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GraysGrays Dermatology
Duration
Advised after consultation, depending on coverage (numbing time separate)
Recommended sessions
Typically intervals of 4-6 weeks or more — decided after checking recovery
Downtime
Relatively significant — duration of scabbing and erythema advised after consultation, depending on intensity and coverage

Dr. Kim Tae-hoon, Medical Director · Reviewed by our medical director

Board-certified dermatologist · review date to be posted

CO2 Fractional Laser is an invasive ablative laser with significant downtime. Results vary greatly depending on skin type and baseline condition, and excessive treatment can make the skin sensitive, so whether to proceed is decided after consultation. It is a treatment that makes scars less noticeable, not one that erases them.

01Overview

CO2 Fractional Laser An ablative fractional laser that addresses scars directly

CO2 Fractional Laser is an ablative fractional laser that delivers carbon dioxide (CO2) laser energy divided into microscopic dots.

Duration
Advised after consultation, depending on coverage (numbing time separate)
Recommended sessions
Typically intervals of 4-6 weeks or more — decided after checking recovery
Downtime
Relatively significant — duration of scabbing and erythema advised after consultation, depending on intensity and coverage
How long it lasts
Improvements are retained — builds over sessions (varies widely by individual)

How we approach it

The same device can be run very differently. This is how Grays approaches this treatment.

CO2 Fractional Laser is a treatment option that addresses scars directly. However, it is invasive and has significant downtime.

Results vary greatly depending on skin type and baseline condition, and excessive treatment can instead make the skin more sensitive. That is why we decide whether to proceed, and at what intensity, through consultation.

Dr. Kim Tae-hoon, Medical Director · Reviewed by our medical director

02What to expect

Changes over time

The principle is to create microscopic thermal channels in the skin while the normal skin between them aids recovery, inducing collagen regeneration in the dermis along with regeneration of scarred and pore areas.

01

Right after treatment

Redness, warmth, and swelling appear, and fine scabs begin to form.

02

A few days to 1 week

The phase in which scabs and flakes fall off and the surface recovers. Do not pick them off; regenerative care runs alongside.

03

Weeks 1-4

Redness may remain where scabs have fallen off. Sun protection is especially important to prevent hyperpigmentation.

04

Several months

As collagen regeneration continues, changes in scars and texture appear gradually. The degree varies widely by individual.

05

Progress check

After checking recovery, we decide whether to proceed with the next session, the interval, and any combination with other scar treatments.

Images are illustrative; actual course varies by individual.

03Device & Technology

Fractional CO2 (model name pending review) Device

Maker TBC (pending review) · MFDS (Korean FDA) approved (under verification)

Fractional delivery

The laser is delivered in microscopic dots so that the normal skin remaining between them aids recovery.

Intensity and density control

Intensity and density are set to match skin type and scar condition. Excessive settings can make the skin sensitive, so they are set after consultation.

Scar treatment combinations

Depending on scar type, it is sometimes used with other methods such as subcision and TCA cross as part of the Scar Combination Program.

05Before / After

Before & After

Clinical photos. Results vary with skin condition, age and treatment plan. Before-and-after photos are published with the patient's written consent, taken under identical conditions (lighting, angle) and never retouched. Results vary by individual.

06Aftercare

Recovery & care

  1. 01

    Same day

    Redness or warmth may occur. Do not rub; apply the ointment and moisturizer we recommend, and avoid saunas and alcohol.

  2. 02

    Scabs and flaking

    Do not pick off scabs. Letting them fall off naturally is important for preventing hyperpigmentation.

  3. 03

    Weeks 1-4

    Sun protection affects results. Apply SPF30 or higher daily and reapply every 2 hours when outdoors.

  4. 04

    Progress check

    The timing of the next session is adjusted based on recovery speed and response. If anything feels wrong during recovery, contact us right away.

07FAQ

Frequently asked questions

How does CO2 Fractional Laser work?

CO2 Fractional Laser is an ablative fractional laser that delivers carbon dioxide laser energy divided into microscopic dots. It creates microscopic thermal channels in the skin, and the normal skin remaining between them aids recovery so that collagen regeneration takes place. It is used to induce regeneration in scarred and pore areas.

Which scars or skin concerns is it used for?

It is mainly used for depressed acne scars, uneven skin surface, enlarged pores, and rough texture. Scars call for different approaches depending on their shape (boxcar, rolling, ice pick) and when they formed, so we check at consultation whether a scar is suited to CO2 Fractional Laser beforehand. Scars caused by tethering may need another method alongside, since laser alone is not enough.

Can anyone have it?

It is not suitable for everyone, so the decision is made after consultation. Results vary greatly depending on skin type and baseline condition, and excessive treatment on skin that is already sensitive or slow to recover can instead make it more sensitive. In such cases, we may recommend a plan that builds the skin's foundation with a less invasive approach beforehand.

How does it relate to the Scar Combination Program?

CO2 Fractional Laser is one of the components that can be included in the Scar Combination Program. The Scar Combination Program combines subcision, TCA cross, Legato II, erbium shouldering, and others according to scar type, and within it CO2 Fractional Laser is considered for refining surface irregularities and scar edges. Whether to use it on its own or in combination is decided based on the condition of your scars.

