
At Dr Joney De Souza Skin & Laser in Marylebone, a common question is how many CO2 laser sessions you actually need. The honest answer depends on your skin and your goal. For some concerns, a single session delivers a clear result. For others, a short course works better. Below, we explain what to expect by concern, and why one treatment often goes a long way.
At Dr Joney De Souza, our CO2 treatment uses the Deka SmartXide DOT fractional CO2 laser. It is worth being clear that this is fractional resurfacing, not fully ablative CO2. We are often asked for fully ablative CO2, which we do not offer, because the fractional approach gives meaningful results with a safer, more manageable recovery. At your consultation, we explain exactly how the laser is set for your skin.
Key takeaways
CO2 laser resurfaces the skin and triggers fresh collagen. Because the effect is significant, a single session can produce a visible change. In practice, many patients are happy after one treatment. For this reason, CO2 is often chosen when people want results without a long series of appointments. To explore the treatment, see our CO2 laser resurfacing page.
Some concerns respond best to more than one session. Deeper or rolling acne scars are a good example. Equally, significant sun damage may benefit from a staged approach. In these cases, two to three sessions allow gradual, controlled improvement.
As a general guide, the following ranges apply. Even so, your clinician confirms the right number for you.
Naturally, results also depend on your skin and your goals. Many people combine CO2 with good skincare for acne scarring to protect their result over time.
When a course is needed, spacing matters. Generally, sessions sit several weeks to a few months apart. This gap lets the skin heal fully and lay down new collagen. Rushing treatments offers no benefit and can prolong recovery.
First, an early glow appears once the skin settles at around two weeks. Then the deeper improvement in scars and texture builds over three to six months. Because of this, we usually review your progress before planning any further session. For day-by-day healing, read our CO2 laser recovery guide.
No two faces are the same, so no two plans are identical. At consultation, your clinician assesses your skin, your concern and your downtime. Together, you agree whether one session or a short course suits you best. This avoids over-treating and keeps your result natural.
At Dr Joney De Souza Skin & Laser, every CO2 plan is doctor-led and tailored. To see options and current pricing, visit our CO2 laser resurfacing page and our prices list. Alternatively, book a consultation.
At Dr Joney De Souza Skin & Laser in Marylebone, every treatment is doctor-led and tailored to you. To discuss your goals and see current pricing, explore the treatment page or book a consultation with our team.

Common questions our Marylebone team hears about this treatment.
Many patients see meaningful improvement after a single session. Deeper acne scarring or significant sun damage may need a short course of two to three.
Often yes. For fine lines, texture and mild pigmentation, a single session frequently delivers a clear, satisfying result.
Acne scarring typically responds to one to three sessions, spaced several weeks apart, depending on the depth and type of scar.
When a course is planned, sessions usually sit several weeks to a few months apart so the skin can heal and build new collagen.
An early glow appears at around two weeks. The deeper improvement in scars and texture develops over three to six months.
Results are long-lasting, although occasional top-ups over the years can help maintain skin quality alongside good skincare.
Yes. CO2 is often paired with tailored skincare and other treatments. Your clinician advises a safe sequence at consultation.
Yes. Skin type, concern and goals all influence the plan, which is why it is confirmed at a personal consultation.
No. Over-treating offers no benefit and can prolong recovery. The aim is the right number for your skin, not the most.
Pricing depends on the area and plan. See our prices page or book a consultation for a tailored quote.