Concerned about scars, wrinkles, uneven skin texture or pigmentation?
Fractional CO₂ laser resurfacing is an advanced skin treatment designed to improve skin quality by stimulating collagen renewal and resurfacing damaged skin layers with precision.
This minimally invasive laser treatment targets fine lines, acne scars, surgical scars, stretch marks and pigmentation concerns, while preserving surrounding healthy tissue. The result is smoother, firmer skin with improved tone and texture over time.
At APAX Medical & Aesthetic Clinic, fractional CO₂ laser treatment is carefully planned and customised based on your skin type, concerns and recovery expectations to deliver effective, long-lasting results in a safe and controlled manner.
Professional, established and trusted medical care
Comprehensive, customised treatment plans
Over 15 years of clinical experience
Extensive experience in scar revision procedures
Book an appointment to discuss whether fractional CO₂ laser resurfacing is suitable for your skin concerns and to receive a personalised treatment plan.
What is a fractional CO₂ laser?
A fractional CO₂ (carbon dioxide) laser is a well-established dermatological laser used to improve skin texture, tone and overall skin quality [1]. It is commonly used to treat concerns such as scars, fine lines, wrinkles, pigmentation and uneven skin surface.
The laser works by delivering controlled microscopic columns of thermal energy, known as microthermal zones (MTZs), into the skin. These targeted areas stimulate the body’s natural healing response, encouraging collagen production and skin regeneration while leaving surrounding tissue intact.
This fractional approach allows effective skin resurfacing with greater precision and controlled downtime. Over time, treated skin becomes smoother, firmer and more even in appearance as new collagen forms and damaged skin layers are renewed.
Fractional CO₂ laser resurfacing is an advanced skin treatment that improves texture, tone and scars by stimulating collagen renewal through controlled skin resurfacing.
How does the fractional CO₂ laser work?
Fractional CO₂ laser treatment works by delivering controlled laser energy into the skin to resurface damaged tissue and stimulate collagen regeneration [2]. It combines two key principles: ablative resurfacing and fractional delivery, allowing effective treatment with controlled healing.
Ablative resurfacing
The fractional CO₂ laser is an ablative laser, meaning it removes microscopic portions of the skin at a controlled depth. The laser energy targets both the epidermis and part of the dermis, helping to resurface the skin and trigger a strong regenerative response [3]. This makes CO₂ lasers more effective for deeper scars, wrinkles and textural concerns compared to non-ablative lasers, which leave the surface skin intact.
Fractional delivery
Instead of treating the entire skin surface, the laser beam is divided into thousands of fine columns that penetrate the skin in a fractional pattern. These columns create precise areas of thermal injury known as microthermal zones (MTZs), surrounded by healthy, untreated skin [4].
The presence of surrounding healthy skin allows faster healing and promotes skin remodelling. As the skin repairs itself, new collagen is produced, damaged tissue is replaced and overall skin texture and firmness improve.
This fractional approach balances effectiveness with recovery, allowing significant skin improvement while keeping downtime more predictable and manageable.
Ablative and non-ablative fractional lasers differ in how deeply they penetrate the skin, influencing the level of resurfacing, recovery time and collagen stimulation.
What skin concerns can fractional CO₂ laser treatment address?
Fractional CO₂ laser resurfacing is a versatile treatment that targets a wide range of skin concerns by stimulating collagen production and resurfacing damaged skin layers. Treatment is tailored based on skin type, concern severity, and desired downtime.
Fractional CO₂ laser treatment may be used to improve:
Acne scars, including deeper and more established scars
Surgical or traumatic scars
Fine lines and wrinkles, particularly around the face
Uneven skin texture and enlarged pores
Pigmentation concerns, such as sun damage and age spots
Stretch marks in selected areas
Skin laxity, by promoting collagen remodelling
A consultation helps determine whether fractional CO₂ laser treatment is suitable for your specific skin concerns and goals and how treatment can be safely customised for optimal results.
Fractional CO₂ laser treatment can reduce fine lines and wrinkles, particularly on areas such as the forehead and other parts of the face.
How does fractional ablative laser compare with fractional non-ablative lasers?
