Secret Pro Laser

Conveniently located to serve the areas of Marin, San Francisco, Sonoma and Napa

Secret Pro Laser

The Secret Pro laser by Cutera is a cutting-edge device that uses a combination of technologies to stimulate collagen and revitalize the skin. This treatment helps you look and feel younger and more confident in your skin. Secret Pro laser incorporates two different technologies within one device for a more comprehensive and dramatic effect: microneedling with radiofrequency (RF) and CO2 laser. These therapies stimulate collagen and elastin production, the essential proteins for healthy, glowing skin. 

If you are looking for a safe, effective and relatively quick solution for skin rejuvenation, the Secret Pro Laser may be the right choice for you. Our highly experienced surgeons and medspa staff at Plastic Surgery Specialists in Greenbrae, Marin County are committed to providing exceptional care to help you achieve your desired aesthetic goals. 

Call us today at (415) 925-2880 to schedule a consultation or fill out our contact form to learn more about how the Secret Pro Laser can transform your skin. Alternatively, we offer virtual consultations for your convenience. 

Before and After Photos

Microneedling and Radiofrequency (RF) Energy

Secret Pro’s microneedling + RF handpiece features tiny, sterile needles that penetrate the skin at depths between 0.5 to 3.5 mm. Depending on the area of skin and the problem area, needles of varying lengths are applied to the skin. The resulting controlled micro injuries signal the production of more fibroblasts in the skin cells that produce connective proteins collagen and elastin. Collagen supports skin rigidity and structure, and elastin provides skin “snap” and stretchiness. Another substance called hyaluronic acid (HA) is also produced during this process; HA is primarily responsible for maintaining skin hydration.

Microneedling devices are also capable of breaking down scar tissue. Within a scar, the collagen fibers are arranged parallel to each other, while in healthy skin, the connective fibers are gathered in a lattice-type formation. The needles themselves mechanically change their arrangement and even stimulate a process called angiogenesis, the formation of new blood vessels. Over time, treatment can stimulate the natural healing processes required to restore healthy texture and tone.(1)  

What is RF?

Radiofrequency is a type of electromagnetic energy that converts to thermal energy when it hits the skin. For the Secret Pro device, your specialist uses needles that deliver RF energy  through each microneedle (non-insulated) or through the tips (semi-insulated). With this thermal heat delivery to the targeted area, existing collagen fibers contract and contribute to the skin-tightening effect. 

About CO2 Lasers 

Within a CO2 laser, an electric current runs through a tube with carbon dioxide to produce light energy at a specific wavelength. These beams of light target the water molecules in the skin, causing micro injuries. The Secret Pro laser, in particular, has a fractional ablative laser, meaning that it strategically vaporizes the epidermis in tiny, pixelated sections. 

Unlike a fully ablative device, fractional lasers result in much less downtime for the patient. Fractionated CO2 lasers are also suitable and effective for all skin types. (2) The device is also capable of emitting fully ablative laser light that requires more downtime but has faster results with fewer treatment sessions. 

Benefits of the Secret Pro Laser 

One of the remarkable benefits of the Secret Pro Laser is its ability to address multiple concerns simultaneously, including:  

  • Fine Lines 
  • Atrophic Scars 
  • Large Pores 
  • Uneven Skin Tone 
  • Uneven Texture 
  • Sagging Skin
  • Stretch Marks 
  • Sun-Damaged Skin 

Personal Consultation

At PSS, we understand that each patient has unique skincare needs. That’s why we offer personalized consultations to determine the best solution for your specific situation. During a personal consultation, we will take the time to thoroughly discuss the benefits, potential risks, and recovery from a Secret Pro laser session. To get started today, call us at (415) 925-2880 to book your appointment. If you are unable to visit our Greenbrae office we also offer virtual consultations to accommodate your needs. 

Feel free to browse through more information on our blog pertaining to other procedures we offer. 

Procedure Steps 

There are four Secret Pro modalities.


