For years, those with darker skin tones faced significant risks when it came to laser skin treatments. Traditional laser technologies often resulted in pigment changes, such as hyperpigmentation, hypopigmentation, or even hypertrophic or keloid scars. This is due to the higher melanin content in darker skin, which absorbs 40 percent more laser energy, increasing the chances of adverse effects. However, advancements in technology have ushered in a new era of inclusivity in skin treatments. The new AVAVA Miria laser, for instance, offers a cutting-edge solution that is safe and effective for Fitzpatrick types I–VI. Finally, a new laser-for-all treatment is here.
Featured Experts
- Dr. Matthew Elias is a board-certified dermatologist based in Fort Lauderdale, FL
- Marina Peredo, MD is a board-certified dermatologist based in New York
How the AVAVA Miria Laser Works
The FDA-approved AVAVA Miria laser utilizes advanced AI technology combined with a unique focal point delivery system. This helps pinpoint the areas of concern that need to be treated while avoiding areas that don’t. The laser can deliver up to 150mJ of energy which enables significant improvements in tone, texture and tightness.
“It allows you to deliver a lot more energy than the FDA has ever approved previously,” explains Fort Lauderdale, FL dermatologist Dr. Matthew Elias. “Prior to Miria, aesthetic lasers were limited to 70mJ of max energy due to risks of scarring, pigmentary issues and higher energies being generally unsafe. Its unique conical focal point delivery system allows sparing of the epidermis, providing way more protection to the skin. We can deliver a lot more energy, thereby allowing more dramatic results with less downtime and lower risks.”
What Can the Miria Laser Treat?
The Miria laser is incredibly versatile, says New York dermatologist Marina Peredo, MD. “Miria can volumetrically enhance the skin by providing so much energy at different focal points in the skin,” she explains. “You can not only enhance the skin tone and tightness but also improve skin imperfections, acne scarring, fine lines and wrinkles.”
Dr. Peredo notes that the treatment can improve several concerns, including stimulating collagen and elastin production to smooth lines and wrinkles, precisely targeting and reducing acne scarring, treating dark spots and hyperpigmentation, improving plumpness and firmness and enhancing overall skin texture.
Who It’s Good For
“Miria is a very well-tolerated laser with little to no downtime. Compared to other devices, it is extremely comfortable but most importantly can treat all Fitzpatrick skin types,” highlights Dr. Elias. The laser’s advanced cooling system and AI-driven precision are central to its safety and efficacy. This makes it an excellent option for those wanting to improve their skin without the risk of pigmentation issues commonly associated with high-energy lasers.
“It has the best cooling ever designed for a laser system, protecting the epidermis and leading to a much lower risk of side effects,” says Dr. Elias.
AI-Powered Technology
Miria is the first laser to use AI and high-definition cameras to precisely place the energy where the pathology is and yield safer, better, easier treatments, explains Dr. Peredo. The conical geometry that is used to deliver the high-energy laser with pinpoint accuracy is unique to this device. “Smart technology, integrated into MIRIA, like data collection, will allow for specific precision-based therapy and monitoring between treatments,” she says. “The platform is built to leverage AI technology to provide personalized treatments for optimum outcomes. It utilizes machine learning for unique skin needs.”
Its advanced imaging technology will enable machine learning within the device to prevent both under-treatment and over-treatment, particularly in those with diverse skin tones. “The AI continues to learn and will improve the specific treatments for each unique patient,” adds Dr. Elias. This helps avoid overly aggressive treatments that could potentially lead to post-inflammatory hyperpigmentation (PIH).
Recovery and Downtime
“Miria contains an internal cooling system to help offset the discomfort and effects of a high-energy device,” explains Dr. Peredo. “We see minimal effects that include some redness and dryness in the cheeks when the face is treated. It usually lasts two to three days and is significantly less than other laser treatments because the device is non-ablative.”
Depending on the intensity, recovery can vary from slight pinkness and mild swelling to increased swelling that lasts from two to five days, particularly for those with sun damage or skin laxity.
Whether you’re looking to reduce wrinkles, improve skin texture, or address hyperpigmentation, the Miria offers personalized skin treatments accessible to everyone.
