Key takeaways
- Clear + Brilliant is 510(k)-cleared for general skin resurfacing; no skin condition is named.
- Solta says skin feels softer and looks brighter within a week or two of one treatment.
- Consumers in studies Solta cites reported visible improvement after 4–6 treatments.
- The maker's safety information says people with melasma or rosacea may not be appropriate candidates.
- Check any photo for treatment count, time since treatment, lighting and whether it is unretouched.
What results can you expect from Clear + Brilliant?
The starting point is the clearance, because it is narrower than a gallery implies.
Clear + Brilliant Touch is 510(k)-cleared — cleared, not FDA-approved — for "dermatological procedures requiring the coagulation of soft tissue and general skin resurfacing procedures" (K223647, cleared December 29, 2022).
No skin condition is named in that wording.
The device has been cleared since 2011: the original 1440 nm system was cleared May 3, 2011 (K110349), and a 1927 nm handpiece, marketed as Perméa, was added in 2012 (K120433).
The current Touch system carries both handpieces.
What the maker says you can expect is about how skin feels and looks rather than any named condition: Solta says skin starts to feel softer and look brighter within a week or two after one treatment, and that results "can last for months" depending on age, skin condition and how you protect your skin.
The published evidence nearest this device sits at the level of the laser class.
A 2020 review of 1440/1927 nm non-ablative fractional diode lasers — the class that includes Solta's Clear + Brilliant-type system — reports improvements in tone, texture, fine lines and dyschromia (uneven pigment), with transient side effects and minimal downtime.
It is class evidence, published as a journal supplement — likely an industry-supported one — not a Clear + Brilliant trial.
The Clear + Brilliant guide covers the device, candidacy and cost; this page stays on what changes in the skin, session by session and concern by concern.
How many sessions before you see a difference?
Solta's series comes from consumer self-reports: in studies the company cites, consumers reported visible improvement after 4–6 treatments.
The measure behind it is the maker reporting what consumers said — not a scored trial endpoint our sources describe — and 4–6 is the only session count our sources carry for this device.
The maker also describes a one-treatment effect: skin feeling softer and looking brighter within a week or two.
Both can sit together in Solta's telling — an early change after one session, visible improvement reported after a series of 4–6 — but no study we found measures what each additional session adds.
After one treatment
- Skin starts to feel softer and look brighter
- Within a week or two, per Solta
After a series
- Consumers reported visible improvement after 4–6 treatments
- A consumer self-report, not a scored trial endpoint
- Many continue routine treatments afterward
That makes "after 6 treatments" a question to ask a practice rather than a milestone the record defines.
Six is the top of the maker's own range, and Solta says many continue routine treatments as part of their overall skincare regimen afterward.
Whether a sixth session changes anything visible for your skin is a licensed provider's judgment, not something a source on this page can settle.
Before and after by concern
Here is the concern-by-concern record, with each row kept to what its source actually says, and for which device.
| Concern | What the source says |
|---|---|
| Softness and brightness | The maker's own claim: skin starts to feel softer and look brighter within a week or two after one treatment, with results that "can last for months" (Solta). |
| Tone, texture, fine lines, uneven pigment | A 2020 review of 1440/1927 nm non-ablative fractional diode lasers — the class that includes a Solta Clear + Brilliant-type system — reports improvements, with transient side effects and minimal downtime. Class evidence, not a Clear + Brilliant trial. |
| Pores | We found no Clear + Brilliant study measuring pore change. The cleared wording is general skin resurfacing, and the result claims our sources carry stop at softness and brightness — a gallery promising smaller pores is promising more than this record shows. |
| Melasma and rosacea | Not result rows: the maker's safety information says a person diagnosed with — or possibly having — either condition may not be an appropriate candidate for the device. |
The melasma row deserves its own numbers.
A 2020 evidence-based review of 113 studies and 6,897 participants concluded hydroquinone and triple-combination cream are the most effective, best-studied melasma treatments, and put chemical peels and laser or light therapies at "equal or inferior to topicals" with a higher risk of adverse effects.
If melasma is the concern behind your search, those topicals are the best-studied treatments in the evidence we carry — a conversation for a dermatologist — and any laser role in it is a question for that clinician.
The American Academy of Dermatology recommends having a board-certified dermatologist examine your skin before treating age spots, because what looks like an age spot can be skin cancer, and a fading treatment over a skin cancer can give it time to grow and spread.
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Why results vary between people
The maker names three variables in its own duration wording: age, skin condition and sun protection.
Those are Solta's factors for how results "can last for months" — and the only result-length variables any source on this page gives.
Session count is the other lever the record names, and it is a self-reported one.
What the record lacks matters just as much: we found no Clear + Brilliant study comparing ages, skin types or device settings, and no figure for how results differ between the 1440 nm and 1927 nm handpieces.
Those are consultation questions, not lookup facts.
Timing changes what a photo can show, too.
