Treatment Overview
The Fractional CO₂ Laser is a powerful resurfacing treatment widely used in Korean dermatology clinics for post-inflammatory hyperpigmentation (PIH), acne pigmentation, acne scars, fine lines, and overall skin renewal.
This laser works by creating microthermal treatment zones in the skin using a fractional beam of carbon dioxide energy. It removes damaged outer layers of skin and stimulates collagen production, while allowing untreated skin between laser columns to accelerate healing.
In Korea, Fractional CO₂ is often recommended for patients with acne-related PIH + textural scarring, as it treats both discoloration and uneven skin texture in a single procedure.
Purpose & Benefits
- PIH Reduction: Targets pigmented skin cells while promoting renewal.
- Acne Scar Improvement: Smooths atrophic scars from past breakouts.
- Collagen Stimulation: Enhances elasticity and long-term skin healing.
- Texture Refinement: Improves pores, fine lines, and roughness.
- Dual Benefit: Treats pigmentation and skin resurfacing simultaneously.
Ideal Candidates
Fractional CO₂ Laser in Korea is recommended for:
- Patients with PIH combined with acne scars or uneven texture.
- Individuals with stubborn pigmentation not responding to peels or lighter lasers.
- Adults seeking both pigment removal and scar improvement.
- Patients willing to accept some downtime for more dramatic results.
Possible Risks & Complications
Fractional CO₂ is highly effective but more aggressive than Pico/Nd:YAG, so side effects may occur:
- Redness & Swelling: Common, lasts 3–7 days.
- Dryness & Flaking: Skin renewal effect as old cells shed.
- Temporary Darkening: PIH may look darker before fading.
- Rare Risks: Infection, scarring, or PIH rebound if treated too aggressively (minimized in Korean protocols with controlled energy settings).
Techniques Used
- Fractional Ablation: Laser columns create microscopic injuries to trigger healing.
- Variable Depth Settings: Adjusted depending on PIH severity and acne scarring.
- Combination Protocols: Often paired with PRP, exosome serums, or Pico lasers for pigment and healing support.
Protocol: Usually 1–3 sessions, spaced 4–8 weeks apart. Maintenance may be needed for scars/PIH recurrence.
Recovery & Aftercare
Immediately: Redness, swelling, and mild stinging.
3–7 Days: Skin darkens and flakes off; new skin appears clearer.
1–2 Weeks: PIH visibly lighter, texture smoother.
Aftercare Tips:
- Apply SPF 50+ sunscreen daily.
- Keep skin moisturized and use barrier creams.
- Avoid exfoliants, acids, and retinoids for 7–10 days.
- Do not pick at scabs or peeling skin.
Results & Longevity
- After 1 Session: Brighter tone, smoother texture, reduced PIH visibility.
- After 2–3 Sessions: Significant fading of acne pigmentation and scars.
- After 3–6 Months: Collagen remodeling continues, with ongoing improvement.
- Long-Term: Results can last years; new acne may cause fresh PIH requiring maintenance.
Treatment Process in Korea
Consultation & Skin Analysis
- Dermatologist examines PIH depth, acne scars, and sensitivity.
- Fractional CO₂ chosen for pigment + texture correction.
Preparation
- Cleansing and topical numbing cream applied.
- Protective eyewear used.
Fractional CO₂ Session
- Step 1: Laser passes over affected areas.
- Step 2: Cooling mask or regenerative serum applied.
- Duration: 20–40 minutes.
Post-Treatment Care
- Healing serums (PRP, exosomes, growth factors) applied.
- Sun protection emphasized before discharge.
Follow-Up
- 1–3 sessions for PIH + scars.
- Combined with PRP, Pico, or TXA for stronger pigment fading and faster recovery.
Unique Korean Advantages
- Asian-Specific Protocols: Lower energy settings to reduce PIH rebound risk.
- Regenerative Add-Ons: Clinics often apply exosomes, PN, or PRP post-laser.
- Combination Packages: CO₂ paired with Pico/Nd:YAG for pigment, Fraxel for scars.
- Affordable Multi-Session Plans: Korean clinics offer bundled pricing compared to Western clinics.
Cost Range (Estimated)
- Single Session: USD 300 – 600
- 3-Session Package: USD 900 – 1,500
- Premium PIH Program (CO₂ + PRP/Exosomes/Boosters): USD 1,800 – 3,000
Additional Costs:
- Consultation: USD 20 – 50
- PRP add-on: USD 200 – 400
- Exosome or PN boosters: USD 250 – 600
- Whitening drips: USD 100 – 200
Example Korean Packages:
- Basic CO₂ Program (1–2 sessions): USD 600–900
- Advanced Acne PIH Program (CO₂ + PRP): USD 1,200–1,800
- Premium Scar + PIH Program (CO₂ + Pico + Boosters): USD 2,000–3,000
Popular Clinics in Seoul
- Oracle Dermatology: Fractional CO₂ + Nd:YAG for acne PIH.
- Banobagi Dermatology: CO₂ + Pico for pigment and scar correction.
- Renewme Skin Clinic: CO₂ + PRP/exosomes for healing and brightening.
- View Plastic & Dermatology: CO₂ + Fraxel combo for scars + pigmentation.
- Chaum Anti-Aging Center: Premium CO₂ programs with regenerative boosters.
