What Are Laser Resurfacing and CO2 Laser Treatments
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17 min read
Updated On
Dec 16, 2025

What Are Laser Resurfacing and CO2 Laser Treatments

Heart aesthetics hobart team

Written by

Heart Aesthetics Hobart Team

Georgie Kurzyp, BSN, RN

Medically reviewed by

Georgie Kurzyp, BSN, RN

Skin that feels coarse, uneven or marked by sun exposure does not always respond to surface treatments alone. For some people, deeper renewal is considered. Laser resurfacing is one of the options that aims to target these concerns by encouraging the skin to repair itself from within.

One of the best known forms of laser resurfacing is CO₂ laser therapy. Unlike milder resurfacing tools, CO₂ lasers reach deeper layers of the skin and trigger a strong healing response. Because of this, they are often reserved for people with more marked texture change or scarring and are usually provided in specialist settings.

This article explains how laser resurfacing works, how CO₂ lasers differ from other systems and what people in Hobart often think about before seeking advice. Heart Aesthetics Hobart does not offer laser resurfacing or CO₂ laser treatments, but many people raise questions about them during consultations, so this article has been written to provide balanced, general information you can review before speaking with a suitably qualified practitioner.

Laser skin resurfacing photograph from a Hobart clinic on facial texture care.
Laser Skin Resurfacing Hobart | For people considering laser resurfacing options

Quick Answers About Laser Resurfacing

What does laser resurfacing do to the skin?
Laser resurfacing uses focused light energy to remove layers of damaged skin and to stimulate new collagen. In suitable cases this can support smoother texture, softer lines and a more even tone over time. Results and safety depend on the device used, the depth of treatment and the person’s skin type and medical history.

How long does it take to recover after CO₂ laser treatment?
Many people experience redness, swelling and peeling for about 7 to 14 days after a CO₂ laser resurfacing session. The skin then continues to remodel for several months as collagen forms and surface texture settles.

Can laser resurfacing help with deep wrinkles or scarring?
CO₂ laser resurfacing is often considered when there are deeper static lines, pronounced sun damage or older acne scars. It targets deeper layers of the skin and encourages repair from within, but not everyone is a candidate. Other options such as peels, microneedling or referral to a different service may be suggested instead.

How Laser Resurfacing Works Beneath The Surface

Laser resurfacing uses concentrated light energy to remove damaged skin cells in a controlled way and to stimulate deeper tissue repair. Rather than simply exfoliating the surface, these devices can be set to remove precise depths of tissue. As the treated skin heals, new cells and collagen gradually replace the old layers.

People often look at laser resurfacing when they notice fine lines, texture changes from old acne, sun related blotchiness or a general dullness that has not shifted with skincare alone. Because different lasers can be adjusted for depth and pattern, treatment can be planned to match the area, the concern and the person’s tolerance for recovery time.

Hobart consultation on skin needling and microneedling for texture review 
Book in for Micro Needling | Microneedling consultations for texture and scarring

Types Of Laser Resurfacing

Lasers are often grouped by how they affect the skin. The three broad families are ablative, non ablative and fractional systems.

Ablative lasers remove the outer skin layer and part of the underlying dermis by vaporising tissue. This triggers a strong healing response and can create clear change in deeper wrinkles, marked sun damage and more visible acne scarring. Because the surface barrier is disrupted, recovery tends to be longer and aftercare is more involved.

Non ablative lasers pass through the surface and heat the deeper dermis without removing the top layer. They aim to stimulate collagen and improve tone and texture with less disruption to the barrier, and people usually need a series of sessions.

Fractional lasers treat only a fraction of the skin at a time, leaving columns of intact tissue between treated zones. These tiny channels of energy allow faster healing while still prompting a repair response. Fractional settings can be used with both ablative and non ablative wavelengths.

