Clear and Brilliant - Original alone vs. Original + Permea?

Question

I am 37 and probably a Fitzpatrick 4. I want to stimulate collagen and C+B sounds like a good introduction to lasers. I don’t think I have pigment issues, no visible actinic damage, lentigines or melasma. Would I be better off going with 8 passes of 1064nm, rather than 4 x Original and 4 x Permea? Are you aware of patients who didn’t think they had pigment issues but saw benefit from the 1927nm hand piece?

Anna Chacon, MD, FAAD · Answer

Hi,

Thank you for your thoughtful questions! At 37 and with Fitzpatrick 4 skin, your focus on collagen stimulation and skin texture improvement is exactly what Clear + Brilliant (C+B) is great for.

Here’s how the options compare:

Original Alone:
Targets superficial skin layers to improve fine lines, overall tone, and texture.
Gentle enough to serve as an introduction to laser treatments.
Less risk of post-inflammatory hyperpigmentation (especially important for Fitzpatrick 4).
Original + Permea (1927 nm):
Adds a fractional erbium component that penetrates slightly deeper and can help with subtle pigment irregularities, pore refinement, and textural improvement.
Even if you don’t notice pigment issues, some patients find Permea improves subtle sun-induced changes or overall luminosity that isn’t obvious to the eye.

Regarding your alternative of 8 passes of 1064 nm, that wavelength is excellent for deeper collagen remodeling and vascular concerns, but it’s less focused on the surface texture and subtle luminosity that C+B targets. For someone primarily seeking gentle collagen stimulation and an introductory laser experience, Original + Permea (or a split approach of 4 + 4) is often more balanced—providing surface refinement while still being gentle on Fitzpatrick 4 skin.

In practice, some patients who believed they had no pigment concerns still notice a brighter, more even complexion after Permea. It doesn’t necessarily treat pigment overtly, but it subtly enhances skin uniformity.

Clear and Brilliant - Original alone vs. Original + Permea?

Answers (1)

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