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Laser
Resurfacing
Laser Resurfacing
Are stubborn skin imperfections standing in the way of you achieving vibrant, younger-looking skin? CO2RE fractional CO2 skin resurfacing laser treatments can dramatically improve age-spots, fine lines, wrinkles, scarring, uneven coloration, skin laxity, textural irregularities, dull tone, and a thinned collagen layer of the face, neck and chest putting great skin within your reach.
With a team of skilled laser resurfacing technicians, Eastern Shore Cosmetic Surgery serves patients from Gulfport to Gulf Shores and beyond. We offer a wide range of medical spa and plastic surgery procedures for both men and women and are known for our caring commitment to a patient-first approach.
Are You a Candidate?
Ideal candidates for CO2RE have skin damaged by exposure to the sun, age spots, fine lines, wrinkles, discoloration or rough texture (acne scars). CO2RE is ideal for anyone seeking younger looking skin without the long downtime associated with conventional resurfacing procedures.
Although CO2 laser resurfacing can deliver dramatic improvements to the skin; more advanced signs of aging may require facial cosmetic surgery and/or dermal fillers to correct.
Dr. Koehler
Educated at the University of Alabama and in practice for over 20 years, Dr. Koehler is a board-certified cosmetic surgeon who is devoted to providing exceptional results.
Dr. Gardner
A triple-board-certified surgeon specializing in both cosmetic and venous procedures, Dr. Gardner brings a depth of expertise, compassion, and innovation to our practice.
About CO2RE Laser Skin Resurfacing
CO2RE is a versatile fractional laser system that targets the skin’s surface, middle and deep dermal levels in addition to performing traditional CO2 resurfacing. CO2 laser resurfacing creates controlled injury on the skin’s surface, removing the damaged skin cells to promote the body’s natural healing processes. This causes a boost in collagen production along with new cell growth.
CO2 laser resurfacing can be ideal for helping to reverse the early signs of facial aging, repairing blotchy pigmentation or melasma and minimizing the visibility of facial scars. Treatments can be performed as an outpatient procedure within 45 to 60 minutes. Patients can expect some downtime after CO2RE laser resurfacing. Although laser resurfacing can deliver dramatic improvement on its own, We may recommend including additional med spa treatments for even more impressive results. It’s also important to realize that more advanced signs of aging, such as sagging through the jowls or droopy eyelids, may require cosmetic facial surgery rather than laser resurfacing to correct.
We are excited to offer Pro-Nox pain relief that can be added to any of the in-office procedures we perform. Pro-Nox is an inhaled analgesic that gives our patients 100% control through self-administration. Get short-term pain, anxiety, and stress relief without having to “go under.”
What to Expect
Depending on the depth of treatment, CO2RE laser resurfacing can be done awake in the office or asleep in the operating room. During your consultation, we will advise you which approach would be better suited for you. You can expect some moderate discomfort during the treatment, but the anesthetic applied prior to the procedure typically makes any discomfort tolerable.
Immediately following the procedure you can expect a sensation similar to a sunburn, lasting several hours. You can expect peeling of dead skin from the treatment area. This is a natural exfoliation process that may last 7-10 days. Following the deeper CO2 laser resurfacing treatment, you will be unable to wear makeup for 7 to 10 days after the treatment and will likely not want to be out in public.
Although there is more downtime with the deeper resurfacing treatment, the results are also more dramatic. Generally, after one week, the area can be covered with makeup. Your skin may be light pink in color for weeks to months as it heals completely. The laser stimulates the body to form new collagen that will continue to form for several months. Deeper laser resurfacing can produce very dramatic changes in skin texture as well as fine lines and wrinkles.
Risks and Complications
The risks associated with CO2RE laser resurfacing include a possible darkening of the skin (hyperpigmentation) or lightening of the skin (hypopigmentation), swelling and redness. Although rare, a chance of infection, blistering or scarring may occur, but medication is to you before your procedure to reduce the risks of viral and bacterial infections as well as any pigment changes in the skin.
Your New Look
Generally, you will see a noticeable difference after only one treatment. Results do vary after the treatment, but you can expect your skin to look softer, smoother, and with less unwanted pigment. Over time, fine lines, wrinkles, age spots and uneven texture will start to show improvements.
There are a number of variables that will determine how long you can expect the results to last including your health, age, and how you care for your skin after the treatment. To maintain optimal results from your CO2 laser skin resurfacing treatment, we recommend the use of a daily skin care regimen such as SkinMedica Everyday Essentials System or SkinMedica Award Winning System.
Written By: Dr. James Koehler
A board-certified cosmetic surgeon in Fairhope, AL, Dr. James Koehler earned his MD from the University of Alabama and completed several post-doctoral residencies, internships and fellowships. He returned to Alabama to be closer to family and serve patients in the local community with a full range of cosmetic surgery procedures for the face, breast and body.
More about Dr. James Koehler | Last Reviewed: October 14th, 2025
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