Fractional CO2
Advanced Laser Resurfacing for Firmer, Smoother, More Rejuvenated Skin
Fractional CO2 Skin Resurfacing with DOT Therapy
Fractional CO2 Skin Resurfacing with DOT™ Therapy is an advanced laser treatment designed to improve the overall quality, texture, and appearance of the skin.
As we age, the production of collagen and elastin—proteins that help keep skin firm, smooth, and resilient—naturally slows down. This can contribute to fine lines, wrinkles, uneven texture, sun damage, and laxity of the skin.
Fractional CO2 laser resurfacing uses controlled laser energy to create microscopic treatment columns within the skin. This stimulates the body's natural healing response and encourages the production of new collagen and elastin, helping reveal smoother, firmer and more rejuvenated-looking skin over time.
How DOT Therapy Works
DOT™ stands for Dermal Optical Thermolysis. The technology delivers CO2 laser energy in a precise "dot" pattern, creating microscopic columns of controlled thermal injury while leaving surrounding skin intact.
This fractional approach allows the untreated tissue between the laser columns to help support the skin's natural healing process.
As the skin repairs itself, new collagen and elastin are produced, helping improve:
- Fine lines and wrinkles
- Skin texture
- Uneven skin tone
- Sun-damaged skin
- Acne scars and other types of scarring
- Enlarged pores
- Overall skin firmness and quality
What Does "Fractional" Mean?
Unlike fully ablative resurfacing, which treats the entire surface of the skin, fractional laser resurfacing treats only a portion—or fraction—of the treatment area at a time.
The laser creates microscopic columns of heat while leaving surrounding tissue intact. This approach is designed to stimulate significant skin remodeling while allowing the skin to heal between the treated areas.
Customized Treatment at Skin365
Every CO2 resurfacing treatment at Skin365 begins with an evaluation of your skin, concerns, and goals. Your provider will determine whether fractional CO2 resurfacing is appropriate for you and customize the treatment based on the area being treated and the results we are looking to achieve.
CO2 resurfacing may be performed on areas including:
- Face
- Neck
- Chest
- Other areas of the body, when appropriate
Treatment intensity can be adjusted based on your individual skin, treatment area, and desired results.
Preparing Your Skin
Preparation is an important part of the CO2 resurfacing process.
A pre-procedure appointment is required before treatment. Your provider will evaluate your skin and establish an appropriate skin-preparation regimen.
Skin preparation typically begins 4–6 weeks before treatment and is designed to help prepare the skin for the procedure and support the healing process.
Because CO2 resurfacing is an intensive laser treatment, proper preparation and aftercare are an important part of achieving a safe and successful treatment experience.
What to Expect
During treatment, the fractional CO2 laser delivers controlled pulses of energy to the skin in a precise pattern. Because treatment intensity can be customized, your provider will determine the appropriate settings for your skin and treatment goals.
After treatment, the skin will begin its natural healing and remodeling process. It is normal to experience redness, swelling, sensitivity, and peeling or flaking as the skin heals.
Downtime varies depending on treatment intensity and the area treated. Your provider will review what to expect during your consultation, including your individual aftercare instructions and timeline for returning to normal activities.
Your Results
Fractional CO2 resurfacing stimulates gradual skin remodeling rather than providing an instant change.
As new collagen and elastin are produced, the skin can become progressively smoother, firmer, and more even in appearance.
Results vary based on your skin, the treatment settings used, the condition being treated, and your individual healing response. Your provider will discuss realistic expectations and whether additional treatments may be appropriate for you.
Is Fractional CO2 Resurfacing Right for You?
CO2 resurfacing is not recommended for all skin types. Certain skin types and conditions may have a higher risk of pigmentation changes or other complications following laser resurfacing.
A consultation is required to determine whether you are an appropriate candidate.
Your provider will review your skin, medical history, current skincare products and treatments, and your goals before developing an individualized treatment plan.
Important Preparation & Candidacy Information
A pre-procedure appointment and 4–6 weeks of skin preparation are required before treatment.
Fractional CO2 resurfacing is not appropriate for every skin type or every patient. Treatment candidacy will be determined during your consultation.
Individual results may vary.