{"id":11211,"date":"2020-04-10T09:00:06","date_gmt":"2020-04-10T16:00:06","guid":{"rendered":"https://www.realself.com\/news\/?p=11211"},"modified":"2023-10-17T15:43:55","modified_gmt":"2023-10-17T22:43:55","slug":"co2-laser-procedure","status":"publish","type":"post","link":"https://www.realself.com\/news\/co2-laser-procedure","title":{"rendered":"The Return of the CO2: Why These Next-Level Lasers are Making a Comeback"},"content":{"rendered":"<?xml encoding=\"utf-8\" ?><p>The reboot of a classic can often feel like a last gasp&mdash;one final attempt to get with the times (we see you, <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https:\/\/www.thedrum.com\/news\/2019\/01\/31\/four-years-after-ditching-topless-models-abercrombie-fitch-commits-inclusive\" target=\"_blank\">Abercrombie &amp; Fitch<\/a>). So recently, when we learned of a <a href=\"https:\/\/www.realself.com\/co2-laser\">carbon dioxide (CO2) laser<\/a> aiming to woo millennials with promises of born-again skin and minimal downtime, we felt compelled to do a proverbial pulse check on the veteran <a href=\"https:\/\/www.realself.com\/laser-resurfacing\">resurfacing<\/a> technology.<\/p><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><div style=\"color: rgba(0,0,0,.5);margin-bottom:10px;\"><small>Interested in CO2 laser?<\/small><\/div><a class=\"button\" href=\"https:\/\/www.realself.com\/drsearch?keyword=CO2+laser\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div><h2 class=\"wp-block-heading\" id=\"h-what-is-a-co2-laser\">What is a CO2 laser?<\/h2><p>If you&rsquo;re even a little familiar with lasers, you likely know that the CO2 is hardly a &ldquo;lunchtime procedure.&rdquo; A true-to-form CO2 laser emits a powerful, ablative beam of infrared light that targets water molecules in the skin, vaporizing the tissue to spark healing and collagen renewal. &ldquo;Very few lasers have stood the test of time like the CO2&mdash;it can <a href=\"https:\/\/www.realself.com\/concerns\/loose-facial-skin\">tighten tissue<\/a> and improve damaged skin, addressing <a href=\"https:\/\/www.realself.com\/concerns\/face-wrinkles\">wrinkles<\/a>, <a href=\"https:\/\/www.realself.com\/concerns\/liver-spots\">sun spots<\/a> and <a href=\"https:\/\/www.realself.com\/concerns\/acne-scars\">scars<\/a>,&rdquo; says <a href=\"https:\/\/www.realself.com\/dr\/sameer-bashey-brooklyn-ny\">Dr. Sameer Bashey<\/a>, a dermatologist in New York City and Los Angeles. But all that goodness comes at a cost: A typical CO2 laser before and after process &ldquo;is one where someone looks swollen, bloody and scabby for a week or two and then their skin is pink for about a month,&rdquo; says <a href=\"https:\/\/www.realself.com\/dr\/robert-t-anolik-new-york-ny#about\">Dr. Robert Anolik<\/a>, a dermatologist in New York City.<\/p><center><blockquote class=\"instagram-media\" data-instgrm-captioned=\"\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/Bx5akg6HYG7\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"12\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/p\/Bx5akg6HYG7\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\" rel=\"noopener noreferrer\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div><\/div><\/div><div style=\"padding: 19% 0;\"><\/div> <div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewbox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div><div style=\"padding-top: 8px;\"> <div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\"> View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div><\/a> <p style=\" margin:8px 0 0 0; padding:0 4px;\"> <a href=\"https:\/\/www.instagram.com\/p\/Bx5akg6HYG7\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#000; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none; word-wrap:break-word;\" target=\"_blank\" rel=\"noopener noreferrer\">More and more people are realizing the power of CO2 laser resurfacing. This technology can be utilized by people of all different ages. Contrary to popular belief, laser resurfacing is not just for the elderly or people who have had significant sun damage. Younger men and women are realizing the advantages of performing laser resurfacing early. In my practice, 30% of people doing laser resurfacing are under the age of 40. To improve acne scars, fix fine lines and wrinkles, improve tone and texture as well as tighten pores this is a great treatment option. Recovery will occur over the course of 5 to 7 days. This video will demonstrate what it is like to recover from CO2 laser resurfacing. This young woman recovered in about 5 days.