Does a redhead run a higher risk of scarring from a fractional CO2 laser?

A fractional CO2 laser used by an experience laser expert is well tolerated with less risk for additional scarring than non fractional lasers. In general red heads and blonds with fair eye color (blue, green, hazel) have less risk of developing significant scars such as hypertrophic or keloid scars.

If you are scared about fractional laser, our office utilizes the Ematrix fractional RF without laser to achieve excellent results for acne scarring. Ematrix would be ideal for lighter complexions. Best, DR. Karamanoukian Los Angeles

Most complications are NOT COMMONLY SEEN and if occur are
transient and resolve spontaneously or with proper treatment regardless of skin type (except dark skin types which have a very high risk). Prior skin
conditioning for 6 weeks, adherence to specific home care instructions and
attending scheduled follow up appointments will assist in proper healing and
enable us to detect, treat, and prevent potential complications. If there is a
history of cold sores, this needs to be addressed with Valtrex starting prior
to the procedure and 5 days after.

Potential complications may include: Persistent redness and
swelling, infection, delayed healing, scarring, increase or decrease in skin
pigmentation, appearance of a cold sore on lips or any portion of peeled area,
and poor cosmetic outcomes.

Contraindications: Active herpes simplex infection or warts
in the area to be treated, wounded or sunburn in the area to be treated,
pregnant or lactating, history of radiation to the area treated, and allergies
to anesthetic.

This is an advanced technique so be sure to get an
experienced dermatologist or plastic surgeon consultation for recommendations
and treatment options.

In general, most red heads have fair skin types and typically are very good candidates for laser resurfacing with a CO2 laser.  Lighter skin types usually have the lowest risks of complications from laser resurfacing and can usually tolerate an aggressive treatment with excellent results.   Darker skin types are more difficult to treat with CO2 laser as there is higher risk of hyperpigmentation (darkening) of skin in response to the laser. The risk of scarring from a treatment with a fractionated CO2 laser is not commonly a problem when appropriate laser settings are utilized.  It would be best to see a board certified facial plastic surgeon, plastic surgeon or dermatologist that regularly performs CO2 laser treatments to fully evaluate your scars and your skin type and help you decide on what specific treatment plan is best for you.     

Without seeing photos or examining your skin it's impossible to address your skin type and risks. However, in general, people with red hair tend to be very fair skinned. Fair skin is typically the safest type of skin with the lowest risk of complications following fractional CO2 laser resurfacing. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon