Which is the Best Machine for Fractional CO2 ?

Thank you for your question.  There are many good machines available today.  the most important thing is going to a qualified physician that has a lot of experience with laser.  In our practice we use the SmartSkin.

Another laser that has been around for a while is the Lumenis Active and Deep FX which are also customizable fractional ablative laser treatments. In my experience it provides positive results when used correctly. Unlike the traditional CO2 resurfacing which treated the entire skin surface and involved significant recovery time, fractional CO2 lasers work by treating the skin in a matrix of tiny pinhole sized spaces. It allows for much less downtime.  The other method of providing fractional is with RF energy through an array of microneedles.  This can also work for acne scarring. Both fractional CO2 lasers and RF devices vary and many are customizable, offering different energy levels and different treatment settings. It is very important to select a board-certified dermatologist that is a highly experienced in laser treatment to be able to properly customize the treatment for your skin and condition. One treatment will most likely show improvement, but it’s possible you may want or need more treatments in the future.

Hands down, the most important factor in a successful outcome following CO2 laser resurfacing is the TRAINING and EXPERIENCE of the physician performing the procedure.  Skin type, depth of wrinkles, previous scars, and integrity of the skin are all factors the physician should consider in treating a patient.  I always advise patients to ask the physician their area of expertise (a board-certified dermatologist or plastic surgeon is your best bet).  How many procedures have they performed?  Have they had any complications?--often more experienced surgeons have had to handle mistakes of other less qualified laser operators--you want someone comfortable with complications.  Ask for before and after photos and an information packet on the procedure.

The brand of laser matters as well.  The Lumenis Active/Deep FX and the Fraxel Re:pair are considered the high-end of resurfacing lasers.  Other laser companies offer devices with less power, ability to make a random "stamp", or may allow more collateral skin damage.  This translates into the possibility of prolonged redness, more opportunity for complications, pigmentation, or scarring.  However, in experienced hands some other lasers may be used safely with reliable results.

It is also the most expensive laser as well. So people tend to avoid purchasing it. But it is worth it. The way it delivers the co2 laser is unique and will lead to less damage to the surrounding skin and less complications. I have a nice page that explains fractional resurfacing.