What is a CO2 laser facial? Procedure, benefits & photos 2025

Radiant, youthful skin isn't just about genetics—it's about making informed choices for your skin’s health. When wrinkles, acne scars, or uneven texture make you feel less confident, a CO2 laser facial offers one of the most effective solutions.

CO2 laser facials represent a breakthrough in facial rejuvenation technology, designed for people who want dramatic improvements in skin texture, tone, and overall appearance. This comprehensive guide will walk you through CO2 laser resurfacing technology, its remarkable benefits, potential risks, recovery expectations, cost considerations, and how it compares to other popular skin treatments.

What is a CO2 laser facial?

CO2 laser skin resurfacing is an advanced cosmetic procedure that uses precise laser energy to remove damaged layers of the skin while stimulating your body's natural collagen production. This carbon dioxide laser technology creates a dual action that makes it effective for skin rejuvenation, allowing fresh, healthy skin cells to emerge while building the foundation for long-term skin improvement.

The key difference lies in how the laser energy is delivered to your skin. Ablative CO2 laser treatments completely remove the outer layer of skin, creating more dramatic results but requiring a longer recovery time. Fractional CO2 laser treatments create tiny columns of treated skin surrounded by untreated areas, which speeds up healing while still delivering impressive results.

CO2 laser facial trends and stats

84% of RealSelf users rated the CO2 laser procedure worth it. Perhaps that’s why about 600,000 laser resurfacing procedures are performed in the U.S. annually, according to the American Society of Plastic Surgeons.

The advancement in CO2 laser resurfacing technology has made these treatments increasingly appealing as alternatives to surgical procedures like facelifts. Modern fractional laser systems offer customizable treatment depths and patterns, allowing providers to tailor treatments to individual skin needs while minimizing downtime. This technological evolution has expanded the treatment's appeal to younger patients seeking preventive care and older patients wanting dramatic rejuvenation without surgery.

Why would someone consider a CO2 laser facial?

People choose CO2 laser resurfacing to improve skin texture irregularities, reduce moderate to deep fine lines and wrinkles, and treat stubborn acne scarring that hasn't responded to other treatments. The procedure also addresses sun damage, age spots, and enlarged pores that can make skin appear aged or unhealthy.

Beyond addressing specific skin issues, CO2 laser resurfacing enhances skin tone and elasticity by triggering your body's natural healing response. This process encourages the production of new collagen and elastin fibers. These essential proteins keep skin firm, smooth, and youthful-looking for months and even years after treatment.

Types of CO2 laser treatments

Understanding the different CO2 laser resurfacing techniques helps you and your provider discuss the best treatment for your skin concerns and lifestyle needs.

Traditional ablative CO2 laser

The ablative laser fully removes the outer layers of skin across the entire treatment area, making it ideal for severe sun damage, deep wrinkles, and extensive scarring. The results are dramatic, but the recovery time is longer. Plan for two to three weeks of downtime.

Fractional CO2 laser

This approach targets microscopic columns of skin tissue while leaving surrounding areas untouched, which promotes faster healing with less overall downtime. Most patients can return to normal activities after about a week, making this fractional option popular for busy schedules.

Superficial CO2 laser resurfacing

This gentler version addresses fine lines, minor pigmentation issues, and mild texture problems without penetrating as deeply into the skin. The recovery is typically up to a week, though multiple sessions may be needed for optimal results.

Main benefits of a CO2 laser facial

Smoother and more even skin texture

The laser eliminates rough patches, shallow acne scars, and areas of hyperpigmentation that can make your skin look uneven or aged. You'll notice smoother skin within weeks as new skin cells replace the damaged tissue.

Reduction of fine lines and wrinkles

By stimulating deep collagen production, laser resurfacing helps smooth existing wrinkles while preventing new ones from forming. The treatment is particularly effective around the eyes, mouth, and forehead, where expression lines tend to develop first.

Improved skin tightness and elasticity

The laser energy penetrates deep into the dermis, stimulating tissue repair that naturally tightens loose or sagging skin. This effect becomes more noticeable over the months following treatment as new collagen continues to form.

