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CO2 fractional laser resurfacing treatment in progress
Laser & Skin

CO2 Laser Resurfacing in Des Moines, WA

Comprehensive skin resurfacing for wrinkles, scarring, and sun damage using fractional CO2 and Erbium YAG lasers. Led by Therese Allen, ARNP, at Allen Medical Aesthetics.

Treatment Time
30-60 minutes
Downtime
5-10 days
Results In
2-3 months
Lasts
Years
Sessions
1-2
Best For
Deep wrinkles
Overview

What Is CO2 Laser Resurfacing?

CO2 laser resurfacing is a fractional laser treatment that removes damaged outer skin layers and stimulates deep collagen production beneath the surface. It is widely regarded as one of the most effective treatments available for deep wrinkles, acne scarring, and accumulated sun damage.

At Allen Medical Aesthetics in Des Moines, WA, we offer both fractional CO2 laser and Erbium YAG laser resurfacing. Having two laser platforms allows us to match the treatment intensity to your skin type, concern severity, and tolerance for downtime. Therese Allen, ARNP, leads all CO2 laser treatments and personally selects the appropriate device and settings for each patient.

If you have been searching for a CO2 laser near me and want a provider who takes a thorough, individualized approach, we encourage you to schedule a consultation so we can evaluate your skin in person.

Deep collagen remodeling Fractional CO2 laser penetrates below the skin surface to trigger new collagen and elastin production that continues for three to six months after treatment.
Dual-device flexibility We use both CO2 fractional and Erbium YAG lasers, allowing us to calibrate treatment depth and recovery time to your specific needs.
Significant single-session results A single CO2 laser treatment can produce results that would take multiple sessions of lighter resurfacing treatments to achieve.
Treats multiple concerns at once One treatment session addresses wrinkles, scarring, sun damage, uneven texture, and mild skin laxity simultaneously.
How It Works

How CO2 Laser Treatment Works

Fractional CO2 laser creates thousands of microscopic columns of thermal energy in the skin. Each column removes a narrow zone of damaged tissue while leaving the surrounding skin intact. This fractional approach triggers the body's wound-healing response and new collagen formation while preserving enough healthy tissue for faster recovery.

CO2 laser resurfacing is one of the most transformative treatments we offer. It is not something I recommend lightly. But for patients who are ready for real change in their skin texture, scarring, or sun damage, the results speak for themselves.
Therese Allen, ARNP, owner and lead provider at Allen Medical Aesthetics
Therese Allen, ARNP Owner and Lead Provider
01

Consultation and skin assessment

Therese Allen evaluates your skin type, concern severity, and medical history. She recommends either CO2 fractional laser for more aggressive resurfacing or Erbium YAG for a gentler approach with less downtime. You receive a detailed treatment plan, recovery expectations, and pre-treatment instructions.

02

Pre-treatment preparation

In the weeks before your treatment, you stop retinoids and limit sun exposure. If you have a history of cold sores, we prescribe antiviral medication to prevent a flare-up during healing.

03

Treatment day

We apply a topical anesthetic or administer nerve blocks for comfort. The CO2 laser treatment takes 30 to 90 minutes depending on the area being treated and the depth of resurfacing. You will feel heat and pressure during the procedure.

04

Healing and collagen remodeling

Your skin goes through a structured healing process over the following days and weeks. New, healthy skin replaces the treated tissue, and collagen continues to remodel beneath the surface for three to six months.

Ready to see if co2 laser resurfacing is right for you?

Complimentary consultations available. No pressure, no obligation.

Woman with refined, smooth skin showing renewed vitality
Conditions Treated

Conditions Treated and Ideal Candidates

CO2 laser skin resurfacing is best suited for patients with moderate to severe skin concerns who are ready for a treatment with real downtime and real results. During your consultation, we assess your skin type, health history, and goals to determine whether CO2 fractional laser or Erbium YAG is the right fit.

  • Deep wrinkles and creases
  • Fine lines around the eyes and mouth
  • Acne scars (ice pick, boxcar, and rolling)
  • Sun damage and age spots
  • Uneven skin texture and rough skin
  • Mild to moderate skin laxity
  • Surgical or traumatic scars
Ideal For

Is This Treatment Right for You?

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  • Patients with moderate to severe skin concerns who can commit to 7 to 14 days of recovery
  • Those who want significant improvement in fewer sessions rather than gradual results over many treatments
  • Lighter skin types (Fitzpatrick I through III) typically respond best with the lowest risk of complications
  • Darker skin types require careful evaluation due to higher risk of post-inflammatory hyperpigmentation
  • Not recommended for patients with active acne, active skin infections, or those who have taken isotretinoin within the last six months
What to Expect

What to Expect: Recovery and Results

We believe in being completely transparent about CO2 laser recovery. This is not a lunchtime treatment. It requires real downtime, and patients who understand that upfront are the most satisfied with their results.

For fractional CO2 laser, expect 7 to 14 days before your skin looks presentable without concealer. Erbium YAG recovery is shorter, typically 3 to 7 days. In both cases, results continue to improve for three to six months as new collagen forms beneath the surface.

