Fractional CO2 Laser Equipment

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Fractional CO2 Laser Equipment

What is Fractional CO2 Laser Equipment?

Fractional CO2 Laser Equipment is the latest and most focused technology not only in the United States but throughout the world.

It is an equipment used by dermatologists to deliver effective anti-aging procedures. Such as: Skin Tightening, Skin Resurfacing, Scar Remodeling, Skin Rejuvenation, Reduction of Skin Tags and Benign Skin Lesions, Correcting Skin Imperfections, Constricting Pores, and more. 

This equipment is used to deliver a non-invasive procedure that uses a laser, made of carbon dioxide to remove the outer layers of damaged skin. The power of laser heats and impairs the skin allowing it to trigger neocollagenesis resulting in a tighter and smoother skin.

The Fractional CO2 Laser Machine has 7 different built-in laser focus shapes that allows dermatologists to provide custom treatments based on a client’s needs.

What Benefits Can Your Clients Get From Fractional CO2 Laser Machines?

Aside from dramatically enhancing skin tone, texture and reducing signs of aging, fractional CO2 laser machines are highly effective and are a gentle way for renewing skin to its youthful appearance.

Fractional CO2 Laser Machines provide dramatic results with easy and comfortable treatment. Since fractional CO2 laser machines deliver a lot of narrow columns of laser light, most of your skin is not injured.

Types Of CO2 Fractional Laser Systems

Although there are a lot of  brands of fractional lasers these can be easily divided into 2 types of Fractional Laser Systems:

  • Ablative Fractional Lasers

Ablative Fractional Lasers generate beams of coherent light that are taken in by the body’s tissue as energy. It is administered through a wide range of wavelengths, and in the target area, the energy causes a rise in temperature levels resulting in tissue ablation otherwise known as evaporation. Ablative lasers are effective in treating a wide range of skin conditions by removing all or just part of the skin.  

Types of ablative treatments include the carbon dioxide (CO2) laser, combination systems and the erbium laser.

  • Non-ablative Fractional Lasers

Fractional non-ablative laser is a non wounding laser treatment that stimulates collagen growth to improve skin tone and texture that gets better through time. This can be done with different types of lasers as well as intense pulsed light devices.

Nonablative laser systems are less invasive and would only require a less amount of time to recover compared to ablative lasers but it’s not that efficient.

How Do Fractional CO2 Laser Machines Work?

Fractional CO2 laser machines take CO2 laser beams and particulate that beam into thousands of little shafts of light. These tiny shafts of light pierce through the deeper layers of skin. The skin then restores those tiny shafts by eliminating the old sun damaged skin and replacing it with new skin. 

CO2 Fractional Laser Machines are compatible with Botox, Juvederm, Restylane, Sculptra and other laser based technologies such as IPL, hair removal, and more.

A Fractional CO2 Laser Machine works by producing light at 10,600nm wavelength that is absorbed by water in the tissue. The laser energy heats up water until reaching a boiling point that causes evaporation of affected tissues. Laser beams could also be delivered through a scanner that can be used to control the delivery of energy.

Fractional CO2 Laser Treatment

What Is Fractional CO2 Laser Treatment?

Fractional CO2 laser treatment is a non-invasive treatment that involves the use of Fractional CO2 Laser Machines to deliver a laser beam partitioned into thousands of microscopic treatment zones that marks a fraction of the skin at a time, similar to a photographic image being improved pixel by pixel.

Who Needs Fractional CO2 Laser Treatment?

A fractional CO2 laser treatment is ideal for those who want to minimize the appearance of acne scars, fine lines, pigmentation, sun damage, warts, and a lot of other skin conditions. Dermatologists also recommend fractional CO2 laser treatments to those who suffer from non-responsive skin.

Does Fractional CO2 Laser Really Work?

Fractional CO2 Laser is one of the safest and most effective procedures for a number of skin conditions. It involves the removal of the skin’s outer layers with the use of a laser revealing fresh and glowing skin underneath.

Fractional CO2 Laser Results

Once your skin starts to heal which may take around 3 weeks, patients will experience a period wherein their skin appears slightly pink. When this happens, you will begin to see improvements in skin texture and tone. Although, full results can start to be visible around 3 - 6 months after initial treatment.

How Often Should One Get Fractional CO2 Laser Treatment?

Most patients only need to undergo one CO2 Laser treatment to see noticeable changes  however this depends on the severity of the problem that needs to be addressed. Others might need 1 - 3 sessions spaced 4 to 6 weeks apart for permanent results based on what the Dermatologists recommend.

What Are The Side Effects Of Fractional CO2 Lasers? Does It Hurt?

