Fractional CO2 Laser Resurfacing

Fractional CO2 laser resurfacing at RVmedCentrum uses the SMAXEL CO2 laser — an FDA-certified device with a computer-controlled scanner — to perform controlled micro-ablation of the skin surface. The treatment addresses wrinkles, enlarged pores, pigmentation, skin laxity, and acne scars by vaporising micro-columns of tissue in a fractional pattern, stimulating deep collagen remodelling. A numbing cream is applied 45 minutes before the session, and a recovery period of 1 to 2 weeks with redness, swelling, and light scabbing should be planned.

Fractional CO2 laser resurfacing is the most clinically effective non-surgical treatment for significant skin aging, deep wrinkles, acne scars, and photoaged skin. RVmedCentrum's SMAXEL laser delivers CO2 energy in a fractional pattern — treating micro-columns of tissue separated by untreated zones — through a computer-controlled scanner that distributes the treatment evenly and precisely. The CO2 wavelength (10,600 nm) is absorbed strongly by water in skin cells, causing immediate controlled vaporisation of tissue. The computer scanner ensures each micro-ablation column is placed at consistent depth and spacing, producing predictable results. The fractional approach means that a significant proportion of skin around each treated zone remains intact, dramatically accelerating healing compared to fully ablative CO2 treatments while still achieving deep dermal remodelling. The dermal heating triggers a wound-healing cascade: fibroblasts are activated and produce new collagen and elastin over the weeks following treatment. This neocollagenesis continues to improve the skin's structure for 3 to 6 months after the single session, meaning the final result is not visible until this timeframe has elapsed. A numbing cream (EUTECTIC mixture) is applied 45 minutes before the procedure to ensure comfort. The session itself takes approximately 30 minutes. Post-treatment, a soothing repair cream and SPF 50+ sun balm are applied by the clinic. For 1 to 2 weeks: redness, mild swelling, and small scabs are expected as the micro-treated zones heal. Patients should apply repair cream as directed, avoid sun exposure for 2 to 3 months, and avoid solarium for 3 months. Makeup can be reintroduced once scabs have resolved, typically at day 7 to 10. The SMAXEL is also used for acne scar resurfacing at the same price point — 20,000 Kč for a full face session. For deeper or pitted scars, a series of 2 to 3 sessions may be recommended, spaced 2 to 3 months apart.