Recovery Time with the Fractional CO2 Ablative Laser for Acne Scars, Wrinkles, Resurfacing?

The recovery from a fractional laser resurfacing often depends on the depth of the laser treatment and the density (or extend) that the skin was treated. In general, the more extensive the treatment, the longer the recovery time. That being said, the type of laser aftercare that is provided a patient also can contribute to the recovery time. Besides cleaning the skin of crusts and making sure to stay out of sunlight, there are two products that I have found to be excellent to help accelerate healing:1. Oxymist (Aminoplex). This recovery kit remains one of the best classic post laser treatment products,2. Omni Serum (Omnibioinnovations) This growth factor serum is a great new product to help accelerate laser recovery.Overall, we see patients initial recovery taking about 5-7 days, with the results being seen within the first 4-6 weeks. 

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Downtime after a laser treatment varies based on the aggressiveness of the treatment and how quickly the body heals. Fractional laser treatments work by creating micro-channels in the skin to stimulate the body's natural healing processes without damaging surrounding skin and tissue. While these procedures can work into deeper dermal tissue than ablative lasers, downtime is much shorter since much of the tissue in the treatment area is left intact. Depending on the depth of the treatment, patients can expect a few days of redness, tenderness and swelling. Deeper treatments also cause some flaking and peeling a few days after the procedure, which can last 2-3 days in most cases.

Ablative lasers precisely remove entire layers of dermal tissue, necessitating more healing and a longer recovery process. Redness, swelling, and tenderness are more intense after the procedure, and flaking can be accompanied by some crusting and oozing as the skin heals. These treatments may require 1-2 weeks of recovery time, but the results will be more dramatic and last longer than fractional treatments. No matter which procedure you undergo, make sure it is performed by an experienced, board-certified dermatologist to ensure the best possible outcome.

Thank you for your question! Recovery times vary from patient to patient but typically patients have varying amounts of redness for a week or so. Any peeling will typically resolve after a few days. Skin can be sensitive for a week or so after treatment which is why it's very important to only use products approved by your practitioner while you're healing. We wish you the best!

The typical recovery times that we see in our patients who undergo aggressive CO2 treatments with a deep penetrating pass and superficial pass are 2-5 days of slough/pinpoint bleeding (very scary look), followed by another 10 days of bright red skin, then followed by weeks of the red gradually fading to pink and then back to your natural pigmentation.  Most people would return to work after 1 week, aware that skin will still be very red. 

Like most surgeries, the recovery times are related to the degree of trauma and the inflammatory response from the body. In general, the greater the treatment density and depth (which relates to thermal injury), the greater the response and potentially the longer the recovery time. Having said that, the average recovery time for skin to heal on the surface and allow makeup is about one week with a fractionated  10600nm CO2 laser. Skin care afterward can be  helpful in the recovery.  Contrast that to the totally ablative lasers from the 1990s that took approximately 3 weeks to heal on the surface. Remodeling and collagen production deeper in the skin continues for several (3-6) months. Areas that are more severe may require either multiple or more agressive treatments.

Thank you for the question.  The downtime for the Fractional CO2 procedure is 3 to 5 days of social downtime and can be up to 2 weeks for complete recovery. There are many factors that can effect the healing time such as, treatment settings, age, skin type, and thickness of the skin.  A consultation with an expert provider can better address your paticular situation and needs.  Hope that helps. 
Best,
Dr. Paul Flashner

Typically, faces resurfaced with fractional carbon dioxide laser need 10 - 12 days to completely epithelialize (new layer of skin). It is faster than the non fractional older ultrapulse fully ablative carbon dioxide treatment and a greater amount of healing takes place sooner with the fractional laser, but skin is still red for some weeks after the treatment. Swelling is significant for the first several days and most patients hibernate during their wound care. Our patients undergoing Fraxel Repair CO2 laser resurfacing are encouraged to return in the first week for an oxygen facial which expedites the healing process and makes the appearance of the skin look better during this initial oozing period.We recommend certain cleansers and products to be used specific for that laser treatment and the patient's skin during the first two weeks, and other products thereafter to augment the laser's production of new collagen. Importantly, the right sunblock is needed to be used after healing without irritating the sensitive skin.

I tell patients to expect at least 2 weeks. At that point make-up and foundation can be used to cover the redness which will still be there. The settings and some other factors such as baseline skin tone and pre-treatment protocols can also affect the recovery process. Discuss with your surgeon before as most of us have certain post treatment protocols we prefer for patients to undertake maximize results. The laser can do wonders. Enjoy!Hope this helps,Best of luck,DrC

Recovery time is dependent on patient and treatment characteristics including skin type, type of laser and depth of the laser treatment.For most patients having laser resurfacing recovery can be 2-3weeks. Dr. De Silva uses bio-technology to enhance recovery so recovery time is 10days, Bio-Technology involves the use of PRP (Platelet Rich Plasma) in combination with laser resurfacing to enhancing healing. PRP essentially means taking your own growth factors and placing them into the skin where the laser treatment has been completed, this heals the skin faster.   

Although a lighter laser resurfacing can be completed with faster recovery, if the treatment is too light it will be less effective. In the same way a spa may offer a “lunchtime peel” with immediate recovery, the results are also likely to be difficult to see. Sun exposure should be minimized for 3-months after laser resurfacing to ensure a fast recovery.

As mentioned by others, the total downtime depends on the intensity of the treatment. Physically, most patients feel fine from the first post treatment day and the treated area will dry up from Day three or four inwards. For most, it is back to normal after a week.Wound care seems to make a difference. I now routine suggest that patients use the ZO Post Procedure Recovery Kit which had been formulated for treatments like chemical peels and ablative laser resurfacing. And my impressing is that it shortens recovery by a day on the average.