A method of forming a semiconductor device is provided that may include providing a semiconductor layer including a raised source and raised drain region that are separated by a recessed channel having a thickness of less than 20 nm, and forming a spacer on a sidewall of the raised source and drain region overlying a portion of the recessed channel. In a following process step, a channel implantation is performed that produces a dopant spike of opposite conductivity as the raised source and drain regions. Thereafter, the offset spacer is removed, and gate structure including a metal gate conductor is formed overlying the recessed channel.