CO2 laser resurfacing in Calgary

CO2 Laser Resurfacingat Rejuvenation Dermatology Calgary South.

CO2 laser resurfacing removes the damaged outer skin and heats the layer beneath it so that new, tighter, smoother skin grows in its place. It is the procedure for deep wrinkles, marked sun damage and scars that no lighter treatment will reach, and it asks for a week of recovery in return. At Rejuvenation Dermatology Calgary South, Dr. Paul Kuzel, a board-certified dermatologist, performs the procedure himself and follows every patient through healing.

14Years of training FRCPCRoyal College certified VPAlberta Society of Dermatologists
What it is

Fully ablative, fractional, and the areas in between.

The carbon dioxide laser vaporises skin with a controlled margin of heat. How much of the surface is treated, and how deep, is the whole decision.

Fractional resurfacingThe laser treats a grid of columns and leaves intact skin between them. Healing is faster, the risk is lower, and the result is very good. This is the standard approach and what most patients have.
Fully ablative resurfacingThe entire surface is removed in one or more passes. Used for the most severe wrinkling around the mouth and eyes, where nothing else produces the change. Longer healing, longer redness, the largest result.
By regionDepth and density are set separately for the forehead, the eyelids, the cheeks, the mouth and the neck. Thin skin is treated lightly and thick, sun-damaged skin more aggressively. A full face is a map, not a single setting.
Who it suits

The right patient, and the alternatives for everyone else.

CO2 resurfacing is the right answer for a particular kind of skin and a particular kind of patient. For the rest, there is something better.

Ideal

Fair, sun-damaged, deeply lined

Fair to medium skin with thick sun damage, deep lines around the mouth and eyes, and a week to recover. The result here is unmatched.

Alternative

Cannot take a week off

Fraxel spreads the treatment over a course with three to five days of bronzing each time. A smaller result per session; no week away.

Fraxel
Alternative

Darker or reactive skin

Erbium resurfacing removes skin with less heat and less pigmentation risk. Conservative fractional CO2 is possible in some patients with preparation.

Fotona Dynamis
Alternative

Loose skin more than lined skin

Where the problem is sagging rather than surface, resurfacing tightens modestly and a tightening treatment or surgery does more.

Skin laxity
Why a dermatologist

A procedure, not a facial.

CO2 resurfacing creates a controlled wound across the face and manages its healing. Everything about the outcome depends on planning, technique and aftercare.

Examination before ablationSun-damaged skin is where precancer and skin cancer live. Dr. Kuzel examines the face as a dermatologist, biopsies anything in doubt, and treats actinic keratoses as part of the plan rather than lasering over them.
Settings by region and by patientDepth, density and passes are chosen area by area for the damage and the skin type, from experience with the tissue rather than a manufacturer preset.
Medical preparationA prescription regimen before treatment, antivirals to prevent cold sore reactivation, and antibiotics where indicated. These are physician decisions.
Healing followed by the surgeonDr. Kuzel sees each patient at two days, one week, one month and three months, and the same day for any concern. Infection, delayed healing and early pigment change are recognised and treated when they are small.
What it treats

By area of the face.

CO2 is performed as a full face, or on a single region where the damage is concentrated.

Around the mouth

Lip lines

Vertical lines above the lip, from sun and smoking, that filler alone cannot smooth. The commonest regional treatment, often fully ablative.

Fine lines and wrinkles
Around the eyes

Crow's feet and lower lid crepe

Fine crepe of the lower lids and etched crow's feet, treated with shallow fractional passes over thin skin.

Cheeks

Acne scars

Boxcar and rolling scars across the cheeks, after subcision of tethered scars. One or two sessions.

Acne scarring
Full face

Sun damage and texture

Blotchy tone, roughness, sun spots and actinic keratoses across the whole face, with visible tightening.

Sun damage
Neck and chest

Crepe and poikiloderma

Treated conservatively, with lower density, because the neck and chest heal more slowly than the face.

Scars

Surgical and traumatic scars

Raised, tight or textured scars anywhere on the body, softened over a course.

Scar revision
Your visit

Consultation, preparation, procedure, follow-up.

Resurfacing is planned weeks ahead. The procedure itself takes about two hours for a full face, less for a region.

ConsultationYour concerns, medical history, medications, isotretinoin, keloids, cold sores, and how much recovery you can take.
Examination and planDr. Kuzel examines the skin, biopsies anything suspicious, and maps the treatment region by region. The price is confirmed before booking.
Four weeks beforeSun avoidance begins. A prescription regimen prepares the skin. Antivirals are prescribed to start the day before. Time off is arranged.
The procedureTopical anaesthetic, nerve blocks and oral sedation. Eye shields. The laser passes take thirty to sixty minutes. Ointment and a cooling mask before you go home with a driver.
Follow-upReviews at two days, one week, one month and three months. Photographs at each. Same-day access for any concern.
Recovery, day by day

Two weeks mapped out.