<\/a><\/p> <p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\">A post shared by <a href=\"https:\/\/www.instagram.com\/drbashey\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px;\" target=\"_blank\" rel=\"noopener noreferrer\"> Sameer Bashey MD FAAD<\/a> (@drbashey) on <time style=\" font-family:Arial,sans-serif; font-size:14px; line-height:17px;\" datetime=\"2019-05-25T19:30:39+00:00\">May 25, 2019 at 12:30pm PDT<\/time><\/p><\/div><\/blockquote> <script async=\"\" src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/center><p>Beyond the <em>SATC<\/em> associations, the CO2 laser is plagued by its somewhat checkered past. While the device was invented in 1964, it wasn&rsquo;t widely used in aesthetic medicine until the &rsquo;80s&mdash;and even then, doctors leaned on it mainly for isolated lesions and <a href=\"https:\/\/www.realself.com\/concerns\/scar-removal\">scars<\/a>, frequently criticizing its hard-to-control heat and unpredictable outcomes. By the mid-&rsquo;90s, technological advancements bolstered the CO2&rsquo;s reliability, making it a go-to resurfacing tool in dermatologists&rsquo; and plastic surgeons&rsquo; offices&mdash;but serious side effects, such as pigmentary changes and scarring, were still all too common. Around this same time, the <a href=\"https:\/\/www.realself.com\/yag-laser\">erbium: YAG (Er:YAG) laser <\/a>entered aesthetics, offering a <a href=\"https:\/\/academic.oup.com\/asj\/article\/17\/3\/157\/223260\" target=\"_blank\" rel=\"noreferrer noopener\">less aggressive alternative<\/a>. &ldquo;The erbium&rsquo;s energy is more strongly and rapidly absorbed by water in the skin, so it doesn&rsquo;t have a chance to go as deep,&rdquo; says Dr. Anolik.&nbsp;&nbsp;<\/p><p>Old-school CO2 and erbium devices are fully ablative&mdash;completely removing the skin&rsquo;s surface&mdash;and they&rsquo;re still on the market today. But &ldquo;the risks of depigmentation and scarring [associated with them] are unacceptably high,&rdquo; notes Dr. Anolik, who still sees such consequences&mdash;shiny alabaster rims around mouths, blanched faces against mismatched necks&mdash;on patients who had CO2 resurfacing done in the &rsquo;80s and &rsquo;90s. Most aesthetic doctors have since replaced the hardest of hardcore CO2s with newer, <a href=\"https:\/\/www.realself.com\/fractional-laser\">fractional<\/a> models&mdash;which burn in a pixelated pattern, creating pinpoint wounds surrounded by untouched skin&mdash;to dramatically curtail the risks of old. &ldquo;By <em>not<\/em> knocking out all of the pigment-producing cells or all of the stem cells [in the treated area], [fractional CO2 lasers] allow for more rapid healing and maintain the skin&rsquo;s coloration,&rdquo; Dr. Anolik explains.&nbsp;<\/p><p>While fractional delivery has made ablative treatments much safer, &ldquo;they&rsquo;re still off-limits for ethnic skin, in my opinion,&rdquo; says <a href=\"https:\/\/www.realself.com\/dr\/sarmela-sunder-beverly-hills-ca#about\">Dr. Sarmela Sunder,<\/a> a facial plastic surgeon in Beverly Hills, California, noting that <a href=\"https:\/\/www.realself.com\/concerns\/hyperpigmentation\">hyperpigmentation<\/a>, or skin darkening, is a potential risk with deeper complexions.<\/p><p><em>Related: <a href=\"https://www.realself.com\/news\/post-summer-skin-rehab-doctor-approved-treatments-reverse-sun-damage\">Post-Summer Skin Rehab: 6 Doctor-Approved Treatments to Reverse Sun Damage<\/a><\/em><\/p><h2 class=\"wp-block-heading\" id=\"h-what-s-behind-the-co2-laser-comeback-and-who-s-getting-the-treatment\"><strong>What&rsquo;s behind the CO2 laser comeback, and who&rsquo;s getting the treatment?