What Makes CO₂ Laser Treatments Different

CO₂ lasers sit within the ablative group and are known for their precision. They emit light at a wavelength that is absorbed by water within skin cells. This allows the device to vaporise tissue in a controlled pattern, creating microscopic zones of injury that extend through the surface and into the dermis.

Because of this depth and intensity, CO₂ laser resurfacing is generally reserved for concerns such as deep static lines, coarse or weathered texture, widespread sun damage, stubborn acne scarring or stretched, thinned skin in high movement areas. In many cases treatment is performed by doctors with specific training, sometimes in hospital or day surgery environments.

CO₂ laser resurfacing can produce noticeable changes in suitable candidates, but it also carries higher risks and longer recovery compared with milder options. Careful counselling, realistic expectations and clear consent are essential parts of the planning process.

CO2 laser skin resurfacing education image from a Hobart cosmetic clinic.
CO2 Laser Skin Resurfacing Hobart | Information on deeper resurfacing for lines, scarring and sun related skin change

What Happens During And After A CO₂ Resurfacing Session

Although details differ between clinics, most CO₂ resurfacing sessions follow a similar structure. Before treatment, the skin is often prepared with topical products and sun protection for several weeks to support the barrier and reduce the chance of pigment shift or delayed healing.

On the treatment day, a topical anaesthetic cream is usually applied. Some services also use local anaesthetic injections, oral medicines or cooling devices, depending on the area and settings chosen. During the procedure, people commonly report warmth, brief stinging or a prickling feeling as the laser passes over the skin.

Immediately afterwards the skin usually looks very red and may ooze lightly. Protective creams or dressings are applied, and detailed aftercare instructions are provided before the person leaves. In the first few days, redness, swelling, weeping and a feeling of heat or tightness are common. As the surface dries, the skin begins to form a crust or peel. This layer should not be picked, scratched or rubbed away, because early removal can increase the risk of infection or scarring.

Over about one to two weeks, new skin gradually forms. It often appears pink or flushed and may feel tender. Sun protection is critical at this stage, especially in Australian conditions where ultraviolet levels are high for much of the year. People are usually advised to use broad spectrum sunscreen once the barrier has recovered and to wear hats and physical protection.

Moisturising, gentle cleansing and avoiding active skincare ingredients are often recommended until the treating clinic confirms that the skin is ready for a gradual return to normal routines. Visible improvements may appear within weeks, but collagen remodelling continues for months.

CO2 laser resurfacing session in a Hobart clinic for textured skin and scarring care.
CO2 Laser Resurfacing Hobart | How specialist services manage deeper wrinkles, sun damage and old scars

Safety, Risks And Suitability

All laser resurfacing, including CO₂ laser treatments, carries risk. In the early phase, redness, swelling, discomfort, peeling and temporary changes in skin colour are expected. Itching can occur as the skin heals.

Less common but more serious risks include infection, delayed healing, scarring, long term pigment change, flare of underlying skin conditions such as acne or rosacea and, rarely, eye injury if eye protection is not used correctly. People with darker skin types, a history of keloid scars, certain autoimmune or connective tissue conditions, blood thinning medicines or previous radiation treatment may have different risk profiles.

For this reason, laser resurfacing should only be performed after a thorough consultation with a suitably qualified practitioner who understands the person’s medical history, regular medicines and skin type. In many cases, a GP or dermatologist is involved in assessment or referral, particularly for higher strength CO₂ laser resurfacing.

Anyone who develops marked pain, spreading redness, pus, fever, new blisters or a feeling of being unwell after laser treatment should seek prompt medical review rather than waiting for a routine follow up.

Laser Resurfacing, Chemical Peels And Microneedling

When people search for “laser resurfacing Hobart” or “CO₂ laser resurfacing Hobart”, they are often also considering other treatments that target texture, lines or scarring. Three common approaches are laser resurfacing, chemical peels and microneedling.

