Information to Fractional Carbon Dioxide CO2 Laser

September 16, 2022 0 Comments

What’s a CO2 Laser and what does it do?

Fractional carbon dioxide (CO2) lasers are one of many best advances in non-surgical pores and skin rejuvenation therapies. The CO2 laser has the longest wavelength of all of the lasers available on the market and can be utilized safely on darker pores and skin varieties with applicable changes within the settings. Sure fractionated Erbium lasers also can give comparable outcomes.

Fractional CO2 lasers excel at treating deeper wrinkles, extra extreme textural modifications from solar injury, wrinkles, blotchiness, zits scars, and surgical or traumatic scars. It may be used on the fragile eyelid pores and skin and across the mouth. Additionally it is a really efficient remedy for solar injury and precancerous growths (actinic keratoses – notice that insurance coverage is not going to cowl this).
It may be used to enhance texture, wrinkles, and blotchiness on the neck and chest, however this could solely be completed by specialists as a result of the chance of problems, together with scarring, is greater in these areas.

What does it NOT do? It doesn’t deal with redness including- dilated blood vessels (telangiectasias), or that reddish blotchy discoloration on the neck (poikiloderma). Briefly, it might even make these issues look worse as a result of the laser remedy itself causes some redness whereas it’s therapeutic. For issues with purple and veins, a medical (not salon) BBl/ IPL or pulsed dye laser like a Candela is more practical.

So the query of which fractional laser system to decide on is essential. How do you, as a client, determine it out? First, discover a respected beauty dermatologist or plastic surgeon (see the part on discovering a great physician). Good gear in incompetent palms is not going to assist you to!

How does the fractional CO2 laser work?

The fractional CO2 laser takes the CO2 laser beam and fractionates it. Which means that one beam turns into hundreds of tiny little shafts of sunshine. These tiny shafts of sunshine penetrate into the deeper layers of the pores and skin. The pores and skin then repairs these tiny shafts by pushing out the outdated solar broken pores and skin and changing it with new pores and skin. The “collateral” warmth injury additionally helps to shrink current collagen.

Can I do the fractional CO2 laser with different beauty therapies?

It may be completed by specialists the identical day with sure BBL/IPL therapies or radiofrequency remedy (RF). The CO2 laser, with correct timing, is suitable with Botox, Juvederm, Restylane, Sculptra and different laser primarily based applied sciences like hair removing, Fraxel Restore, IPL, pulsed dye, and so forth.

How lengthy do the consequences of a fractional CO2 resurfacing laser remedy final?

That will depend on how properly you shield your pores and skin from the solar and different components that trigger ageing like your normal well being, smoking, modifications in weight, and so forth.  When you apply sunscreen and put on brimmed hats, you’ll be able to keep the nice results of your CO2 laser remedy for years.

When will I see outcomes?

Keep in mind that the fractional CO2 laser could be custom-made. Remedies could be deeper, with extra therapeutic and downtime, or shallower, with much less therapeutic time. The deeper the remedy, the higher the outcomes usually. However some sufferers want to have two therapies that aren’t as deep to allow them to keep away from plenty of downtime.

You will notice some fast outcomes however you gained’t see the complete outcomes for 3-6 months. After your pores and skin heals, which can take as much as 3-14 days, there might be a interval of 4 to six weeks after that when your pores and skin is likely to be barely pink. Throughout this era, your pores and skin will really feel smoother and appears much less blotchy. As the colour returns to regular, you will note fewer traces, much less blotchiness, and extra glow.

How a lot do fractional CO2 laser therapies price?

The price varies by the place you reside (New York is dearer than Seattle), the workplace you go to, and the scale of the realm being handled. Count on full face therapies between 4,000-8,000K You’ll get a particular quote out of your dermatologist at your session. Typically, as much as 2 areas at a time could be handled. For instance, face and neck or neck and chest, would have totally different costs. In some conditions, it’s secure to do three areas, however this might be decided at your session.

How are fractional CO2 laser therapies carried out?

It is a prototype remedy for our workplace. Different places of work might be totally different so you should definitely ask and never simply assume it’s the identical! It is advisable to arrive 1 ½ hours earlier than your remedy. You or a technician will cleanse the remedy space after which apply a numbing cream to the realm to be handled. We even have our sufferers take the anti-inflammatory Toradal, which helps to scale back the discomfort. Then you definately simply chill out, learn, and hearken to music, whereas the numbing cream takes impact.