Just like any other medical procedure, there are still risks associated with Fractional CO2 Laser treatments. Since the treatment introduces heat into the skin. Clients might suffer from the following side effects after skin treatment:

  • Prolonged erythema (redness)

Redness is expected after the CO2 Fractional Laser procedure but it usually goes away within 3 to 4 days. If redness does not go away within a month, you might be suffering from prolonged erythema. In rare cases, redness might last 3 to 6 months.

  • Hyperpigmentation

Post-inflammatory hyperpigmentation is very rare and is commonly experienced by clients with dark skin, 2-6 weeks after treatment. The treated area usually heals with increased or decreased pigmentation.  It usually occurs after an injury or inflammation of the skin. Hyperpigmentation usually fades within 3-6 months.

  • Excessive Swelling

Right after laser surgery, it will be normal to have swelling of the skin. It is a temporary condition that goes away within 3 - 7 days.

  • Scarring

There is very little chance of scarring. Scarring would include hypertrophic scars or keloid scars. In order to minimize the chances of scarring, it is important to follow post-operative care.

  • Eye Exposure

There is also a risk of eye exposure to laser during treatment thus it is very important to keep your eyes closed and have protective eyewear at all times during the duration of the treatment.

  • Infection

Occasionally, infections can occur. If not treated immediately, these infections could result in scarring.

However, your dermatologist will conduct an assessment prior to the treatment to ensure that you are a perfect candidate for the fractional laser treatment. Additionally, the risk of obtaining these side effects could be eliminated by strictly adhering to post-care tips.

The CO2 laser causes some discomfort. Most patients describe the feeling similar to prickling. Anyway, the procedure involves the application of anesthesia to the area that would numb your face and result in a painless treatment.

How Many Fractional CO2 Laser Treatments Are Needed?

Again, most patients only need to undergo one treatment to see visible results. But those with severe skin conditions might need multiple laser treatments. 

How Long Does It Take To See Results From Fractional CO2 Lasers?

The skin begins to heal up to 3 weeks wherein clients will experience their skin to appear slightly pink. Full results will be visible in 3-6 months after the initial treatment.

What Is The After-Care For Fractional CO2 Laser?

You should apply sunscreen after the fractional CO2 laser procedure to protect your skin from the sun's harmful rays. Use a gentle cleanser and moisturizer twice a day, and avoid using harsh products. It's also a good idea to limit your use of makeup because it can irritate your skin even more. 

In the first 24 to 48 hours after the fractional CO2 laser treatment, apply an ice pack or compress to the treated area to reduce swelling around your face. Apply ointment as needed to prevent the formation of scabs. Finally, you may need to modify your daily activities and avoid situations where you could become infected, such as swimming and workouts.

At Home

You're advised not to take a bath until the treated area has completely healed.

For the first 2 to 3 days after treatment:

An ice pack should be applied to the treated area. Hold the ice pack onto the treated area for more than 15 minutes but less than 20 minutes. Put the ice pack on the treated area 1 to 5 times daily.

For 1 to 2 weeks after your treatment

  • Do not use saunas, swimming pools, baths, or hot tubs.
  • Do not shave over the treated area.

How Long Do Fractional CO2 Laser Results Last?

CO2 laser results can be seen for many years after treatment. The use of SPF+. avoidance of sun exposure, and proper at-home skincare maintenance can all help to extend the life of the results.

Can You Have Fractional CO2 Laser After Botox?

Yes, you can have a Fractional CO2 Laser treatment after botox but it is best to wait for at least 2 weeks for the skin to heal prior to scheduling a fractional laser session. Although botox can be administered at the same time as fractional laser treatments, the potential side effects can damage the tissue or alter your results.

Fractional CO2 Laser Benefits

Fractional CO2 laser treatments are intended to stimulate collagen production in the skin of the face, neck, chest, and hands, resulting in gradual rejuvenation that can last for months or years. Furthermore, fractional laser treatments can be combined with aesthetic facial surgery like facelift or neck life to achieve the best results.

Other benefits of fractional CO2 laser treatments are as follows:

  • Reduces sun damage, acne scarring and fine lines.
  • Skin texture is improved and skin tone is evened.
  • Collagen is stimulated, resulting in firmer and more youthful skin.
  • It may aid in the treatment of precancerous skin lesions.
  • Little downtime

Fractional CO2 Laser Recovery Time

CO2 Fractional laser treatments can have a 2-week recovery period although the exact healing time is different between person to person. 

