CO2 Laser Resurfacing

WHAT IS FRACTIONAL CO2 SKIN RESURFACING?

Fractional CO2 lasers combine the benefits of both ablative and non-ablative lasers into one treatment. Fractional lasers use ablative technology to remove parts (fractions) of the damaged skin, leaving the surrounding areas intact. The handpiece emits light in a grid of precise microbeams that create narrow but deep columns of thermal injury as they penetrate the skin. Since only portions of your skin are treated at a time, the procedure is more comfortable. This also helps accelerate the healing process and reduces the risk of complications while still achieving the excellent results of an ablative laser treatment. This helps accelerate the healing process and reduces the risk of complications and discomfort.

WHAT DOES THE FRACTIONAL CO2 LASER TREAT?

The Fractional CO2 laser is used to address a wide range of skin conditions, including: 

  • Fine lines (including around the eyes)
  • Deeper wrinkles around the forehead, mouth, or nose
  • Sun damaged skin
  • Acne scars
  • Hyperpigmentation
  • Dull complexion
  • Textural issues
  • Uneven skin tone
  • Skin laxity
  • Enlarged pores

 In addition, the Fractional CO2 laser can be used to treat other visible areas of the body, such as the neck, chest, or hands.

*Individual results may vary.

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Frequently Asked Questions

A good candidate for CO2 laser resurfacing is someone who wants to improve concerns such as wrinkles, sun damage, acne scars, uneven skin texture, or skin laxity. Candidates should be in reasonable overall health, willing to follow aftercare instructions, and able to allow time for healing. A consultation is important to determine whether this treatment is appropriate for your skin type, tone, and goals.

Most patients feel heat, stinging, or a snapping sensation during treatment, but numbing methods are used to help keep the procedure quite comfortable in an office setting.

The type of numbing depends on the treatment depth and the area being treated. Options may include topical numbing cream, local anesthesia, nerve blocks, and oral medications. Light anesthesia sedation is an option that carries additional cost.

Treatment time is based on the area and the intensity of the laser settings. Many skin resurfacing procedures take about 30-90 minutes, though your appointment may be longer when numbing, preparation, and post-treatment care are included.

Many patients see noticeable improvement after one CO2 laser resurfacing treatment, especially with deeper or more aggressive resurfacing. Others may require a series of lighter treatments depending on their skin concerns, goals, and downtime preferences.

You may notice smoother, fresher-looking skin once the initial peeling and healing process is complete. Results often improve over the following weeks and months as new collagen develops.

Results can be long-lasting, especially when supported by daily sun protection and a quality skincare routine. While CO2 laser resurfacing can improve existing skin damage, it cannot stop the natural aging process or prevent future sun damage. Light retreatment for maintenance should be considered every 2-3 years.

Immediately after treatment, your skin may be red, swollen, warm, and sensitive. Some patients experience oozing, crusting, or a tight sensation as the skin begins to heal. These effects gradually resolve with proper aftercare over 5-9 days.

Recovery time depends on treatment depth. More aggressive ablative CO2 laser resurfacing may require one to two weeks of social downtime, while redness can last longer as the skin continues to heal. Full recovery varies from patient to patient.

After CO2 laser resurfacing, you should keep the skin clean, moisturized, and protected as instructed by your provider. Gentle cleansing, healing ointments, avoiding harsh products, and consistent sun protection are usually important parts of aftercare. Follow your provider’s instructions closely to support healing and reduce the risk of complications.

You should avoid direct sun exposure, picking or scratching the skin, strenuous exercise until cleared, harsh skincare products, exfoliants, retinoids, and makeup until your provider says it is safe. Avoiding heat, sweating, and irritation during early healing can help protect your results.

Yes. Peeling, flaking, crusting, or shedding is a normal part of the healing process after CO2 laser resurfacing. This happens as treated skin renews and fresh skin appears underneath.

Yes, your provider may give you specific instructions before treatment. These may include avoiding sun exposure, discontinuing certain skincare products, such as retinoids or exfoliants, avoiding smoking, and taking prescribed medications as needed. Proper preparation can help improve healing and reduce the risk of side effects.

Patient Testimonials

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Kathy Dorney
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I am vey happy with my experience with the Dr. and so happy that I have chosen to be a patient here.
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Jim & Rose Hammersmith
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Dr. Madorsky is so pleasant to talk with. He takes time with you, explaining well. He is an excellent plastic surgeon. I would most definitely go back.
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Jodi Miller Beehler
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Wow! Wow! Wow! From the minute I walked in to the office I felt welcome and calm. I went in for a facelift consult and after meeting with Dr Madorsky I knew I was in the best hands possible. I had 3 other consults and this was the only one that felt wonderful after it. I am now 2 weeks out and every follow up has been nice and he even let me have laughing gas to calm my anxiety for suture removal, he made me feel relaxed and talked me thru it all. Never had pain from the facelift and I’m looking amazing! He even did a laser treatment under my eyes to get rid of bruising. All included in the very reasonable cost of my procedures. THANK YOU Dr Madorsky, Rachel and Iris and the nurses for making this journey very enjoyable.
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M.G. Anderson
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Very professional from beginning to end. Top notch facilities, staff and processes! Dr’s Aronson and Madorsky - top of their field!
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Denise Dietz
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Excellent service with all staff and Dr. Madorsky!
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Sanaz Fakhimi
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Emma is amazing!! From the moment I walked into the office I felt completely at ease and knew I was in great hands. She’s incredibly knowledgeable, skilled and thoughtful. She helped create a personalized plan to get my skin looking refreshed and glowing before a special event, and I’m already so happy with the results! I highly recommend her to anyone looking for a provider they can trust.
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Constance Johnson
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First time visit regarding positive basal cell carcinoma on scalp. Dr. Madorsky was very kind, professional, and ingratiating. He took time to address all of my concerns and made me feel that SCARS Center was a great fit for me. After having some PTSD after treatment for skin conditions at other dermatological offices, I feel I am making the right choice here. I felt heard, validated, and extremely encouraged. The staff members I met were very kind and helpful. It certainly is worth your time to schedule a visit here.
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