After you numb for about an hour, the numbing gel might be eliminated. The remedy takes about an hour for a full face and feels somewhat like a “pins and needles” sensation. A powerful stream of chilly air (a Zimmer cooler) is blown on the realm throughout the remedy to make it comfy. The discomfort ranges from delicate to average (2-4/10). Plan on being within the workplace for two ½-3 hours whole.

Most individuals drive to and from their very own fractional CO2 laser appointments. Places of work differ on this. Some places of work will use delicate narcotics or anti-anxiety medicine which do require some else to drive after the remedy.

How does this laser work for zits scars and different scars?

CO2 lasers have at all times been very efficient for zits and different scars and the fractional CO2 isn’t any exception. Go to an skilled if scars are your concern.

Are therapies on the eyelids secure?

Sure, as a result of particular laser “contact lenses” are used to guard the attention. Don’t let anybody do therapies straight on the eyelids with out these. Numbing eye drops are positioned within the eye earlier than insertion of a contact lens-like eye defend. A protecting ointment on the facet subsequent the attention cushions the particular defend. The defend matches comfortably inside the eye and is well eliminated on the finish of the remedy. Even our sufferers who don’t put on contact lenses have been comfy.

The attention remedy is then carried out on the higher & decrease eyelids. It’s regular (as with all areas handled with the fractional CO2 laser) to have swelling and redness for 2-4 days after the remedy. You additionally must keep away from all solar publicity throughout the therapeutic time. Plan on 2-3 weeks for being “digicam prepared.”

What’s going to I appear to be proper after the remedy and what’s the therapeutic time?

Observe the instructions of your Dermatologist. In the course of the first 24 hours after remedy, your pores and skin might really feel as if it’s sunburned. Ice packs/frozen peas could also be used 5-10 minutes per hour for the primary 5-6 hours after the remedy.

Your pores and skin will peel for 2-7 days and might be pink for 1 to six weeks. This therapeutic all will depend on how deep your remedy is. After every week or so, you’ll be able to put on make-up to cowl the pink. Not often, bruising might develop, which may take as much as two weeks to resolve. Enable 2-4 weeks for weddings, reunions, household footage, and so forth. simply to be secure. Enable longer for physique websites like arms or legs. Infections will trigger the redness to last more.

Can I am going again to work and actions instantly?

No, you will have to take the remainder of that day without work to ice and look after the handled space. For the lighter fractional CO2 therapies, you will have 3-5 days of downtime. For the deeper therapies, plan on 7-10 days of therapeutic earlier than you’ll be able to exit in public. Please observe your dermatologist’s directions.

Are there any causes to not be handled with these lasers?

Causes to not do a fractional laser remedy might embrace use of medicines that improve photosensitivity, use of anticoagulants (some are superb), use of Accutane within the 6 months chemotherapy, historical past of issue therapeutic or scarring, historical past of bleeding problems, and being pregnant. Your physician will go over these with you.

Are there any medical or beauty unwanted effects?

A great dermatology workplace with expertise in lasers is your finest technique to keep away from any problems. And problems are usually uncommon. However here’s a checklist of some commonest unwanted effects. Your physician/nurse ought to go over, clarify these and reply questions.

  • Ache. Most individuals really feel little or no ache throughout remedy as a result of measures mentioned above. Not often there’s delicate discomfort for the primary day after surgical procedure, however Tylenol is efficient for it.
  • Redness. A pink colour might persist for 2 weeks to 6 months after the laser surgical procedure. In uncommon situations, it might final three to 6 months. That is extra frequent in sufferers who’ve a historical past of flushing and blushing simply or who have already got dilated vessels on the floor of the pores and skin.
  • Wound Therapeutic. The CO2 laser causes a superficial wound to the pores and skin that takes roughly 2 to 10 days to heal. The superficial harm of the outer layers of the pores and skin might end in delicate to average swelling. Crusting is uncommon however peeling is frequent. As soon as the floor is handled, it might be delicate to the solar for about 4-6 weeks.
  • Pigment Adjustments. The handled space might heal with elevated or decreased pigmentation. That is uncommon and happens most frequently in darker pores and skin and 2-6 weeks after remedy. Hyperpigmentation normally fades in three to 6 months, although not often pigment modifications could be everlasting
  • An infection. Occasional infections can happen. If not handled promptly, these might end in scarring.


Hope this helps!
Dr. Brandith Irwin, MD
Founding father of SkinTour & MadisonMD Skincare
Observe my pores and skin ideas and travels on Instagram!

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