We are happy to present Alma Hybrid, The only clinic that primarily offers the newest generation in laser treatments for skin resurfacing.


Alma Hybrid in Mission Viejo, California

Scar removal treatment of the future. Unparalleled skin resurfacing and regeneration.

If you've ever had acne, you may be left with deep pitted scars that can't be erased without the help of a skin professional. You may have begun to see indications of aging such as lines, wrinkles, and sagging skin. In today's world of cosmetic medicine, we don't need to take an intrusive surgical approach to skin rejuvenation and resurfacing because of modern aesthetic technologies.

At Luminary MD, we provide our patients with the most advanced clinical solutions available without the need for surgery. We are happy to present Alma Hybrid, The only clinic that primarily offers the newest generation in laser treatments for skin resurfacing.

This is a before and after of an Alma Hybrid treatment.  This patient wanted to correct sun damage and improve her appearance


Laser resurfacing provides patients with a remarkable skin regeneration and is a popular therapy for people with deeper scars, such as acne scars, as well as ageing and sun-damaged skin. A matrix of light is used to treat your skin with a sophisticated fractionated carbon dioxide laser.

Alma hybrid is a revolutionary skin revitalization and scar therapy system. Because it combines ablative CO2 laser and non-ablative 1570nm laser – two energies that complement each other well – it is the optimum resurfacing treatment.

For best rejuvenation treatment outcomes, the Alma Hybrid laser combines three strong technologies:

The CO2 laser

For accurate focus and fragmentary therapy, the CO2 laser is the best combination of ablative, coagulative, and thermal laser technology.

1570nm laser

This is a non-ablative laser that produces a thermal effect that promotes fresh dermal synthesis while leaving the epidermis intact, resulting in minimal downtime.

Alma Ted Hair Restoration device used to Deliver cosmeceuticals with higher Absorption

Not only is the Alma TED used for Hair Restoration it can be also used in combination with the Alma Hybrid for next level results. After the Hybrid creates micro-channels, the TED utilizes ultrasonic technology that generates an acoustic pressure that allows cosmeceuticals to be delivered to the dermis with higher absorption creating better results. Dr. Milanes is the first physician in America to offer this treatment combination.

The combination of the Alma Hybrid and Alma TED will improve results in skin resurfacing, scar treatments and stretch marks.

We can build a bespoke treatment program based on the individual's skin type in addition to these potent technologies.


After inspecting your skin, we will design a specific treatment plan after confirming that Alma Hybrid is the right treatment for you during a thorough consultation. Scarring, lines and wrinkles, mild to severe sagging, as well as sun spots and age spots, can all be treated with Alma Hybrid.

Your skin will be properly cleansed and a topical numbing cream will be used before your Alma Hybrid treatment begins. After the numbing cream has worn off, the Alma Hybrid hand-piece will be pointed towards the treatment area to deliver laser light accurately.

You may suffer reactions such as redness, swelling, or peeling after taking Alma Hybrid. During your consultation, we will discuss what to expect in terms of downtime and recuperation. As the skin heals and produces new collagen, the final results will enhance

What are the benefits of Alma Hybrid Laser?

  • 2 of the most sophisticated lasers at the same time
  • Customizable to suit your goals and downtime
  • Reduced Damage to Skin
  • Rejuvenate mature skin
  • Enhancing your natural beauty
  • Revealing smoother, younger, healthier-looking skin.
  • Safe for all skin types.
  • Improves fine lines and wrinkles

Am I suitable for a treatment with the Alma Hybrid?

Before any treatment at Luminary MD can be performed, we ask that you attend a free consultation so that we can assess your specific concerns, discuss your desired results, your budget, the amount of downtime you are willing to endure, and any medical history that may affect the possibility of having a specific treatment. You can schedule your first treatment session once we've determined that Alma Hybrid Ted is a suitable and safe treatment for you.

Dr. Milanes providing an Alma Hybrid treatment to this patient to rejevunate his skin and have a more youthfull appearance


What happens in the course of the treatment?

A topical anesthetic will be given to the treatment area after your skin has been cleansed. The practitioner will next pass the laser across the treatment region once this has taken effect. After the therapy is completed, you can resume your routine activities.

What conditions can the Alma Hybrid address?

Alma Hybrid treatments can address various skin concerns including:

  • Wrinkles and fine lines
  • Acne and other scars
  • Uneven skin tone and texture
  • Hyperpigmentation
  • Sun Spots
  • Stretch Marks
  • Skin Tags
  • Warts
  • Surgical Scars
  • Burns

The treatments are effective for all skin tones, with the caution for the dark skin tones.

Each pixel can be chosen to suit the parameters and ratio during the therapy — one pixel can be non-ablative, while the other can be ablative. This makes it possible to treat almost any part of the body.

How many treatments will I need?

A series of three treatments at 12-week intervals is recommended. Some patients, however, achieve excellent outcomes after just one session. In your pre-treatment appointment, the amount of treatments you'll likely need will be addressed. Some patients with more severe scarring may require up to five treatments.

What is the downtime following an Alma Hybrid laser treatment?

The downtime is greatly decreased due to the superior technology in this laser. The downtime varies since we can customize the treatment according to the YOUR needs. Downtime can be up to 7 days if we go strong on the Co2. Downtime with the soft lift is minimal as it makes the patients face just a little red.

The downtime will be shortened by 2 days if you add Exosomes with TED

This is something that you will discuss during the consultation. Following this therapy, you may experience some redness, swelling, and discomfort, which can be treated with topical treatments.

What is the Aftercare for the CO2 Laser?

Following your treatment, you will be given detailed aftercare instructions.

Why should a patient choose Lumninary MD?

We have the most sophisticated Co2 laser on the market. We are able to customize the treatments. In addition to the laser wavelengths. Dr. Milanes is also the first in the US to offer trans epidermal drug delivery via sonophoretic with Alma TED that provides an absorption rate 7x more than just applying a medication topically. Dr. Milanes is a speaker with Alma Lasers and provides education for providers.

Is pain involved?

There is minimal pain because we apply a topical medication prior to the treatment. We also have ProNox that patients can use to feel more comfortable. Pain level varies depending on the strength of the treatment.

Can we combine this with other treatments?

Yes. we can combine this with other treatments to provide even more dramatic results. We can apply exosomes, PRP, other topical medications and much more.



"Dr. Chelnis is AWEmazing!  He is an extremely knowledgeable and highly-skilled professional.  He is very personable, courteous and takes his time to address all concerns and answer every single question.  He has First-Class bedside manners and the results of his work are OUTSTANDING!  His entire staff is just as amazing, friendly and accommodating and they go the “extra mile” to ensure your experience is the best one ever — mine was… it was an absolute pleasure!  I HIGHLY recommend Dr. Chelnis!”


specialty services

Alma Ted

Uses acoustic sound waves and air pressure to drive medications past our protective layer of skin down to the dermis that provides Needle Free and Pain Free Hair Restoration.

Alma DUO

Obtain optimal sexual wellness with Duo Shockwave treatment, and experience a higher level of sexual intimacy

Fat Transfer

You can transfer that fat to an area, like the butt or breasts, for added volume, creating a stunning new shape in multiple areas of the body.


Laser-assisted liposuction is a minimally invasive alternative to traditional lipo that gets rid of stubborn areas of fat without extensive downtime or recovery.