Chemical peels use controlled application of acids to cause the outer layer of skin to shed. Light peels focus on brightness and tone with minimal downtime. Medium strength peels reach deeper and can help with pigment, early lines and texture. Deeper peels are used far less often and come with more downtime and risk.

Microneedling uses very fine needles to create thousands of micro channels in the skin. This controlled injury encourages collagen and elastin production and can gradually refine texture, reduce the look of pores and soften early lines or mild scars. Downtime is usually short, and people typically complete a series of sessions. Microneedling does not remove skin in the same way lasers do, so changes are more gradual.

Ablative laser resurfacing is usually chosen for more established wrinkles, heavy sun damage and older, pitted acne scars. The trade off is longer downtime, more intensive aftercare and a higher risk profile. No single approach is “best” in every situation. The most suitable choice depends on the type and depth of change in the skin, medical history, healing capacity, personal preferences and how much time a person can allow for recovery.

Laser resurfacing care in a Hobart clinic for sun-exposed and uneven facial skin.
Resurfacing Laser Treatment Hobart | laser-based options for skin texture, tone and sun related damage

Choosing Between Laser And Non Laser Options In Hobart

For people in Hobart, decisions about laser resurfacing often sit alongside questions about other pathways. Some may be referred to a specialist dermatology or plastic surgery service that offers CO₂ laser or other resurfacing systems. Others may decide that peels, microneedling, skincare or staged, lower intensity treatments fit better with their health and daily life.

Heart Aesthetics Hobart does not provide laser resurfacing or CO₂ laser treatments. Instead, consultations focus on understanding how facial ageing, sun exposure and past acne show in day to day life and on discussing non laser options that may support skin quality over time. Where appropriate, people can also be encouraged to seek medical advice about whether referral for laser resurfacing is suitable for them.

Skin resurfacing laser treatment image from a Hobart clinic for lines and tone.
Skin Resurfacing Lasers Hobart | treatments that aim to refine uneven surface texture over time

Frequently Asked Questions About Laser Resurfacing Hobart

Is laser resurfacing suitable for all skin types?
Not every skin type is suited to every laser. People with more pigment in their skin, a history of melasma or a tendency to develop dark or pale marks after minor injuries need especially careful assessment. In Hobart, practitioners also think about how fair or sun sensitive skin will cope with the recovery period and the need for strict sun protection in local conditions.

How soon will I see the effects of CO₂ laser resurfacing?
Early changes such as smoother texture or a more even surface may be noticed once redness and peeling settle. Deeper structural change, such as softer etched lines or improvement in old acne scarring, can take several months as collagen matures.

What should I do before laser resurfacing?
Before any laser resurfacing, people are usually advised to avoid tanning, use regular broad spectrum sunscreen, stop certain active skincare ingredients and sometimes start a preparation plan prescribed by the clinic or doctor. Cold sore prevention, medicine review and photo documentation are often part of this stage. Exact instructions vary, so it is important to follow the advice given by the treating service.

Are there risks involved with laser resurfacing?
Yes. Short term effects include redness, swelling, peeling and discomfort. Less common but more serious risks include infection, scarring, long lasting colour change and flare of underlying skin conditions. These risks should be explained in clear language before consent is given, and people should know when and how to seek help if recovery does not follow the expected path.

How many sessions might be needed for CO₂ laser resurfacing?
Some people have a single CO₂ laser resurfacing session planned at a stronger setting, while others have staged treatments over time at lower intensities. The number of sessions depends on the device used, the concerns being treated, how the skin responds and the person’s tolerance for downtime. This is usually outlined during consultation so people understand the likely course of treatment.

Who might be advised to avoid or delay laser resurfacing?
People may be advised to avoid or delay laser resurfacing if they are pregnant, have an active skin infection, have recently taken certain medicines, have a history of keloid scarring or have medical conditions that affect healing. Recent tanning, difficulty following aftercare instructions or limited ability to avoid sun exposure can also influence timing.

