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Ablative Laser – CO2 and Erbium:YAG

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At our clinic in Brisbane, we use lasers to treat a wide range of skin conditions.

Understanding the specific techniques, possible risks and results can help you decide if laser resurfacing is right for you.

At Brisbane Skin, we use both the Sciton Joule Erbium:YAG laser, and the Syneron Candela CO2RE carbon dioxide laser, often in combination, to give you the ideal treatment based on your particular skin concerns.

Here, Dr Manoharan talks about treatments using the CO2 laser. He shares insights he’s gained as a laser & aesthetic dermatologist who has worked extensively with all types of lasers for facial rejuvenation and scar revision.


CO2 laser resurfacing is one of Dr Shobhan Manoharan’s subspecialties. There are only a few people in the country that provide this treatment at the level that you can receive with Dr Manoharan.

CO2 laser resurfacing involves a few different laser opportunities of a family of lasers known as ablative lasers – either the CO2 laser or the Erbium:YAG.

We only use industry leading lasers – the Ultra Pulse by Lumenis and Sciton Erbium:YAG

Dr Manoharan loves using this treatment because of the dramatic transformations he brings to his patients, and performs approximately 30 procedures a week to address a range of concerns including acne scarring, post surgical scarring and rejuvenation.

It’s one of the few treatments available that can provide excellent results in regards to deep lines from either scarring or wrinkling in aesthetically sensitive areas such as the face. There’s really nothing else out there that can provide results like this non-surgically.

How it works

CO2 resurfacing addresses deep lines formed by scars or deep wrinkling, elastosis (a loss of elasticity) and the uneven textural changes that we see in skin as we get older. It does this by either precisely burning areas of skin, or tunnelling tiny micro columns of energy into the surface of the skin.

CO2 transforms light energy into heat, destroying tissue and causing formation of fresh new collagen and elastin bundles.

Following this up with fillers and fat grafting to address the volume loss is important for rejuvenation patients, as is lifting the skin with heating devices such as Thermage.

For scar revision patients, the CO2 laser treatment is often combined with subcision to release the tethering from underneath the scar.

The process

With CO2 treatments, there are 3 steps to the procedure:

The preparation

This is where topical & local anaesthetic is applied as well as some light sedation.

The treatment

The treatment itself takes between 30 and 90 mints depending upon the complexity and intensity of the procedure.

The aftercare

Immediately post treatment, there is a 30min aftercare process including ointments and creams, very specific written after care instructions and explanation of medications to be taken after the procedure. We usually see you one day, one week and one month after the procedure to ensure a nice smooth transition with your healing phase.