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What are MENDs - Hybrid Fractional Laser Treatment

What Are MENDs?—Their Role in the Efficacy of Hybrid Fractional Laser Treatment

If you have been assessing how effective hybrid fractional laser treatment is in treating skin for enlarged pores, hyperpigmentation, acne, scarring, fine lines, and other issues, you’ve undoubtedly come across the acronym MENDs. The term is often characterized with descriptors such as “coffee grind nodes,” “sandpaper,” “dark spotting,” “crusty,” “flakey,” “reddened,” “swollen,” or perhaps the more clinical-sounding “epidermal debris.”

This certainly does not come across as very appealing. Especially given that the procedure is for beautifying your skin, not turning it into an epidermal battlefield. However, MENDs represent your body’s core response to the treatment and is a clear sign that the treatment is working. As the MENDs clear, your aesthetic results will emerge. The results will continue to keep improving long after you have forgotten about those MENDs.

Because Tru Glō Medspa offers its southwest Florida-area clients Sciton’s® Halo™—the world’s first hybrid fractional laser treatment—we felt we should provide more clarity about what exactly MENDs are. This will help our clients better understand that these scary sounding side effects are actually part of the natural synergistic healing response that helps lead to younger-looking rejuvenated skin.

So, What are MENDs?

The clinical meaning of MENDs is “microscopic epidermal necrotic debris,” which essentially means small pieces of dead skin tissue. Given that the hybrid fractional laser treatment works by stimulating new skin growth by destroying older skin cells, there is going to be some dead skin tissue that your body will naturally want to remove in order to make way for the new skin. In fact, your new skin is actually helping push the dead skin tissue up to and through the skin’s surface where it will naturally fall off. The amount of MENDs produced by the procedure, as well as the amount of time it takes for the MENDs to clear, are dictated in large part by the extent and depth of the laser treatment.

In general, MENDs begin to appear on the second or third day after treatment. It will show up as tiny dark spots and an overall bronzed appearance to the skin. Crusty areas of the skin can emerge, along with redness and continued swelling. The skin will likely feel tight and, as the MENDs continue to come to the surface of the skin. Its texture will take on the feeling of sandpaper and become very dry. This is all quite normal and will follow quickly with flaking and peeling. This helps slough the MENDs off of the skin.

For facial treatments, it can take up to five to seven days for the flaking and peeling process to remove all MENDs. For other parts of the body, such as the neck, chest, or legs, it can take up to two weeks. Once this process is done, your skin will have a pink, rosy glow that will gradually fade. You should also notice a reduction in the skin imperfections targeted as well as overall improvements to your skin’s texture and tone. Aesthetic enhancement of the skin will continue to improve in the ensuing weeks and months. This is due to the body’s continued response to the treatment.

How to Treat Your MENDs

After your Halo™ treatment your aesthetician will provide you with aftercare instructions that include advice about treating your MENDs. Most importantly, you should not pick at, rub, scratch, or otherwise disturb the MENDs. Allow them to come off naturally. You can gently wash the treated area. Your aesthetician will recommend or supply you with an appropriate moisturizer and other skincare products for your recovery period. This includes a broadband sunscreen, which should be put to use rigorously for up to three months after the procedure. Over-the-counter oral pain reliever can address any discomfort. There is also an oral formulation of Benadryl doctors recommend for itching. Other than sun exposure, once the healing/peeling process is complete, you can resume all normal activities and wear makeup again.

Learn More About Halo™ Laser Treatment at Tru Glō Medspa

To learn more about how Halo’s™ fractional laser treatment can help rejuvenate your skin, contact Tru Glō Medspa. Visit our website’s contact page, or call 239-919-7009.

Contact Tru Glō Medspa

If you'd like to schedule a free consultation with at our Medical Spa in Naples, Florida, please fill out the form below and we will reach out to you as soon as possible. Alternatively, if you would like to speak to a spa representative right away, please give us a call at 239.919.7009.

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Our Naples Medical Spa Reviews

Amazing Experience!

I love TruGlo Med Spa! Always an amazing experience! Highly recommend to all my friends!

Jane L

The Best Ever!

I had the best experience ever at a MedSpa! From Lauren the spa coordinator to Veronica who did the best hydra facial I have ever had! She is outstanding! Beautiful experience and can’t thank you enough!

Dale C

Absolutely Amazing!

I’m very pleased and satisfied with Dalna! She is absolutely amazing and sweet. She goes out of her way to ensure she exceeds your expectations. I highly recommend you to trust your skin improvements with her.
Yari B

Always Polite & Friendly!

Love this place! Caring and knowledgeable staff… always polite and friendly. Iryna did my permanent eyebrow makeup. The shape is wonderful, she is a perfectionist. GO THERE, YOU’LL LOVE IT!

