Provider performing a laser treatment on a patient

Services

CO2 Laser Resurfacing

CO2 laser resurfacing is an advanced skin rejuvenation treatment that can improve wrinkles, acne scars, sun damage, uneven texture, and other visible signs of aging. 

At Potozkin + Ellis Dermatology in Danville, our dermatologists use fractional CO2 laser treatments with Fraxel Re:pair and the CO2RE CO2 laser to provide skin resurfacing for patients throughout Danville and the East Bay.

What is CO2 Laser Resurfacing?

CO2 laser treatment uses controlled laser energy to remove microscopic areas of damaged skin while stimulating new collagen formation below the surface. Fraxel Re:pair and CO2RE are fractional CO2 lasers that treat small columns of skin while leaving surrounding tissue untreated to support healing.

Because it provides deeper resurfacing than many non-ablative treatments, CO2 laser skin resurfacing may be recommended for patients with more advanced skin damage, wrinkles, or scarring.

co2 fraxel laser

Before and After CO2 Laser Resurfacing

Fraxel CO2 Before and After photos at Potozkin and Ellis Dermatology

How Does CO2 Laser Work?

Our CO2 devices deliver fractional CO2 laser energy into microscopic treatment zones. These controlled areas trigger the skin’s natural repair process while stimulating collagen remodeling below the surface. Meanwhile, surrounding untreated skin helps support the CO2 laser recovery process.

As healing progresses, patients may notice smoother texture, more even-looking skin, and improvement in wrinkles or scars.

Background texture

Who Is a Good Candidate for CO₂ Laser Resurfacing?

Good candidates for CO2 laser treatment commonly have moderate to more significant wrinkles, acne scars, sun damage, uneven texture, or other concerns that may benefit from deeper resurfacing. However, skin tone, pigmentation history, medical history, previous procedures, and CO2 laser downtime expectations all influence whether treatment is appropriate.

Because Potozkin + Ellis offers several laser and energy-based technologies, another option may be recommended when it better matches a patient’s skin and goals.

What Can CO2 Laser Resurfacing Treat?

CO2 laser resurfacing can address several concerns within a single treatment plan, including:

  • Fine lines and deeper wrinkles
  • Acne scars and certain surgical scars
  • Sun damage and uneven pigmentation
  • Rough or uneven skin texture
  • Enlarged pores
  • Crepey skin
  • Reduced skin firmness

Treatment settings are selected according to the concern, treatment area, skin type, and desired recovery.

What Areas Can Be Treated With CO2 Laser?

CO2 laser skin resurfacing is most commonly performed on the face and may be used around the mouth, eyes, and other areas with wrinkles, scars, or textural changes.

CO2 laser under the eyes may be considered for fine lines, crepey texture, and visible signs of aging in carefully selected patients. Depending on a patient’s skin and treatment goals, the neck, chest, or hands may also be considered.

Dr. Potozkin and Dr. Ellis inside their office.

Why Choose Potozkin + Ellis for CO2 Laser Resurfacing in Danville?

Potozkin + Ellis provides CO2 laser resurfacing, performed by board-certified dermatologists, for patients in Danville, Walnut Creek, San Ramon, Alamo, Blackhawk, and throughout the East Bay and greater San Francisco Bay Area. Our board-certified dermatologists have extensive experience with laser and aesthetic dermatology and can select from multiple technologies rather than using the same treatment for every patient.

This allows each DermDesigned treatment plan to consider skin type, concerns, CO2 laser recovery, downtime preferences, and desired results before recommending Fraxel Re:pair, CO2RE CO2 laser, Fraxel DUAL, RF microneedling, or another treatment.

Frequently Asked Questions About CO2 Laser Resurfacing

How much does CO2 laser resurfacing cost in Danville?

Pricing varies based on the area treated, treatment intensity, and whether one or multiple sessions are recommended. More extensive CO2 laser skin resurfacing generally requires a different treatment plan than a smaller or more targeted area. During a consultation in Danville, the team can provide individualized treatment recommendations and associated costs.

Does CO2 laser resurfacing work for acne scars?

Fractional CO2 laser treatment can improve certain acne scars by creating controlled treatment zones that stimulate collagen remodeling and smoother skin renewal. Results depend on the type, depth, and extent of scarring. Some patients may benefit from combining CO2 laser resurfacing with other acne scar treatments.

Is Fraxel Re:pair the same as CO2 laser resurfacing?

