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As the years pass, it feels like maintaining smooth, plump skin is more challenging than ever. Fine lines are getting deeper and turning into wrinkles, your pores are becoming larger every day, and age spots seem to have permanently settled on your face. Considering your busy schedule, surgery is the last thing you think about, especially when you seek natural results. 

At Dr. Ostad’s New York dermatology practice, we strive to provide the best possible solution for each patient. Because every person is unique, we utilize a wide variety of devices and products to accomplish that goal. One of our collection’s most powerful and versatile lasers is the renowned Fraxel® CO2.

What Is Fraxel® CO2?

Fraxel® CO2 is well-known for its nearly instant benefits in reducing signs of sun damage, wrinkles, and poor complexion. The device delivers precise levels of laser energy to the skin’s surface, causing upper layers to shed rapidly.

Because Fraxel® works with fractionated CO2 energy, it stimulates cell turnover and skin rejuvenation with minimal discomfort or side effects. You will experience skin flaking for about a week after treatment. As the old, dead, dying, and damaged cells slough off, a beautifully youthful and healthy layer will emerge.

How Fraxel® CO2 Works

As mentioned, Fraxel® CO2 works by delivering a focused carbon dioxide laser into the skin. This laser divides the light into thousands of tiny beams, tackling only one fraction of the skin at a time. This stimulates the body’s healing response while keeping the surrounding skin untouched. 

The body’s healing response kicks in once the laser penetrates the deeper skin layer and gets into the dermis. In an attempt to fix the injury, it will start a new production of collagen and elastin in the area, which is what you also need to keep wrinkles and fine lines at bay. 

The laser also works to remove the top layer of the skin through a process referred to as ablation. This prompts the body to remove the damaged cells, revealing the healthy and fresh tissue from underneath. As cellular turnover accelerates, you can eliminate pigmentation irregularities such as melasma or sun spots.

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Common Treatment Areas

Fraxel® CO2 is a versatile treatment for treating and rejuvenating different body areas. The most common are the following:

  • Face: For addressing wrinkles and fine lines, large pores, acne scars, and pigmentation issues.
  • Neck: For tightening loose skin, addressing necklines, and offering a more youthful and elegant appearance.
  • Chest: For tightening loose skin, improving the skin barrier, and reducing pigmentation.
  • Hands: Used to reduce wrinkles and skin thinning and improve skin tone.
  • Abdomen, Thighs, and Arms: Used to reduce stretch marks or improve skin texture after traumatic or surgical scars.

Depending on the concerns you need to address, you may have to cover multiple treatment areas. A consultation with Dr. Ostad can help determine the best treatment plan for your needs.

Personalized Treatment Plans

Customized Consultations

Whether you want to address pigmentation issues or reduce wrinkles and fine lines, Fraxel® CO2 can significantly improve your skin quality. Our treatments are all customized based on your needs. Our purpose is to offer a holistic rejuvenation method where the focus is on the results. This way, you can obtain a youthful appearance without worrying about invasive procedures.

Treatment Process

Fraxel® CO2 treatments are generally customized to each person’s individual needs. However, to ensure the procedure’s comfort, safety, and effectiveness, Dr. Ariel Ostad also goes through a series of standard steps. These include the following:

Initial Consultation: Dr. Ostad will assess the condition of your skin, determine its type, and narrow down your concerns. After considering your medical history, a customized plan will be created based on your needs. 

Skin Preparation: To minimize discomfort, Dr. Ostad will apply a numbing product to the skin, leaving it on for 30 to 60 minutes. After that, the skin is thoroughly cleansed to remove impurities. 

Laser Application: With the skin prepped, Dr. Ostad will use the Fraxel® CO2 device on the target area in controlled motions. This process takes an average of 30 to 60 minutes, depending on the size of the treated area. 

Post-Laser Cooling: After the laser application, Dr. Ostad will use different cooling techniques to reduce inflammation and soothe the skin. A protective ointment may also be applied to help your skin heal faster. 

Aftercare Guidance: Once the treatment is over, Dr. Ostad will offer the appropriate instructions for aftercare. He may also set a follow-up appointment, based on your preference, to monitor your progress. 

After the treatment, you can expect some swelling, redness, and peeling for five to 10 days. This is a normal part of the treatment process, as the skin is regenerated. Depending on the condition of your skin, you may be required to schedule a second or third treatment, spaced several weeks apart.

