CO₂ Laser Resurfacing: How It Works, What It Treats, and What to Expect

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Changes in skin texture, tone, and firmness are rarely just surface concerns alone. They’re often the product of sun exposure, collagen loss, and natural skin aging. When topical treatments or lighter laser options are no longer sufficient, CO₂ laser resurfacing can provide meaningful improvement by addressing deeper structural changes within the skin.

 

At Être Cosmetic Dermatology & Laser Center in New Orleans, CO₂ laser resurfacing is performed with a careful, physician-led approach focused on safety, precision, and natural-looking results.

 

What Is CO₂ Laser Resurfacing?

 

CO₂ laser resurfacing is an advanced laser treatment that uses controlled energy to remove damaged outer skin layers while stimulating collagen production in deeper layers of the skin. This dual action helps improve skin quality by encouraging regeneration and long-term structural support.

 

CO₂ laser resurfacing may be used to address:

  • Fine lines and deeper wrinkles
  • Sun damage and uneven pigmentation
  • Acne scars and textural irregularities
  • Enlarged pores
  • Overall skin laxity and roughness

The goal is not to dramatically alter appearance but to restore smoother texture and more even tone as well as improving skin integrity.

 

How Invasive Is CO₂ Laser Resurfacing?

 

CO₂ laser resurfacing is considered a more intensive resurfacing treatment compared to non-ablative or light fractional lasers which leave the surface layer of skin intact. Because it works at a deeper level, it requires thoughtful planning and appropriate recovery time.

 

At Être, CO₂ laser resurfacing is typically performed under local anesthesia, sometimes with oral medication for comfort, depending on the treatment area and depth. This allows for:

 

  • Careful control of the procedure
  • Avoidance of general anesthesia in appropriate candidates
  • A tailored approach based on skin type and goals

Treatment depth and intensity are customized to balance results with recovery.

 

What Is Recovery Like After CO₂ Laser Resurfacing?

 

Recovery varies depending on the depth of treatment, but patients should plan for a defined healing period.

 

Common expectations include:

  • Redness, swelling and warmth in the treated area
  • Peeling or crusting as the skin heals
  • Gradual improvement in tone and texture over several weeks

Initial healing typically occurs over 7–14 days, with continued collagen remodeling over the following months. Detailed post-procedure care instructions are provided to support proper healing and optimal results.

 

Who Is a Good Candidate for CO₂ Laser Resurfacing?

 

CO₂ laser resurfacing may be appropriate for patients who:

  • Have moderate sun damage or textural concerns
  • Want more noticeable improvement than lighter laser treatments provide
  • Are able to accommodate recovery time
  • Have realistic expectations about gradual results

A consultation includes evaluation of skin type, medical history, lifestyle considerations, and long-term goals to determine whether CO₂ laser resurfacing or a different approach is the best option.

 

CO₂ Laser Resurfacing vs. Other Laser Treatments

 

Not all laser treatments serve the same purpose. Lighter, non-ablative lasers can improve tone and stimulate collagen with minimal downtime while CO₂ laser resurfacing provides deeper correction for more advanced concerns.

 

In some cases, a staged or combination approach may be recommended to achieve balanced results while minimizing risk.

 

Why Physician Expertise Matters for CO₂ Laser Resurfacing

 

CO₂ laser resurfacing requires very careful control of energy, depth and coverage. Over-treatment can increase the risk of prolonged healing or pigment changes particularly in certain skin types.

Dr. Kyle Coleman and Dr. Lisa Donofrio approach laser resurfacing with meticulous precision, tailoring each treatment plan to the patient’s skin characteristics and goals.

This physician-led approach prioritizes safety and long-term skin health.

 

Frequently Asked Questions About CO₂ Laser Resurfacing

What does CO₂ laser resurfacing treat?

CO₂ laser resurfacing treats wrinkles, sun damage, acne scars, uneven texture, and overall skin quality by resurfacing damaged skin and stimulating collagen production.

 

Is CO₂ laser resurfacing painful?

The procedure is performed with local anesthesia and oral medications.  With the Etre’s combination, patients describe the experience as having minimal to mild discomfort.

 

How long does it take to recover from CO₂ laser resurfacing?

Initial healing usually takes 7–14 days, with continued improvement in skin quality over several weeks to months.  Generally, patients are able to wear make up starting at day 5-7 depending on the aggressiveness of the treatment.

 

Are results permanent?

CO₂ laser resurfacing provides long-lasting improvement, though natural aging and sun exposure continue. Proper skincare and sun protection help maintain results.

Can CO₂ laser resurfacing be combined with other treatments?

Yes. CO₂ laser resurfacing is sometimes combined with other procedures, such as blepharoplasty or fat transfer, when appropriate.


At Être Cosmetic Dermatology & Laser Center, CO₂ laser resurfacing is performed with careful attention to skin health, safety, and natural results. If you are considering laser resurfacing and would like a physician-led evaluation, call (504) 227-3873 or reach out online to schedule your consultation.

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