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Fractional CO₂.
Understand resurfacing.

This laser treats tiny columns of skin to improve selected scars and texture changes. An assessment helps you weigh the possible benefit against the healing time.

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Illustrative pre-laser consultation assessing cheek texture and acne scars.
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Small columns of resurfacing.

Small columns removed by a fractional laser, with skin remaining between them.

Fractional CO₂ is an ablative laser treatment. It removes microscopic columns of skin and heats tissue around them, prompting healing and collagen remodelling.

Fractional means that skin is left between treatment zones. This differs from treating the entire surface, but it still creates a wound that needs proper aftercare.

Match resurfacing to the concern.

A boxcar scar with defined edges.

Selected acne scars

Some depressed scar textures may improve. Deep narrow scars or tethered areas can need other methods as part of the plan.

Explore acne scar care
Different depressed and raised scar structures.

Other scar texture

A scar’s cause, age, shape and healing history help determine whether resurfacing is suitable. Not all scars are treated alike.

Explore scar care
Collagen fibres within the skin.

Fine texture and lines

Selected surface changes may be considered. A laser cannot replace a surgical lift or promise removal of every line.

Older pale stretch marks with an indented texture.

Stretch marks

Fractional resurfacing may improve some marks, with recovery and pigment risks to consider. Results depend on the marks, area and skin tone.

Explore stretch-mark care

Plan around healing and skin tone.

Separated treatment spots with skin remaining between them.
  1. 01

    A suitable diagnosis

    Active acne, infection, unexplained lesions or irritated skin may need treatment first. Melasma is not a routine resurfacing target.

  2. 02

    Your pigment and scar history

    Darker skin and skin prone to pigment changes require careful planning. Mention keloids, earlier laser reactions and slow healing.

  3. 03

    Medicines and previous procedures

    Share all medicines, recent isotretinoin use, cold sores and earlier cosmetic procedures. Your clinician will advise on preparation without you stopping medicines yourself.

  4. 04

    Time to recover

    You need time for skin healing, aftercare and sun avoidance. Agree on timing before booking around work, travel or an event.

OUR PROCEDURE

How your appointment works.

STEP 01

Assess and prepare

  • Map the area

    The clinician examines the scars or texture, reviews your history and discusses alternatives and expected recovery.

  • Follow the preparation plan

    Avoid tanning and follow advice on skincare and sun exposure. A history of cold sores may require prescribed preventive care.

A fractional pattern used to explain the treatment plan.
STEP 02

Protect and resurface

  • Prepare safely

    The skin is prepared, appropriate anaesthesia is used and eye protection is selected for the laser.

  • Treat the agreed area

    The clinician applies controlled fractional passes. Depth and coverage depend on the concern, area and skin.

  • Start aftercare

    The treated skin receives the appropriate cooling, ointment or dressing, with written instructions before you leave.

Protective eye shields worn for a laser procedure.
STEP 03

Support wound healing

  • Use only advised care

    Follow the cleansing, ointment and dressing plan for your treatment. Do not pick crusts or add home remedies.

  • Wait for skin to heal

    Avoid makeup over unhealed skin and confirm when to resume exercise, swimming, shaving and active skincare.

  • Contact the clinic for problems

    Worsening pain, spreading redness, unusual discharge, fever or new blisters need prompt review.

Gentle care and sun protection once appropriate during healing.

Healing first. Gradual improvement next.

Collagen remodelling represented by fibres in the skin.

Resurfaced skin can be red, swollen, sensitive and crusted. Surface healing may take around one to two weeks, depending on treatment intensity and the area. Redness or colour changes can last longer.

Texture continues to change over the following months. Results vary, and a further session or another method may be considered only after healing and review.

  1. 01

    Understand the risks

    Possible complications include infection, cold-sore reactivation, lasting redness, darker or lighter pigmentation and scarring.

  2. 02

    Protect the healing skin

    Follow the written wound-care plan. Sun protection remains important after the surface heals.

Compare other approaches.

Fractional resurfacing treats separated zones with skin between them.

Erbium YAG laser

A different ablative laser that can use fractional or full-field patterns. Compare the intended depth, heat effects and healing needs.

Explore Erbium YAG
Small channels made by fine needles.

Microneedling

Creates controlled punctures without laser resurfacing. It may suit selected scar or texture concerns.

Explore microneedling
Fine needle electrodes delivering RF heat.

MNRF

Adds radiofrequency heating through needles. Its benefits and risks need a separate assessment.

Explore MNRF
MORE JOURNEYS. INDIVIDUAL RESULTS.

Acne scar & resurfacing results

Original scar refinement and skin rejuvenation cases from Layers Clinics. Individual results vary.

Showing all 7 photographs

Individual results vary. These photographs show specific cases, not guaranteed outcomes. Original image quality, lighting and angles may differ. Your doctor can explain what may be possible for you.

BEFORE & AFTER

Patient photograph

Individual results vary. Photographs remain as provided by Layers.

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IN OUR PATIENTS’ WORDS

Related acne-care reviews

Related acne and acne-scar experiences at Layers. These excerpts do not identify Fractional CO₂ as the procedure received.

MEET THE PEOPLE BEHIND YOUR CARE

Meet our doctors

FAQs

Common questions

Ask us on WhatsApp
01What does fractional mean?

The laser treats many small zones while leaving skin between them. It does not mean the procedure is free from downtime or risk.

02Is Fractional CO₂ the same as laser toning?

No. CO₂ resurfacing removes tiny columns of tissue. Laser toning usually uses a pigment-targeting laser and a different treatment plan.

03Can it remove all acne scars?

No. The scar pattern matters, and deep or tethered scars can need additional techniques. Complete removal cannot be promised.

04How much time off should I plan?

Surface healing can take around one to two weeks, but the timeline varies and redness may remain longer. Ask about the intensity planned for your skin.

05Can darker skin tones have this laser?

Selected people may be suitable, but pigment-change risk needs particular care. Your clinician should discuss alternatives, preparation and the device settings.

06What if I have had cold sores?

Tell the clinician before treatment. Laser procedures can reactivate herpes, and preventive medicine may be recommended.

07When can I wear makeup again?

Wait until the surface has healed and your clinician says it is appropriate. Do not cover raw, crusted or irritated skin.

08Are the results immediate?

Early swelling can temporarily change the appearance of texture. Meaningful review comes after healing, with remodelling continuing over months.

BOOK A CONSULTATION

Plan for your skin.
And your recovery.

Ask about Fractional CO₂, alternatives and the care needed after treatment.

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Illustrative consultation about a skin-treatment and recovery plan.

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Patient story

Video from Layers Clinics on YouTube. Individual experiences and results vary.