Dr. Raghda El-Shafei
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Fractional CO₂ Laser: Acne Scar Treatment and Skin Resurfacing

Performed by Dr. Raghda El-Shafei — Consultant Dermatologist, Aesthetics & Laser📍 Sheikh Zayed & 6th of October

Fractional CO₂ laser is among the most effective treatments available for skin resurfacing and acne scarring — long established in dermatology and supported by published clinical reviews. At Dr. Raghda El-Shafei's clinic we use a current-generation fractional CO₂ system — the FONS-SVR — to treat scars, wrinkles, enlarged pores and stretch marks, with a plan defined after examining and assessing your skin type.

What is fractional CO₂ laser?

The carbon dioxide laser works at a wavelength of 10,600 nm, and the key is the word "fractional": the device does not treat the entire skin surface at once. Instead it splits the beam into thousands of microscopic columns that penetrate the skin while leaving the tissue between them intact. That untreated tissue speeds healing, while the delivered heat stimulates fresh collagen and elastin production over the weeks that follow — which is what produces genuine improvement in texture and scarring, rather than temporary brightening.

FONS-SVR fractional CO₂ laser system used at Dr. Raghda El-Shafei's clinic

⚡ The system used in the clinic

Current-generation fractional CO₂ — model FONS-SVR
Laser type
Fractional CO₂
Wavelength
10,600 nm
Power
Adjustable up to 30 W
Emission modes
Continuous · Super Pulse · Ultra Pulse
Handpieces
Fractional + surgical
Control
Density and spot size set per case

What does fractional CO₂ laser treat?

💧
Acne scars
The device's strongest and best-evidenced indication. It improves atrophic scars and indentations by stimulating collagen and gradually rebuilding the skin surface.
Resurfacing & wrinkles
Treatment of fine lines and early signs of ageing, with a modest tightening effect on skin texture and appearance as collagen increases.
🔬
Pores & texture
Smoothing uneven skin texture and reducing the appearance of enlarged pores, particularly across the cheeks and nose.
🌤️
Pigmentation
Improving dark patches and evening out skin tone, with settings calculated carefully according to your skin tone.
〰️
Stretch marks
Improving the appearance of stretch marks on the abdomen, hips and arms — particularly older, paler marks.
🩺
Surgical handpiece
Precise removal of skin tags, warts and moles by laser, with less bleeding than conventional methods.

How many sessions will I need?

This varies by case and is decided after examination. Broadly:

It is important to know that fractional laser results are not immediate — collagen takes weeks to build, and the final result appears months after the last session. Patience is part of the treatment.

What happens during a session?

Consultation and assessment
Assessment of your skin type and the severity of your concern, a review of your medical history and current medication, and confirmation that fractional laser is genuinely the right choice for you.
Preparation
The skin is cleansed and a topical anaesthetic cream is applied sufficiently in advance to reduce discomfort.
The treatment
The laser handpiece passes over the target area with settings calibrated to your case. Duration depends on the size of the area.
Soothing
The skin is cooled and soothed immediately afterwards, and home aftercare instructions are explained in detail.
Follow-up
Your skin's response is reviewed and the next session scheduled if your plan requires more than one.

🌸 Aftercare — the part that determines your result

Redness and a sunburn-like warmth for a period afterwards are normal, followed by light peeling. Following these instructions is what separates an excellent result from complications:

  • Sunscreen is essential — the single most important instruction. Avoiding direct sun matters greatly in preventing post-treatment pigmentation.
  • Do not pick or peel the skin — let peeling happen on its own; scratching or forcing it causes lasting marks.
  • Moisturise consistently with the product your dermatologist prescribes, as the skin barrier needs support.
  • Use a very gentle cleanser and lukewarm water, and avoid acids or retinol until your dermatologist allows them.
  • No make-up during the first days, as directed by your dermatologist.
  • Avoid swimming pools, saunas and strenuous exercise for the period your dermatologist specifies.
  • Follow any prescribed topical treatment, and contact the clinic immediately if anything unexpected occurs.

⚠️ Who is fractional CO₂ laser not suitable for?

The device is powerful and effective, but it is not right for every case. The consultation determines this. Situations that require postponement or an alternative include:

  • Active inflammation, skin infection or an active herpes outbreak in the treatment area
  • Recent use of certain oral acne medications — you must tell your dermatologist
  • Pregnancy and breastfeeding
  • A tendency to form hypertrophic or keloid scars
  • Severely inflamed active acne — this is treated first, before considering scar treatment
  • Inability to commit to sun protection after the session

Ready to start treating your acne scars?

The first step is a consultation to assess your skin, confirm whether fractional laser is right for you, and determine how many sessions you need. Book your appointment with Dr. Raghda El-Shafei.

Frequently asked questions

Is fractional CO₂ laser painful?
A topical anaesthetic cream is applied before the session, so the sensation is usually a tolerable prickling and warmth. It varies between individuals and according to the area and the device settings.
How long is the downtime?
There is redness, mild swelling and then peeling. The duration depends on the intensity of the session and your skin type, and your dermatologist will tell you what to expect beforehand so you can plan.
Is it suitable for darker skin?
Yes, but with caution and different settings, because darker skin is more prone to post-treatment pigmentation. Pre-treatment assessment and strict sun protection afterwards matter more than anything else.
When will I see results?
Initial improvement appears once peeling has finished, but the real result accumulates over weeks to months afterwards, because collagen remodelling is inherently slow.
Can I return to work the next day?
It depends on the intensity of the session and the area treated. Your dermatologist explains what to expect beforehand so you can choose suitable timing.
⚠️ The information on this page is for general awareness only and does not replace consultation with a specialist. Whether fractional CO₂ laser suits your case, how many sessions you need, and the device settings used are all determined after examination at the clinic.