This treatment is best suited for individuals with moderate to severe atrophic acne scars, particularly boxcar and rolling scars. Patients with Fitzpatrick skin types I–IV generally see the most predictable outcomes. Those with active acne breakouts, certain skin infections, or very dark skin tones may need alternative or preparatory treatments first. A thorough consultation allows the dermatologist to assess scar type, depth, and skin tone to determine whether CO2 laser resurfacing is appropriate for you.

CO2 laser resurfacing delivers significant improvement in acne scar depth and skin texture through a single or limited number of sessions. The treatment stimulates collagen production that continues to improve skin quality for months after the procedure. Beyond scars, patients often notice improvements in skin tone, pore size, and overall skin radiance. The fractional delivery of laser energy allows targeted treatment while leaving surrounding skin intact, supporting faster healing.

Patients are advised to avoid sun exposure and discontinue retinoids, AHAs, and strong exfoliants for at least two weeks before the procedure. Antiviral medication may be prescribed as a precaution if you have a history of cold sores. The dermatologist may also recommend skin priming with depigmenting agents to reduce the risk of post-inflammatory hyperpigmentation, particularly for darker skin tones.

The skin is thoroughly cleansed and a topical or local anaesthetic is applied to ensure comfort. The CO2 laser handpiece is then moved systematically across the treatment area, delivering precise laser pulses. Patients may feel warmth or a mild prickling sensation. After the procedure, a soothing ointment is applied and aftercare instructions are provided. The entire session typically takes between 30 and 60 minutes depending on the area being treated.

The treated skin will appear red and may feel tender for several days. Mild swelling, crusting, and peeling are expected as the skin heals and regenerates. Gentle moisturising and strict daily sunscreen application are essential throughout recovery. Avoid picking at healing skin, and refrain from applying makeup or active skincare ingredients until the dermatologist confirms it is safe to do so.

CO2 laser resurfacing is a well-established procedure with a strong safety profile when performed by an experienced dermatologist. Temporary redness, swelling, and peeling are expected and resolve as healing progresses. Less common risks include temporary pigmentation changes, prolonged redness, or infection, which are significantly reduced with proper pre- and post-treatment care and appropriate patient selection.

The cost varies depending on the size of the treatment area, scar severity, and number of sessions recommended. During your consultation, Dr. Rajat Kandhari will evaluate your scars and provide a personalised treatment plan along with a detailed cost estimate.