<\/strong><\/h2><p>It was, in fact, the advent of fractional technology, back in 2004, that ushered in the modern age of such low-downtime devices as the non-ablative (or surface-sparing) <a href=\"https:\/\/www.realself.com\/fraxel-laser\">Fraxel<\/a> and <a href=\"https:\/\/www.realself.com\/clear-brilliant\">Clear + Brilliant<\/a>, relegating the heavy hitters to relative obscurity&mdash;for a time, anyway. Today, experts say, there&rsquo;s a definite role for both, especially as aging Gen-Xers&mdash;many of whom grew up on &ldquo;baby&rdquo; lasers&mdash;are aiming to take their resurfacing game to the next level.&nbsp;<\/p><p>&ldquo;The pendulum swung one way, and now it&rsquo;s starting to swing back because people are getting frustrated with less invasive procedures that don&rsquo;t give much of an improvement and yet are still pretty expensive,&rdquo; says Dr. Sunder.&nbsp;<\/p><p>Dermatologist <a href=\"https:\/\/www.realself.com\/dr\/sejal-shah-new-york-ny\">Dr. Seja<\/a><a href=\"https:\/\/www.realself.com\/dr\/sejal-shah-new-york-ny#about\">l<\/a><a href=\"https:\/\/www.realself.com\/dr\/sejal-shah-new-york-ny\"> Shah<\/a> is noticing a similar trend in her New York City practice: &ldquo;We&rsquo;re seeing people in their 40s and 50s who&rsquo;ve been getting light laser treatments for 10 or 15 years and now want something more intense.&rdquo; (To quantify the difference, Dr. Shah typically tells patients that a single fractional ablative CO2 laser is equivalent to four rounds of non-ablative Fraxel.) Dr. Anolik can also confirm the CO2 resurgence: &ldquo;Instead of using it only a few times a year, I&rsquo;m now reaching for it a few times a month,&rdquo; he says, mainly to treat light-skinned patients with more significant signs of aging. &ldquo;We&rsquo;re taking advantage of the CO2&rsquo;s ability to create a far stronger collagen change to treat deep lines and creases, acne scarring and even some laxity.&rdquo;<\/p><p>But fear not: glow-boosting, no-downtime devices aren&rsquo;t going anywhere. &ldquo;They&rsquo;re still popular and always will be, because more and more young people are coming in for cosmetic treatments for maintenance and skin brightening,&rdquo; explains Dr. Shah.<\/p><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><div style=\"color: rgba(0,0,0,.5);margin-bottom:10px;\"><small>Interested in CO2 laser?<\/small><\/div><a class=\"button\" href=\"https:\/\/www.realself.com\/drsearch?keyword=CO2+laser\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div><div class=\"newsletter-signup\" id=\"newsletterForm\">\n    <h2 class=\"newsletter-signup__heading\" id=\"unlock-a-world-of-modern-beauty\">Unlock a world of modern beauty<\/h2>\n    <p class=\"newsletter-signup__text\">Stay up-to-date on trending news, popular procedures, and exclusive content.<\/p>\n    <div class=\"newsletter-signup__wrapper\">\n        <input class=\"newsletter-signup__input\" type=\"email\" id=\"newsletterEmail\" placeholder=\"Enter your email\">\n        <button class=\"newsletter-signup__button button\" onclick=\"submitEmail()\">SUBSCRIBE<\/button>\n    <\/div>\n    <div class=\"newsletter-signup__small\"><p><span style=\"font-weight: 400;\">By subscribing, you accept our <\/span><a href=\"https:\/\/www.realself.com\/real_self_privacy_policy.html\"><span style=\"font-weight: 400;\">Privacy Policy<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.realself.com\/terms-of-service\"><span style=\"font-weight: 400;\">Terms of Service<\/span><\/a><span style=\"font-weight: 400;\"> and agree to receive marketing emails.<\/span><\/p>\n<\/div>\n    <div id=\"newsletter-message\" class=\"newsletter-signup__message\"><\/div>\n<\/div><h2 class=\"wp-block-heading\" id=\"h-not-just-for-olds-ablative-lasers-are-more-versatile-than-you-might-think\"><strong>Not just for olds: ablative lasers are more versatile than you might think<\/strong><\/h2><p>But what of the aforementioned attempt to spin the CO2 as NBD? Can a laser be ablative and gentle at once? Yep, at least, according to the engineers of the CoolPeel&mdash;the <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https:\/\/www.prweb.com\/releases\/cartessa_aesthetics_introduces_coolpeel_an_advanced_laser_peel_treatment_that_makes_the_benefits_of_co2_resurfacing_more_accessible_for_patients\/prweb16315020.htm\" target=\"_blank\">&ldquo;more inclusive&rdquo;<\/a> fractional CO2 laser currently disrupting the laser landscape. (The CoolPeel is just one treatment program on a larger and more aggressive CO2 platform.) Dr. Shah describes it as &ldquo;a very superficial ablation, at lighter energies&mdash;like a souped-up version of the Clear + Brilliant [a baby fractional device].