You must avoid direct sun exposure for several weeks after treatment and commit to daily sunscreen use. The new skin that emerges is healthier and smoother, but it is also more vulnerable to UV damage during the healing period.

Days 1 to 3

Significant redness, swelling, and a warm or stinging sensation. The skin may weep or ooze as part of the normal healing process. Cold compresses and prescribed ointments help manage discomfort.

Days 3 to 7

Swelling begins to subside. Skin crusts and peels as damaged tissue separates. Do not pick or pull at peeling skin. Keep the area moisturized according to your post-care instructions.

Days 7 to 14

New pink skin emerges underneath. Most patients feel comfortable returning to work and social activities with mineral makeup to conceal residual redness. Erbium YAG patients typically reach this stage by day 5 to 7.

Weeks 2 to 12

Redness gradually fades from pink to your natural skin tone. This timeline varies by patient and treatment depth. Sun protection is essential during this period.

Months 3 to 6

Collagen continues to remodel beneath the surface. Many patients notice ongoing improvements in firmness, texture, and scar appearance well after the surface has fully healed.

FAQ

Common Questions About CO2 Laser Resurfacing

What is CO2 laser recovery like?

Expect 7 to 14 days of downtime with fractional CO2 laser. Your skin will be red, swollen, and may weep or ooze for the first few days. Crusting and peeling follow as damaged skin separates. New skin emerges within one to two weeks, and residual redness fades gradually over one to three months. Erbium YAG recovery is shorter at 3 to 7 days with less intense redness and swelling.

What is the difference between CO2 laser and Erbium YAG?

CO2 laser penetrates deeper into the skin and produces more dramatic results, but it requires longer recovery (7 to 14 days). Erbium YAG is a gentler laser with shallower penetration and shorter downtime (3 to 7 days). CO2 is typically recommended for deeper wrinkles and more severe scarring, while Erbium YAG works well for patients who want improvement without extended recovery. Your provider will recommend the right option based on your skin concerns and lifestyle.

How much does CO2 laser resurfacing cost?

The cost of CO2 laser treatment varies based on the area being treated, the depth of resurfacing, and whether we use CO2 or Erbium YAG laser. We provide a detailed quote during your consultation after assessing your skin in person. Financing options are available to help make treatment accessible.

How many CO2 laser treatments do I need?

Many patients see significant improvement after a single fractional CO2 laser treatment. Some concerns, particularly deep acne scarring, may benefit from a second session 6 to 12 months later. Lighter maintenance treatments can be performed annually to preserve results and address new signs of aging.

Who is a good candidate for CO2 laser resurfacing?

Good candidates have moderate to severe wrinkles, acne scars, sun damage, or textural concerns and can commit to the recovery period. Lighter skin types (Fitzpatrick I through III) typically respond best with the lowest risk of side effects. Darker skin types require careful evaluation due to higher risk of post-inflammatory hyperpigmentation. Patients with active acne, active infections, or recent isotretinoin use within six months are not candidates. An in-person consultation is the only way to determine candidacy.

How long is the recovery from CO2 laser resurfacing?

Full recovery takes 7 to 14 days for most patients. The first 3 to 5 days involve the most visible healing, with redness, swelling, and peeling. By day 7 to 10, most patients can wear mineral makeup and return to social activities. Redness may persist for several weeks to months, gradually fading. Your provider will give you a detailed day-by-day recovery guide and aftercare products to support healing.

Am I a good candidate for CO2 laser if I have darker skin?

Darker skin types (Fitzpatrick IV through VI) carry a higher risk of post-inflammatory hyperpigmentation with CO2 laser resurfacing. Your provider will carefully evaluate your skin type, medical history, and goals to determine if CO2 laser is appropriate or if an alternative treatment like RF microneedling or a series of chemical peels would deliver better results with less risk. An in-person consultation is essential for this assessment.

How does CO2 laser compare to Fraxel for skin resurfacing?

Both are fractional laser treatments, but CO2 lasers are ablative (removing a layer of skin) while Fraxel is typically non-ablative (heating tissue without removing it). CO2 laser produces more dramatic results in fewer sessions but requires longer recovery. Non-ablative lasers have less downtime but may need more treatments. Allen Medical Aesthetics also offers Erbium YAG laser, which provides a middle ground with effective resurfacing and shorter recovery than traditional CO2.

Get Started

Find Out if CO2 Laser Resurfacing Is Right for You

Schedule a consultation at Allen Medical Aesthetics in Des Moines, WA. Therese Allen, ARNP, will evaluate your skin, recommend the right laser for your concerns, and walk you through exactly what to expect. We serve patients from Des Moines, Federal Way, Kent, Burien, Seattle, and throughout South King County. Call (206) 414-9979 or book online.

6+ Years in Practice
18 Advanced Treatments
7 Expert Providers
4.9 Patient Rating
  • Board-certified providers
  • FDA-approved products only
  • Complimentary consultations
  • Transparent, honest pricing
  • Individualized treatment plans
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