When a laser specialist only uses the microneedling aspect of the device, it is known as the Refine treatment option.  Prior to applying the needles to your skin, they will cleanse the treatment area and apply a topical numbing cream. Once the cream takes full effect, they will adjust the microneedling handpiece to accommodate your skin’s thickness. Your specialist will utilize either 25 or 64 needles on the device’s stamp, depending on how much surface area needs to be treated. Once they apply the device’s “window” directly onto your skin, it will gently press the needles superficially into the dermis. Your specialist will make at least two passes for each area treated. The procedure is relatively comfortable due to the numbing cream, but you will likely feel some warmth from the needles. After the numbing cream takes effect, Refine takes about 20 minutes to complete. 

Before continuing with the laser portion of the procedure, your specialist may cleanse your face of any small traces of blood and apply more topical numbing cream or a local anesthetic. Then, they will give you eyewear to protect you from the laser light. They will apply one of three types of laser treatment settings. 


With the Ultra-Light option, your laser specialist will place the 20 x 20 mm window of the laser handpiece to the skin and administer pulses of fractionated laser light. This particular option treats sun damage, uneven texture, and more superficial scars. The tiny spaces in between each area targeted by the laser remain unaffected and can help the surrounding skin heal faster. 


The Ultra treatment is more comprehensive and utilizes a more intense, fully ablative laser. This option treats deeper scars and more pronounced signs of aging. The laser light is not dispersed in a pixelated fashion, but it fully vaporizes the epidermis. 


The Revive treatment option is used to describe the combination of microneedling + RF and one of the two CO2 treatments. 

Many patients state that the laser feels similar to a rubber band snapping against their skin, but the discomfort is greatly reduced with a topical anesthetic. After your procedure, your skincare specialist will apply an ointment to protect the skin and promote optimal healing. 

Recovery and Results

At the end of the Secret Pro laser’s combination procedure, your skin will likely be sensitive, red, and swollen. If you have darker skin, it may appear hyperpigmented. This is completely normal and the beginning of the skin’s rejuvenation. You will experience scabbing and itchiness throughout the treatment area as your body works to repair the damage. One of our doctors may prescribe medications to help you handle discomfort, or you may opt to take over-the-counter medications. 

It is critical that you continue to avoid blood-thinning medications, like aspirin, that can cause bleeding and contribute to bruising. Your specialist will also require that you apply a topical steroid to help relieve swelling. You should closely follow the advice and adhere to their instructions regarding daily moisturizing. 

To relieve further swelling, you may use ice packs for a few minutes at a time for the first few days. After a few days, depending on your skin’s sensitivity, your skin will gradually begin to restore its original tone and texture. Though it will take several weeks for it to fully heal, you can ask your specialist when you can safely apply makeup to conceal the pigmentation. 

You’ll continue to see improvements in your radiant new skin, and your full results will be noticeable after a few months. The results of the Secret Pro laser can last years, but only if  you take care of your skin. Use medical grade, doctor-recommended skincare products, maintain a healthy lifestyle and limit sun exposure. 

Cost of Secret Pro Laser Treatments in Marin County

The cost of Secret Pro laser treatment varies depending on factors such as the size of the treatment area and the number of sessions required to reach your goals. During your consultation, we will provide you with a personalized plan alongside a detailed cost estimate.  Call our practice in Greenbrae, CA at (415) 925-2880 to schedule your consultation date or request a virtual consultation online. 


How many Secret Pro laser sessions do I need? 

It depends on your skin quality and the cosmetic issues you wish to treat. Typically, patients need at least 3 treatment sessions spaced at least 1 month apart to get the best results. 

What makes Secret Pro more effective than other devices?

Secret Pro utilizes radiofrequency thermal energy to further contract collagen, a major advantage over standard microneedling devices. It is also capable of delivering this energy through non-insulated or semi-insulated needles, providing a highly customizable experience for the patient. 

Does the Secret Pro laser work for darker skin? 

While microneedling and RF energy are suitable for all skin types, some lasers are not. The Secret Pro’s CO2emits wavelengths that are suitable for all skin types, including darker skin. 


  1. Singh A, Yadav S. Microneedling: Advances and widening horizons. Indian Dermatol Online J. 2016;7(4):244-254. doi:10.4103/2229-5178.185468. 
  2. Yumeen S, Khan T. Laser Carbon Dioxide Resurfacing. PubMed. Published 2023.