&rdquo; It&rsquo;s ideal for those battling dullness, mottling, and fine lines. Since the CoolPeel&rsquo;s heat doesn&rsquo;t go as deep as a traditional CO2, it&rsquo;s not effective for pronounced wrinkles, significant dark spots or acne scars, she adds; but on the upside, the downtime is next to nothing&mdash;figure two days of redness, followed by a few days of sandpapery skin.<\/p><p>Another early adopter of the CoolPeel, New York City dermatologist <a href=\"https:\/\/www.realself.com\/dr\/paul-jarrod-frank-new-york-ny#about\">Dr. Paul Jarrod Frank<\/a>, recently <a href=\"https:\/\/www.realself.com\/news\/post-summer-skin-rehab-doctor-approved-treatments-reverse-sun-damage\">shared with RealSelf<\/a> his affection for the treatment: &ldquo;It achieves what CO2 was meant to do, which is tightening fine lines, [fixing] overall sun damage [and improving] skin tone&mdash;and it does it while minimizing heat trauma.&rdquo; He recommends a series of three for best results.<\/p><p>Other doctors fail to see the appeal, arguing that this cursory refresh is really nothing new. &ldquo;Anyone who knows what they&rsquo;re doing can make a baby ablative laser out of any CO2 by tweaking the settings&mdash;dermatologists have been doing this for years,&rdquo; says Dr. Bashey. &ldquo;I can tune it to give you one day of downtime or up to two weeks of downtime.&rdquo; That&rsquo;s not so much a knock against the CoolPeel, mind you, as it is a reminder that the person wielding the laser matters much more than the laser itself.<\/p><p>While Dr. Frank agrees that all CO2s can be adjusted to superficial effect, he argues that the CoolPeel isn&rsquo;t merely a muted modification of the OG treatment: &ldquo;What&rsquo;s unique to CoolPeel is the pulse duration and delivery wave of the pulses. This maximizes ablation and minimizes heat distribution&mdash;[which is what] ultimately prolongs downtime and risk.&rdquo; The entire system is &ldquo;customized and optimized for easy use and predictability, with low, medium and high settings.&rdquo;<\/p><p>The variable settings on all these machines make them surprisingly versatile, allowing them to be titrated &ldquo;to suit the level of damage on the skin, the age of the patient, and the desired downtime,&rdquo; explains Dr. Bashey. His CO2 laser of choice can perform anything from a mild exfoliation to an absolute ablation; but in most cases, he dials it back to 60&ndash;80% ablation when addressing sun damage (scars call for different settings). &ldquo;It all depends what I&rsquo;m seeing,&rdquo; he adds. &ldquo;If I have a white girl from SoCal who&rsquo;s tanned all her life and is now 32, she may need more aggressive settings than a fair 50-year-old who grew up in foggy London.&rdquo; Practicing in the Golden State, Dr. Bashey sees his fair share of premature aging: 30% of his CO2 resurfacing patients are under 40.<\/p><p><em>Related: <a href=\"https://www.realself.com\/news\/skin-experts-treat-sun-related-hyperpigmentation\">Hyperpigmentation: How 5 Skin Experts Treat Their Own Sun-Related Skin Damage<\/a><\/em><\/p><h2 class=\"wp-block-heading\" id=\"h-what-can-ablative-lasers-do-better-than-other-devices\"><strong>What can ablative lasers do better than other devices?<\/strong><\/h2><p>Aside from being gold-standard solutions for sun damage and scars, ablative resurfacing lasers can &ldquo;destroy most, if not all, <a href=\"https:\/\/www.researchgate.net\/publication\/227973171_ErYAG_Laser_for_the_Treatment_of_Actinic_Keratoses\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">pre-cancerous cells<\/a> in the skin,&rdquo; says Dr. Bashey.