Tiny holes on skin 3 1/2 months after C02 laser treatment. How can I fix this? (Photo)

Tiny pits or “holes” a few months after CO2 laser are usually from delayed collagen remodeling rather than permanent damage. Full healing can take 6–12 months, but if they persist, treatments like RF microneedling, PRP, or non-ablative fractional lasers can help smooth texture. Sun protection and a collagen-supporting skincare routine are also important while your skin continues to heal.

Hi! Dr. Peterson here —
What you’re describing sounds like a post-laser healing issue, where the skin has developed persistent redness and tiny textural changes. Even with mild pre-existing concerns, aggressive CO2 lasers or improper settings can sometimes cause micro-injury to the epidermis and dermis, leading to these “holes” or pit-like marks. At 3 1/2 months, some lingering redness and texture changes are still expected, but normally you’d see gradual improvement over time.
Since this hasn’t changed much, the next steps are usually gentle, resurfacing or collagen-stimulating treatments done by a board-certified dermatologist or dermatologic surgeon. Options include: • Fractional or pixel CO2/erbium laser (very low-fluence, carefully done) • Radiofrequency microneedling to stimulate collagen and smooth texture • PRP or growth factor therapies to support healing
It’s important to avoid aggressive at-home treatments for now, as your skin is still vulnerable. A proper in-person evaluation will help determine whether the marks are still reversible or if a more intensive correction plan is needed.