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Fotona Laser System · Er:YAG and Nd:YAG · Medical Grade

One laser system.
Every skin concern.

Dr Barker uses the Fotona laser platform exclusively, the most versatile and well-studied aesthetic laser system available. Its dual wavelength design, Er:YAG for precision skin resurfacing and Nd:YAG for vascular and deeper tissue treatments, allows a single, exceptionally capable system to address an extensive range of skin concerns with accuracy and safety that entry-level laser devices cannot match. A consultation is required beforehand to discuss your laser treatment, to assess skin type, your concern and the most appropriate approach.

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Fotona
Learn about Fotona ↗
Why Fotona exclusively? The Fotona system's dual Er:YAG and Nd:YAG wavelengths cover the full spectrum of skin concerns from superficial resurfacing to deep vascular and pigment treatment. It is the same platform used for the Fotona 4D Facelift and Fotona SMOOTH Eye treatments. No other laser system is used at this practice. This means Dr Barker has developed deep expertise in a single, industry-leading platform rather than spreading capability across multiple devices.
Fotona Preferred Provider

Trained and certified
at the source.

Dr Barker holds Fotona preferred provider status, a designation reserved for practitioners who meet Fotona's standards for training, case volume and treatment outcomes. He attends Fotona's international training events and conferences to stay current with protocol developments and new clinical applications.

Fotona is one of the most extensively studied laser platforms in aesthetic medicine, with a clinical evidence base spanning three decades and over 100 peer-reviewed publications.

Dr Scott Barker at the Fotona international expo
Er:YAG Laser · What Dr Barker Treats

Choose your concern

Each treatment below uses the Fotona Er:YAG laser with settings calibrated precisely to the concern. Scroll down for full details, or WhatsApp Dr Barker to discuss which approach is right for you.

Er:YAG · Fractional
Fractional Resurfacing
From R3,950 per session
Skin texture, fine lines, overall rejuvenation at varying depths. Consultation required.
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Er:YAG · Fractional
Acne Scarring
From R3,950 per session
Fractional resurfacing calibrated specifically for rolling, boxcar and shallow ice-pick scars.
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Er:YAG and Nd:YAG
Age Spots and Sun Damage
From R2,950 per session
Solar lentigines, sun spots and generalised sun damage cleared with targeted laser energy.
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Er:YAG and Nd:YAG
Pigmentation and Uneven Tone
From R2,950 per session
Post-inflammatory pigmentation, uneven skin tone and superficial pigmented lesions.
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Er:YAG Fractional Laser · Fotona

Fractional resurfacing

Fractional Er:YAG laser resurfacing is one of the most effective and well-established methods of skin renewal available. The laser creates thousands of microscopic treatment zones in the skin at a precisely controlled depth, triggering an intensive wound-healing and collagen remodelling response while leaving surrounding tissue intact to accelerate recovery. The result is progressively smoother, tighter and more refined skin with each session.

The Fotona Er:YAG wavelength is highly absorbed by water in the skin, allowing precise, clean ablation at the exact depth required. The fractional delivery mode means only a percentage of the skin surface is treated in each pass, dramatically reducing downtime compared to fully ablative resurfacing while still achieving meaningful collagen stimulation at depth. The depth of treatment is calibrated at consultation based on the concern, skin type and downtime tolerance.

Lighter settings address surface texture, tone and early lines with 3 to 5 days of redness and peeling. Medium depths target moderate lines, scarring and skin laxity with up to 7 days of visible recovery. Deeper settings for significant resurfacing or scarring require more recovery but deliver the most dramatic structural improvement. Dr Barker discusses all options clearly at consultation so patients can make an informed decision about depth, downtime and expected result.

What It Addresses
Fine lines and wrinkles
Skin texture and roughness
Acne scarring (mild to moderate)
Uneven skin tone
Enlarged pores
Early skin laxity
Sun damaged skin
Overall skin rejuvenation

Pricing

Light resurfacing From R3,950
Medium depth To R6,950
Sessions needed 1 to 4
Consultation required. Depth, downtime and price are determined at assessment based on your specific concern and skin type.

Quick Facts

  • Er:YAG Fotona laser · fractional delivery
  • Light settings: 3 to 5 days downtime
  • Medium settings: 5 to 7 days downtime
  • Topical anaesthetic applied before treatment
  • Results improve over 4 to 6 weeks post-session
  • SPF essential post-treatment
  • Not suitable during pregnancy
Nd:YAG · Fotona

Age spots and sun damage

Age spots, sun spots and solar lentigines are flat, darkened patches caused by years of sun exposure. They are entirely benign but can make the skin look older and uneven. The Fotona Nd:YAG laser targets the excess melanin in these lesions with selective precision, breaking down the pigment without damaging the surrounding skin. Lesions typically darken briefly in the days following treatment before lifting and clearing naturally over 1 to 2 weeks.

