What Is Fractional CO2 Laser Treatment?

For many decades now, laser technology has been used for skin resurfacing, skin tightening, and other such skin treatments. Among many laser technologies or treatments, CO2 laser or carbon dioxide laser treatment occupies an important place and is widely used due to its high water absorption capability. As our skin has high water content as well, it makes the CO2 laser safe, highly precise, and effective. 

Fractional CO2 Laser Treatment:

In fractional CO2 laser treatment, fractionated laser beams are used to treat challenging skin irregularities like signs of aging, scars and to resurface and rejuvenate the skin. When fractionated CO2 lasers are used on the target areas, they deeply penetrate the skin, causing ablation & micro thermal injuries in the main upper layers of the skin. These injuries then are speedingly and naturally healed by the unaffected surrounding skin by shedding dead skin, skin problems, and uncovering a clear, renewed layer of the skin. 



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Fractional CO2 Laser Treatment is Used For:

1. Skin Resurfacing:

Fractional CO2 laser is a non-surgical skin treatment that helps to treat skin issues like age spots, fine lines, wrinkles, scars, and many more by removing the damaged layer of the skin, boosting collagen production effectively to provide dramatic results.

2. Vaginal Rejuvenation:

This fractional CO2 laser treatment is a boon for women. Due to various reasons such as aging, pregnancy, hormonal changes, women undergo tremendous changes which affect them mentally as well physically in intimate ways and lead to issues like urinary incontinence, vaginal laxity, recurring infections etc. Fractional CO2 laser treatment, also known as ENERGI V fractional CO2 laser vaginal rejuvenation treatment, helps with these issues safely with effective results and helps women to lead a normal, unaffected daily life. 



Fractional CO2 laser treatment is good for the following issues -

For many decades now, laser technology has been used for skin resurfacing, skin tightening, and other such skin treatments. Among many laser technologies or treatments, CO2 laser or carbon dioxide laser treatment occupies an important place and is widely used due to its high water absorption capability. As our skin has high water content as well, it makes the CO2 laser safe, highly precise, and effective. 

  • Scars:
    Fractional CO2 laser treatment is an effective solution for acne scars, chickenpox, post-traumatic scars, post-operative/surgical scars, and post-burn scars.
  • Signs of Aging:
    Signs of aging like fine lines, wrinkles, age spots, skin laxity, crow’s feet, sagging skin, stretch marks can be treated with age-defying results by fractional CO2 laser treatment.  
  • Sun Damage:
    The root of most of the serious skin problems as well as signs of aging can be found in tremendous damage caused by the sun and its harmful UVA & UVB rays. Fractional CO2 laser treatment due to its flexibility and different modes of treatment is effective and safe for skin problems caused by sun damage.
  • Acne Pores:
    Acne is of various types and all of them are problematic, take a toll on skin, and cause serious damage as well as give birth to other skin issues like enlarged pores, excess sebum production, pigmentation etc. For such problems as acne, acne scars, enlarged pores, acne pores, skin tone, fractional CO2 laser treatment is the best solution.
  • Skin Growths:
    Fractional CO2 laser treatment is effective for skin growths like keloids, moles, and warts. It effectively removes the skin growths and rebuilds the skin from the bottom up with amazing results.
  • Vaginal Rejuvenation:
    Women have to face many uncomfortable issues in their everyday life like vaginal laxity, vaginal dryness, recurring infections, stress urinary incontinence, post-menopause changes, post-delivery changes in the vagina. Fractional CO2 laser treatment is the perfect non-surgical solution for such women’s health concerns.



ENERGI- CO2 uses the state-of-the-art, latest, most effective fractional CO2 laser system for skin resurfacing, skin tightening as well as vaginal rejuvenation treatments.

Benefits of ENERGI-CO2:

  • Non-Surgical Treatment: Less Pain, Less Discomfort
  • Low Downtime: Safe and Speedy Recovery
  • Faster Results
  • For All Skin Types (including IV & V)
  • Minimum Pulse Width: Lesser Thermal Necrosis and Charing
  • No PIH
  • No Scars
  • Effective and Versatile Modes: Faster, More Effective, and Precise Treatment for Small as well as Large Areas



  • If you want to treat the skin issues and vaginal issues listed above, you can opt for fractional CO2 laser treatment. However, if you have open wounds, infections, major breakouts, then you are not an ideal candidate for this treatment.
  • You need to be physically and mentally overall healthy. If you have serious medical conditions then you are not eligible to undergo this procedure.
  • It is mandatory to consult the doctor before undergoing this procedure. To know whether you’re an ideal candidate for fractional CO2 laser treatment, book consultation with Pinnacle Cosmetic Clinic.




