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CO2 Laser

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Ultimate Face Renewal

CO2 Laser at Couture Plastic Surgery

When it comes to erasing deep-set wrinkles, correcting severe sun damage, and smoothing out rough skin texture, traditional cosmetic facials and mild peeling agents often fall short. At Couture Plastic Surgery in Jacksonville Beach, we offer advanced CO2 Laser Skin Resurfacing—the gold standard in medical skin remodeling. This high-potency ablative treatment targets deep cellular damage, systematically shedding aged surface layers to pave the way for brand-new, beautifully vibrant tissue. Guided by our expert clinical team, this premier technology offers unmatched structural restoration for a completely transformed appearance.

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Procedure

Ablative laser skin resurfacing

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Downtime

Typically requires 7 to 14 days of dedicated social downtime depending on treatment depth

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Treatment Duration

Approximately 30 to 60 minutes

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Results

Noticeably smoother, clearer skin surfaces within 2 weeks; structural tightening continues to build for 6 months

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Foundational Dermal Remodeling

What is CO2 Laser Resurfacing?

Carbon Dioxide (CO2) laser resurfacing is an intensive, ablative treatment designed to completely remodel heavily damaged skin structures. Unlike superficial lasers that only work on the outer surface, a CO2 laser uses targeted light energy that is highly absorbed by the water content inside your skin cells. As the laser passes over the target zones, it precisely vaporizes damaged skin cells layer by layer. This targeted removal clears away years of accumulated damage while heating the underlying dermis, which immediately contracts old collagen fibers and stimulates a powerful wave of brand-new, healthy cellular growth.

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Comfort and Accuracy

What is the CO2 laser procedure like?

Because CO2 laser resurfacing is a highly effective, deeply penetrating medical procedure, ensuring your comfort is our top priority. Before your session begins at our Jacksonville Beach clinic, we apply a high-potency topical numbing cream to the treatment areas for up to an hour. For comprehensive or deeper ablation plans, localized nerve blocks or light conscious sedation may be used to ensure you remain relaxed and entirely comfortable throughout.

During the treatment, your medical provider will precisely guide the laser scanner across your skin. This complete coverage makes it incredibly powerful for flattening severe lines and smoothing deep textural changes across a wide area. Most patients describe a sensation of deep, localized warmth or snapping pricks during the process. Once the treatment is complete, your skin is immediately coated in a thick, protective healing ointment.

Post-treatment Facial Care Guidance

Instructions for CO2 Laser, spot treatment or partial face, with Local Anesthesia:

CO2 (carbon dioxide) laser skin resurfacing treatments are more aggressive cosmetic procedures that utilize laser light beam technology for the reduction or elimination of deep, pronounced lines and wrinkles. The strength of a CO2 laser treatment’s design allows for a layer-by-layer removal of problematic tissue located in deeper skin regions. If administered in a skin resurfacing treatment, the CO2 laser can effectively correct uneven pigmentation, sun damage, precancerous spots, and benign lesions embedded in deeper areas of tissue. The CO2 laser treatment is a more aggressive approach to skin resurfacing than an Erbium or Fractionated laser treatment. Although downtime after the treatment is more extensive, the results are generally more dramatic with a CO2 laser.

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Spot Treatment or Partial Face

Local Anesthesia

Wash lasered areas with 4-6 times daily

  • Wet gauze/washcloth with water and Cetaphil and scrub to remove all of Aquaphor from previous washes and any skin scabbing/crusting.
  • Pat dry lasered areas.
  • Apply Aquaphor to lasered areas after each washing.
  • Skin will be red for 7-14 days and pink for about 6-8 months.
  • After 14 days: continue washing twice daily with frequent application of Cetaphil Moisturizer throughout the day to prevent dryness. Always use sun protection with at least SPF 30 on top of moisturizer.
  • Do not wear make-up for 10-14 days or until skin is pink/smooth and does not have any crusting.

