Fractional Laser Resurfacing: What You Need to Know

If you have been researching skin resurfacing options, you have probably come across fractional laser. It is one of the most widely used laser treatments for concerns with skin texture, tone and the appearance of scarring. Here is an overview of how fractional CO2 laser works, who it may suit and what to expect.

What Is Fractional Laser?

Fractional laser is a type of laser resurfacing treatment. Rather than treating the entire surface of the skin at once, the laser delivers energy in a grid of tiny columns, leaving small areas of untreated skin in between. These untreated areas support the skin's natural healing process.

At Australian Skin Face Body, we offer fractional CO2 laser resurfacing with CO2 DOT Therapy. CO2 lasers work by vaporising microscopic columns of skin, which is designed to stimulate the skin's healing response and collagen production.

What Can Fractional CO2 Laser Be Used For?

Fractional CO2 laser may be used to address a range of skin concerns, including:

  • Uneven skin texture

  • Uneven skin tone and some types of pigmentation

  • The appearance of acne scarring

  • The appearance of other scars

  • Enlarged pores

  • Fine lines

  • Sun damage

Suitability depends on your skin type, skin concerns and medical history. A consultation is required to determine whether fractional laser treatment is right for you.

How Does Fractional CO2 Laser Work?

The laser creates thousands of microscopic treatment zones in the skin. As the skin repairs these zones, it produces new collagen and elastin, and the treated surface skin is gradually replaced. Because the surrounding skin is left untreated, healing may be faster than with fully ablative resurfacing, which treats the entire skin surface.

The depth and intensity of treatment can be adjusted to suit your skin concerns and how much recovery time you can allow for.

Why Is Fractional Laser Often Done in Winter?

Fractional CO2 laser is commonly performed in the cooler months. Treated skin is more sensitive to UV exposure during recovery, and lower UV levels and less time outdoors in winter can make sun protection easier to manage. Many patients choose to plan their laser resurfacing between autumn and early spring.

What to Expect During Fractional Laser Treatment

Before treatment, your clinician will assess your skin and discuss your goals, medical history and any medications or skincare products you use. You may be advised to stop certain products before your appointment.

On the day, a topical anaesthetic is usually applied to help with comfort. Treatment time depends on the size of the area being treated. Many patients describe a warm, prickling sensation during the procedure.

Fractional Laser Recovery and Downtime

Recovery varies depending on treatment depth and your individual skin. After treatment, you can expect:

  • Redness and swelling, similar to sunburn, for several days

  • A feeling of warmth or tightness in the skin

  • Fine crusting or flaking as the skin heals, usually within the first week

  • Pinkness that may last for several weeks

Your clinician will give you a recovery timeline based on your fractional CO2 laser treatment plan.

Potential Risks of Fractional Laser

As with any procedure, fractional laser carries risks. These may include:

  • Prolonged redness

  • Infection

  • Changes in skin pigmentation, including darkening or lightening of the skin

  • Acne or milia (small white bumps)

  • Cold sore flare-ups in people prone to them

  • Scarring, which is rare

People with darker skin types may have a higher risk of pigmentation changes. Your clinician will discuss the risks relevant to you during your consultation.

Fractional Laser Aftercare

Following aftercare instructions is an important part of recovery. General aftercare may include:

  • Keeping the skin clean and moisturised with recommended products

  • Avoiding picking or scratching flaking skin

  • Avoiding direct sun exposure and applying broad-spectrum sunscreen daily once advised

  • Avoiding makeup, active skincare ingredients, swimming and saunas until your clinician advises

  • Contacting the clinic if you notice signs of infection or anything unexpected

How Many Fractional Laser Sessions Will I Need?

The number of sessions depends on your skin concerns and treatment depth. Some patients have one treatment, while others may be recommended a series spaced several weeks apart. Changes in the skin develop gradually over the following months as collagen production continues. Your clinician will discuss a plan with you during your consultation.

Who May Not Be Suitable for Fractional Laser?

Fractional laser may not be suitable if you:

  • Are pregnant or breastfeeding

  • Have an active skin infection or open wounds in the treatment area

  • Have recently used certain medications, such as oral isotretinoin

  • Have a history of keloid scarring

  • Have recent sun exposure or a tan

Book a Fractional Laser Consultation in Geelong or Ballarat

The first step is a skin consultation with our team, who will assess your skin and discuss whether fractional laser is suitable for you. Learn more about fractional laser at ASFB, or contact us on 1300 502 732 to book a consultation at our Geelong or Ballarat clinics.

All procedures carry risks. Individual results vary. A consultation is required to determine whether a treatment is suitable for you.

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