Benefits of Fraxel® CO2

Stimulate New Collagen Production

Fraxel® CO2 creates microscopic injuries in the skin as the laser passes through the epidermis and dermis. These tiny injuries are not enough to leave lasting negative effects (other than temporary redness and swelling), but they are enough to kick the body into healing mode. As the fibroblasts generate a new production of collagen, the laser turns the clock back on the skin and adds a touch of youthfulness to it. 

Reduce Sun Damage and Signs of Aging

The laser from the Fraxel® CO2 treatment targets pigmentation spots by breaking down the clusters of melanin in the dermis and epidermis. With the cells now damaged, the body will flush them out, starting a cell turnover process. As healthy skin comes to the surface, you may notice fewer pigmentation spots caused by UV rays or natural aging. 

Improve Skin Tone, Texture, and Laxity

As you age and the collagen fibers lose their integrity, you might experience symptoms such as jowls, sagging cheeks, and acne breakouts that are no longer healing as scarless as they should. The Fraxel® CO2 treatment starts a thermal coagulation process, which triggers new collagen production, making the skin tighter and smoother. Your complexion should begin looking more refined within a few weeks.

Smooth Fine Lines and Superficial Wrinkles

Skin laxity is not the only thing the new collagen production can fix; it can also address fine lines and superficial wrinkles. The ablative power of the laser can remove the top of the epidermis, reducing shallow wrinkles, but the micro-injuries also help fill out deep-seated wrinkles. As time passes, the skin should start looking smoother without as many creases.

Minimal Downtime and Fast Results

Perhaps the best part of the Fraxel® CO2 treatment is that the potential for downtime is very low while offering fast results. The laser is delivered in a grid-like pattern, which means that not all the tissue is subjected to the laser’s heat. This shortens the recovery time, with most side effects going away in less than two weeks. Your skin should look smoother in up to 10 days, and it will continue to improve over the next few months.

Before & After

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This device delivers precise levels of laser energy to the skin’s surface, causing upper layers to rapidly shed.

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Because Fraxel works with fractionated Co2 energy, it stimulates cell turnover and skin rejuvenation, with minimal discomfort or side effects. You will experience skin flaking for about a week after treatment. As the old dead, dying, and damaged cells slough off, a beautifully youthful and healthy layer will emerge.

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Reviews

Fraxel® CO2 for Medical Conditions

Beyond Cosmetic Uses

Aside from your average cosmetic concerns, Fraxel® CO2 can also be used to treat various medical conditions. One of them is actinic keratosis, a precancerous skin condition caused by UV damage. The laser breaks down the broken cells before they have the chance to turn cancerous, stimulating the regeneration of healthy skin. This method is often recommended for those who wish to address the condition without surgical excision. 

Fraxel® CO2 can also be used for scar management, reducing the intensity of acne or surgical scars and burn scar remodeling. The laser disrupts the burnt scar tissue, promoting new growth and making hypertrophic scars less apparent. The same effect makes it a good ally against stretch marks, which are common in post-pregnancy or weight management issues.

Success Stories

“Dr. Ostad is amazing! He helped our family during difficult times, thank God. We trust him and we will recommend him to anyone! Don’t even hesitate to go see him if you are in need! He has the most amazing staffs – Martha, the nurses, all of them are just amazing!” – C

“I have been very pleased with the services I received from your practice. your operation is very efficient and runs like an oiled machine. Easy to make an appointment with very pleasant Office staff, and wonderful nurses who went above and beyond to help me. I would also like to mention that you are the best of the best! Thank you so much for the wonderful treatment. You have been a caring, passionate, skilled, and friendly doctor. I had an amazing experience and your skilled services were outstanding.” Manijeh B.

Frequently Asked Questions

When Will I See the First Results of Fraxel® CO2?

The first effects of the Fraxel® CO2 treatment often become visible within the first few days. Once you pass the recovery stage, you might notice fewer pigmentation spots on your skin, with your tone becoming more even. That said, the collagen fibers take longer to mature, which means you’ll have to wait about three to six months for the wrinkles to reach their final reduction stage.

Who Is a Good Candidate for Fraxel® CO2?

Most patients going for Fraxel® CO2 treatments are in their 30s or 40s, but almost everyone can get the procedure as long as they are over 18. For the most part, you are considered a good candidate if you have fine lines, wrinkles, pigmentation areas, and irregular skin texture.

