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CO2 Fractional Laser London

Achieve smoother, clearer and more youthful-looking skin with expert-led fractional laser resurfacing.

Fractional CO2 Laser Summary

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No. of treatments
Usually 1 treatment (additional sessions may be recommended depending on indication)
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Procedure time
45–90 minutes (depending on area treated)
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Back to work
7–14 days (downtime varies with treatment depth)
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Duration of results
Several years (long-lasting collagen regeneration)
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Anaesthetic
Topical ± local anaesthetic (oral sedation may be used for deeper treatments)
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Sensitivity period
Redness and sensitivity for 1–2 weeks; skin continues to improve over months
Price From
£215
*Prices vary based on number of treatment areas. View our full pricing information below.

What is fractional CO2 laser resurfacing?

Fractional CO₂ laser resurfacing is one of the most effective treatments for improving skin texture, reducing wrinkles and addressing deeper signs of ageing and sun damage. At Dr Joney De Souza Clinic in Marylebone, London we use advanced fractional CO₂ technology to precisely target damaged skin cells while stimulating fresh collagen production. This approach allows for dramatic skin renewal with far greater precision and effectiveness than many traditional resurfacing methods. As with all our treatments, we carefully select only the highest-quality devices and techniques to ensure exceptional, long-lasting results with safety as our priority.

 

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Why Choose us for your CO2 Fractional Laser Treatment?

CO2, Profractional treatment with our Deka SmartXide Dot laser is one of the most advanced skin rejuvenation treatments and effective in treating both superficial and deep lines and wrinkles, superficial acne scarring and pigmentation.

At Dr Joney De Souza Skin and Laser Clinic we are unique in the industry in that we only combine C02 Face and Neck treatments with complimentary PRP Platelet Rich Plasma (RRP £550), this not only aids the healing process and improves results, but also boosts collagen. Dr Joney De Souza and his team are experts in the areas of C02 laser and PRP.

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Your bespoke fractional CO2 laser resurfacing consultation

Every CO2 laser resurfacing treatment at Dr Joney De Souza Clinic begins with a detailed consultation. During this appointment, Dr Joney and his Associates will assess your skin, discuss your concerns, review your medical history and explain the level of resurfacing best suited to your goals. You’ll learn how fractional CO₂ technology works, what results you can expect and what type of recovery time is appropriate for your treatment plan.

Once your bespoke plan is agreed, the skin is thoroughly cleansed and a topical anaesthetic may be applied to ensure your comfort. The CO₂ laser is then used to create precise micro-columns of controlled energy across the targeted areas, stimulating collagen renewal and resurfacing the skin. Depending on the depth of treatment, the session may last between 30–60 minutes. Most patients describe the sensation as warm with manageable discomfort.

What happens after CO2 fractional laser treatment with Deka SmartXide?

Following treatment, the skin will feel warm and appear red, similar to a sunburn. Mild swelling, tightness or dryness are normal in the first few days. Dr Joney and his associates will provide a tailored aftercare routine, which may include gentle cleansing, healing creams and strict sun protection. As the skin begins to heal, you may experience light peeling as new, healthier skin emerges.

Downtime varies depending on the intensity of your treatment, typically ranging from a few days to a week. Over the following weeks, collagen production increases, and your results continue to improv, revealing smoother texture, softened lines and a fresher, rejuvenated complexion. A review appointment may be scheduled to monitor your progress and advise on maintenance treatments if needed.

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Co2 Fractional Laser treatment frequently asked questions (FAQ)

CO₂ laser resurfacing is a highly effective treatment for smoothing lines, improving texture and correcting sun damage. The fractional laser creates controlled micro-columns of heat in the skin, stimulating fresh collagen and encouraging renewal. This helps soften wrinkles, refine uneven texture, reduce pigmentation and improve scarring with long-lasting results.

The treatment is non-surgical but more intensive than lighter resurfacing options, offering noticeable improvement after a single session. Mild redness, swelling or warmth are expected during the initial healing period, with downtime varying from a few days to around a week depending on the depth of treatment. As the skin regenerates, you’ll see progressive improvements over the following weeks, revealing smoother, clearer and more youthful-looking skin.

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What is CO2 Fractional Laser?

Fractional Carbon Dioxide (CO2) laser skin re-surfacing treatment with Deka SmartXide Laser is one of the most advanced skin rejuvenation treatments available.  It is effective in treating both superficial and deep skin problems, such as superficial acne scarring, wrinkles and pigmentation. The skin is smoother, fresher and more youthful.

At Dr Joney De Souza Skin and Laser Clinic we are unique in the industry in that we only combine Full Face C02 treatments with complimentary PRP Platelet Rich Plasma, this not only aids the healing process and improves results, but also boosts collagen. Dr Joney De Souza is an expert in the areas of C02 laser and PRP and has taught his techniques in these procedures for many years to other doctors and surgeons.

What can CO2 Fractional Laser do for me?

