original handpiece, just called Clear+Brilliant, targets at 1440 nm and as a result it directly stimulates collagen production like any other non-ablative fractionated laser.  It just does so in a more gentle way and that’s why it takes 3-6 sessions to achieve the desired result.  It too will ultimately achieve pigment reduction, but slower than the Permea does.  However, it is the handpiece that achieves improvement in the appearance of fine lines, pores, and texture, while also affecting pigment.  This is the treatment that rejuvenates the skin from the inside out, stimulating collagen with each session. 
You can have one or both treatments either in an alternating or a same-day fashion depending on what your skin assessment reveals is best for you. 
It can be done as a standalone treatment or as part of a comprehensive skin care regimen which also includes other procedures such as microneedling, PRP, IPL,  Radio frequency needling, and advanced skincare products. 

Clear and Brilliant targets the epidermis. This is a minimal downtime laser which gently improves skin tone and texture with a single 10-20-minute treatment. It is 2 devices in 1, offering both the 1440nm handpiece for skin rejuvenation and the 1927nm Permea handpiece for pigmentation improvement.   For best results, you need four treatments, one month apart. 
As always, an in-person consultation with a board certified dermatologist with cosmetic training is the best way to assess your needs and provide medical advice. 

clear and brilliant targets the epidermis but the heat generated with the original handpiece can go slightly lower.  this is not an aggressive treatment its something people do every 2-4 weeks to keep their skin clear. we combine this with prp/microneedling, other lasers and peels at the same time.I suggest a combination approach of :
For facial rejuvenation I would suggest a combination approach of :

1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel, Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at restBest, Dr. Emer.