During the consultation, your doctor will provide you with all the necessary information as well as specific instructions as to how to prepare for the treatments, things to avoid, and other such suggestions.

  • Before undergoing fractional CO2 laser treatment, you will be asked to stop taking certain medicines like aspirin, vitamin E, ibuprofen as they can create unnecessary complications.
  • You will also be asked to stop using certain topical treatments like using products that contain retinoids etc.
  • Also, avoiding sun exposure before the treatment for at least 1-2 weeks is necessary.

Along with these suggestions, the doctor will provide you specific suggestions according to your requirements and needs.



As a treatment for skin problems:

  • As the first step of the treatment, topical anesthesia will be applied to the area of the treatment to numb it. In some cases, to increase the patient’s comfort, sedatives like nerve blocks may be used.
  • The fractional CO2 laser treatment itself takes around 15-30 minutes to finish depending on the problem and size of the area of treatment.
  • In the procedure, ENERGI-CO2 uses laser beams and with its Ultra Pulse mode, it delivers laser beams at a short duration width of 100 microseconds to the targeted area of treatment.
  • These laser beams are then continuously delivered to the targeted area to damage and remove the main, outermost damaged/ problematic layers of the skin.
  • Once these laser beams are absorbed by skin water, the dead skin layer is effectively removed and generated heat then can lead to renewed skin formation and speedy regeneration of collagen production.

As a vaginal rejuvenation treatment:

  • In the ENERGI V fractional CO2 laser vaginal rejuvenation treatment, the functionality of the entire vaginal area is improved, that is, submucosal neocollagenesis, new fibroblasts, and angiogenesis is promoted, the blood flow is normalized, lubrication is increased, immune resistance is improved, the strength and elasticity of vaginal walls are restored with optimal results and these results are achieved regardless the age of the patient and the condition.



  • Immediately after the procedure, the skin will be raw, itchy, and may sting for 12-24 hours.
  • Due to fractional CO2 laser technology, as it wounds and destroys the top layer of the skin, the skin will be raw and slightly red post-procedure for a few days; however, as the microthermal wounds are healed by surrounding healthy tissues and proteins, the recovery period will be short and will be of 3-10 days only.
  • Most patients depending upon the problem and area of treatment can resume their normal routine in 3-5 days only. However, it is advisable to take precautions like using sunscreen, avoiding sun exposure as much as possible, and other such specific instructions provided by the doctor.
  • The effects of this procedure are progressive and the final results of the procedure will be visible after 2-3 months.



Everyone’s skin and issues are different and have unique requirements. The treatment itself can be customized according to the patient’s unique needs and requirements, but generally, as per the clinical studies, most people can complete and achieve the optimal results in just 2-3 sessions. Of course, these treatments or sessions will be scheduled some time apart as per your doctor’s advice and your skin’s requirements.



There are minimum risks or side effects associated with this procedure and it is important to note that they are rare, will not occur in one patient, and with proper care can be avoided.

  • Redness
  • Swelling
  • Hyperpigmentation
  • Infection

If you have any queries and doubts regarding this treatment or any other treatments, then feel free to contact our doctors at Pinnacle Cosmetic Clinic where they will expertly guide you on the same.


Meet Your Surgeon

Dr. Shree Harsh is a board certified internationally trained Plastic Reconstructive and Aesthetic Surgeon. He has been trained in the prestigious and historical department of Plastic and Maxillofacial Surgery at G.M.C.Nagpur from where he completed his M.Ch. in Plastic and Reconstructive Surgery. He cleared his D.N.B. in Plastic Surgery from the National Board of Examination, New Delhi. He was awarded the prestigious DAFPRS fellowship by the Dutch Association of Facial Plastic and Reconstructive Surgery. He has been trained by Dr.Patrick L Tonnard and Dr.Alexis Verpaele at the MACS lift centre- Coupure Centrum in Ghent, Belgium in both Surgical and non Surgical Aesthetic Surgery procedures during his fellowship period. He is trained in oncoplastic breast reconstruction by DIEAP flap under Dr. Peter Vermeulen at OLV hospital at Alst, Belgium.
Dr. Ruchita Singh is an Obstetrician and Gynecologist practicing the specialty for over 10 years. She graduated from the prestigious K.G.M.U. Lucknow with honors in the field of Obstetrics and Gynecology. She pursued her post graduation in Obstetrics and Gynecology from M.L.N. Medical College, Allahabad. She has worked in Government Medical College and Hospital, Nagpur, which is one of the busiest departments of Obstetrics and Gynecology in the state of Maharashtra. She is a soft-spoken hard working clinician who works on the concept of “patient’s first”. She brings with herself, a rich experience in the field of Obstetrics and Gynecology.