What’s the Best Time for Me to Get the Fraxel® CO2 Treatment?

You must protect treated skin from the sun’s harmful rays after laser treatment. Some people choose to schedule procedures like Fraxel® CO2 during winter when they spend more time indoors, and the sun is less intense.

However, it can be performed safely at any time of year if you take appropriate precautions, including protective clothing, staying in the shade, and wearing high-SPF sunscreen as your doctor recommends.

How Long Will the Results of the Fraxel® CO2 Laser Last?

The longevity of the Fraxel® CO2 laser treatment often depends on how well you take care of your skin afterward. For the most part, the new collagen produced from the treatment can last about one to two years before the natural aging process kicks in once more. You may notice the results diminishing from that point on, but it might still take years until the skin regresses completely.

To make the results last longer, you should be careful about wearing sunscreen and avoiding direct sunlight exposure, especially in summer when UV levels are higher. Taking care of your health and avoiding habits like smoking can also protect the skin, as smoking can decrease the production of new collagen.

Do I Need to Take the Day Off After a Fraxel® CO2 Treatment?

This depends on you, for the most part, and the nature of your work. If it involves sweat-inducing labor, you might want to take the first few days off, as sweat can irritate the already sensitive skin. Your skin might also be red and peeling for the next couple of days, so if you are uncomfortable with that, you might want to take some time off or work from home if you can.

How Many Fraxel® CO2 Treatments Will I Need?

This mostly depends on your skin’s current condition and the results you want to achieve. For superficial to medium imperfections, one to three treatments might be enough to get the desired results. Conversely, you might benefit more from three to six sessions for medium to deeper skin issues. You should space them around three to four weeks apart, so your skin has enough time to heal.

Can I Use Fraxel® CO2 on Areas with Sensitive Skin?

Yes, you can use the Fraxel® CO2 treatment for sensitive skin areas, including the lips and the under-eyes. This makes it the perfect choice to target crow’s feet, dark circles, or tear troughs. You can even use the treatment on the eyelid, as Dr. Ostad can apply special “contact lenses” to protect the eyeball.

About. Dr. Ostad

Dr. Ostad is a renowned dermatologist in NYC, one of the few with a triple board certification. Having more than two decades of experience in the plastic and dermatology field, he is known for his use of minimally invasive treatments, among which is Fraxel® CO2. Dr. Ostad has been recognized as a leading practitioner in his field, offering customized treatment plans to his patients so that they can easily reach their aesthetic goals. Dr. Ostad also provides the highest quality care, using only the latest technologies to ensure that his patients achieve optimal results. 

Fraxel® CO2 treatments are available at Dr. Ostad’s office in New York City. There, he offers personalized treatment plans and top-quality care for his patients.

Have More Questions?

If you have any other questions that were not addressed in this FAQ, feel free to contact us at our practice. Our dedicated team is here to make sure that you make an informed decision, providing you with all the information that you might need.

Expert Answers

What is the downtime after Fraxel CO2 treatment?

The recovery period typically lasts 5-7 days. Common post-treatment effects include redness, swelling, and peeling. Aftercare instructions, such as moisturizing and avoiding sun exposure, are essential for optimal healing.

What aftercare is needed?

  • Keep the skin moisturized with dermatologist-recommended products.
  • Avoid sun exposure and use a broad-spectrum sunscreen daily.
  • Avoid harsh skincare products or makeup until fully healed.

What’s the difference between Fraxel CO2 and traditional CO2 lasers?

Traditional CO2 lasers treat the entire skin surface, leading to longer downtime. Fraxel CO2 is a fractional laser, treating only a fraction of the skin in a grid-like pattern, resulting in quicker healing and fewer side effects.

Combining Fraxel® CO2 with Other Treatments

Complementary Treatments

Fraxel® CO2 can deliver great rejuvenating powers on its own, but when combined with the right treatments, the effect can be taken to a different level.  One of the most common complementary procedures is injectable administration, whether it involves BOTOX® Cosmetic or dermal fillers. Whereas Fraxel® CO2 offers gradual results to the skin, injectables can provide near-immediate results.

The procedure is often used alongside treatments like chemical peels, refining the outermost layer and making it more efficient against pigmentation spots. Dr. Ostad may also combine it with PRFM treatments, accelerating the healing process and enhancing collagen production.