Long-lasting skin rejuvenation

With proper skincare and sun protection, CO2 laser resurfacing results can last several years, making it a cost-effective investment in your skin's long-term health. Many patients find that their skin improves for up to six months after treatment.

Boosted confidence and self-esteem

Clearer, more youthful-looking skin often increases self-confidence and comfort in social and professional situations. Many patients report feeling more comfortable going makeup-free and taking photos after their skin heals.

Disadvantages of a CO2 laser facial

While highly effective, CO2 laser resurfacing treatments come with some potential drawbacks to consider before moving forward.

Downtime and healing process

Recovery typically takes one to two weeks, during which you'll experience redness, swelling, and peeling that may interfere with work or social activities. Planning your treatment around your schedule is essential for a comfortable recovery experience.

Risk of hyperpigmentation

Some patients, particularly those with darker skin tones, may develop temporary or permanent changes in skin pigmentation. Your skin may require additional preparation and aftercare to minimize this risk.

Sensitivity to sun exposure

Your skin will remain highly sensitive to UV radiation for several weeks after treatment, requiring diligent sun protection and potentially limiting outdoor activities. Even brief sun exposure during this period can cause complications or poor healing.

Cost of the procedure

CO2 laser treatments typically range from $2,000 to $6,700 per session, depending on the treatment area and depth. Factors affecting price include the size of the treatment area, the type of laser treatment you receive, where you get your laser treatment, and your provider’s expertise. 

Please note: The cost information provided is for educational purposes and reflects general market ranges. Actual pricing at our practice may vary based on your specific treatment needs, skin condition, and chosen technique. We'll provide personalized pricing during your consultation based on your individual goals and requirements.

The CO2 laser facial procedure: An overview

The treatment begins with a detailed consultation where your provider assesses your skin condition and discusses your goals and expectations. Pre-treatment preparation may include using specific skincare products for several weeks and avoiding sun exposure. 

On treatment day, your skin is thoroughly cleansed, and a topical numbing cream is applied to minimize discomfort during the procedure. The laser application typically takes 30 minutes to two hours, depending on the treatment area. Most patients describe the sensation as similar to rubber band snaps against the skin. Immediately after treatment, your skin will feel warm, similar to a moderate sunburn. Your provider will apply protective ointments and provide detailed aftercare instructions.

Risks and complications of a CO2 laser facial

Potential side effects include prolonged redness lasting several weeks, swelling that may affect daily activities, delayed healing in some individuals, and, rarely, scarring or permanent pigmentation changes. 

The laser may cause temporary sensitivity that requires careful post-treatment care. However, choosing an experienced provider who understands this type of laser and skin biology dramatically reduces these risks and ensures you receive appropriate pre- and post-treatment care.

Recovery after a CO2 laser facial

The first week involves the most noticeable healing, with initial redness gradually fading and skin beginning to peel as new tissue forms underneath. Complete skin regeneration typically occurs within two to four weeks, though some patients notice improvement for up to six months as collagen production peaks.

Post-treatment care is essential for optimal results and includes keeping the skin moisturized with recommended products, not using makeup for at least 10 days, avoiding direct sun exposure for at least four weeks, and following a gentle skincare routine free of harsh active ingredients. 

Your provider will schedule follow-up appointments to monitor healing and may recommend specific products to help your skin heal and maintain your results. 

Cost and financing options for a CO2 laser facial

The average cost of CO2 laser resurfacing varies widely based on geographic location, clinic reputation, provider experience, and treatment depth, typically ranging from $2,000 to $6,700 per session. Insurance doesn't cover cosmetic procedures, though it may cover some of the cost if your procedure treats precancerous skin conditions or improves certain types of scars. 

Many practices offer financing options such as installment payment plans and package deals for multiple treatments, and accept medical credit cards like CareCredit, making the investment more manageable for many patients.

CO2 laser vs other skin rejuvenation treatments - Key differences

Understanding how CO2 laser resurfacing compares to other popular treatments helps you make the best choice for your skin goals and lifestyle.