Sun-damaged skin with a generalised uneven, mottled or dull tone responds well to a broader treatment approach combining targeted spot treatment with an overall pass to improve tone and texture. Multiple spots can be treated in a single session. Dr Barker will assess the lesions at consultation to confirm they are appropriate for laser treatment and to rule out any atypical features.

SPF is essential in the weeks before and after treatment. Patients with recently tanned or sun-exposed skin are asked to allow the tan to fade before their session, as active pigment in the surface skin affects the safety and outcome of the treatment.

What It Addresses
Age spots and sun spots
Solar lentigines
Generalised sun damage
Mottled or uneven skin tone from sun exposure
Freckle clusters
Facial pigmentation from chronic sun exposure

Pricing

Per session From R2,950
Sessions needed 1 to 2 typically
Avoid sun exposure for 4 weeks before treatment. SPF daily before and after. All lesions assessed before treatment to confirm suitability.

Quick Facts

  • Nd:YAG Fotona laser · pigment mode
  • Lesions darken, then lift and clear over 1 to 2 weeks
  • SPF essential before and after treatment
  • Avoid sun and tanning before treatment
  • Multiple spots treated in one session
  • Not suitable during pregnancy
Er:YAG and Nd:YAG · Fotona

Pigmentation and uneven tone

Pigmentation beyond straightforward sun spots includes post-inflammatory hyperpigmentation, uneven skin tone and a range of superficial pigmented lesions. The Fotona dual wavelength system allows Dr Barker to select the most appropriate approach for each specific type of pigmentation, from Er:YAG ablation for raised superficial lesions to Nd:YAG for deeper pigment with a vascular component.

Post-inflammatory pigmentation, which commonly follows acne, skin trauma or previous procedures, requires careful assessment before treatment as it can sometimes be worsened by poorly calibrated laser energy. Darker skin tones are assessed individually, and Dr Barker will be direct about what is safe and likely to improve the concern versus what carries meaningful risk of making it worse. Honest assessment before treatment is far more important than booking a session that may not be appropriate.

A brief consultation is required for all pigmentation treatment to confirm the type, select the correct approach and set realistic expectations. Not all pigmentation responds equally to laser, and some types are better addressed with topical treatments, peels or a combination approach.

What It Addresses
Post-inflammatory hyperpigmentation
Uneven skin tone
Superficial pigmented lesions
Melasma (assessed individually)
Pigmentation on darker skin tones (assessed individually)
Mixed pigmentation concerns

Pricing

Per session From R2,950
Sessions needed 1 to 3 typically
Consultation required. Not all pigmentation is suitable for laser without proper assessment, particularly on darker skin tones.

Quick Facts

  • Dual wavelength approach selected per concern
  • Darker skin tones assessed individually
  • SPF essential before and after treatment
  • Avoid sun exposure for 4 weeks pre-treatment
  • Melasma assessed on a case by case basis
  • Not suitable during pregnancy
Er:YAG Fractional Laser · Fotona

Acne scarring laser resurfacing

Acne scarring is one of the most challenging skin concerns to treat, and fractional Er:YAG laser resurfacing is among the most effective approaches available for rolling and boxcar scar types. The laser creates controlled micro-ablation zones within and around the scarred tissue, triggering an intense localised collagen remodelling response that progressively fills and smooths the scar from beneath.

Unlike superficial treatments, fractional laser resurfacing reaches the depth of the scar tissue itself. The Er:YAG wavelength is precise and clean, ablating with minimal thermal damage to surrounding tissue, which improves both the safety profile and the speed of recovery. A series of sessions is typically required, each building on the collagen response of the last. Most patients see meaningful improvement after 3 sessions and a significant result after a full course.

The Vampire Facial (PRP microneedling) is an excellent complement to fractional laser for acne scarring, addressing the same concern through a different mechanism and enhancing the overall result when combined. Dr Barker will recommend the most effective approach or combination at consultation.

Scar Types That Respond Best
Rolling scars
Boxcar scars
Shallow ice-pick scars
Post-acne textural irregularity
Post-inflammatory hyperpigmentation
Mixed scar types

Pricing

Per session From R3,950
Sessions recommended 3 to 6
Spaced 4 to 6 weeks apart
Can be combined with the Vampire Facial for an enhanced result. Dr Barker will recommend the most effective approach at consultation.

