This week we’re bringing back one of our expert laser specialists, Emily Altman. With over a decade of experience in advanced lasers, skincare, and results-driven treatments, she is truly a wealth of knowledge. Emily is an exceptional provider, and we are so lucky to have her on our team. She’s deeply passionate about delivering the most effective, personalized outcomes for her patients, which is why she’s here to talk about laser stacking. Take it away, Emily!
What is Laser Stacking?
Laser stacking – also known as combination therapy – is the practice of performing multiple energy-based treatments in a single session or treatment plan to target multiple layers of the skin. Instead of relying on one modality to do everything, stacking allows providers to customize treatments for more comprehensive, efficient, and often faster results.
Think of laser stacking as a “full spectrum” approach to skin health: correcting pigment, improving texture, stimulating collagen, and tightening all at once.
Why Combine Treatments?
Patients often come in with multiple concerns: pigmentation, redness, fine lines, acne scars, and laxity. One device rarely addresses all of these effectively.
Laser Stacking Works Because:
- Different devices target different depths and concerns
- Results are often more noticeable and longer-lasting
- Treatments can be more efficient (fewer overall visits)
- It allows for true customization based on the patient’s skin
- Optimized downtime
- Enhanced collagen stimulation
Popular Laser Stacking Combinations:
BBL+Moxi: The Ultimate Skin Refresh
This is one of the most popular and approachable combinations. BBL (Broadband Light) targets pigment, redness and vascular concerns. Moxi is a gentle fractional laser that improves tone, texture, and early signs of aging.
Why it Works:
BBL clears the canvas, while Moxi refines it.
Best For:
- Sun Damage
- Uneven Skin Tone
- Early aging (prejuvenation)
- Patients wanting minimal downtime
BBL+Coolpeel: Tone Meets Texture
- BBL targets pigment and redness
- CoolPeel (CO2 resurfacing) improves fine lines, pores and texture
Why it Works:
We are combining color correction + resurfacing in one treatment
Best For:
- Aging Skin
- Fine Lines and Wrinkles
- Sun Damage and Rough Texture
- Patients wanting more aggressive results without the full downtime of traditional CO2
Moxi+Microneedling: Collagen Power Duo
- Moxi targets superficial tone and mild pigment
- Microneedling (SkinPen) stimulates deeper collagen remodeling
Why it Works:
We are stimulating collagen at multiple depths simultaneously
Best For:
- Acne Scars
- Fine Lines
- Textural Irregularities
- Collagen Stimulation
Sylfirm+Moxi: Redness+ Regeneration
- Sylfirm (RF microneedling) targets deep dermal remodeling. We often call it “traditional Microneedling on steroids.”
- Moxi enhances tone, pigment correction, and overall skin quality
Why it works:
Sylfirm addresses inflammation and deeper dermal concerns, while Moxi refines the surface.
Best for:
- Patients needing both corrective and maintenance treatments

Laser stacking represents the future of aesthetic treatments. Instead of a one-size-fits-all approach, it allows providers to deliver personalized, multi-dimensional results that simply aren’t possible with a single device.
If your goal is brighter, smoother, healthier-looking skin, combination treatments are the most effective path to get there.
If you would like to get in contact with Emily, reach out to her on Instagram at @aesthetics_by_emily or email her at emily@racquelaesthetics.com!
XO,
Racquel


