I Prefer the Active Fx (Carbon Dioxide Laser)

Ilya Reyter, MD answers: What's the best laser for skin resurfacing?

My dermatologist offers a laser treatment for skin "resurfacing" which is different from the laser at my favorite medispa. Are all lasers the same? How do I make sure they use the right one?


Ilya Reyter, MD
4 months ago

The laser that your dermatologist is using is likely very different than the Med Spa laser.  Typically, only a physician will perform intense facial resurfacing.  At a med spa, typically nurses perform the treatment, which limits the power of the treatment that can be used.

My favorite laser for facial resurfacing, after having tested them all, is the Active Fx.  It has the power to deliver real, visible results after one treatment.  The downside is that it usually takes 4-7 days to recover from the treatment.  I generally avoid "minimally invasive" lasers for resurfacing, since they typically produce minimal results.  In my practice, I have many patients who have done multiple Fraxel treatments elsewhere that come in to see me regarding more intense facial resurfacing.  Quite simply, no laser matches the improvement that a carbon dioxide laser can achieve on skin tone, texture, and wrinkles. 

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A: Conservative Co2 laser resurfacing

Brent Moelleken, MD
13 months ago

We have had the best, longest lasting results with the least depigmentation, scarring and hyperpigmentation with the CO2 laser. While it is possible to perform this treatment under local anesthesia with nerve blocks, most of our patients opt for IV sedation with an anesthesiologist for greater comfort.

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