Irene C

Friendly Staff

Friendly staff and great massage and facials, I recommend everyone to try them:)

Doris W

Amazing & Friendly

I’ve been going to Maddy for a couple years now, she has done my facials and my laser hair removal. She amazing, friendly and knows her skin care!

Kimberly M

Incredible Job

First time ever receiving a hydro facial. Dalna did an incredible job, she was very professional and the hydro facial was an incredible experience. Very welcoming atmosphere, nice greeting at the front. Thorough explanation by Dalna regarding the service and she did amazing all the way around. Very friendly, had a calming sense about her and my face was glowing when I left. My son said my face felt like butter…..haha. Great job Dalna and thanks for the TruGlo experience! I will be back monthly and will most certainly recommended to anyone and everyone.

Spencer G

Fantastic Results

Fantastic results from my BBL with Stacy. She’s a joy to chat with during the treatment. She explains everything and I feel like I have a plan now.
Kari W

Knowledgeable and Passionate

I look forward to becoming a regular at this Medspa, Molly is so knowledgeable and passionate about skincare and I just knew walking in that I would be in good hands, and I was!

Jessica E


We have had several treatments with various Tru Glo team members and they have all been exceptional! We highly recommend Tru Glo for every treatment you would want. Their team is professional and will be honest with the best approach or products for your skin and the goals you have for yourself.

Giardino T

Quality Services

The best Med Spa in the tristate area. The best service and the best quality services. I can’t say enough good things about Tru Glow.

Ariel F

Highly Recommend

I have had a number of experiences with the ladies and gentleman( massage therapist) at Tru Glow. Molly has given me a number of facials and is very knowledgeable and Professional with product and services. She has helped keep my skin clear and youthful and it is always a pleasure visiting with her. Full of life. Stacy the Nurse practitioner is amazing and funny as heck. She too knows her profession and product. Always acts in the best interest of clients will engage in many medical questions or concerns with many of her medical colleagues. Courtney and Maddie are both amazing assets as well and care for clients and spa, their schedules defines there skills and popularity with guests. They have brought on a massage therapist who I understand works directly with many local professional athletes in all sports and travels directly exclusive to them during their respective seasons. He too is very knowledgeable and professional in his craft. Very skilled with different massage techniques. Gretchen is one of ladies you will see up front and she is wonderful. Fun and professional, she does a great job managing appointments and product and knows a lot about them. The overall, the staff at Tru Glow knows their stuff and they love their talents. Highly recommend them to anyone.

Garth C

Truly Magical

Every time I visit Tru Glo Med Spa it is a fantastic experience. Everyone goes beyond to make your time spent there truly magical and the treatments have you leaving with your glow on.

Lukie L

Incredible Results

Excellent all around. Had incredible results with Bbl treatments! THANK YOU STACEY 😉 Tru Glo for me is tops in professionalism, expertise and friendly helpful staff.

Linda S


Very knowledgeable staff. Will definitely be returning here!

Carolyn G

Highly Recommend

Highly recommend TruGlo MedSpa for all laser aesthetics. Stacy Blake, over 30yrs of experience and beautiful herself, transformed my face with just one HALO treatment($1600) as seen in my before and after pictures below. Dr Gardner(best plastic surgeon in all of South Florida) owns TruGlo MedSpa.

I had consultations with all of the top doctors in South Florida; Naples, Coral Gables, Palm Beach, Boca Raton and Jupiter. I decided to go with Dr Gardner & TruGlo MedSpa. Afterwards I went back to the same top plastic surgeons who complimented Gardner’s work.

Summer H

Definitely 5 star!

Tru Glo Medspa is top notch. The office is beautiful with calm aura. Gretchen is always so helpful and knowledgeable. Stacey Blake, who has performed multiple treatments on my face from filler, Botox, Dysport, BBL and laser peels, is just amazing. She is so gentle handed and always making sure you are okay during procedures. She has even went the extra mile to assist me addressing a skin issue which I didn’t even mentioned because I didn’t think there was much I could do about it. With her help I have cleared up an issue which was really affecting my daily life and I am so thankful for her help. After having had Tru Glo’s amazing staff I would never even consider going anywhere else ever for my cosmetic needs. Definitely 5 star!

Erica M

Love Everything About this Place

I just love everything about this place! It is a little pricey but it’s really worth it if you want to see real results. Maddie knows my skin better than I do and knows every procedure & product inside and out. I’d highly recommend it to anyone that is looking to take their beauty regimen to the next level.

Tanya K

Love Everyone Here

Love everyone here! Try the new “O2 Glo Lifting Facial”. It literally makes your face GLOW!
Also tried the Nano Laser procedure….OMG! Literally no downtime, and pores get smaller! I can’t tell you how many comments I have had and how great my face and neck look! These folks are some of the best!

Laura U

You Get Resuts

You could not be disappointed. Stacey takes the time to talk through alternative treatments, she’s very easy to work with, AND you get RESULTS!

Robin B