Fraxel / CO2 Laser / Er:YAG Laser
Laser energy creates thousands of microscopic treatment zones in the skin, triggering the body's natural healing process to replace damaged tissue with fresh, healthy skin.
How it works
Fractional photothermolysis creates columns of thermal damage (microscopic treatment zones) surrounded by untreated tissue. The untreated zones accelerate healing of treated areas. Stimulates fibroblasts to produce new collagen and elastin, remodels scar tissue, and resurfaces the epidermis.
Reported benefits
- Deep wrinkle and fine line reduction
- Acne scar improvement
- Sun damage and age spot removal
- Skin texture and tone improvement
- Stretch mark reduction
- Tightening of lax skin
Regulatory status
Approved for: Aesthetic skin resurfacing, Scar treatment, Wrinkle reduction
Laser devices CE-marked as medical devices (Class IIb or III). Widely practiced across EU by dermatologists and aesthetic physicians. National regulations vary on who can operate lasers.
Approved for: Skin resurfacing, Wrinkle and scar treatment
Laser devices regulated by MHRA as medical devices. In England, laser and IPL devices for cosmetic use require operator licensing under the Health and Social Care Act. Scotland has separate regulations.
Approved for: Wrinkle reduction, Acne scar treatment, Skin resurfacing, Sun damage treatment
CO2 lasers for skin resurfacing FDA-cleared since mid-1990s. Fraxel (fractional) cleared 2003. Multiple devices FDA 510(k) cleared. Considered medical devices operated by licensed practitioners.
Practical details
Frequency: Single treatment or series of 3–5 sessions; touch-up annually
Results last: 7–14 days downtime (ablative); minimal downtime (non-ablative/fractional). Results develop over 3–6 months.
Contraindications:
- Active acne or skin infection
- Recent isotretinoin use (within 6–12 months)
- Darker skin tones (higher hyperpigmentation risk with ablative)
- Keloid or hypertrophic scarring history
- Pregnancy
- Autoimmune skin conditions (psoriasis, lupus)
Always consult a licensed medical professional before undergoing any treatment. This information is educational only and does not constitute medical advice.