Full Face Resurfacing Preparation and Recovery Guidance

Instructions for FULL FACE CO2 Laser, with General Anesthesia:

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Surgery Morning

General Anesthesia

  • Start Valtrex day before and may take morning of surgery.
  • Thick re-application of Aquaphor night of surgery.
  • Start facial care the next morning
  • Start antibiotics at dinnertime after surgery. If too nauseated, may start day after surgery.
  • Minimize swelling by icing (every hour for 15 minutes) and sleep with head elevated 450 for 3-5 days.
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First 2 Weeks

Facial Care - Keep Skin Moisturized

Every 2 hours:

  • Wash with Cetaphil (Removing all of Aquaphor)
  • Wet gauze and gently scrub any yellow/white skin crusting
  • Pat Dry
  • Apply Aquaphor (be sure to apply with tongue blades as, dipping fingers into tub can introduce bacteria. May re-apply if it dries/melts off)
  • Some areas may bleed (just apply slight pressure) scrub around it and prevent scabbing by keeping moist with Aquaphor.
  • Be extra cautious to prevent Aquaphor from dripping into your eye.
  • Take pain medication 30 minutes - 1 hour prior to facial care.
  • Expect to be RED, BURNING, SWOLLEN, ITCHY, GREASY, IRRITABLE, TIRED, AGGRAVATED, and GROGGY.
  • Do not wear contacts for 1-2 weeks.
  • DO NOT SCRATCH LASERED AREAS-may wear gloves/socks at night.
  • No exercise or heavy lifting for 2 weeks.
  • Do not apply make-up, moisturizers, or other skin care products for at least 2 weeks or until released by Dr. Trimas.
  • Avoid any sun exposure: wear hat/sunglasses/sunscreen when necessary.
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Next 6 Months

Long-Term Care

  • Skin will be a bright pink and progressively lighten over time to become your natural undamaged skin color.
  • Continue Facial Care: (Start when skin is pink and no residual skin crusting)
  • Wash with Cetaphil morning and night
  • Pat Dry
  • Apply Cetaphil moisturizer with SPF 30 throughout the day to moisten and protect skin
  • May apply makeup and wear contacts.
  • NO SMOKING for at least 30 days (interferes with/prolongs healing).
  • May resume OBAGI or SkinMedica skin care system when Dr. Trimas releases you.
  • No facial waxing for at least 30 days
  • Protect your new skin from sun exposure by wearing a hat, sunglasses, and sunscreen (at least SPF30) when outdoors.

*Post CO2 Laser may be very frustrating, just be patient. The end results greatly outweigh the frustration. Expect a new you, new skin, and a new attitude.

Significant Correction for Deep Concerns

What conditions does the CO2 laser address?

This transformative clinical treatment is configured to combat advanced signs of aging and structural skin imperfections:

Deep-Set Wrinkles and Furrows: Smooths stubborn static creases around the mouth, eyes, and forehead that persist even when your face is completely at rest.

Severe Photo-Aging: Vaporizes mottled hyperpigmentation, advanced sun spots, and rough actinic patches caused by chronic UV exposure.

Aged Skin Laxity: Contracts loose, thin skin on the lower face and beneath the eyes to restore foundational firmness.

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The Total Resurfacing Advantage

What are the benefits of CO2 Laser Resurfacing?

Choosing a medical-grade CO2 laser treatment at Couture Plastic Surgery provides dramatic, long-lasting aesthetic changes:

Unrivaled Corrective Power: For advanced aging, no non-ablative laser can match the comprehensive clearance and texturing smoothing achieved by a CO2 laser.

Simultaneous Tightening and Clearing: The CO2 laser simultaneously removes surface dark spots while delivering thermal energy deep within to shrink and lift lax tissue.

Dramatic Results in Fewer Visits: While milder treatments require a series of recurring appointments, a CO2 laser delivers dramatic results in a single session.

Permanent Clearance of Damaged Cells: Damaged, sun-altered surface cells are fully vaporized, leaving a clean slate for fresh, healthy skin cells to emerge.

Facial treatment with a handheld device.
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Patient Selection and Guidelines

Am I a candidate for CO2 Laser Resurfacing?

The ideal candidate for comprehensive CO2 laser resurfacing is an individual with light-to-medium skin tones (typically Fitzpatrick scales I–III) who wishes to address prominent lines, heavy sun damage, or rough textures and can accommodate the necessary post-treatment healing time. Because this laser creates uniform surface ablation and significant thermal changes, individuals with naturally dark skin tones are generally not ideal candidates for deep ablative settings, as their skin carries an elevated risk of post-inflammatory hyperpigmentation.