Laser resurfacing photo set from a Hobart clinic on facial texture and complexion.
Co2 Laser Resurfacing Hobart | How CO₂ resurfacing is used in practice

Laser Resurfacing Hobart

Many people searching for “laser resurfacing Hobart” or “CO₂ laser treatments Hobart” are weighing up how much change they want, how much downtime they can manage and which setting feels safest. Reading about laser resurfacing can be a helpful starting point, but it cannot replace an in person conversation that takes medical history, skin type and life circumstances into account. Whether someone ultimately chooses referral for laser resurfacing, a different clinic procedure or a skin health plan that does not involve devices, decisions are best made slowly, with clear information and space to ask questions.

 

 

References

Heart Aesthetics Hobart always ensures the use of credible, up-to-date references for all our content related to cosmetic treatments in Hobart. We rely on peer-reviewed studies and trusted medical sources to provide accurate information to our local community in Hobart, Tasmania.

Abu Oun AA, Ahmed NA, Hafiz HSA. (2022). Comparative study between fractional carbon dioxide laser versus retinoic acid chemical peel in the treatment of acanthosis nigricans. J Cosmet Dermatol, 21(3):1023-1030. doi: 10.1111/jocd.14224. PMID: 33998772.
https://doi.org/10.1111/jocd.14224

Agrawal K, Belgaumkar VA, Chavan RB, Pradhan SN. (2024). Evaluating the Pros and Cons of Fractional CO2 Laser Versus Microneedling in Atrophic Acne Scars in the Skin of Color: A Split Face Study. Indian Dermatol Online J, 15(6):942-948. doi: 10.4103/idoj.idoj_96_24. PMID: 39640445; PMCID: PMC11616935.
https://doi.org/10.4103/idoj.idoj_96_24

Alexiades-Armenakas MR, Dover JS, Arndt KA. (2008). The spectrum of laser skin resurfacing: nonablative, fractional, and ablative laser resurfacing. J Am Acad Dermatol, 58(5):719-37. doi: 10.1016/j.jaad.2008.01.003. PMID: 18423256.
https://doi.org/10.1016/j.jaad.2008.01.003

Alster TS, Hirsch RJ. (2003). Single-pass CO2 laser skin resurfacing of light and dark skin: extended experience with 52 patients. J Cosmet Laser Ther, 5(1):39-42. doi: 10.1080/14764170310000835. PMID: 12745598.
https://doi.org/10.1080/14764170310000835

Al-Atif H. (2022). Collagen Supplements for Aging and Wrinkles: A Paradigm Shift in the Fields of Dermatology and Cosmetics. Dermatol Pract Concept, 12(1):e2022018. doi: 10.5826/dpc.1201a18. PMID: 35223163; PMCID: PMC8824545.
https://doi.org/10.5826/dpc.1201a18

Apfelberg DB. (1997). Side Effects, Sequelae, and Complications of Carbon Dioxide Laser Resurfacing. Aesthetic Surg J, 17(6):365–372. doi: 10.1016/S1090-820X(97)80050-7.
https://doi.org/10.1016/S1090-820X(97)80050-7

Australasian College of Dermatologists. (2019). Skin structure and function – Australia.
https://www.dermcoll.edu.au/atoz/skin-structure-function/

Chan K, Singh P, Dhar S, Mutsago T, Elahi T, Mosahebi A. (2023). Botulinum A Toxin and Laser Therapy: Evidence and Recommendations for Combination Treatment. Aesthet Surg J, 43(10):NP811-NP814. doi: 10.1093/asj/sjad217. PMID: 37427871; PMCID: PMC10501743.
https://doi.org/10.1093/asj/sjad217

Fitzpatrick RE, Rostan EF, Marchell N. (2000). Collagen tightening induced by carbon dioxide laser versus erbium:YAG laser. Lasers Surg Med, 27(5):395-403. doi: 10.1002/1096-9101(2000)27:5<395::AID-LSM1000>3.0.CO;2-4. PMID: 11126433.
https://doi.org/10.1002/1096-9101(2000)27:5<395::AID-LSM1000>3.0.CO;2-4

