The carbon dioxide laser has been a popular surgeon’s tool over
the past several years, but its use has been limited due to the risk
of scarring and pigmentary changes resulting from the deep thermal
damage (or heat build-up) it produces in the skin.
The CO2 laser has eliminated this problem with the development
of a high-energy, short pulse waveform which can limit the thermal
impact to the outer layers of the skin.
When the skin is treated with the CO2 laser, a clean,
layer-by-layer vaporization of the skin occurs. The undesired
skin literally evaporates due to the high water content of the
epidermis. The laser is, therefore, best-suited for those skin
conditions which are superficial in nature, such as fine lines and
wrinkles, blotchiness (or dark and light patches), keratoses
(pre-cancers), scaling, and mild acne scarring. The skin in
these conditions is resurfaced or “rejuvenated” by the vaporizing
action of the laser.
The procedure is quick, bloodless, and does not require general
anesthesia. The initial healing process takes place over 1-2
weeks, leaving pink, smoother, “new”skin. The pink skin turns
normal in color over the next few months. Because the CO2
laser is so precise, the risk of scarring or other complications
(such as infection) is minimized. Also, it is typical for a
patient to return to his or her regular work or social activities
within 7 to 10 days following laser treatment with the use of
makeup.