What Is CO2 Laser Skin Resurfacing?

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Time, sun exposure, and everyday life take a toll on your skin, leading to lines, wrinkles, and uneven texture. One of the most powerful options for rejuvenating your skin is CO2 laser resurfacing, which stimulates collagen production to smooth rough patches and reduce signs of aging. This advanced treatment is a powerful way to refresh your complexion, restore a youthful glow, and create firmer, more radiant skin.

What Is CO2 Laser Resurfacing & How Does It Work: A Deeper Look

Fractional CO2 laser resurfacing treats microscopic sections of the skin while leaving surrounding areas intact. This precision allows for more effective skin rejuvenation with a shorter recovery time than fully ablative lasers. The laser energy creates controlled micro-injuries that trigger the body’s natural healing response, promoting collagen production and the formation of fresh, healthy skin.

There are different types of CO2 laser resurfacing, including fully ablative and fractional treatments. Fully ablative lasers remove an entire layer of skin and are typically used for deeper wrinkles and significant sun damage. Fractional CO2 lasers, like I use in my practice, target small columns of skin, reducing downtime while still significantly improving tone and texture. With personalized treatment plans, we can tailor CO2 laser resurfacing to suit a variety of skin concerns and goals.

Learn more about whether CO2 laser skin resurfacing is right for you.

The Hidden Benefits: Beyond What You Expect

Many people seek CO2 laser resurfacing to minimize wrinkles and dark spots, but its benefits go beyond that.

  • Boosts skin tone and quality: This treatment enhances brightness and refines overall skin quality.
  • Prejuvenation: Younger patients in their 30s and 40s are turning to CO2 laser resurfacing as a preventive measure to maintain collagen levels and slow visible aging.
  • A subtle tightening effect: After healing, patients often report that their skin feels firmer and more resilient, even if their main goal was texture improvement.

By addressing multiple aspects of skin health, CO2 laser resurfacing provides both corrective and preventive benefits, making it an appealing option for a wide range of patients.

Many of our patients, including those in the below before and after images, combine laser skin resurfacing with a facelift, fat transfer, eyelid surgery (blepharoplasty), or a brow lift. However, these images showcase the skin quality improvements that laser skin resurfacing delivers.

Facelift / Reflection Lift Case 49 Before & After Right Oblique | Nashville, TN | Youthful Reflections
CO2 Laser Skin Resurfacing Before and After in Brentwood, Tennessee, by Dr. Michael A. Boggess
Facelift / Reflection Lift Case 24 Before & After Right Oblique | Nashville, TN | Youthful Reflections
CO2 Laser Skin Resurfacing Before and After in Brentwood, Tennessee, by Dr. Michael A. Boggess
Facelift / Reflection Lift Case 45 Before & After Right Oblique | Nashville, TN | Youthful Reflections
CO2 Laser Skin Resurfacing Before and After in Brentwood, Tennessee, by Dr. Michael A. Boggess
Facelift / Reflection Lift Case 59 Before & After Right Oblique | Nashville, TN | Youthful Reflections
CO2 Laser Skin Resurfacing Before and After in Brentwood, Tennessee, by Dr. Michael A. Boggess

What To Expect: The Experience, Not Just the Steps

Understanding what to expect during and after treatment can help you plan and feel more comfortable.

  • How it feels: Patients typically describe the sensation as warm with a mild tingling during the procedure. We apply a topical anesthetic, in addition to local anesthetic injections, to your skin beforehand to enhance comfort.
  • The first 48 hours: Immediately after treatment, the skin may feel tight, appear red, and swell. This is normal and part of the healing response.
  • Social downtime: Many assume they will need to avoid public appearances for weeks, but most patients find that with proper post-treatment care, they can resume many daily activities within 7 to 10 days.

Being prepared for the healing process helps set realistic expectations and ensures a smoother, more manageable recovery.

Recovery and Aftercare: Enhancing Your Results

CO2 laser resurfacing works by triggering collagen remodeling, and the results continue to improve for several months. To maximize your outcome, follow these guidelines for skin care after treatment:

  • Protect your skin from the sun: New skin is more sensitive to UV exposure, so wearing broad-spectrum sunscreen is essential for long-lasting improvements.
  • Practice a gentle, hydrating skincare routine: Medical-grade products with growth factors and peptides can speed healing and enhance long-term skin quality.
  • Keep your skin hydrated: Drinking plenty of water and applying soothing moisturizers can improve your recovery and help maintain your results.

Following these steps helps your skin heal properly and ensures you enjoy the best possible results from your treatment.

Learn more about what to expect during recovery.

Who Gets the Best Results? Customization and Ideal Candidates

CO2 laser resurfacing is highly customizable, making it an excellent option for many patients.

  • Those with moderate to severe wrinkles, sun damage, and acne scars tend to see the most dramatic improvements.
  • Patients with darker skin tones may require specialized settings or alternative treatments to minimize pigmentation risks.

Because every patient’s skin is unique, a consultation determines the best approach to achieving your desired results while ensuring the treatment is safe and effective for your skin type.

Take the Next Step

CO2 laser resurfacing is one of the most effective ways to rejuvenate your skin and restore a more youthful look. If you are considering this treatment, we can schedule a consultation to determine whether it is the right approach for your skin concerns and aesthetic goals. I invite you to call Youthful Reflections Facial Plastic Surgery Center at (615) 942-8016 or request a consultation using the online form.

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We understand you want your facial plastic surgery right away, but when it comes to your safety and appearance, patience pays off. Immediate appointments aren’t always available because Dr. Boggess:

  • Is highly accomplished, and his services are in demand.

  • Takes his time to ensure outstanding safety, care, and results.

  • Offers personalized techniques that aren’t available elsewhere.

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If you can’t see Dr. Boggess right away, learn why waiting for the best facial plastic surgeon is essential and how you can make the most of that time in blog post.

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