<\/p><p>What&rsquo;s more, plastic surgeons have been using them routinely in operating rooms for decades, to put finishing touches on <a href=\"https:\/\/www.realself.com\/facelift\">facelifts<\/a>&mdash;which, despite being the ultimate fix for laxity, can&rsquo;t touch surface irregularities like brown spots and wrinkles. &ldquo;The level of improvement in fine lines around the eyes and mouth, especially, is most impressive,&rdquo; says Dr. Sunder. So much so, she adds, that ablative lasers &ldquo;can even be a great alternative to <a href=\"https:\/\/www.realself.com\/eyelid-surgery\">lower blepharoplasty<\/a> [eyelid surgery] in situations where you don&rsquo;t want to remove skin for whatever reason.&rdquo; Both the CO2 and the erbium can significantly tighten and smooth the eye area, to near-surgical effect.<\/p><center><blockquote class=\"instagram-media\" data-instgrm-captioned=\"\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/B3N1Etepege\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"12\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/p\/B3N1Etepege\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\" rel=\"noopener noreferrer\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div><\/div><\/div><div style=\"padding: 19% 0;\"><\/div> <div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewbox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div><div style=\"padding-top: 8px;\"> <div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\"> View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div><\/a> <p style=\" margin:8px 0 0 0; padding:0 4px;\"> <a href=\"https:\/\/www.instagram.com\/p\/B3N1Etepege\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#000; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none; word-wrap:break-word;\" target=\"_blank\" rel=\"noopener noreferrer\">Fall and winter are the perfect time of year for erbium laser resurfacing &#9889;&#65039;&#9889;&#65039;&#9889;&#65039; This is my favorite ablative method for resurfacing the skin, erasing brown spots and hyperpigmentation, and fading wrinkles and fine lines. Plan 2-3 days off social commitments and 2 weeks for full results. Click the link in my bio to contact my office for more information on scheduling and booking. #laser #boardcertifiedplasticsurgeon #skin #beauty #nyc<\/a><\/p> <p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\">A post shared by <a href=\"https:\/\/www.instagram.com\/laradevganmd\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px;\" target=\"_blank\" rel=\"noopener noreferrer\"> Dr. Lara Devgan, MD, MPH, FACS<\/a> (@laradevganmd) on <time style=\" font-family:Arial,sans-serif; font-size:14px; line-height:17px;\" datetime=\"2019-10-05T00:16:57+00:00\">Oct 4, 2019 at 5:16pm PDT<\/time><\/p><\/div><\/blockquote> <script async=\"\" src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/center><p>Dr. Anolik&rsquo;s fractional erbium has become his go-to for <a href=\"https:\/\/www.realself.com\/prp-injections\">PRP<\/a> (platelet-rich plasma) treatments of late, because not only does it create profound channels in the skin through which the growth factor&ndash;fueled plasma can permeate the skin&rsquo;s deeper layers for maximum results, but &ldquo;it definitively helps to build collagen and improve skin quality <em>on its own<\/em>,&rdquo; he says, adding that he&rsquo;s less convinced of the long-term benefits of <a href=\"https:\/\/www.realself.com\/microneedling\">microneedling<\/a>, PRP&rsquo;s more popular partner.<\/p><h2 class=\"wp-block-heading\" id=\"h-are-fractional-ablative-co2-lasers-painful\"><strong>Are fractional ablative CO2 lasers painful?<\/strong><\/h2><p>Unlike fully ablative CO2 procedures, which require general anesthesia, fractional versions are generally done with patients awake. Doctors will offer a nerve block, numbing cream, cold air and oral sedatives to make the treatment tolerable. Even so, says Dr. Bashey, &ldquo;it&rsquo;s not a pain-free procedure&mdash;most patients feel a stinging sensation as the beam hits their skin,&rdquo; especially with stronger treatments. (With a shallower reach, erbium lasers tend to be more comfortable and involve a bit less downtime.)&nbsp;<\/p><p>Physicians usually send freshly resurfaced folks home with an aftercare kit&mdash;gentle cleanser, bland moisturizing balm, vitamin C (shown to enhance post-laser rehab), mineral sunscreen&mdash;to minimize irritation during the stretch when skin is supersensitive. Some doctors also recommend vinegar rinses, to stave off yeast and fungal infections while skin is on the mend.