Fractional laser treatments can be broadly divided into ablative and non-ablative types. While both use fractional technology to stimulate skin repair and collagen production, they differ in depth of treatment, recovery time and the skin concerns they address. Understanding these differences helps guide the choice of laser based on skin type, severity of concerns and tolerance for downtime.
Characteristic
Fractional Ablative Laser
Fractional Non-Ablative Laser
Type of laser
CO₂, Er:YAG
Erbium glass, diode
Mechanism of action
Removes microscopic portions of the epidermis and dermis
Targets the dermis while leaving the epidermis intact
Depth of treatment
Deeper penetration into the skin
Shallower penetration
Effectiveness
More effective for deeper scars, pronounced wrinkles and significant skin resurfacing
Suitable for mild to moderate scars, fine lines and overall skin rejuvenation
Recovery and side effects
Longer recovery with more redness and a higher risk of post-inflammatory hyperpigmentation (PIH)
Faster recovery with a lower risk of PIH
Ideal candidate
Best suited for lighter skin types; darker skin tones require careful assessment due to higher PIH risk
Suitable for most skin types
A consultation is essential to determine which laser approach is most appropriate based on individual skin characteristics, treatment goals and recovery expectations.
Who is a suitable candidate for fractional CO₂ laser treatment?
Fractional CO₂ laser treatment is suitable for individuals who are in generally good health and are looking for noticeable skin resurfacing with a willingness to accommodate some downtime for recovery.
You may be suitable for fractional CO₂ laser treatment if you:
Have realistic expectations about gradual skin improvement
Are able to follow post-treatment care instructions carefully
Do not have active skin infections, open wounds or ongoing inflammation in the treatment area
Are prepared for temporary redness, peeling, and recovery time
Skin type is an important consideration. Lighter skin types generally have a lower risk of post-inflammatory hyperpigmentation, while darker skin tones may still be treated using customised settings after careful assessment.
A detailed consultation is essential to confirm suitability, adjust laser parameters safely, and ensure the treatment approach matches your skin condition and recovery expectations.
What to expect during fractional CO₂ laser treatment?
Fractional CO₂ laser treatment is a carefully planned procedure designed to maximise results while prioritising comfort and safety. Understanding what happens before, during and after treatment helps you prepare and feel confident about the process.
Before the treatment
Consultation and assessment — your doctor will assess your skin condition, discuss your concerns and treatment goals, and determine whether fractional CO₂ laser treatment is suitable for you. A detailed medical history is taken to identify any contraindications, such as active skin infections or certain medical conditions.
Skin assessment and planning — the treatment areas are evaluated, and a personalised treatment plan is created based on skin type, concern severity and desired downtime. Clinical photographs may be taken to document the skin’s condition before treatment.
Pre-treatment preparation — you will be given specific instructions to prepare your skin before the procedure, which may include temporary adjustments to skincare products or sun exposure.
During the treatment
A topical anaesthetic cream is applied to improve comfort.
Protective eye shields are placed to safeguard the eyes.
The fractional CO₂ laser is delivered in a controlled and precise manner to the targeted areas.
Most patients describe the sensation as warmth or a mild prickling feeling, which is generally well tolerated.
The procedure duration varies depending on the size of the treated area.
After the treatment
The skin may appear red, warm and swollen immediately after treatment, similar to a sunburn sensation.
Post-treatment care instructions will be provided to support healing and minimise complications.
Downtime and recovery vary based on treatment intensity and will be discussed during consultation.
Your doctor will advise on follow-up visits and any additional treatments needed to achieve optimal results.
Our approach — Dr Ng’s experience with fractional CO₂ laser treatment
Fractional CO₂ laser treatment is a well-established modality in dermatological and aesthetic care, offering precise skin resurfacing with controlled outcomes. With over 15 years of clinical experience, Dr Ng applies this technology thoughtfully, focusing on safety, skin health and long-term results rather than aggressive treatment.
Each fractional CO₂ laser treatment is carefully customised to the individual. A comprehensive consultation is carried out prior to treatment to assess skin type, specific concerns, treatment goals, and recovery expectations. Laser settings, treatment depth and coverage are tailored accordingly to achieve effective results while minimising unnecessary downtime.