Quick Facts

  • Er:YAG Fotona laser · fractional mode
  • Topical anaesthetic applied before treatment
  • 5 to 7 days recovery typical
  • Results develop over 4 to 6 weeks per session
  • SPF essential post-treatment
  • Suitable for most skin types
  • Not suitable during active acne breakouts
Common Questions

Frequently asked questions

Why does Dr Barker only use the Fotona laser system?
The Fotona platform's dual Er:YAG and Nd:YAG wavelengths cover the full range of skin concerns that laser can address, from superficial resurfacing to deep vascular treatment. Rather than owning multiple devices of varying quality, Dr Barker has invested in one industry-leading system and developed deep expertise in its full capability. Patients benefit from a doctor who knows his equipment intimately rather than a clinic with multiple devices and inconsistent operator experience.
Do I need a consultation before a laser treatment?
For most laser treatments, yes. The correct wavelength, energy setting and number of sessions depends on skin type, the specific concern and its severity. A consultation allows Dr Barker to assess accurately, set realistic expectations and confirm suitability. For straightforward treatments such as a small number of skin tags or isolated broken capillaries, a brief assessment at the time of treatment may be sufficient. WhatsApp Dr Barker to discuss your concern and he will advise on whether a formal consultation is needed first.
Is Fotona laser better than IPL?
IPL (Intense Pulsed Light) is a broadband light source, not a true laser. It delivers a wide spectrum of wavelengths simultaneously, making it less precise and less powerful than a dedicated laser wavelength. The Fotona Nd:YAG and Er:YAG lasers deliver a single, specific wavelength with highly controlled energy, penetrating to a precise depth and targeting a specific chromophore. This precision means better outcomes, fewer sessions and a lower risk of side effects, particularly on darker skin tones where IPL carries a higher risk of pigmentation changes.
Is laser treatment suitable for darker skin tones?
It depends on the treatment. The Nd:YAG wavelength is one of the safest available for darker skin tones as it penetrates deeper and is less absorbed by melanin in the surface skin. Fractional Er:YAG resurfacing requires careful assessment and parameter adjustment for darker complexions to avoid post-inflammatory pigmentation. Dr Barker assesses every patient individually and will be honest about what is safe and appropriate for your specific skin tone and concern.
How many sessions will I need?
It depends entirely on the treatment and concern. Spider veins and skin tags are often resolved in 1 to 2 sessions. Rosacea and redness typically requires 2 to 4 sessions for optimal control. Fractional resurfacing for texture or acne scarring usually requires 3 to 6 sessions. Pigmentation can often be addressed in 1 to 3 sessions depending on depth and type. Dr Barker gives a clear recommendation at consultation.
Can laser treatments be combined with other procedures?
Yes, and combination approaches often deliver better results than any single treatment alone. Fractional laser resurfacing for acne scarring pairs well with the Vampire Facial. Rosacea treatment can be combined with skincare and Botox for sweating if flushing is a component. Pigmentation treatment can be combined with fractional resurfacing. Dr Barker will recommend the most effective and efficient combination at consultation based on the specific concerns and goals.
You May Also Be Interested In

Related treatments

◉
Fotona 4D Facelift
The same Fotona platform used for comprehensive non-surgical lifting and tightening of the face and neck using four distinct laser modes in a single session.
Learn more →
◈
Microneedling
Medical grade Dermapen collagen induction therapy. An excellent complement to laser resurfacing for acne scarring, texture and skin renewal.
Learn more →
✦
Sclerotherapy
Injectable treatment for leg veins and spider veins below the face. The preferred approach for larger vessels and leg vein concerns.
Learn more →
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Treatments · Pricing · Bookings
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This assistant provides general information about Dr Barker's treatments only. It does not give medical advice, diagnose conditions, or assess individual suitability. A consultation with Dr Barker is required before any treatment. For emergencies call 112.
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Assistant
Hello. I know this treatment in detail. What would you like to know?
You
Which laser treatment is right for my concern?
Assistant
It depends on what you want to address — pigmentation, texture, redness, or overall rejuvenation. Dr Barker will assess your skin and recommend the right approach at consultation.
You
Is there downtime with laser?
Assistant
Most Fotona laser treatments have minimal downtime — mild redness for 24 to 48 hours. Dr Barker will be specific about what to expect for your chosen treatment.
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