<\/p><h2 class=\"wp-block-heading\" id=\"h-the-bottom-line\"><strong>The bottom line<\/strong><\/h2><p>With all skin-resurfacing lasers&mdash;shiny-new and tried-and-true, mellow and more caustic&mdash;expectation management is key. Potent treatments will garner more remarkable results by unequivocally &ldquo;changing the physiology of the skin,&rdquo; Dr. Bashey says. But it&rsquo;s not an invisible process, so prepare yourself for a week-plus of raw, ruddy recovery and strict sun avoidance. Or, instead, ease in with a light laser until you&rsquo;re ready to submit to a higher power. Rest assured, when that day comes, the CO2 will still be going strong.&nbsp;<\/p><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><div style=\"color: rgba(0,0,0,.5);margin-bottom:10px;\"><small>Interested in CO2 laser?<\/small><\/div><a class=\"button\" href=\"https:\/\/www.realself.com\/drsearch?keyword=CO2+laser\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>The reboot of a classic can often feel like a last gasp&mdash;one final attempt to get with the times (we see you, Abercrombie &amp; Fitch). So recently, when we learned of a carbon dioxide (CO2) laser aiming to woo millennials with promises of born-again skin and minimal downtime, we felt compelled to do a proverbial [&hellip;]<\/p>\n","protected":false},"author":118,"featured_media":11212,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9075],"tags":[12165,1016,249,9954],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.0 (Yoast SEO v23.0) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>CO2 Laser: Why It&#039;s a Perfect Procedure for Fall | RealSelf News<\/title>\n<meta name=\"description\" content=\"Fall is the perfect time for a CO2 laser treatment to ease your skin woes\u2014like wrinkles and sun damage\u2014thanks to newer technology advances.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https://www.realself.com\/news\/co2-laser-procedure\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The Return of the CO2: Why These Next-Level Lasers are Making a Comeback\" \/>\n<meta property=\"og:description\" content=\"Fall is the perfect time for a CO2 laser treatment to ease your skin woes\u2014like wrinkles and sun damage\u2014thanks to newer technology advances.\" \/>\n<meta property=\"og:url\" content=\"https://www.realself.com\/news\/co2-laser-procedure\" \/>\n<meta property=\"og:site_name\" content=\"RealSelf News\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/RealSelf\/\" \/>\n<meta property=\"article:published_time\" content=\"2020-04-10T16:00:06+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-10-17T22:43:55+00:00\" \/>\n<meta property=\"og:image\" content=\"https://www.realself.com\/news\/wp-content\/uploads\/2019\/10\/RS_CO2Laser.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2000\" \/>\n\t<meta property=\"og:image:height\" content=\"1440\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Jolene Edgar\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@RealSelf\" \/>\n<meta name=\"twitter:site\" content=\"@RealSelf\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Jolene Edgar\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https://www.realself.com\/news\/co2-laser-procedure#article\",\"isPartOf\":{\"@id\":\"https://www.realself.com\/news\/co2-laser-procedure\"},\"author\":{\"name\":\"Jolene Edgar\",\"@id\":\"https://www.realself.com\/news\/#\/schema\/person\/4cd51d0aba24d439056309d1affa6942\"},\"headline\":\"The Return of the CO2: Why These Next-Level Lasers are Making a Comeback\",\"datePublished\":\"2020-04-10T09:00:06+00:00\",\"dateModified\":\"2023-10-17T15:43:55+00:00\",\"mainEntityOfPage\":{\"@id\":\"https://www.realself.com\/news\/co2-laser-procedure\"},\"wordCount\":2088,\"publisher\":{\"@id\":\"https://www.realself.com\/news\/#organization\"},\"image\":{\"@id\":\"https://www.realself.com\/news\/co2-laser-procedure#primaryimage\"},\"thumbnailUrl\":\"https://www.realself.com\/news\/wp-content\/uploads\/2019\/10\/RS_CO2Laser.jpg\",\"keywords\":[\"Anti-Aging\",\"CO2 Laser\",\"Laser Treatments\",\"Wrinkle Treatments\"],\"articleSection\":[\"Face &amp; 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