The Acne Specialist Clinic has Australia’s largest selection of laser and light based methods to treat acne scarring. The CO2 laser forms an integral part in the management of moderate to severe scarring. This laser is more powerful than Erbium, Pearl and the Fraxel laser. CO2 laser is ideal for certain types of acne scarring, in suitable skin types. CO2 lasers used in dermatology for the treatment of scars and skin rejuvenation for over 20 years, and still remains an excellent modality if performed correctly.

The CO2 laser can be used in 3 main modes - full resurfacing, fractional resurfacing, and a combination of both. The mode we choose will depend on your scar type, skin type and downtime. The CO2 laser forms an integral part of our Synergy Method of acne scar revision- it is one of the main methods we employ to treat acne scars.

Important facts on CO2 RE Laser for acne scars

  • This laser is the ‘big gun’ of scar revision for acne
  • CO2 can deliver a huge improvement in acne scars
  • CO2 full resurfacing will also give the longest downtime
  • Carbon Dioxide laser is only suited for lighter skin types
  • Erbium laser is best suited for darker skin types and provides less downtime for the patient
  • We recommend different lasers for different skin and scar types to provide the absolute best results possible
  • We often combine Vascular lasers after CO2 lasers as part of our Synergy Program for acne scars
  • Specialist often combine both CO2 laser and fractional laser in the one treatment to deliver outstanding results in select patients

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Related before & afters

Case 11 - Rolling and atrophic scars on the temples

Diagnosis: Rolling and atrophic scars on the temples, dark skin acne scars
Treatment: Skin Needling. This procedure is outdated, fractional erbium and CO2 lasers provide much better results than skin needling. Laser treatments are safer, with fewer treatments needed. Skin needling is NOT FRACTIONAL RESURFACING.

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Case 3 - Rolling and atrophic scarring on darker skin type

Diagnosis: Rolling and atrophic scarring on darker skin type. This form of acne scarring is very difficult to treat, given skin type
Treatment: CO2 CORE Fractional laser in conservative settings, 4 treatments needed to achieve result given darker skin type. Darker skin patients WILL need more laser treatments as a safety margin is needed.

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Case 5 - Long standing acne scars in Caucasian Skin type

Diagnosis: Long standing acne scars in Caucasian Skin type. Rolling scars, atrophic scarring on the background of mild sundamage.
Treatment: Erbium micropeel, followed by Fractional Erbium Laser. 2 treatments, 8 weeks apart. This was done in 2008. Now I would use newer generation CO2 CORE laser + Erbium followed by Fraxel 1550. This combination will result in more superior scar reduction. Ideally followed by focal fillers.

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Case 7 - Rolling and atrophic acne scars on background skin type 4

Diagnosis: Rolling and atrophic acne scars on background skin type 4
Treatment: Fraxel laser, 5 treatments. Last photo shows results 1 month post laser. Once again in darker skin patients with acne scarring the treatment parameters MUST be conservative or post laser skin changes can occur. Acne scar revision in darker skin patients is best carried out with FRACTIONAL laser resurfacing - Fraxel or Erbium. In some cases I do use CO2 laser, but do not overlap. Dark skin patients can be treated with laser, but treatment is always conservative.

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