Fractional CO2 Laser Pros and Cons

Pros of Fractional CO2 Laser Treatments

CO2 Fractional laser treatment is a more aggressive resurfacing method. It can cut visible skin wrinkles in half. It provides excellent improvement in fine lines, general texture and pigment reduction in troublesome areas. It has a great impact on deep wrinkling. Acne scarring also responds to fractional CO2 lasers as well.

Skin tightening is another benefit of CO2 laser treatments. The heat produced by the laser causes an injury response in the body resulting in the formation of new collagen and elastin in the area, firming the skin and providing a slight lift.

If you’re looking to compare the effects of CO2 laser treatments, surgical dermabrasion would be a good comparison.However, recovery from fractional laser treatment is a lot easier compared to dermabrasion. Additionally, CO2 laser treatments are done under general anesthesia thus patients do not experience pain during the procedure.

Cons of Fractional CO2 Laser Treatments

When considering CO2 laser skin treatment, there are a few drawbacks to consider, most notably the risks of treatment, which increase if the person performing the treatment is unqualified or inexperienced.

For example, the more powerful the laser used, the greater the possibility of side effects such as permanent skin lightening or darkening, scarring, or cold sores.

Another potential disadvantage is that, while CO2 laser does not necessitate the downtime associated with surgical procedures, there is a recovery period. Patients should expect skin redness following treatment, which may appear to worsen before improving.

Fractional CO2 Laser Treatment Before and After

Care Before CO2 Laser Treatment

It is critical that you avoid tanning or excessive sun exposure. For four weeks before your treatment, use a broad-spectrum sunscreen every day.

For at least 1 week before treatment, avoid using medications that cause sun sensitivity (such as retinols, antibiotics, doxycycline or minocycline).

Inform your healthcare provider if you have a history of herpes (such as oral cold sores or genital herpes) or shingles in your treatment area. Your doctor may advise you to begin antiviral medication (such as valacyclovir or acyclovir) as soon as possible. This is usually done two days before treatment and continues for three days afterwards.

It is also critical to eat and drink before your procedure to avoid dehydration.

After CO2 Laser Treatment

It usually takes 1 to 2 weeks for your skin to heal after a CO2 laser treatment. During this time, your skin will be extremely sensitive. Follow the steps outlined below to aid in the healing of your skin and the prevention of infection.

After your CO2 laser treatment, your nurse will apply an ice pack to the treated area. For 15 minutes, place an ice pack on the treated area. This will assist in reducing swelling and making you more comfortable.

Fractional CO2 Laser Cost In The US

According to the American Society of Plastic Surgeons in 2019, the average cost for this procedure was $1,963 for ablatives and $1,201 for non-ablative. The average cost does not include other related expenses. Thus it is best to consult with your dermatologist and insurance company prior to the treatment about payments.

The cost of Fractional CO2 laser treatment also varies on the expertise, qualification of the dermatologist or the one performing the treatment.

How Long Does Fractional CO2 Laser Treatment Take?

The exact time depends on the area being treated; however, it usually takes two hours or less. This time frame includes an extra 30 minutes for topical numbing prior to treatment.

What to Expect After Fractional Laser Treatment?

The intensity and duration of the side effects depends on the aggressiveness of the treatment. Usually, patients who are treated more aggressively would likely experience an intense side-effect.

Are Fractional CO2 Laser Results Permanent?

Fractional CO2 Laser is very effective and will do wonders for restoring the glow and smooth texture of your skin. Improvements from a CO2 laser treatment can be seen for many years after treatment although it is important to bear in mind that your skin changes as you age.


Fractional CO2 Laser Alternatives

Fractional CO2 Laser vs. ND Yag Laser

Unlike Fractional CO2 lasers, ND Yag lasers are compatible only with a limited number of materials. Due to its small wavelength, Yag lasers can mark various types of metal and a number of plastics but its effectiveness on standard CO2 products are non-existent.

Fractional CO2 Laser vs. IPL Laser

The major difference between Fractional CO2 and IPL laser is ablation. CO2 is a deep, ablative treatment for a more intense cellular turnover. 

Fractional CO2 Laser vs. Erbium Laser

Fractional CO2 lasers create more heat during the treatment while Erbium Lasers are a lot less aggressive with a shorter recovery time and reduced redness.


Performing Fractional CO2 Laser Treatment

Who Can Perform Fractional CO2 Laser Treatment?

Fractional CO2 laser treatment is a powerful treatment that can produce wonderful results but could also result in severe complications and side effects. Thus, it should only be performed by qualified physicians such as dermatologists, electrologists, RN or doctors with extensive experience with lasers.

How To Use A Fractional CO2 Laser Machine?

