Fraxel® Laser vs. CO2 Laser: Which Is Right for You?

December 2, 2025

Understanding Laser Resurfacing Options


When it comes to laser skin rejuvenation, two treatments consistently stand out: the Fraxel® Laser and the CO2 Laser. Both are designed to address signs of aging, texture issues, and sun damage—but they work in distinct ways.


At Clearview Dermatology, our providers use both technologies to help patients across Arvada, Evergreen, and Littleton, CO achieve smoother, more youthful skin. The right choice depends on your specific concerns, available downtime, and long-term goals.


Fraxel Laser: Subtle Transformation with Minimal Downtime


The Fraxel Laser uses fractional laser technology to treat thousands of microscopic areas of the skin without removing the entire surface. This creates controlled micro-injuries that stimulate natural collagen production while leaving surrounding tissue intact.


Ideal for:

  • Fine lines and early wrinkles
  • Acne scarring
  • Uneven tone or texture
  • Mild pigmentation or sun damage


Because Fraxel only targets fractions of the skin at a time, recovery is relatively quick—most redness and mild flaking resolve within three to five days. Patients can usually wear makeup within 4-5 days and resume normal routines within 1-2 days.

CO2 Laser: Deep Renewal for Advanced Skin Concerns


The CO2 Laser is the gold standard for more intensive resurfacing. It works by vaporizing damaged skin layers with focused light energy, promoting deep collagen remodeling and skin tightening.


Ideal for:

  • Deep wrinkles and lines
  • Noticeable texture irregularities
  • Scarring from acne or surgery
  • Severe sun damage

 

Because the CO2 Laser penetrates deeper, results are more dramatic—but so is recovery. Redness and mild swelling can last up to a week, and patients typically need to avoid makeup until the skin has fully healed. The reward is visibly smoother, tighter skin with long-term collagen renewal.


Fraxel vs. CO2 Laser: Side-by-Side Comparison

Feature Fraxel Laser CO2 Laser
Depth of Treatment Moderate (fractional) Deep (ablative)
Downtime 4-7 days 10-14 days
Best For Mild to moderate aging, sun spots, texture Deep wrinkles, scars, advanced sun damage
Results Gradual, subtle improvement Significant, longer-lasting correction
Pain Level Mild discomfort Moderate, numbing required
Availability Arvada Littleton

When to Choose Fraxel vs. CO2


If you’re new to laser treatments or prefer minimal downtime, Fraxel is an excellent starting point. It gently renews the skin’s surface with gradual, natural-looking improvements.


If your skin has deeper wrinkles, sun spots, or texture changes that haven’t responded to milder treatments, CO2 resurfacing delivers more transformative results in a single session.


Your dermatologist may even recommend combining both over time—Fraxel for maintenance and CO2 for occasional deeper correction.


Other Options to Consider


While Fraxel and CO2 lasers are two of the most recognized resurfacing treatments, Clearview Dermatology also offers:

  • The Ultra Clear Laser, available exclusively at our Arvada office, for a gentler resurfacing experience with minimal heat exposure.
  • The Excel V+ Laser for redness, rosacea, or broken capillaries, often used to complement resurfacing for more even tone. Available at all offices.

Learn why winter is the best season to schedule your treatment in our previous blog.


Frequently Asked Questions

  • Can I combine Fraxel and CO2 treatments?

    Yes, but not in the same session. Some patients alternate between them throughout the year for optimal skin health and renewal.

  • Which laser lasts longer?

    CO2 results can last several years, while Fraxel is often used for maintenance and subtle touch-ups.

  • Is either treatment safe for darker skin tones?

    Fraxel is generally safer for medium to darker skin tones due to its controlled, fractional approach. Your provider will assess your skin before recommending a treatment plan.

  • Does either laser hurt?

    Both are performed with topical numbing for comfort, with the addition of injectable local anesthesia for CO2 treatments. Fraxel is typically described as a lighter laser resurfacing, Ultra Clear is generally considered a medium to deep treatment, while CO2 is more intense but yields more dramatic results.

About Clearview Dermatology


At Clearview Dermatology, we customize every laser plan to your skin’s unique needs. Whether you choose Fraxel, CO2, or a combination of treatments, our experienced team ensures safe, effective care with natural-looking results.


Learn more about our team on our About Us page.


Our Locations:


The Bottom Line


Both the Fraxel Laser and CO2 Laser deliver impressive skin rejuvenation—but the right choice depends on your goals, skin type, and desired recovery time.


If you’re unsure which laser fits your needs, schedule a consultation with our team. Whether you prefer the gradual refinement of Fraxel, the deeper correction of CO2, or the innovative Ultra Clear Laser in Arvada, Clearview Dermatology offers options tailored to every stage of your skin journey.

Disclaimer:  The information provided on this blog is for general informational purposes only and is not intended as, and should not be considered, medical advice. All information, content, and material available on this blog are for general informational purposes only. Readers are advised to consult with a qualified healthcare professional for medical advice, diagnosis, or treatment. The author and the blog disclaim any liability for the decisions you make based on the information provided. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.