
Aerolase Reverse in Ponte Vedra Beach, FL
Treatment Length:
60-90 minutes
Sessions Required:
1-3 Reverse sessions
Downtime:
3-7 days
Table of Contents
Aerolase Reverse in Ponte Vedra Beach, FL at Dermagnify is the platform's all-encompassing rejuvenation protocol: a single session that combines the non-ablative Aerolase Neo and the ablative Aerolase Era for complete skin renewal.
At Dermagnify, Dr. Mark A. Cappel, MD, Mayo Clinic-trained, double board-certified dermatologist and dermatopathologist, performs Reverse as a planned program, pairing one or more Reverse sessions with regular Neo follow-ups so each patient receives a regimen calibrated to their age, skin profile, and goals.
Aerolase Reverse is a combined laser protocol that targets both layers of the skin in a single appointment, the deep dermis (where collagen and elastin reside) and the superficial epidermis (where tone, texture, and pigment are visible).
By addressing both layers in one visit, Reverse produces comprehensive renewal that would otherwise require two separate treatment series, and the results compound across multiple Reverse sessions delivered over a multi-month program.
Each component contributes a distinct effect.
Neo (1064nm Nd:YAG, 650-microsecond pulse): delivered first to penetrate the dermis, stimulating collagen and elastin production, targeting pigment, and reducing inflammation.
Era (2940nm Er:YAG, 300-microsecond pulse): delivered second to gently ablate the stratum corneum and shallow epidermis, refining tone and texture, reducing pore size, and softening fine lines.
Each laser delivers excellent results on its own; combined, they create a 'one-two punch' that no single laser can match.


How Aerolase Reverse Works
Key Concerns Addressed
Comprehensive Anti-Aging
Addresses both intrinsic aging (loss of collagen and elastin in the dermis) and extrinsic aging (surface damage to the epidermis) in a single session, a more complete strategy than any single laser alone.
Severe Sun Damage Reversal
The Era removes accumulated photodamage from the epidermis, including pigmentation, rough texture, and actinic changes, while the Neo simultaneously strengthens the dermal foundation that years of sun exposure have weakened.
Acne Scarring (Multi-Layer)
The Era resurfaces the uneven epidermal contour of atrophic scars while the Neo stimulates dermal collagen to fill them in from below, a particularly effective combination for boxcar and rolling scars.
Multi-Concern Rejuvenation
Patients who would otherwise need separate treatment series for redness, pigmentation, fine lines, and texture can address all of these concerns in a single Reverse protocol, saving total appointments and consolidating recovery time.
Pre-Event Renewal (When Timed Correctly)
Scheduled 4–6 weeks before a major event, a Reverse session delivers a level of skin renewal that lighter facials and chemical peels cannot match, provided the patient can accept 3–7 days of initial downtime.

Benefits of Aerolase Reverse
Advanced dermatology, delivered with precision, personalization, and purpose.
At Dermagnify, your skin is never treated with a one-size-fits-all approach. Under the leadership of double board-certified dermatologist and dermatopathologist Dr. Mark A. Cappel, MD our practice combines deep medical expertise with advanced imaging technology to deliver truly customized care.
Double Board-Certified Expertise
Comprehensive Skin Analysis
Evidence-Based Care
Customized Treatment Plans
Medical & Aesthetic Dermatology
Patient-Focused Approach
Dr. Cappel calibrates the Reverse program to each patient's skin profile and goals. Three typical plans are described below, your exact protocol is determined at consultation following an Alma IQ® skin analysis.
| Plan | Ideal Candidate | Treatment | Sequence |
|---|---|---|---|
| Prevention & Early Maintenance | Patients in their 20s or with minimal skin issues, focused on preventing the visible signs of aging before they appear | 1 Era + 4 Neo treatments · ~3 months | Treatment 1 is a Reverse session (Neo immediately followed by Era). Treatments 2–4 are Neo-only, performed every 4 weeks for 3 months |
| Visible Signs of Aging | Patients aged 30–45 with visible early to moderate signs of aging, fine lines, early laxity, uneven tone, accumulating sun damage | 2 Era + 4 Neo treatments · ~4 months | Treatment 1 is a Reverse session. A second Reverse session follows 4–6 weeks later. Treatments thereafter are Neo-only, every 4 weeks for ~2 months |
| Advanced Aging or Acne Scarring | Patients aged 45+ with profound signs of aging, or patients of any age with significant acne scarring | 3 Era + 6 Neo treatments · ~6 months | Reverse session 1, then Reverse session 2 (4–6 weeks later), then Reverse session 3 (4–6 weeks later). Neo-only treatments follow every 4 weeks for ~3 months |
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Reverse is suitable for patients seeking comprehensive rejuvenation in fewer total appointments than separate Neo and Era programs. You may be an ideal candidate if you:
- Have multiple concerns that span both the dermis (firmness, fine lines, laxity) and the epidermis (tone, texture, pigmentation).
- Want long-term collagen stimulation paired with visible surface improvement.
- Are willing to accept 3–7 days of downtime in exchange for a more complete result.
- Have a darker skin tone (Fitzpatrick IV–VI) and want a resurfacing option that has been specifically adapted for your skin type.
- Are entering or progressing through a stage of life where a structured anti-aging program makes more sense than ad-hoc single treatments.
- Have realistic expectations about healing timelines and the importance of completing the recommended series.
Contraindications:
Reverse combines both Neo and Era contraindications. It may not be appropriate for individuals with active skin infections, open wounds, history of keloid scarring, active severe acne, recent isotretinoin use (within 6–12 months), photosensitivity disorders, or unrealistic expectations. Patients with very dark skin tones may require modified settings. Pregnant or breastfeeding women should postpone treatment. Dr. Cappel, MD, will review your full medical history before recommending Reverse.
TREATMENT
OVERVIEW