Fraxel Re:pair is a fractional CO2 laser used for skin resurfacing. Rather than treating the entire skin surface, it creates microscopic treatment columns surrounded by untreated tissue. This allows it to provide intense CO2 laser skin resurfacing while supporting the healing process

What is the difference between Fraxel Re:pair and Fraxel DUAL?

Fraxel is an ablative fractional CO2 laser generally used when deeper or more extensive resurfacing is needed for concerns such as more advanced wrinkles, texture changes, or acne scars. Fraxel DUAL is nonablative and is often chosen for concerns such as pigmentation, sun damage, and milder textural changes with less recovery time needed. The best option depends on the patient’s skin, goals, and acceptable downtime.

How much downtime should I expect after CO2 laser resurfacing?

CO2 laser downtime commonly includes redness, swelling, sensitivity, mild bleeding, and peeling during the week. Many patients experience significant surface healing within approximately one to two weeks, although redness can last longer. CO2 laser recovery varies based on treatment intensity, treatment area, and individual healing.

How many CO2 laser treatments will I need?

Many patients may achieve meaningful improvement following one comprehensive CO2 laser treatment. However, the number of sessions depends on the skin type, severity of wrinkles, scars, sun damage, or texture concerns, and the treatment settings. A dermatologist can determine whether one session or a staged approach is more appropriate.

When will I see results after CO2 laser resurfacing?

Initial improvement becomes visible as CO2 laser recovery progresses and the treated skin heals. However, results continue developing because collagen remodeling occurs gradually below the surface. Skin texture, firmness, scars, and wrinkles may continue to improve over the following several months.

Is CO2 laser resurfacing safe for darker or olive skin tones?

CO2 laser treatment requires careful evaluation because darker and olive skin tones can have a greater risk of pigmentation changes following aggressive resurfacing. Skin type, pigmentation history, and treatment settings should therefore be considered before proceeding. In some cases, another laser or energy-based treatment may be a better choice.

Should a dermatologist perform CO2 laser resurfacing?

CO2 laser resurfacing is a highly nuanced medical laser treatment, so physician expertise is particularly important when evaluating candidacy and selecting treatment settings. A dermatologist will carefully consider skin type, pigmentation risk, medical history, treatment depth, and CO2 laser recovery needs before recommending and performing treatment. This is one reason Potozkin + Ellis emphasizes dermatologist directed laser care.

Is CO2 laser better than RF microneedling for acne scars and skin texture?

Neither treatment is automatically better for every patient. Fractional CO2 laser resurfacing provides more extensive surface renewal, while RF microneedling delivers radiofrequency energy beneath the skin with less disruption to the surface. Scar type, skin tone, texture concerns, laxity, and downtime preferences help determine which approach may be more appropriate.

Can CO2 laser improve wrinkles around the mouth and eyes?

CO2 laser under eye treatment and resurfacing around the mouth can improve fine lines, deeper wrinkles, and crepey texture when a patient is an appropriate candidate. These delicate areas require careful treatment planning and appropriate laser settings. Results develop gradually as the skin heals and collagen remodeling continues.

How long do CO2 laser results last?

Improvements from CO2 laser skin resurfacing can be quite long lasting because treatment stimulates structural changes within the skin, including collagen remodeling. However, CO2 resurfacing does not stop the natural aging process or prevent future sun damage. Consistent sun protection and an appropriate skin care routine can help maintain results.

What Our Patients Have to Say

Doctors Ellis and Potozkin

Why Choose Potozkin + Ellis Dermatology

Patients from San Francisco, Lafayette, Walnut Creek, Orinda, Moraga, Alamo, and Blackhawk choose Potozkin + Ellis Dermatology for our unparalleled expertise and results.

We combine the science of dermatology with the artistry of aesthetics to deliver natural-looking enhancements that build confidence. With board-certified dermatologists performing all injections and a comprehensive range of laser technologies delivered by skilled providers, we provide both safety and excellence in a sophisticated yet approachable environment.

Unlike other practices, we complement our advanced treatments with physician-selected medical-grade skincare products and begin every aesthetic journey with our signature DermDesigned consultation. Whether you're seeking cosmetic enhancement or medical dermatology care, our commitment to natural-looking results and excellence ensures you'll receive the highest standard of care in the East Bay.

Visit Us In Danville

Experience world-class dermatology care right here in the East Bay.

Hours of Operation

Monday-Friday: 8:00 AM - 5:00 PM

Saturday: 9:00 AM - 1:00 PM

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925.838.4900