This personalised approach allows for gradual, controlled skin renewal, supporting collagen regeneration and improving skin texture in a predictable and measured manner. Ongoing review and follow-up ensure that treatment remains appropriate as the skin responds over time.
Downtime and recovery after fractional CO₂ laser treatment
Downtime and recovery after fractional CO₂ laser treatment vary depending on treatment intensity, skin type and the area treated [5]. Your doctor will discuss expected recovery based on your personalised treatment plan.
Immediately after treatment (Day 0–2) — the skin typically appears red, warm and swollen, similar to a moderate sunburn. Mild oozing or pinpoint crusting may occur, and the skin can feel tight or sensitive.
Early healing phase (Day 3–7) — redness gradually settles, and the skin may begin to peel or flake as new skin forms. Swelling continues to reduce, and most patients can resume light daily activities during this period.
Recovery and skin renewal (Week 2–4) — residual redness fades, skin texture continues to improve, and collagen remodelling begins beneath the surface. Makeup can usually be applied once the skin has healed.
Long-term improvement (1–3 months and beyond) — ongoing collagen production leads to gradual improvements in skin firmness, texture and tone over several months following treatment.
Strict sun protection and adherence to post-treatment skincare are essential throughout recovery to reduce the risk of pigmentation and support optimal results.
Fractional CO₂ laser treatment price in Singapore
The cost of fractional CO₂ laser treatment in Singapore varies depending on the treatment area, severity of skin concerns and whether combination therapies are recommended. A consultation is required to assess your skin and determine the most appropriate treatment approach and pricing.
Treatment
Price
TCA CROSS
From $340
Cannula Subcision
From $480
Fractional Pico Laser
From $599
Fractional CO₂ Laser
From $599
Rejuran S
From $500
Injection steroids
From $200
Final treatment plans and pricing are discussed during consultation to ensure suitability, safety and optimal outcomes.
Summary
Fractional CO₂ laser resurfacing is an advanced treatment designed to improve skin texture, tone and overall skin quality by stimulating collagen renewal and controlled skin resurfacing. It is particularly effective for addressing deeper skin concerns, with results that continue to improve over time as the skin heals and regenerates.
At APAX Medical & Aesthetic Clinic, each fractional CO₂ laser treatment is carefully planned following a detailed consultation, ensuring the approach is tailored to your skin type, concerns and recovery expectations. Emphasis is placed on safety, precision and achieving natural-looking, long-term improvements.
Book an appointment today to discuss whether fractional CO₂ laser resurfacing is suitable for you and to receive a personalised treatment plan guided by experienced medical care.
Frequently Asked Questions
Is fractional CO₂ laser treatment painful?
Fractional CO₂ laser treatment is generally well tolerated. A topical anaesthetic is applied beforehand to minimise discomfort, and most patients describe the sensation as warmth or mild prickling during the procedure.
Who is not suitable for fractional CO₂ laser treatment?
Fractional CO₂ laser treatment may not be suitable for individuals with active skin infections, certain medical conditions, poor wound healing or unrealistic expectations. A consultation is required to assess suitability and risks.
What can I expect during the recovery period after fractional CO₂ laser treatment?
After fractional CO₂ laser treatment, redness, swelling and skin peeling are common and expected. Recovery time varies, with most patients healing within 7–14 days depending on treatment intensity.
How many fractional CO₂ laser treatments are needed to see results?
The number of fractional CO₂ laser treatments required depends on the skin concern and its severity. Some patients see improvement after one session, while others may benefit from a series of treatments.
How long do the results of fractional CO₂ laser last?
Results from fractional CO₂ laser treatment can be long-lasting, especially with proper skincare and sun protection. Ongoing collagen remodelling may continue to improve skin quality for several months.
Are there any side effects or risks with fractional CO₂ laser treatment?
Common side effects include redness, swelling, dryness and temporary skin sensitivity. Less common risks include infection, scarring or post-inflammatory hyperpigmentation, particularly if aftercare instructions are not followed.
Can fractional CO₂ laser be used on all skin types?
Fractional CO₂ laser treatment can be used on many skin types, but darker skin tones require careful assessment and customised settings due to a higher risk of pigmentation changes.