CO2 laser vs chemical peels

While chemical peels can improve skin texture and mild pigmentation issues, they don't penetrate as deeply as CO2 laser resurfacing and typically require multiple sessions for comparable results. 

CO2 laser resurfacing offers dramatic improvement in fewer treatments but requires longer downtime and costs more per session than most chemical peels.

CO2 laser vs microneedling

Microneedling works well for mild acne scars and skin texture issues with minimal downtime, but it can't address deeper wrinkles or more severe skin damage as effectively as CO2 laser resurfacing treatments. 

While microneedling requires multiple sessions spaced weeks apart, CO2 resurfacing often achieves comparable or better results in a single treatment.

CO2 laser vs radiofrequency treatments

Non-invasive radiofrequency treatments like Thermage offer skin tightening with no downtime but produce more subtle results that develop gradually over several months. 

These treatments work well for mild skin laxity but can't address textural issues, deep wrinkles, or pigmentation problems like CO2 laser treatments.

CO2 laser vs IPL (Intense pulsed light) therapy

IPL treats pigmentation issues, sun damage, and broken capillaries, but doesn't resurface the skin or stimulate collagen production like CO2 laser resurfacing treatments. 

While IPL requires minimal downtime and costs less per session, it addresses different concerns and won't improve wrinkles or acne scars as effectively as CO2 laser treatments.

Who is a good candidate for a CO2 laser facial?

Ideal candidates include individuals with moderate to severe sun damage, deep wrinkles, acne scars, or uneven skin tone who want dramatic improvement and can commit to proper aftercare and sun protection. 

Age isn't as important as skin condition and realistic expectations, though most patients fall between 35-65 years old. Patients with darker skin tones may need extra precautions and should work with providers experienced in treating diverse skin types to minimize pigmentation risks.

Are there non-surgical alternatives to a CO2 laser facial?

Non-invasive alternatives include Botox for dynamic wrinkles, dermal fillers for volume loss, and hydrafacials for surface-level skin improvement, along with professional chemical peels and microneedling treatments. 

While these options require less downtime and cost less initially, they typically produce more subtle results and may require ongoing maintenance treatments to achieve and maintain improvements comparable to a single CO2 laser resurfacing treatment.

Does a CO2 laser facial treat acne scars?

CO2 laser skin resurfacing improves acne scars by removing damaged tissue and stimulating new, healthy skin growth that fills in depressed areas. The treatment helps atrophic (depressed) scars and hypertrophic (raised) scars. Your provider can adjust techniques based on your specific scar types and skin characteristics.

Before and after photos of a CO2 laser facial

These patient photos demonstrate the remarkable transformations possible with CO2 laser resurfacing, though individual results vary based on skin condition, age, and healing response.

Common questions to ask your doctor about a CO2 laser facial

How many sessions will I need?

Most patients achieve their desired results with one comprehensive CO2 laser treatment, though some may benefit from a second session three to six months later for optimal improvement.

What skincare routine should I follow post-treatment?

Your provider will recommend gentle, fragrance-free cleansers and moisturizers, along with broad-spectrum sunscreen, while avoiding retinoids and acids for several weeks during healing.

How long do results typically last?

With proper skincare and sun protection, CO2 laser resurfacing results can last three to five years, though some may see results lasting up to 10 years. Natural aging and sun exposure will gradually affect your skin.

Can I combine CO2 laser with other treatments?

Many patients combine CO2 laser resurfacing with Botox, fillers, or other procedures, though timing and sequencing should be carefully planned with your provider for safety and results.

Why choose Skin Matrx for your CO2 laser facial?

If you're ready to rejuvenate your skin with professional CO2 laser resurfacing, Skin Matrx in Burbank delivers exceptional results backed by advanced technology and personalized care tailored to your unique skin needs. Our team, led by Dr. Blanka Orloff—a distinguished member of the American Academy of Anti-Aging Medicine—combines clinical excellence with compassionate patient care to help you achieve radiant, youthful skin. We've helped countless patients restore their confidence through customized treatment plans that deliver remarkable, long-lasting results.

Call 818-600-6719 to schedule your consultation.