To use a fractional CO2 laser machine, you just need to adjust the power settings depending on the type of treatment. The index setting should vary depending on the skin type and depth of wrinkles. Reduction of index setting is needed to increase the exposure time and spot penetration. For acne scars, index settings need to be low while the power setting should vary according to the skin type and the severity of the scars. The power setting should be increased until the desired effect on the tissue is obtained. Once fractional laser treatment is done, the laser can then be switched back to its traditional CO2 mode for ablation of skin growths.

How To Perform Fractional CO2 Laser?

Fractional CO2 Laser is performed by using a local anesthesia along with a sedative. Once the area to be treated has started to numb, laser settings should be adjusted to the corresponding treatment.

Fractional CO2 Laser Treatment Protocol

For the early intervention of postoperative scars. Treatment areas are cleansed with a mild cleanser. After which a topical anesthetic cream is then applied. After an hour, the anesthetic cream is then removed then treatment areas are then treated with fractional CO2. Sunscreen application is advised to be continued after the treatment.

Fractional CO2 Laser Treatment Steps

  1. Clean the area to be treated.
  2. 20-30 minutes before the treatment, a topical anesthetic should be applied to the treatment area.
  3. Prior to beginning the treatment, the anesthetic should be wiped off and replaced by a thin application of the tracking gel.
  4. During treatment, cold air should be applied for patient comfort.
  5. After treatment, physiotherapy laser should be used to enhance the patient’s treatment experience and accelerate the benefits of Fractional CO2 treatment.

How Long To Wait Between Fractional CO2 Laser Treatments?

For most fractionated CO2 laser treatments, it is highly recommended that patients wait 6 to 12 months before considering another treatment.

Fractional CO2 Laser Treatment Areas

Fractional CO2 lasers can be used in the face, the neck, and hands.

Fractional CO2 Laser Treatment For Neck Rejuvenation

This treatment is highly effective for neck rejuvenation which offers substantial improvement in skin laxity, texture and pigmentation.

Fractional CO2 Laser Treatment For the Face

CO2 lasers can expertly remove thin layers of skin to treat sun damage, wrinkles, scars, warts, birthmarks and other skin conditions.

Fractional CO2 Laser Consent Form Example

Please check your local law and regulations. 


Patient’s Name:






I. ____________________________, (the patient) or representative of patient ____________________________) , have (please tick the correct option above and below).  Read  Been explained this consent form in English which I fully understand, and understood the information provided about Fractional CO2 Laser treatment given below in this consent form.


Brief description of procedure

Fractional CO2 laser is an ablative fractional laser in which micro beams of light injure small fractions of the skin leaving behind areas of untreated skin which helps in quick recovery and improvement in texture of skin and scarring. Multiple sessions are required based on the indications and severity of the problem. The improvement may not be immediate and the skin usually keeps improving till 3 months to 1 year after a session.

Intended benefits

Fractional Co2 laser is used in an effort to improve acne scars, traumatic scars, burn scars, surgical scars, photo aging and improvement in skin texture, wrinkles and fine lines.

I understand that all procedures carry certain risks. The potential risks and complications from the procedure are:  

  1. Pain. The stinging or burning sensation from the laser can produce a moderate amount of discomfort. An anesthetic cream, oral and injectable pain relievers and anti-anxiety medications will typically be used to minimize discomfort.
  2. Redness: redness resembling a sunburn can occur in the treated areas. The redness will typically subside in 1 to 6 weeks, but could last longer.
  3. Swelling: Treatment may cause swelling which subsides in 1 to 2 weeks and can be minimized with application of cool water compresses.
  4. Skin darkening: Darkening of the skin rarely occurs in the treated areas and will usually fade within 1 to 6 months. This reaction is more common when treated areas are exposed to the sun. It is extremely important to protect the treated area from sun exposure with a hat and sunscreen for 6 weeks after treatment and carefully adhere to all post-treatment instructions.
  5. Skin lightening: Laser treatment can result in loss of pigmentation where the treated area becomes a lighter color than the surrounding skin. It usually re-pigment in 1 to 6 months, but in rare cases could be permanent.
  6. Blisters or scabs: Blistering is uncommon but can develop with treatment. Blisters will go away within 2 to 5 days and may be followed by a scab. The scab will disappear during the natural wound healing process of the skin. During this time, the area should not be manipulated or picked, which can lead to scarring.
  7. Infection: Swelling, crusting, pain, or fever could indicate an infection or reactivation of cold sores or fever blisters. This may require use of topical or oral antibiotics and/or antiviral agents.
  8. Acneiform eruptions: Breakouts from acne have been reported to occur after treatment with laser resurfacing. If this occurs, topical or oral antibiotics may be required.
  9. Scarring: There is a risk of skin scarring, including abnormal raised and/or depressed scars with any resurfacing procedure. Careful adherence to all advised postoperative instructions will help reduce the possibility of this occurrence.
  10. Lesion persistence or failure to respond: Some skin conditions may not improve or go away completely despite the best efforts made by the doctor. No guarantees can be made regarding any individual’s response to treatment with laser resurfacing.
  11. Additional side effects: There are risks associated with any procedure. Since it is impossible to state every risk or complication that may occur as a result of treatment, the possible risks and complications listed here may be incomplete. There may be risks or complications associated with this treatment that are not yet reported in the literature.