What post-treatment care is required after a fractional CO₂ laser?
Post-treatment care includes gentle cleansing, regular moisturising, strict sun protection and avoiding irritants until the skin has healed. Your doctor will provide detailed aftercare instructions.
What is the cost of fractional CO₂ laser treatment?
The cost of fractional CO₂ laser treatment in Singapore varies depending on the treatment area and severity of concerns. Pricing is discussed during consultation after a full skin assessment.
Schedule a consultation for Fractional CO2 laser treatment in Singapore
The fractional CO2 laser is a transformative tool in aesthetic medicine, offering significant improvements in skin texture, tone, and overall appearance. With over 15 years of experience, we are proud to offer this advanced treatment to our patients, helping them achieve their aesthetic goals and boost their confidence through safe, effective, and personalized care.
Reference:
Levy, T., Lerman, I., Waibel, J., Gauglitz, G. G., Clementoni, M. T., Friedmann, D. P., Duplechain, K., Peng, P., Lim, D., Al‐Niaimi, F., Lin, S., Munavalli, G., Biesman, B. S., Goodman, G. J., Fratila, A., Beachkofsky, T. M., Ross, E. V., Hussein, A., Kauvar, A., … Artzi, O. (2025). Expert consensus on clinical recommendations for fractional ablative co2 laser, in facial skin rejuvenation treatment. Lasers in Surgery and Medicine, 57(1), 15–26. https://doi.org/10.1002/lsm.23850
Guo, H., Zhang, X., Li, H., Fu, C., Jiang, L., Hu, Y., Huang, J., Chen, J., & Zeng, Q. (2023). Dynamic panoramic presentation of skin function after fractional CO2 laser treatment. iScience, 26(9), 107559. https://doi.org/10.1016/j.isci.2023.107559
Goel, A., Krupashankar, D. S., Aurangabadkar, S., Nischal, K. C., Omprakash, H. M., & Mysore, V. (2011). Fractional lasers in dermatology—Current status and recommendations. Indian Journal of Dermatology, Venereology and Leprology, 77, 369. https://doi.org/10.4103/0378-6323.79732
Omi, T., & Numano, K. (2014). The role of the co2 laser and fractional co2 laser in dermatology. Laser Therapy, 23(1), 49–60. https://doi.org/10.5978/islsm.14-RE-01
Fractional CO2 laser
The fractional CO2 laser is a versatile and powerful tool in the field of dermatology and aesthetic medicine. It offers patients a non-surgical solution to achieve youthful, radiant, and healthy skin with minimal downtime and long-lasting results.
Dr. Moses Ng
About Dr Moses Ng
MBBS (London) with distinction Dip Practical Dermatology (Cardiff) with distinction Member of American Acne & Rosacea Society Fellow of American Society for Laser Medicine & Surgery
Dr. Moses Ng is a distinguished professional in the field of aesthetic medicine, renowned for his expertise in advanced cosmetic procedures. With over 15 years of experience, extensive training and a keen eye for detail, Dr. Ng specializes in a wide range of treatments, including injectables, laser therapies, and acne scar management.
Dr. Moses Ng’s commitment to excellence and patient-centric approach have earned him a reputation as a trusted clinician in aesthetic medicine. His continuous pursuit of the latest advancements in the field ensures that his patients receive the highest standard of care and the most effective treatments available.
Please note: Patients are advised to consult a qualified medical professional to determine the right and suitable treatment option for their individual needs.
Get in touch with us with any questions, pricing, or bookings.
MBBS (UK) Postgraduate Diploma in Practical Dermatology (UK) Roxburg and Henry Silverman Prize in Dermatology (UK) Accreditations by Aesthetic Dermatology Educational Group
Delivering Services Built on Integrity, Empathy and Treatments Affordably Priced for Everyone.
This article has been medically reviewed by Dr. Moses Ng
Dr Ng’s main clinical interest lies in Acne & Acne Scar Management, Pigmentation Disorders, and Laser Surgery. He has helped more than 20,000 patients for the past 15 years.
More than just providing treatments and products, we constantly strive to deliver a service built on integrity, empathy and treatments affordably priced for everyone.
