Fractional CO2 Lasers offer the most dramatic transformations, with reduced recovery time.

Reflections is proud to offer our patients one of the largest selections of lasers and rejuvenating technologies in the nation. We offer patients many options to choose from, including non-ablative, fractionated, sublative, and ablative lasers and rejuvenating technologies. CO2 Fractional Ablative Laser Resurfacing creates deeper change from a single treatment session than any other laser or rejuvenating technology on the market when it comes to the skin’s surface. This makes CO2 Fractional Ablative Laser Rejuvenation the treatment of choice for patients wishing to achieve a large improvement to skin’s texture, tone, evenness, and to smooth out deep-set wrinkles and lines.

“The best part about it is that unless I told someone about the work I’ve had done, no one would know.”
Dolores Catania, Real Housewife of New Jersey on Bravo

Skin Resurfacing with Fractional CO2 Lasers Benefits

CO2 Lasers work well to treat the following concerns:

Wrinkles & Fine Lines

Patients often ask us just how much of an improvement in wrinkles and fine lines they can expect from lasers. It does vary quite a bit, depending on how aggressive the treatment is. CO2 lasers are considered the “big guns” when it comes to smoothing out set-in wrinkles and lines.

Crepey, Thin Skin and Rough or Uneven Texture

CO2 Laser Skin TextureRough, uneven skin is usually caused mostly by sun damage. However, it can be difficult to make real improvements, because lasting change comes only when those skin cells that are damaged are completely removed and new skin cells are formed. CO2 laser helps with textural issues like crepey, thin skin and roughness by ablating, or removing top layers, of the skin, encouraging new cell growth and collagen building.

Dark Spots, Brown Spots, and Sun Damage

CO2 Laser dark spotsCO2 Lasers wipe the slate when it comes to photo-aging, or brown age spots. There are very few other treatments that can come close to the results of a CO2 laser for removing dark spots and sun damage, simply because these surface pigments are easily targeted by the laser and removed completely.

Acne Scars, Surgical Scars, or Scars from Accidents

after treatment with fraxel for scarCO2 Lasers make quick work of scars of all types. By breaking up scar tissue and stimulating new cell and collagen growth, these lasers offer big results in just 1 or 2 treatments.

Typically, we suggest Acne Scar Surgery to patients who are considering CO2 Laser Resurfacing for acne scars. This multi-therapy approach produces the most impressive improvements in a single procedure and allows you to reduce recovery time, as opposed to performing a variety of these treatments spaced out over time.

Types of Fractional CO2 Lasers for Facial Resurfacing

Fraxel Re:Pair CO2 Laser

Fraxel lasers are some of the most well-known lasers in the cosmetic medicine industry. They’ve been around for a long time and continue to enjoy a great reputation because they consistently produce solid technologies that create powerful results for patients. The CO2 laser from Fraxel (Fraxel Re:Pair Co2) offers the biggest results in a single treatment from the Fraxel family, which also includes Clear+Brilliant and Fraxel Re:Store Dual.
This Fraxel powerhouse delivers transformative results in 1-2 treatments.

Lutronic eCO2

The Lutronic eCO2 offers a versatile CO2 laser system that can switch quickly between settings, offering everything from surgical cutting to light micro peel.
This CO2 laser is the preferred choice for patients with dark, tan, or olive skin tones because it offers a special scanning system that keeps heat from building up in any one section of the skin, which can cause hyperpigmentation and scarring in these sensitive skin types.

Before & After Photos

Fractional CO2 Laser Resurfacing Cost

We price our Fractional CO2 Laser treatments based on the area treated. These prices range from around $1,500 for a small area, such as lip lines and perioral (around the mouth) to $4,500 for full face treatment. An individualized price quote is provided during your consultation.

Why Choose Reflections for Your Fractional CO2 Laser Treatment

CO2 laser skin resurfacing creates dramatic results, with the beauty of those results being highly dependent upon who administers the treatment. CO2 lasers are high-powered instruments that deserve respect.

Dr. Mark Karolak, board certified facial plastic surgeon

Dr. Karolak has over a decade of experience using CO2 lasers in a variety of settings, including fractional and non-fractional, fully ablative and non-ablative applications. He performs the majority of the CO2 laser treatments at Reflections because of his skill and expertise with these instruments.

His favorite CO2 laser is the eCo2, because it offers a variety of scattering patterns and fractional percentage settings, making it a versatile tool. Often, he will use several different settings to address the individual patient’s needs. This allows him to be most aggressive in the treatment just where it’s needed, without over-treating other parts of the skin. It also allows for smooth feathering of the treatment area. One of the few possible risks of CO2 laser resurfacing is that the treatment, when done correctly, is so transformative that there can be a clear distinction between where has been treated, and where has not. Feathering the treatment strength out allows for smooth transitions. This is possible with both the eCO2 and Fraxel. It’s something the most skilled CO2 laser providers are very aware of and plan their treatments around.

Frequently Asked Questions about Co2 Laser Skin Resurfacing

What is Fractional Laser Skin Resurfacing? What Does Ablative Mean?

Lasers used in Cosmetic procedures can be fractional or non-fractional (sometimes called “Traditional”, since this was the first style of laser to come out for resurfacing) and ablative or non-ablative. Fractional lasers treat a percentage, or fraction, of the skin in the treatment area. This fraction can range from 10% to 85%, depending on the style and brand, as well as how many passes are made over the treated area. Ablative lasers remove the top layer of the skin and usually create an open column of damage, which the body will then fill in with new cells. Non-ablative lasers create damaged columns of cells but don’t remove the surface of the skin. Rather, with non-ablative lasers, the skin repairs and replaces those damaged cells over time. Ablative lasers can allow serums and skin boosters to deeply penetrate, but also increase the risk of infection following treatment. When a laser is not fractional and is ablative, it is called “fully ablative”, meaning it treats the entire skin, removing its top layers. Fully ablative laser treatments should not be performed on patients with dark, tan, or olive skin tones (Fitzpatrick Skin Types III, IV, V, and Vi) because there is an increased risk of pigmentation changes and scarring.

Are CO2 Lasers Safe for My Skin Tone?

Aggressive CO2 lasers have traditionally been considered “unsafe” for certain skin tones. Those with Middle Eastern, Asian, Hispanic, and African ancestry have been warned that CO2 lasers can scar their skin, creating dark spots (hyperpigmentation) and white spots (hypopigmentation). This was due to a build-up of heat in the skin, causing an immune response in these skin types. This is still a major concern for most CO2 lasers, which “stamp” several laser beams per pulse. The eCO2 laser works differently, firing 1 beam of the laser after another in a randomized pattern at set distances, to ensure laser beams after spaced sufficiently far enough apart to avoid heat build-up in the skin. This makes the eCO2 a safer choice for dark and olive skin tones. The video below shows just how the eCO2 works.

Will I Have a Grid-Like Appearance to My Skin After Treatment?

Older laser technologies “stamped” the skin, using a grid of lasers that were manually aligned to fractionally treat the skin. Both the eCO2 and Fraxel Re:Pair use special technology that scans the skin as it fires the laser, to prevent any discernable grids that might cause imperfections or inconsistencies in the skin as it heals.

Be Transformed – Inside and Out!

The team of cosmetic physicians at Reflections are committed to creating natural-looking results with procedures that are proven safe and effective and fit your lifestyle and budget. We are proud to offer the region’s largest selection of lasers and treatment technologies because we know a “one size fits all” approach to cosmetic procedures does not produce the top results are patients deserve. We encourage you to schedule a complimentary consultation with one of our physicians to learn more about which skin resurfacing treatments will work best for you.