Knowing what each day looks like makes the week easier. This is the typical course for a full-face fractional treatment.

The first two weeks

  • Day one: swollen, red, weeping and warm. Vinegar soaks every few hours, ointment after each, sleep raised, cold packs over a cloth
  • Days two to three: swelling peaks; weeping continues; soaks and ointment continue; pain is mild and managed with simple analgesics
  • Days four to five: the surface begins to re-form; weeping stops; peeling starts; itching is common and treated with an antihistamine
  • Days six to seven: peeling completes; new pink skin; soaks stop; bland moisturiser replaces ointment
  • Days eight to fourteen: pinkness fades slowly; makeup from about day ten; gentle cleanser and moisturiser only
  • Weeks three to twelve: pinkness resolves; active skincare returns gradually; collagen builds; strict SPF 50 throughout
  • Call immediately for fever, spreading pain, pus, or clusters of small blisters
  • Not performed with isotretinoin in the past year, in pregnancy, on a tan, with active infection, or in patients with a keloid history without careful discussion

Booking and fees

No referral is needed for cosmetic resurfacing. Assessment of sun damage and precancer is covered by Alberta Health Care with a referral; the resurfacing is not. Priced by region and depth, and quoted at consultation.

Referrals by fax to (403) 225-2914. Call (403) 286-6888 for current pricing.

What to expect

What changes, and what does not.

Once the pinkness settles, the skin is smoother, tighter and more evenly coloured. Lip lines and crow's feet are markedly softened, sun spots and precancer are gone, and scars are flatter. Collagen continues to build for six months, and the result at three months is close to final.

One treatment is enough for most patients, and it holds for years. Skin keeps ageing from the new baseline, and the result is protected with sun avoidance and maintained with lighter treatments.

Resurfacing does not lift jowls or a heavy neck, does not restore lost volume, and does not erase every line. Where those are the goals, tightening, filler or surgery are discussed alongside or instead. Some patients are left with a small area that heals lighter than the surrounding skin; this is discussed before treatment.

1Treatment for most patients 7 to 10Days off work 3Months to near-final result
Questions

Questions about CO2 resurfacing, answered.

How much does CO2 laser resurfacing cost in Calgary?

It is priced by region and depth, from a single area such as the lip to a full face, and quoted at consultation. Call (403) 286-6888 for current pricing.

How long is recovery?

Seven to ten days off work. Weeping and swelling for the first three days, peeling to day seven, then pink new skin that makeup covers from about day ten. Pinkness fades over four to twelve weeks.

Does it hurt?

The procedure is performed under nerve blocks, topical anaesthetic and oral sedation, and most patients feel pressure and heat rather than pain. The first two days afterward feel like a severe sunburn and are managed with soaks, ointment and simple analgesics.

Fractional or fully ablative?

Fractional for almost everyone: faster healing, lower risk, very good result. Fully ablative for the most severe lip and eye lines, where the extra result justifies the longer recovery. Dr. Kuzel recommends at consultation, often mixing both across the face.

Can I have it if I have darker skin?

CO2 carries the highest pigmentation risk of any laser in darker skin. Some patients can have conservative fractional treatment with prescription preparation; for others erbium or non-ablative treatment is the safer choice. This is an individual decision.

Will I need more than one treatment?

Most patients need one. Deep scars and severe damage may need a second a year later. Lighter treatments maintain the result.

Can it be combined with other treatments?

Yes. Neuromodulators before resurfacing reduce muscle pull on healing skin. Filler is placed before or after, not during healing. Subcision precedes resurfacing for tethered scars. Resurfacing is sometimes combined with a surgical lift.

What are the risks?

Infection, cold sore reactivation, prolonged redness, and pigment change that is temporary in most and permanent in a few. Scarring is rare with correct settings. Every risk is reduced by preparation, physician technique and close follow-up.

How long does the result last?

Years. The skin continues to age from a better baseline, and sun protection is what preserves the result.

Who performs the procedure?

Dr. Paul Kuzel, MD FRCPC, a board-certified dermatologist and the founder and Medical Director of Rejuvenation Dermatology Calgary South, plans and performs every CO2 resurfacing personally and follows each patient through healing. He sees patients in English and Czech.

Begin here

Book a consultation.

Book a consultation with Dr. Kuzel. No referral is needed for cosmetic treatment.

Rejuvenation Dermatology Calgary South
10201 Southport Rd SW #102
Calgary, AB T2W 4X9
Two blocks west of the Delta Hotel

(403) 286-6888
Referrals by fax: (403) 225-2914

Open seven days a week, with early mornings and evenings on weekdays.

Contact Rejuvenation Dermatology

Take the first step toward achieving healthy, radiant, and flawless skin. Contact Rejuvenation Medical Aesthetics today to schedule your personalized consultation and explore the advanced treatments tailored to your unique needs.