The profractional is a resurfacing laser which can address both pigmentary alterations and textural changes associated with aging skin. As we age, cumulative sun damage, gravity, and the gradual loss of collagen and elastin lead to brown and red pigmentary changes, as well as fine lines and wrinkles, skin laxity, and larger appearing pores. The profractional utilizes an erbium:YAG laser to create small microscopic channels in the skin, which stimulate fibroblast production, resulting in an even complexion, and smoother and firmer appearing skin. The profractional can also be used for smoothing acne scars and diminishing melasma.