Laser resurfacing

CSLC performs laser resurfacing across a full spectrum of technologies, from intensive ablative and hybrid lasers like FX (CO2) and Halo, to gentler non-ablative options for patients who need minimal downtime. The two most well-known platforms patients ask about are Halo and FX, and we offer both.

Rather than leading with a device name, we start with your skin type, your concerns, and how much recovery time you can realistically plan around — then select the right category and settings from there.

We also add PRP/PRF when appropriate to support healing and enhance results. Specific devices available vary by location; your provider can confirm what's available at your nearest CSLC during your consultation.

All of these are fractional resurfacing technologies, but they differ significantly in depth, mechanism, downtime, and what they're best suited for. Here's how they compare:

• FX / CO2 (TotalFX, AcuPulse, etc.): Ablative fractional laser. Removes the outer skin layer while delivering deep dermal heat. Most aggressive option available. Best for significant wrinkles, scarring, and textural correction. Downtime: 5–7 days of active healing, with residual pinkness for several weeks.
• Halo: Hybrid fractional laser combining non-ablative (1470nm) and ablative (2940nm) wavelengths in a single pass. Treats surface tone and deeper dermis simultaneously. Excellent for sun damage, texture, and pigment. Downtime is similar to FX (5–7 days) — but Halo tends to produce more noticeable deep swelling in the first few days, while FX is more surface-focused.
• Fraxel: Non-ablative fractional fiber laser using 1550nm and 1927nm wavelengths. Works by heating tissue rather than ablating it, so no open wound is created. Less downtime than FX or Halo (typically 3–5 days of redness and peeling). Often requires a series of sessions for optimal correction.
• Fotona Dynamis: Non-ablative laser using Erbium and Nd:YAG wavelengths. Stimulates collagen and resurfaces without creating the same level of wound response as ablative lasers. Slightly less downtime than FX or Halo. A good option for patients who want meaningful improvement with a gentler recovery profile.
• Moxi: Gentle non-ablative fractional 1927nm thulium laser. Treats surface pigmentation and tone with minimal downtime (1–2 days). Safe for all skin types including darker tones. Ideal for maintenance, early prevention, or patients who cannot plan for significant recovery. Multiple sessions needed for meaningful correction.

In terms of downtime from most to least: FX/Halo → Fraxel/Fotona → Moxi. The right choice depends on your skin, your goals, and your schedule. We'll walk you through the options at your consultation.

Not universally. These are different resurfacing tools and can be excellent for different skin types and goals. Just as importantly, each device can be adjusted in depth and intensity—so the technique and settings matter as much as the brand name.

That’s why one person may love Halo and another may not: they may have needed a different level of treatment, a different plan for specific zones, or different pre- and post-care. We’ll help you choose the right approach based on your skin, your priorities, and the downtime that fits your life.

Laser resurfacing is not appropriate for everyone. You may not be a candidate, or may need a modified approach, if you:

• Are currently on isotretinoin (Accutane) or have used it within the last 6 months — this impairs wound healing and significantly increases risk of scarring
• Have active acne, open lesions, or an active skin infection in the treatment area
• Are pregnant or breastfeeding
• Have a history of keloid scarring or poor wound healing
• Have recently had significant sun exposure or a tan — UV-exposed skin is at higher risk for hyperpigmentation post-treatment
• Have active or a history of significant melasma — certain lasers can trigger a flare; we evaluate carefully before recommending any resurfacing

Our consultation is how we determine whether laser resurfacing is appropriate for you — and if so, which modality is safest and most effective for your skin.

Yes, with the right modality and careful technique. Ablative lasers like CO2 carry a higher risk of post-inflammatory hyperpigmentation (PIH) in patients with deeper skin tones (Fitzpatrick IV–VI), which is why we adjust our approach accordingly.

For patients with darker skin, we often recommend:

• Moxi — a non-ablative 1927nm thulium laser that is safe for all skin types and produces minimal heat
• Conservative fractional CO2 or Halo settings with careful customization
• Pre-treatment skin conditioning to reduce PIH risk

A consultation lets us evaluate your skin and recommend the safest, most effective path forward.

Yes. Fractional CO2 (TotalFX), Halo, and Fraxel are among the most effective treatments available for acne scarring, particularly rolling and boxcar scars. These modalities work by ablating or thermally disrupting damaged scar tissue and stimulating collagen remodeling from below.

For deeper or more stubborn scarring, we may also incorporate PRP or PRF (either topically after the laser or injected in targeted zones) to amplify the regenerative response.

Results for acne scars typically require at least one aggressive treatment or a series of lighter sessions, depending on scar depth and type. We'll give you an honest assessment during your consultation.

Discomfort varies by modality, but we take comfort seriously at CSLC. Before any resurfacing treatment, we apply a topical numbing cream to minimize sensation. For more intensive treatments like CO2 or Halo, we also offer Pronox (in-office nitrous oxide) for additional relaxation and comfort.

During treatment, most patients describe a warm, prickly sensation—similar to the feeling of a hot rubber band or a sunburn in real time. More aggressive treatments produce more heat.

After the procedure, the treated area typically feels like a moderate-to-severe sunburn for the first several hours. This is normal and expected. We send you home with a post-treatment plan to keep the skin comfortable and healing well.

Preparation matters — what you stop doing before treatment is just as important as what you do. Here's what to avoid:

• Sun exposure and tanning: Avoid for at least 2–4 weeks before treatment. Tanned or UV-exposed skin is at higher risk for hyperpigmentation and burns.
• Retinoids and exfoliating acids: Discontinue Retin-A, tretinoin, AHAs, and BHAs 5–7 days before treatment to avoid over-sensitizing the skin.
• Isotretinoin (Accutane): Must be stopped at least 6 months before any ablative laser treatment. This is a firm requirement — not a guideline.
• Waxing or hair removal: Avoid in the treatment area for at least 1–2 weeks prior.
• Anti-inflammatory medications (if possible): Ibuprofen and aspirin can affect healing; ask your provider whether to pause them.

You'll receive complete written instructions after your consultation.

Recovery time depends directly on which modality we use and how aggressively it's performed:

• Moxi: 1–2 days of mild redness; most patients are back to normal activities within 24–48 hours.
• Fraxel / Fotona: Typically 3–5 days of redness and peeling — less than FX or Halo, but more than Moxi.
• Halo: 5–7 days of redness, swelling, and "sandpaper" texture (MENDs) as treated cells shed. Halo tends to produce more noticeable deep swelling in the first few days.
• FX / CO2: 5–7 days of active healing — redness, peeling, and light weeping. Skin can remain pink for several weeks. Full results visible by week 2–4, with continued improvement for 3–6 months.

One week after your treatment, we invite you back for a complimentary hydration treatment at any CSLC location to support your healing and enhance your glow.

For an ablative or hybrid treatment (CO2 or Halo), here's a general timeline:

• Day 1–2: Significant redness and warmth, similar to a bad sunburn. Mild swelling, especially around the eyes. Keep skin moist and cool.
• Day 3–4: Swelling begins to subside. Skin may feel tight, dry, and begin to develop a bronze or sandpaper texture as treated cells start to shed.
• Day 5–7: Skin peels and sheds, revealing new skin beneath. Many patients can apply light makeup by day 7. Redness fades gradually.
• Weeks 2–8: Residual pinkness resolves. Collagen continues rebuilding. Skin texture and tone improve progressively over the next 3–6 months.

Do not pick or scratch during peeling, it can cause scarring. Keep skin well-moisturized and strictly protected from the sun throughout recovery.