Is the treatment very painful?

The pain is moderate, and treatment proceeds after topical numbing cream to manage discomfort. How much you feel depends on the intensity and coverage and varies by individual. If you feel uncomfortable during treatment, please tell us right away.

How much downtime is there?

CO2 Fractional Laser is a treatment with relatively significant downtime. After treatment, redness and warmth appear along with fine scabs, and some redness may remain for a while even after the scabs fall off. The recovery period depends on intensity and coverage, so if you have an important event, let us know at consultation and we will adjust the timing and intensity together.

How many sessions do I need, and how far apart?

Multiple sessions are often needed depending on scar depth and skin response. The next session proceeds after the skin has sufficiently recovered, so intervals are typically 4-6 weeks or more, set after checking recovery. The total number of sessions is advised after consultation based on the condition of your scars.

When do results appear?

Collagen regeneration continues after the surface recovers, so change appears gradually over several weeks to months. The goal is to reduce scar depth and edges as sessions accumulate. The degree of improvement varies widely by individual depending on scar depth and skin condition.

What side effects are there?

Redness, swelling, and scabs occur after treatment, and hyperpigmentation may develop if the skin is exposed to UV during recovery. If the intensity is too high for your skin condition, the skin can instead become more sensitive, so intensity is set to match your skin type and baseline condition. Infection or worsening of scars may rarely occur, so please contact us right away if anything feels wrong during recovery.

Are there cases where treatment is difficult?

If there is infection or a wound in the treatment area, you have recently had strong UV exposure or tanned, take photosensitizing medication, or are pregnant, treatment is postponed or adjusted. If you are prone to keloids, or are taking or have recently taken oral acne medication (isotretinoin-type), be sure to tell us at your visit as well. If your skin has become sensitive, we may recommend stabilizing the skin's foundation beforehand.

How should I care for my skin after treatment?

Wash gently without rubbing, then apply the ointment and moisturizer we recommend generously. Do not pick off scabs; letting them fall off naturally reduces the risk of hyperpigmentation. During recovery, apply sunscreen of SPF30 or higher daily and reapply every 2 hours when outdoors.

How much does CO2 Fractional Laser cost, and how do I book?

The cost depends on the treatment coverage, intensity, and session plan, and is confirmed after consultation. Non-covered treatment fees can be found on the pricing page of our website. Booking is available via Naver Booking, our KakaoTalk channel, or phone (+82-51-710-1891), and consultations are also available via LINE; Grays Dermatology is located at L Tower 10F, 6 Jwadongsunhwan-ro, Haeundae-gu, Busan.

Fees

Pricing depends on coverage, intensity, and number of sessions, and is confirmed after consultation.

See the fee schedule →
References 5
  1. Approval: Fractional CO2 (model name pending review) · MFDS (Korean FDA) approved (under verification)
  2. Manufacturer: Maker TBC (pending review)
  3. Korea MFDS medical device registry — searchable by approval number
  4. Korean Dermatological Association — specialist credential lookup
  5. Reviewed by: Dr. Kim Tae-hoon, Medical Director

Cautions & contraindications

  • Active infection or open wounds in the treatment area
  • Recent strong UV exposure or tanning (increased risk of hyperpigmentation)
  • Photosensitive conditions or taking photosensitizing medication
  • Pregnancy (not recommended due to insufficient safety data)
  • If you are prone to keloids, be sure to tell us at your visit
  • Currently taking or recently took oral acne medication (isotretinoin-type)
  • If your skin barrier is damaged or your skin has become sensitive, tell us at your visit
Summary & comparison
TreatmentTarget layerMain changeDurationHow long it lastsDowntime
CO2 Fractional Laser ←An ablative fractional laser that addresses scars directlyAdvised after consultation, depending on coverage (numbing time separate)Improvements are retained — builds over sessions (varies widely by individual)Relatively significant — duration of scabbing and erythema advised after consultation, depending on intensity and coverage
Ultherapy PRIMEL4 SMASUltrasound lifting that reaches the SMAS layer40-60 minutes depending on areaTypically 6 months to 1 year (individual results vary)Immediate return to daily life; temporary swelling or tingling possible
Tune FaceL3 Fat layerRF lifting that tunes texture, firmness, and contour together30-50 minutesMaintained over several months (individual results vary)Immediate return to daily life
OligioMonopolar RF tightening with a lighter footprint30-50 minutesSeveral months to 1 year (individual results vary)Immediate return to daily life
Juvelook / Juvelook VolumeL2 DermisA regenerative booster that stimulates your own collagen20-30 minutesReported to last over a year after completing the course (individual results vary)Slight swelling or bruising possible for 1-3 days

Treatments used for the same concern, placed side by side. Which one fits is decided in consultation after the layer is identified.

Reviewed byDr. Kim Tae-hoon, Medical Director · Board-certified dermatologist · review date to be posted

Next step

Wondering if this treatment fits you?

Leave your main concern and request a consultation. Suitability, schedule and fees are confirmed after review.

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