Your Initial Consultation
Dr. Cappel, MD, performs a comprehensive Alma IQ® skin analysis, evaluates your skin type and history, discusses your goals, and recommends one of the three Reverse plans (or a customized variant). He explains what to expect at each session and over the full program.
Pre-Treatment Preparation
Avoid sun exposure, tanning, and self-tanners for 4–6 weeks before your first session. Discontinue retinoids and exfoliating skincare 1–2 weeks before. If you have a history of cold sores, prophylactic antiviral medication is prescribed. Arrive at every appointment with clean skin, free of makeup and lotions.
During the Treatment
Skin is thoroughly cleansed with alcohol swabs. The Neo is performed first (~20–30 minutes), delivering the deep-dermis collagen stimulation pass. A brief topical anesthetic may be applied. The Era follows (~30–40 minutes), gently ablating the surface in a painting technique. Total in-room time: 60–90 minutes.
Immediate Aftercare
After the Era component, an occlusive product (such as Aquaphor) is applied while skin is kept cool. Detailed post-treatment instructions cover wound care, sun protection, and activity restrictions for the following 7–14 days.
Recovery & Downtime
Days 1–2: Red, may ooze; gentle cleansing and continuous occlusive care. Day 3 onward: Re-epithelialization begins, peeling may start, do not pick or scrub. Days 5–7: Peeling completes, new pink skin revealed. Weeks 2–4: Pinkness fades; resume regular skincare after 2 weeks.
Results Timeline
Surface improvements (tone, smoothness, pore size) visible within 1–2 weeks once healing completes. Deeper collagen-driven benefits continue to develop over 3–6 months. Multi-Reverse plans see additional improvement after each session, with follow-up Neo treatments sustaining results between Reverse appointments.
Potential Risks
Reverse carries the combined risk profile of Neo and Era. Common: redness, swelling, peeling during the first week. Less common: infection, prolonged pinkness, temporary hyperpigmentation. Rare: hypopigmentation, scarring. HSV reactivation is preventable with prophylactic antiviral medication. Dr. Cappel, MD minimizes risk through patient selection, skin-type-specific settings, and detailed post-care.
How Much Does Aerolase Reverse Cost in Ponte Vedra Beach?
Reverse session pricing reflects the combined Neo + Era treatment time.
A typical Reverse session falls in the $1,800–$4,100 range, depending on treatment area.
We offer multi-session programs, including both Reverse sessions and follow-up Neo appointments. Transparent, individualized pricing is reviewed during your consultation.
Related Treatments
For optimal, comprehensive results, this treatment can be safely combined with other advanced aesthetic and wellness services offered at Dermagnify as part of a personalized plan.
FAQ
Are you ready for comprehensive skin renewal with Aerolase Reverse?
Contact Dermagnify, Medical, Surgical and Cosmetic Dermatology in Ponte Vedra Beach, FL today to schedule your Aerolase Reverse consultation with Dr. Mark A. Cappel, MD, including a comprehensive Alma IQ® skin analysis and identification of the Reverse plan best matched to your goals.
