
Skin is raw, intensely red, and significantly swollen with oozing and crusting. Discomfort is substantial, managed with prescribed medication.

Swelling begins subsiding with bronzing as damaged skin darkens before shedding. Peeling and flaking start with significantly decreased discomfort.

Most peeling complete with fresh, pink skin revealed. Appearance similar to moderate sunburn with nearly resolved swelling.

Pinkness gradually fades from bright pink to light pink. Most patients return to work and social activities around days 10-14 with makeup.

Dramatic improvement becomes apparent as pinkness resolves and collagen remodeling progresses. Wrinkles significantly softened, scars notably improved, texture refined, tone evened, skin firmer and more lifted.

Optimal results achieved with maximum collagen formation complete. Skin appears dramatically younger, smoother, and healthier with results comparable to surgical rejuvenation.

Results remain stable for many years with proper skincare and sun protection, representing actual tissue regeneration.

Contour TRL is designed for patients with significant skin concerns including deep wrinkles and lines not responsive to other treatments, severe sun damage with extensive photodamage, significant acne scarring requiring aggressive correction, rough irregular texture, substantial skin laxity, precancerous lesions, and desire for comprehensive facial rejuvenation.
Ideal candidates are adults with moderate to severe skin aging, fair to medium skin tones (Fitzpatrick types I-III primarily), individuals seeking maximum improvement and willing to accept significant recovery, those able to take 10-14 days away from work and social activities, non-smokers or willing to quit for the treatment period, good overall health with normal healing capacity, and commitment to strict pre and post-treatment protocols.
Candidates should have no active infections, autoimmune disorders, or healing impairments, not be pregnant or nursing, no history of abnormal scarring, no recent isotretinoin use (must wait 12 months), willingness to avoid sun exposure during healing, and understanding that recovery is intensive.
Best outcomes occur when patients are realistic about intensive recovery required, strictly follow all protocols, avoid sun exposure completely during healing, and understand that one aggressive treatment often provides better results than multiple gentle treatments.
Contour TRL uses advanced fractional CO2 laser technology to create profound skin transformation. The CO2 laser creates thousands of microscopic treatment columns that extend deep into the dermis (typically 1.5-4mm depending on treatment intensity). Each column completely vaporizes tissue from the surface down to the targeted depth, while bridges of untreated tissue remain intact for rapid healing.
Beyond ablation, the laser energy creates controlled thermal damage in surrounding tissue. This heat denatures collagen, causing immediate contraction and tightening, while signaling fibroblasts to initiate massive collagen production. The substantial tissue injury triggers your body's most powerful wound healing response, with fibroblasts producing vast amounts of new collagen, elastin, and ground substance over the following months.
Dr. Khalifian precisely controls how deep each column penetrates and how densely columns are spaced. Light treatments use shallow depth and lower density for moderate improvement with shorter recovery, while aggressive treatments use deeper penetration and higher density for maximum transformation with extended healing.
Treatment typically takes 60-90 minutes for full face depending on intensity and areas treated.


The treatment takes only 15-20 minutes and is completely comfortable, requiring no numbing or anesthesia.
Dr. Saami Khalifian is dual board-certified in dermatology and plastic surgery, providing elite expertise in advanced laser resurfacing. His surgical-level knowledge ensures safe, precise, and highly effective results, especially for aggressive treatments like Contour TRL.
SOM Aesthetics maintains the most sophisticated Contour TRL laser system with complete calibration and maintenance, providing precise depth control, adjustable density, and consistent energy delivery for predictable results.
SOM Aesthetics’ extensive experience in advanced laser resurfacing allows for precisely tailored treatment intensity, delivering exceptional rejuvenation while minimising risks and upholding the highest standards of safety, precision, and results.
We provide detailed preparation protocols, professional wound care guidance, close monitoring throughout healing, and availability for any concerns during recovery, ensuring optimal healing and results.
Located in Encinitas, SOM Aesthetics serves patients throughout North County San Diego including Carlsbad, Del Mar, Solana Beach, Rancho Santa Fe, La Jolla, and the greater San Diego area.
The Som Method
The SOM Method is our signature approach to patient care that combines science, expertise, and
artistry for superior aesthetic results.
Benefit from cutting-edge treatments and advanced injection techniques that stimulate your body's natural collagen and elastin production for progressive, long-lasting enhancement that appears completely natural.
Under Dr. Saami's expert guidance, your Radiesse treatments are performed with advanced techniques and careful attention to detail.
We focus on creating natural-looking results that enhance your features while maintaining your unique characteristics.

Ready to explore dramatic skin transformation with Contour TRL? Begin your journey with a comprehensive consultation at SOM Aesthetics in Encinitas.
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Phone
(760) SOM-SKIN
(760) 766-7546
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25 E E St Encinitas, CA 92024
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Free parking behind the building at E St & Vulcan Ave, or a paid parking garage entrance on F St & 101.