Am I healing properly? 4 days post CO2. (photos)

Question

I had co2 resurfacing 4 days ago. I have dense red and white streaks on each side of my cheeks, extreme eye swelling and my skin is dry and burning despite aquaphor. I began to peel on day 2 which I thought was too early, more skin would come off just by rubbing aquaphor on. Today is day 4 and I have no peeling but bright streaks on my cheeks and dark little dots that look like they are under my skin and aren't trying to subside. My eyes are also still super puffy. Do I look like I am healing properly?

Paul Flashner, MD · Answer

It is hard to tell from the pictures and I would also need to know your exact CO2 laser settings to know how aggressive a treatment you received. Since it has only been 4 days I would not worry too much about this redness and swelling but it is best to make an appointment to see your provider who performed the treatment. Try to soothe your skin with a vinegar soak. Use one capful of apple cider or white vinegar to 1 cup of water and apply with clean gauze. Best of luck with your healing!

Dilip D. Madnani, MD, FACS · Answer

Depending on the depth of treatment, the healing time can vary from a few days to a few weeks. Definitely follow up with your doctor as to your healing and skin care. Every provider has different suggestions as to what to use topically.

Carmen Kavali, MD · Answer

Thank you for your question and the helpful photos.  It does appear that you are healing normally following your CO2 laser treatment.  Please do contact the physician who did your treatment, so she can take a look at you in person and be sure we're not missing anything in the photos.Best wishes, Dr. Kavali

Jonathan Zelken, MD · Answer

Hello and thank you for your question and photos. Healing is greatly dependent upon the depth of the CO2 treatment and how you heal as an individual. Patients are typically red and swollen for two weeks and can remain red for a longer period of time. Continue to be diligent with your post-operative instructions.  From what can be seen on the photos that you attached, you look like you are healing properly with a very even treatment. Be patient with the healing and diligent with the post-operative instructions. Hope this helps!

Shaun Patel, MD · Answer

It's hard to tell if you are healing correctly without knowing the laser settings for your treatment. Redness and swelling are common after fractionated CO2 treatment and can take 1-2 weeks to noticeably improve. I would followup in person with your treating physician. Keep the skin moist and out of the sun. Vinegar/water soaks will help.

Am I healing properly? 4 days post CO2. (photos)

Answers (7)