What is CO2 Laser Resurfacing?

What is CO2 Laser Resurfacing?

CO2 laser resurfacing is a popular and effective skin rejuvenation treatment used to improve the texture, tone, and overall appearance of the skin. This procedure utilizes carbon dioxide (CO2) laser technology to remove damaged skin layers, stimulate collagen production, and promote new, healthier skin growth. It is widely used for treating wrinkles, fine lines, scars, and pigmentation issues.

In this blog, we’ll explore how CO2 laser resurfacing works, its benefits, recovery process, and potential risks to help you determine if it's the right treatment for you.

How Does CO2 Laser Resurfacing Work?

CO2 laser resurfacing uses a high-energy beam of light to vaporize the outer layers of damaged skin with precision. The laser penetrates the skin’s surface, removing old skin cells while stimulating the production of new collagen fibers. This process helps in skin tightening and rejuvenation, leading to a smoother, younger-looking complexion.

There are two primary types of CO2 laser treatments:

  1. Ablative CO2 Laser Resurfacing – This is a more intensive treatment that removes the entire outer layer of the skin, requiring a longer recovery period but yielding significant results.
  2. Fractional CO2 Laser Resurfacing – This method creates microscopic channels in the skin while leaving surrounding areas untouched, promoting faster healing with minimal downtime.

Benefits of CO2 Laser Resurfacing

CO2 laser resurfacing is highly effective in treating a variety of skin concerns, including:

  • Fine Lines and Wrinkles – Particularly around the eyes, mouth, and forehead
  • Acne Scars and Other Scarring – Reduces the appearance of deep scars by resurfacing the skin
  • Hyperpigmentation and Sun Damage – Helps even out skin tone by removing sunspots and discoloration
  • Skin Laxity – Stimulates collagen to enhance skin firmness and elasticity
  • Enlarged Pores – Reduces the appearance of large pores for a smoother complexion

What to Expect During and After Treatment

During the Procedure

  • The treatment is usually performed under local anesthesia or sedation to minimize discomfort
  • A handheld CO2 laser device is used to precisely target and treat specific areas of the skin
  • The session can take anywhere from 30 minutes to two hours, depending on the treatment area

Recovery and Downtime

  • The healing process typically takes 7 to 14 days, during which the skin may appear red, swollen, and slightly crusty
  • Patients may experience mild discomfort similar to a sunburn, which subsides over time
  • Follow post-treatment care by keeping skin moisturized, avoiding direct sun, and using prescribed ointments for healing
  • Full results become visible within 3 to 6 months as new collagen continues to develop

Potential Risks and Side Effects

  • Redness and Swelling
  • Skin Sensitivity
  • Hyperpigmentation or Hypopigmentation
  • Scarring or Infection

CO2 laser resurfacing is ideal for individuals with moderate to severe skin concerns who want significant improvements in skin texture and tone. However, it may not be suitable for individuals with active acne, certain skin conditions, or very dark skin tones due to risk of pigmentation changes. A consultation with a qualified provider is essential to determine the best treatment approach.

Content written and approved by Darshan Shah, MD Plastic Surgeon.