Goldman MP, Alster TS, Weiss R. (2007). A randomized trial to determine the influence of laser therapy, monopolar radiofrequency treatment, and intense pulsed light therapy administered immediately after hyaluronic acid gel implantation. Dermatol Surg, 33(5):535-42. doi: 10.1111/j.1524-4725.2007.33111.x. PMID: 17451575.
https://doi.org/10.1111/j.1524-4725.2007.33111.x

Haykal D, Cartier H, Goldberg D, Gold M. (2024). Advancements in laser technologies for skin rejuvenation: A comprehensive review of efficacy and safety. J Cosmet Dermatol. doi: 10.1111/jocd.16514.
https://doi.org/10.1111/jocd.16514

Heidari Beigvand H, Razzaghi M, Rostami-Nejad M, Rezaei-Tavirani M, Safari S, Rezaei-Tavirani M, Mansouri V, Heidari MH. (2020). Assessment of Laser Effects on Skin Rejuvenation. J Lasers Med Sci, 11(2):212-219. doi: 10.34172/jlms.2020.35. PMID: 32273965; PMCID: PMC7118506.
https://doi.org/10.34172/jlms.2020.35

Issler-Fisher AC, Fisher OM, Haertsch PA, Li Z, Maitz PKM. (2020). Effectiveness and safety of ablative fractional CO2 laser for the treatment of burn scars: A case-control study. Burns. doi: 10.1016/j.burns.2020.10.002.
https://doi.org/10.1016/j.burns.2020.10.002

Liu F, Zhou Q, Tao M, Shu L, Cao Y. (2024). Efficacy and safety of CO2 fractional laser versus Er:YAG fractional laser in the treatment of atrophic acne scar: A meta-analysis and systematic review. J Cosmet Dermatol, 23(9):2768-2778. doi: 10.1111/jocd.16348. PMID: 38733085.
https://doi.org/10.1111/jocd.16348

Meghe S, Saoji V, Madke B, Singh A. (2024). Efficacy of Microneedling and CO2 Laser for Acne Scar Remodelling: A Comprehensive Review. Cureus, 16(2):e55092. doi: 10.7759/cureus.55092. PMID: 38558661; PMCID: PMC10978375.
https://doi.org/10.7759/cureus.55092

Meghe SR, Khan A, Jangid SD, Sarda B, Vangala N, Saoji V. (2024). Shedding Light on Acne Scars: A Comprehensive Review of CO2 vs. Er:YAG Laser Therapy. Cureus, 16(4):e57572. doi: 10.7759/cureus.57572. PMID: 38707019; PMCID: PMC11069036.
https://doi.org/10.7759/cureus.57572

Mirza HN, Mirza FN, Khatri KA. (2021). Outcomes and adverse effects of ablative vs nonablative lasers for skin resurfacing: A systematic review of 1093 patients. Dermatol Ther, 34(1):e14432. doi: 10.1111/dth.14432. PMID: 33084193.
https://doi.org/10.1111/dth.14432

Naranjo P, Llamas M, Ifrach H, Andrino R. (2022). Visible and Quantifiable Improvement in Skin Roughness and Texture Using a High Power Non-ablative 1540-nm Fractional Erbium: Glass Laser. J Clin Aesthet Dermatol, 15(10):32–35.
https://jcadonline.com/skin-roughness-texture-glass-laser/

Olafsdottir B, Jebril W, Curman P, Bachar-Wikström E, Wikström JD. (2025). Long-term Satisfaction with CO2 Laser Treatment for Moderate to Major Rhinophyma: A Single-centre Study. Acta Derm Venereol, 105:adv41335. doi: 10.2340/actadv.v105.41335. PMID: 39749392; PMCID: PMC11697134.
https://doi.org/10.2340/actadv.v105.41335