The maker lists mild-to-moderate redness and swelling right after treatment that usually diminishes or resolves within 12 to 24 hours, plus itching or dryness, skin sensitivity, discomfort and rarely pinpoint bleeding.
A photo taken the same day mostly shows those short-term effects, not the settled result — which is why the time point on any photo matters.
Candidacy is the last variable, and it is the maker's own list: retinoid use within the past 2 weeks, isotretinoin, or Botox or filler within the past 2 weeks, alongside melasma, rosacea, actinic keratosis and the other flags in its safety information.
Anything on that list changes the conversation before it changes the outcome.
How to judge a provider's before-and-after photos
Photos in a practice's marketing are advertising first.
Under the FTC Endorsement Guides (16 CFR 255.2), a result shown in an ad is read as representative of what consumers will generally achieve; if the advertiser cannot substantiate that, the ad must clearly and conspicuously disclose the generally expected results, and the FTC says disclaimers like "Results not typical" are generally insufficient on their own.
Manufacturer galleries model the labeling worth looking for: photos often carry the treatment count and the time point, alongside captions like "Unretouched photos. Actual patient. Individual results may vary." Treatment count, time since treatment, lighting and whether photos are unretouched are the four things to check before any gallery means anything.
Photos are also patient data.
Under HIPAA, full-face photographs and comparable images are among the identifiers that keep health information from counting as de-identified (45 CFR 164.514(b)(2)(i)(Q)), and before-and-after photos taken by a covered provider are protected health information — a HIPAA covered entity needs the patient's written authorization before using them in marketing (45 CFR 164.508(a)(3)).
Whether a given med spa counts as a HIPAA covered entity depends on factors such as whether it bills insurance electronically — so it is fair to ask how a photo you are shown was cleared for use.
The rules behind a before-and-after photo
| Rule | What it says |
|---|---|
| FTC Endorsement Guides (16 CFR 255.2) | A result in an ad is read as representative; if it isn't, the ad must disclose the generally expected results |
| HIPAA (45 CFR 164.514(b)(2)(i)(Q)) | Full-face photos are identifiers; a covered provider's before-and-after photos are protected health information |
| HIPAA (45 CFR 164.508(a)(3)) | A covered entity needs the patient's written authorization to use them in marketing |
- Does the photo state how many treatments the patient had, and how long after the last one?
- Is the photo labeled unretouched, with consistent lighting and angle?
- What result does the practice generally expect for your concern, skin and planned session count?
- How was this photo authorized for use?
One last frame for the whole page: a gallery is evidence about a practice's patients, not a forecast for yours.
The questions above turn it into something usable — and a practice that cannot answer them has answered a different question.
Frequently asked questions
Does Clear + Brilliant shrink pores?
We could not find a Clear + Brilliant study that measured pore change.
The device's cleared wording is general skin resurfacing, with no condition named, and the result claims our sources carry describe softer, brighter skin rather than smaller pores.
If pores are your main concern, ask a practice what they have seen in patients with similar skin and what they can document — and treat any pore promise in a gallery as marketing.
Can Clear + Brilliant treat melasma or rosacea?
We cannot call it a treatment for either, and the maker's own safety information points the other way: it says a person diagnosed with — or possibly having — melasma, rosacea or actinic keratosis may not be an appropriate candidate.
For melasma, a 2020 review of 113 studies found hydroquinone and triple-combination cream the most effective, best-studied treatments, with laser and light therapies "equal or inferior to topicals" and a higher risk of adverse effects.
Are med spa before-and-after photos reliable?
Treat them as advertising.
Under the FTC Endorsement Guides (16 CFR 255.2), a result shown in an ad is read as representing what consumers generally achieve, and "Results not typical" disclaimers are generally insufficient on their own.
Check the treatment count, the time since treatment, the lighting and whether the photo is unretouched.
HIPAA also requires a covered entity to obtain written patient authorization before using full-face photos in marketing.
Sources
Every number on this page comes from one of these sources and was checked against it.
- The 1440 nm and 1927 nm Nonablative Fractional Diode Laser: Current Trends and Future Directions · Friedman et al., J Drugs Dermatol, 2020
- Fraxel · fraxel.com
- accessdata.fda.gov · U.S. Food and Drug Administration
- Clear + Brilliant | SMOOTHER AND YOUNGER-LOOKING SKIN. ANYTIME. ANYWHERE. · clearandbrilliant.com
- Melasma Treatment: An Evidence-Based Review · McKesey et al., Am J Clin Dermatol, 2020
- What can get rid of age spots? · American Academy of Dermatology
- 45 CFR 164.514 -- Other requirements relating to uses and disclosures of protected health information. · ecfr.gov
- 45 CFR 164.508 -- Uses and disclosures for which an authorization is required. · ecfr.gov
- 16 CFR 255.2 -- Consumer endorsements. · ecfr.gov
- Thermage · thermage.com
Medical disclaimer. MedSpaStandard is for education only and is not medical advice. Talk to a licensed provider about your own health, and check any provider's license with your state board.