Safety Reminder: If you have an active history of cold sores or viral outbreaks around the mouth, please inform our clinical team so we can provide a preventative antiviral medication prior to your session.

Get in Touch

We look forward to meeting you.

Thank you for visiting our site. Call (904) 249-2580 to schedule your complimentary consultation or contact us at info@facesonly.com for more information.

We offer two convenient locations in Jacksonville Beach and Amelia Island. Financing is also available through CareCredit, making it easier to move forward with the care you want.

Interested in our services? We’re here to help!

We want to know your exact needs so we can provide the perfect solution. Look and feel better today!

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Nurturing Your Fresh Skin

CO2 Laser Recovery

Recovering from an ablative CO2 laser procedure requires meticulous home care to support your skin's natural healing cycle. For the first 3 to 5 days, your face will feel significantly hot, swollen, and look like it has a severe sunburn. During this initial phase, your skin barrier is completely open, meaning you must keep it constantly covered in a thick layer of protective ointment (such as Aquaphor) to maintain a sterile, heavily hydrated environment.

Between days 5 and 10, your old skin will naturally begin to bronze, flake, and gently peel away. You must let this skin shed completely on its own—never scrub, pick, or peel the flaking tissue, as doing so can trigger scarring or uneven pigmentation. Most patients find that their fresh skin is healed and ready for light mineral makeup by day 10 to 14. Your skin will remain temporarily pink for a few weeks, making daily application of a broad-spectrum SPF 30+ sunscreen mandatory to protect your glowing, new complexion.

Unveiling a Radiant Complexion

CO2 Laser Results

Once the peeling cycle concludes around the two-week mark, you will be rewarded with a remarkably smooth, soft, and beautifully uniform skin texture. Surface sun spots, rough patches, and fine lines will be noticeably cleared, revealing a radiant, luminous glow.

Your final results will continue to mature beautifully over a multi-stage timeline. While the surface clearance is obvious right away, the internal thermal energy triggers a deep neocollagenesis cycle. This means your body will actively build fresh, tight collagen networks over the next 3 to 6 months. Your facial contours will continue to firm up and look more youthful over time. When paired with a professional medical-grade skincare routine and consistent sun protection, the powerful anti-aging benefits of a CO2 laser can last for several years.

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Clinical Mastery in Laser Technology

Why Choose Couture Plastic Surgery for CO2 Laser?

At Couture Plastic Surgery in Jacksonville Beach, we treat advanced laser resurfacing with the precision of a surgical art. Because the CO2 laser is a highly powerful, ablative medical instrument, an intimate knowledge of skin depths and tissue dynamics is required to perform this treatment safely. Our highly trained clinical team meticulously evaluates your skin thickness, sun-damage levels, and overall health to craft a completely customized treatment plan. This unparalleled level of medical expertise ensures you receive maximum anti-aging results while maintaining the highest possible standards for your safety and comfort.

CO2 Laser Frequently Asked Questions

With our clinical-strength topical anesthetics, specialized nerve blocks, and active cooling methods, the procedure itself is highly tolerable. Most patients describe a feeling of intense, hot pinpricks. Once the treatment concludes, your face will feel quite warm and sunburned for a few hours, which can be easily managed with cool compresses and ointment.

Because traditional ablative CO2 laser resurfacing is exceptionally thorough and covers the full treatment area, most patients achieve their ultimate aesthetic goals after just one single treatment. Touch-up treatments years down the line can help maintain your youthful results as your skin ages naturally.

The pink hue that appears after your skin finishes peeling is a completely normal and highly positive sign. It indicates that your body is rapidly sending fresh blood flow, oxygen, and structural building blocks to the surface to create new collagen networks. This pinkness will gradually blend back into your natural skin tone over the course of a few weeks.

Deep ablative CO2 lasers carry a higher risk of causing hyperpigmentation (dark marks) or hypopigmentation (loss of skin color) on deeper complexions (Fitzpatrick types IV–VI). If you have a darker skin tone, our expert team can recommend alternative, safer skin-remodeling options, such as tailored chemical peels, microneedling, or advanced non-ablative lasers.

You can safely apply mineral makeup once your skin has fully closed and finished its primary peeling phase, which typically takes between 10 and 14 days. Applying cosmetic products too early can disrupt the delicate healing process and introduce bacteria to the fragile skin barrier.