Ramsdell WM. (2012). Fractional carbon dioxide laser resurfacing Australia. Semin Plast Surg, 26(3):125-30. doi: 10.1055/s-0032-1329414. PMID: 23904820; PMCID: PMC3580980.
https://doi.org/10.1055/s-0032-1329414

Ramsdell WM. (2012). Fractional CO2 Laser Resurfacing Complications. Semin Plast Surg, 26(3):137-40. doi: 10.1055/s-0032-1329415. PMID: 23904822; PMCID: PMC3580977.
https://doi.org/10.1055/s-0032-1329415

Sarkar R, Aurangabadkar S, Salim T, Das A, Shah S, Majid I, Singh M, Ravichandran G, Godse K, Arsiwala S, Arya L, Gokhale N, Sarma N, Torsekar RG, Sonthalia S, Somani VK. (2017). Lasers in Melasma: A Review with Consensus Recommendations by Indian Pigmentary Expert Group. Indian J Dermatol, 62(6):585-590. doi: 10.4103/ijd.IJD_488_17. PMID: 29263531; PMCID: PMC5724305.
https://doi.org/10.4103/ijd.IJD_488_17

StatPearls [Internet]. (2025). Verma N, Yumeen S, Raggio BS. Ablative Laser Resurfacing. Updated 2023 Apr 23. Treasure Island (FL): StatPearls Publishing.
https://www.ncbi.nlm.nih.gov/books/NBK557474/

Wang H, Guo B, Hui Q, Lin F, Tao K. (2020). CO2 lattice laser reverses skin aging caused by UVB. Aging (Albany NY), 12(8):7056-7065. doi: 10.18632/aging.103063. PMID: 32312940; PMCID: PMC7202480.
https://doi.org/10.18632/aging.103063

Ward PD, Baker SR. (2008). Long-term Results of Carbon Dioxide Laser Resurfacing of the Face. Arch Facial Plast Surg, 10(4):238-43. doi: 10.1001/archfaci.10.4.238.
https://doi.org/10.1001/archfaci.10.4.238

Wu X, Cen Q, Jin J, et al. (2025). An Effective and Safe Laser Treatment Strategy of Fractional Carbon Dioxide Laser for Chinese Populations with Periorbital Wrinkles: A Randomized Split-Face Trial. Dermatol Ther (Heidelb), 15:1307–1317. doi: 10.1007/s13555-025-01404-3.
https://doi.org/10.1007/s13555-025-01404-3

Zimbler MS, Holds JB, Kokoska MS, Glaser DA, Prendiville S, Hollenbeak CS, Thomas JR. (2001). Effect of botulinum toxin pretreatment on laser resurfacing results: a prospective, randomized, blinded trial. Arch Facial Plast Surg, 3(3):165-9. doi: 10.1001/archfaci.3.3.165. PMID: 11497500.
https://doi.org/10.1001/archfaci.3.3.165

Zhu J, Ji X, Li M, Chen XE, Liu J, Zhang JA, Luo D, Zhou BR. (2016). The Efficacy and Safety of Fractional CO₂ Laser Combined with Topical Type A Botulinum Toxin for Facial Rejuvenation: A Randomized Controlled Split-Face Study. Biomed Res Int, 2016:3853754. doi: 10.1155/2016/3853754. PMID: 26998485; PMCID: PMC4779842.
https://doi.org/10.1155/2016/3853754

Zouboulis CC, Ganceviciene R, Liakou AI, Theodoridis A, Elewa R, Makrantonaki E. (2019). Aesthetic aspects of skin aging, prevention, and local treatment. Clin Dermatol, 37(4):358-369. doi: 10.1016/j.clindermatol.2019.04.002.
https://doi.org/10.1016/j.clindermatol.2019.04.002

Last reviewed: December 2025
Next scheduled update: August 2026

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