Dr. Robert Mirabile
         Dr. Vivian Hsu

CO2 Fractional Laser

What is CO2 Fractional Laser?

The CO2RE laser is the versatile Fractional CO2 system that has become the “laser of choice” for deep wrinkles or scars (including acne scars) of the skin. In the past, patients traded the excellent results that a CO2 laser provided in skin resurfacing for long recovery periods during which the skin remained quite red.

A new technology was introduced to “fractionate” the CO2 laser beam allowing uninjured islands of skin to remain after treatment. These islands provide much more rapid healing of skin in the treated areas. This wonderful technology provides all the benefits of treatment of deep skin scars and wrinkles without the prolonged recovery associated with traditional CO2 Lasers. The Fractional CO2 Laser is one of the best tools we have for deep skin resurfacing.


The goals of treatment with the Fractional CO2 Laser include the improvement of skin tone, color and texture. Treatment should eliminate fine wrinkles and greatly improve the appearance of deep wrinkles. The treatment can be performed under local anesthesia but the patient should have someone drive them home after the treatment is complete. The treatment for the entire face takes about one hour to complete. There is very little pain associated with the procedure or during the post treatment period. You will be provided with post treatment instructions.

You can expect your recovery to take five to seven days. Your skin will start to look quite improved by that time, and one can be comfortable going out in public. Only one treatment is usually necessary to achieve the goals of most of our patients.


How Do I know if CO2 Treatments are right for me?
People in their 30’s or older with skin damaged from the sun, age spots, fine lines, discoloration, rough skin and other skin imperfections are an ideal candidate. Anyone seeking younger, more youthful, smooth skin with minimal down-time would want this treatment.

What is the CO2RE procedure like?
You can expect some moderate discomfort during the treatment, but the anesthetic applied prior to the procedure typically makes any pain tolerable. For more aggressive treatments, Dr. Mirabile and Dr. Hsu may recommend a subcutaneous anesthetic or oral pain relievers/sedatives during the treatment session. Over-the-counter pain relievers may be taken and often help.

Is CO2RE safe?
Yes. Dr. Mirabile and Dr. Hsu will assess if your complete medical and skin history would pose any potential negative reactions prior to your treatment.

How long will the results last?
There are a number of variables that will determine how long you can expect the results to last, which include things such as your health, age and how you care for your skin after treatment. Staying out of the sun and wearing sunscreen on a regular basis is required.

Are CO2RE treatments covered by insurance?
Most insurance companies do not offer reimbursement for these procedures. Please consult with your insurance carrier for more details. We have Care Credit available to patients who want to use credit to pay for their services. Our office will help you apply.

To schedule your Fractional C02 laser treatment or a consultation, please call Best Impression Cosmetic Surgery and Medical Spa at 610-272-8821 or email us through our virtual consultation.

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