PREGNANCY AND NURSING MOTHERS: Laser treatment is not recommended for pregnant women or nursing mothers.. The patient should keep the staff informed should she become pregnant during the course of treatment.  

The treatment is contraindicated in patients currently taking anticoagulants, active skin infection, compromised immune system, impaired healing (e.g. keloid scar formers), pregnancy, and pacemaker.  

I have been explained the implications of not undergoing this procedure and the alternative methods of treatment like other laser treatments, intense pulsed light therapy, dermabrasion, chemical peels, tissue filler products, botulinum toxin (Botox and others), topical bleaching agents, topical retinoid therapy, surgical acne scar treatment etc.

I am now aware of the intended benefits, possible risks & complications, and available alternatives to the said procedure. I am also aware that results of any procedure can vary from patient to patient and I declare that no guarantees have been made to me regarding success of this procedure. I am aware that while the majority of patients have an uneventful procedure and recovery, few cases may be associated with complications. I am aware of the common risks and complications associated with this procedure and understand that it is not possible to list all possible risks and complications of any procedure.

I also understand that sometimes a planned procedure may need to be postponed or canceled if a patient's clinical condition demands or due to any unforeseen technical reason. I am also aware that I can withdraw my consent at any point of time at my own risk and consequences, by submitting the withdrawal in writing.

I understand that if medical emergencies demand, further or alternative procedural measures may need to be carried out and in such cases there may be differences in the planned and actual procedure. I am now also aware that during the course of this procedure, the doctor will be assisted by a medical and paramedical team, and that the doctor may seek consultation/assistance from relevant specialists if the need arises.

I agree to observing, photography (Still/video/televising) of the procedure ( including my diagnosis /reports pathology, radiology, etc)for academic /medical/medico-legal purposes , provided my identity is not revealed by such acts. I also agree to my clinical details being shared for scientific publications if my identity is not disclosed. 

I am also aware of the expected course after the procedure and the post procedural care to be taken .


I have been explained about the cost of each laser session which is $_________ .

I am going to pay per session / package basis. Package if opted for includes a minimum number of sessions and I have to pay accordingly if any additional sessions or treatments are required.

I declare that I have received & fully understood the information provided in this consent form, that I have given an opportunity to ask questions relating to my alignment, the procedure being performed, its risks, consequences, alternatives, potential; complications and intended benefits and recovery and that all my questions have been answered to my entire satisfaction and there are no misconceptions or false hopes in my mind. I further declare that all fields ( of this form) requiring insertion or completion were filled in my presence at the time of my signing this form 

For the above mentioned operation (s)/procedures(s) that I have been made aware of, I give my consent voluntarily to Dr. (Name of doctor performing the procedure) for carrying out the said procedure on [ ] myself or [ ] my above named patient being fully aware of the nature, potential risks and complications, intended benefits and possible alternatives.

I, above named patient, named patient representative, do further hereby declare that I am above 18 years of age as on the date of signing this form, mentally sound and am giving consent without any fear, threat or false misconception.


Signature/thumb impression




Benefits Of Fractional CO2 Laser Machine For Your Spa Business

Treatments You Can Perform With Fractional CO2 Laser Machines

Fractional CO2 Laser machines allow dermatologists to perform laser skin resurfacing, acne treatment, wrinkle treatment, skin tagging, wart treatments.

Instagram Hashtags for Fractional CO2 Laser Procedure

#co2fractionallaser, #lasertreatment, #fractionalco2laser, #skincare, #beauty


Having acne, wrinkles, warts and other skin conditions often gets in the way of daily tasks. Additionally, it can also make you feel insecure and leave stubborn marks and redness. Fortunately, with the use of fractional CO2 Laser machines treatments are available so you won’t have to live with unsightly acne scars and those unlivable wrinkles.

It is one of the safest and most effective procedures that involves the removal of the skin’s outer layers to reveal a fresh and glowing skin underneath. Here’s everything you need to know about Fractional CO2 Laser from the procedure, pros and cons, before and after treatment. delivers to the following states: Alabama, Alaska, Arkansas, Arizona, California, Colorado, ...
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