Is fully ablative CO2 still the gold standard for resurfacing?

Hi Brad, Fraxel and/or CO2 are best for resurfacing, but Erbium is a good alternative. I always combine lasers with microneedling/PRP for more robust outcomes. For skin tightening, I recommend a combination of Ultherapy with RF treatments and Sculptra for skin tightening. I suggest getting a formal evaluation with a cosmetic dermatologist to determine the best device and treatment plan for you. Best, Dr. Emer

The fully ablative CO2 laser is the gold standard for dramatic and long-lasting effects. However, the gold standard is tarnished  when one evaluates the side effect profile versus other options. Is the downside risk worth it? As with any other cosmetic procedure, it is the physician that is more important than the device itself. A full discussion of diagnosis and treatment options is necessary.Good luck.Jeff Rapaport MD FAADRealself All-star

I still love fractional Co2 for the outcomes it provides. However, I adore combination laser treatments that incorporate the fractional Co2 with other non ablative lasers. The outcomes are always superior to Co2 alone.
Warmly,
Arbella Sarkis, MD
  

For the appropriate patient, I still consider fractionated CO2 the "gold standard" for skin resurfacing.