SMILE — Small Incision Lenticule Extraction — has been quietly gaining ground on LASIK for the better part of a decade. And the latest iteration, SMILE Pro, performed on the Zeiss VisuMax 800 platform, has compressed the critical laser step to roughly 10 seconds per eye. That's not marketing hyperbole — it's a measurable improvement over the original VisuMax 500, which took 25 to 28 seconds for lenticule creation.
The speed matters because it reduces suction time on the eye, which means less discomfort, less risk of suction loss (a rare but nerve-wracking complication), and faster recovery. Combined with SMILE's inherent advantages — no flap, minimal dry eye, and excellent biomechanical preservation of the cornea — SMILE Pro is becoming the procedure of choice for a growing number of refractive surgeons globally.
How SMILE Pro Works
Unlike LASIK, which creates a corneal flap and then uses a second laser to reshape the underlying tissue, SMILE uses a single femtosecond laser to create a thin disc of tissue (called a lenticule) within the cornea. The surgeon then removes this lenticule through a tiny 2 to 4mm incision — no flap needed. By removing the lenticule, the cornea's shape changes, correcting your prescription.
The result is a structurally stronger cornea post-procedure (more nerves are preserved, and there's no flap that could theoretically be dislodged by trauma), significantly lower rates of dry eye compared to LASIK, and a recovery trajectory that sees most patients at 20/20 or better within one to three days.
SMILE Pro vs LASIK: What's Different?
| Factor | SMILE Pro | LASIK |
|---|---|---|
| Laser type | Femtosecond only (VisuMax 800) | Femtosecond + excimer (two lasers) |
| Flap | None (2–4mm keyhole incision) | 20mm circular flap |
| Corneal nerves cut | ~20% fewer than LASIK | More nerve disruption |
| Dry eye incidence | Lower (preserves more nerves) | 40–60% temporary |
| Biomechanical strength | Stronger post-op cornea | Weakened by flap |
| Correction range | -1 to -10D (myopia), up to -5D astigmatism | -1 to -10D+ (myopia, hyperopia, astigmatism) |
| Hyperopia correction | Not available | Available |
| Enhancement ease | More complex | Simple flap re-lift |
| Recovery | 1–3 days to 20/20 | Usually next-day 20/20 |
| Colombia cost | $1.2K–$2K/eye | $800–$1.5K/eye |
Why Colombian Clinics Invested in SMILE Pro
The VisuMax 800 is not an inexpensive platform — it represents a significant investment for any eye clinic. The fact that leading Colombian refractive centers have adopted SMILE Pro reflects both the technology's clinical merit and the competitive dynamics of Colombia's medical tourism market. Patients traveling internationally expect access to the latest platforms, and top clinics in Medellín and Bogotá have responded by acquiring the same equipment used at premier centers in Europe, Korea, and the United States.
At $1,200 to $2,000 per eye in Colombia versus $3,000 to $5,000 per eye in the US, patients having both eyes treated save $3,600 to $6,000 — savings that comfortably cover flights, accommodation, and a relaxing recovery period in Medellín's spring climate (average temperatures of 72 to 82°F year-round).
Is SMILE Pro Right for You?
SMILE Pro is an excellent choice if you're nearsighted (-1 to -10 diopters), you want to minimize dry eye risk, you're involved in contact sports or active professions where a corneal flap could theoretically be a concern, or you simply want the latest flapless technology. It's less suitable if you're farsighted, have very mild prescriptions under -1 diopter, or if your surgeon anticipates you may need an enhancement (LASIK enhancements are simpler because the flap can be re-lifted).
Interested in SMILE Pro?
Find out if your prescription qualifies. Free virtual pre-screening with Colombian clinics operating the VisuMax 800 platform.
- SMILE Pro creates a corneal lenticule in ~10 seconds — faster and more comfortable than the original SMILE
- No flap means stronger post-op cornea and significantly lower dry eye rates
- Colombia cost: $1.2K–$2K per eye vs $3K–$5K in the US
- Currently treats myopia and myopic astigmatism only (not hyperopia)
- Same Zeiss VisuMax 800 platform as leading US and European centers