Comprehensive Rejuvenation

By going for a holistic approach to skin rejuvenation, patients can enjoy various benefits that improve skin quality in the long term. Based on your consultation results, we may incorporate different treatments to offer natural-looking results. We’ll consider your features and goals, creating a comprehensive rejuvenation plan with the eyes set on the goal.

Latest Trends and Innovations

Advanced Techniques

Fraxel® CO2 has evolved significantly from early CO2 lasers, delivering the energy into micro-columns. This leaves the surrounding tissue untouched, reducing downtime while offering optimal results. The depth of the treatment can also be adjusted based on your skin type and concerns, making it a safe option for many. 

The newer Fraxel® devices also feature cooling technology to increase the patient’s comfort level during the treatment. With the advancements in laser calibration, newer Fraxel® CO2 devices can also treat darker skin tones with fewer risks of post-inflammatory hyperpigmentation.

Innovative Uses

In the past, the Fraxel® CO2 treatment was mainly used to address wrinkles and sun damage. Nowadays, its application has expanded past that, with providers like Dr. Ostad using it for scar revision and the treatment of pre-cancerous lesions. While Fraxel® CO2 is not as effective in tattoo removal as other procedures such as PicoWay®, it is still a trusted ally in its aftercare. The treatment can reduce residual scarring or lingering pigmentation after a traditional tattoo removal.

Safety and Expertise

Why Choose Dr. Ariel Ostad

Dr. Ostad is a highly trusted cosmetic provider in NYC, and his triple-board certification makes him a knowledgeable dermatologist. His experience and successes have led him to receive numerous awards, including being listed as a NY Super Doctor and a Top Doctor by Castle Connolly. He has also been named Attending of the Year three times while at the NYU Department of Dermatology, where he mentored numerous residents in performing flawless surgeries.

List of Credentials: 

  • Triple Board Certification in Facial Cosmetic Surgery, Mohs Micrographic Surgery, and Cosmetic Dermatology
  • Top Fraxel® CO2 Provider in NYC
  • Received Intensive Training at Harvard, UCLA, and NYU
  • Recipient of NYU Dermatologic Surgical Attending of the Year (3 Times)
  • New York Super Doctor (2014-2024)
  • Top Doctor by Castle Connolly (2012-2024)
  • Clinical Associate Professor and Mentor at NYU Department of Dermatology

Commitment to Safety

Dr. Ostad has set up a unique clinic in NYC, with features built around patient comfort and personalized care. His practice was designed to be aesthetically pleasing and welcoming and keep strict sanitation, safety, and cleanliness standards.

Dr. Ostad and his team always stay ahead of the curve, investing in top technologies and adopting recent developments in aesthetic dermatology. The office features a wide variety of lasers and advanced therapeutic devices, all consistently updated to maintain standards. There’s an on-site lab used for diagnostics purposes, and the practice is certified by the AAAASF (American Association for Accreditation of Ambulatory Surgery Facilities) to work as a surgical facility.

Awards and Certifications

Educational Resources

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Dr. Ariel Ostad has seen patients for this service, including BOTOX in NYC, from all over the tri-state area, including Manhattan, Midtown, the Upper East Side, the Upper West Side, Brooklyn, New York City, the Bronx, Harlem, Astoria, Queens, Long Island, New Jersey, Connecticut, and more. If you are interested in any of the services offered at the Office of Dr. Ariel Ostad, please contact us for more information.

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Dr. Ariel Ostad has seen patients for this service from all over the tri-state area, including Manhattan, Midtown, the Upper East Side, the Upper West Side, Brooklyn, New York City, the Bronx, Harlem, Astoria, Queens, Long Island, New Jersey, Connecticut, and more. If you are interested in any of the services offered at the Office of Dr. Ariel Ostad, please contact us for more information.

Medical-grade skincare products that will help maintain and enhance your results

These skincare products combined with your treatment plan customized by Dr. Ostad will help enhance your results and improve your overall skin texture. Click on a product below to learn more.

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Dr. Ariel Ostad has seen patients for this service from all over the tri-state area, including Manhattan, Midtown, the Upper East Side, the Upper West Side, Brooklyn, New York City, the Bronx, Harlem, Astoria, Queens, Long Island, New Jersey, Connecticut, and more. If you are interested in any of the services offered at the Office of Dr. Ariel Ostad, please contact us for more information.

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