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Legato II – Acne Machine

Total Scars Solution Legato 2 - Almalasers.com

Total Scars Solution – Acne Machine

Legato II machine combines fractional ablation with Alma’s IMPACTTM skin barrier breakthrough solution to effectively treat    acne scars, stretch marks and various skin imperfections- with minimal downtime.

The second-generation Legato II features interchangeable tips that allow practitioners to determine the precise level of ablation and thermal effect, while minimizing patient discomfort. IMPACT offers a breakthrough method of trans-epidermal delivery, allowing topical ingredients to penetrate the dermal-epidermal junction and reach deeper skin tissue for further treatment.

Legato II acne machine is appropriate for use on all skin types including dark and sensitive skin, making it an ideal method for laser scar removal and skin repair with excellent clinical outcomes.

• Combined technologies for optimal results
• Clinically proven treatment solution
• Minimal downtime
• Quick treatment
• Minimal downtime & Side Effects
• Suitable for all skin types



Treatment Process:
Legato II uses a 2-phase process to treat scar tissue and achieve effective trans-epidermal delivery of active compounds to the deeper skin layers.
Phase I Legato II begins with creating precisely disbursed micro-channels in the skin using microplasma technology. This creates a passage to the deeper layers of the skin. At the same time, the controlled thermal damage induced by the microplasma triggers a natural healing process that replaces disorganized, compacted scar tissue with healthy new collagen. The micro-channels are surrounded by untreated skin which also aids in rapid healing.
Phase II Once the skin is perforated, the IMPACT module uses ultrasound technology to advance topical compounds through the micro-channels, allowing their therapeutic properties to further treat damaged tissue at the dermal level.
Healing time is minimal, risk of infection or PIH (Post-Inflammatory Hyperpigmentation) is eliminated and little discomfort is felt.

Legato II provides a complete, minimally-invasive solution for:

Acne Scars



Microplasma is a fractional ablative technology that can be used to improve skin imperfections while significantly reducing the risk of Post-Inflammatory Hyperpigmentation (PIH). Microplasma is a non-chromophore specific technology that both ablates and heats the skin through controlled, focused delivery of radio frequency energy without the need for expensive disposables.


While fractional laser and RF treatments can be highly effective for a variety of indications, combining these with the application of active topical ingredients serves to maintain and significantly augment results.
Legato II’s IMPACT module offers a revolutionary skin barrier breakthrough solution that successfully delivers active ingredients beyond the epidermal–dermal junction. Once the skin is perforated via fractional microplasma, the Impact module emits acoustic waves and air pressure, pushing the topical compounds through the micro-channels. The acoustic vibrations create a push and pull effect within the channels, releasing the buildup of intra-cellular fluid and allowing the active ingredients to reach the targeted tissue depth. Histologies performed after the use of IMPACT technology have proven efficacy in advancing active ingredients to the deeper layers of the skin.
The synergy of fractional ablation and IMPACT technology offers a compound solution for maximally effective skin repair and aesthetic enhancement.





The microplasma module uses radiofrequency energy to produce tiny sparks (microplasma) that travel between the RF electrode and the skin’s surface. These microplasma sparks ablate and heat the skin, creating micro-channels that reach beyond the epidermis, allowing access to deeper skin tissue.

Microplasma Tips:

Microplasma tips

Microplasma Tips:

Interchangeable microplasma handpiece tips allow you to customize treatment for each scar type or indication by controlling the amount of energy delivered as well as the precise depth of treatment.
Atrophic tip– the standard tip for the Microplasma module, this tip is a roller with 6 pins per row. It is ideal for treating keloid, contracture and acne scars, stretch marks and large areas.

Traumatic tip– a roller with 3 pins per row for high-energy fractional ablation. It is ideal for treating hypertrophic scars.
Icepick tip– a stationary tip for high thermal effect, this tip is designed to pinpoint and treat localized scars.




The MicroPeel handpiece uses very low power microplasma technology to achieve light ablation for superficial peeling and skin resurfacing. This handpiece can be used as supplementary therapy for scar treatment, rebuilding the collagen in the skin surrounding the scar, for skin preparation prior to other more intensive treatments, or as a follow-up maintenance treatment.




The IMPACT module, in combination with fractional ablative microplasma, facilitates delivery of topical ingredients beyond the epidermis where most scar tissue and other challenging skin imperfections form. It achieves successful trans-epidermal delivery which allows therapeutic ingredients to reach the targeted tissue depth where their regenerative properties can be most effective.

Alma-Q Reviews

“I have been very impressed by the use of IMPACT as a method of delivering cosmeceuticals to the dermis. I am not aware of any other method or technology. This is real innovation.”

Tania Aparecida Meneghel, MD, Dermatologist Clínica Renaissance
São Paulo, Brazil

“In darker skinned Asian patients, the synergies present in iTED using fractional ablative microplasma and ultrasound treatment is effective with fewer side effects.”

Dong-Hye Suh, MD, Dermatologist Arumdaun Nara Dermatologic , Korea

“iTED really helps you deliver what you promise to the patient…. IMPACT and iTED concept are the future of skin repair.”

Maria Angelo-Khattar, PhD Director Aesthetica Clinic, Dubai

“Clinical results of the combined microplasma and IMPACT treatment have been very impressive. The IMPACT module is able to pass large amounts of topical creams beyond the skin barrier to levels not previously obtainable. The result of which is improved treatment outcomes and new treatment possibilities.”

Uwe Paasch, MD, PhD University Clinic of Leipzig, Germany

“I strongly believe that the Legato, microplasma and IMPACT offer treatment possibilities which are not obtainable using any other devices.”

Maria Claudia Issa, MD & PhD Clinica Dermavance Dermatologia,
Rio de Janeiro, Brasilien


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