CO2 laser treatment is excellent for improving skin texture, significantly reducing pigmentation and sun damage, improving fine lines and wrinkles and also improving different types of superficial scarring.

CO2 laser skin resurfacing can be used to treat these concerns on the entire body including:

Is CO2 Fractional Laser with Deka SmartXide suitable for me?

Depending upon your skin type and concern you will be invited for a medical consultation with Dr Joney De Souza to assess your suitability for this treatment.

What is CO2 Fractional Laser treatment like?

We will numb the area using local anaesthetic to ensure minimal discomfort and take photographs for your records and so that you can see the impressive transformation of your skin. Only one treatment is required to see a dramatic improvement but a follow-up treatment may be done after 1 month.

What happens after CO2 Fractional Laser treatment with Deka SmartXide?

Immediately after the treatment your skin will be red, similar to a minor sunburn. This may last a few days and, you will also experience some swelling and flaking of the skin. Total recovery takes around 7 to 10 days.If you have treatment for pigmentation on the skin, this may darken soon after treatment and last a few days until it flakes away revealing fresher, smoother looking and feeling skin. It is essential to use SPF 50 following any laser skin resurfacing treatment, and to avoid prolonged sun exposure for at least 30 days following. We will provide you with all aftercare products to soothe and protect the skin.

How does combining CO₂ laser with PRP improve my results?

At our clinic, CO₂ laser is often combined with PRP (Platelet-Rich Plasma) to support faster healing and improved skin quality. PRP uses your body’s own growth factors to enhance collagen renewal, reduce downtime and help the skin recover more comfortably after resurfacing.

Can CO₂ laser treatment be customised for different areas of the face?

Yes. CO₂ laser settings can be precisely adjusted for different facial areas, such as delicate skin around the eyes versus thicker cheek skin. During your consultation, Dr Joney tailors the depth and intensity to your anatomy and concerns, ensuring effective results with appropriate recovery time.

Will CO₂ laser make my skin look unnatural or “overdone”?

CO₂ laser resurfacing is designed to improve skin quality, not change your features. The goal is smoother texture, refined pores and softer lines while maintaining a natural appearance. Treatment parameters are carefully selected to deliver refreshed, balanced results rather than an artificial or overly treated look.

How should I prepare my skin before and after CO₂ laser treatment?

Before treatment, you may be advised to pause active skincare such as retinoids and exfoliating acids. After CO₂ laser, the focus is on gentle cleansing, barrier repair and strict sun protection. Your skincare routine will be tailored to your skin type and healing stage.

How long is the downtime and when can I return to work?

Downtime varies depending on treatment depth, but most patients require around 7–14 days before returning to work or social activities. Redness can persist longer but is usually manageable. Improvements continue to develop for several months as collagen renewal progresses beneath the skin.

 4.9 ★★★★★

Read our reviews

Our patients return to us year after year for natural, balanced results. Every review reflects our commitment to precision, safety and a personalised approach to aesthetic care.

I genuinely wouldn’t trust anyone else with my skin. Dr Joney de Souza remains my top recommendation for anyone seeking expert aesthetic care in London. He has a calm, professional manner and always takes the time to truly listen and understand what you’re hoping to achieve. His approach is natural and refined, you always leave looking like the best version of yourself, never overdone. The clinic is a beautiful, welcoming space in the heart of London, and the entire team is warm, knowledgeable, and highly professional. Dr Joney’s expertise and eye for detail are truly exceptional, and the results speak for themselves.
Daniele Bernardinetti
Daniele Bernardinetti
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I’ve known Dr. Joney de Souza for years and can’t recommend him highly enough. He’s a true expert in aesthetics — always professional, innovative, and genuinely caring. His treatments are subtle, natural, and always tailored to your needs. A standout in London’s aesthetic scene!
Osmar Pinheiro Bacelar Junior
Osmar Pinheiro Bacelar Junior
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I had treatment at Dr. Joney De Souza’s clinic one month ago and had a fantastic experience. Dr. De Souza was friendly, highly knowledgeable, and made me feel completely comfortable and at ease throughout the process. His great sense of humor also helped create a relaxed atmosphere. I’m really happy with the results and will definitely be coming back for regular visits. Highly recommend this clinic!
Daluna London
Daluna London
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The clinic is so very welcoming and really listens to how and what you would like to achieve, i have had several facial treatments and it has made such a difference to my confidence. David and everyone in the clinic are professional and experts in what they do, they treat you with a really personal service. My skin has never looked so clear or glowing .. I’ve had people stop and ask me what and where do I have my treatments .. thank you
Jayne Gates
Jayne Gates
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I had an excellent experience with Dr. Joney de Souza and his team. From start to finish, they were incredibly supportive, making me feel at ease throughout the entire process. Dr. Joney has both a sharp eye and a soft hand, striking the perfect balance between precision and gentleness. The team’s expertise speaks for itself, and their approach is as refined as it is reassuring. Highly recommended.

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Did you know we stock the incredible @zoskinhealth at our clinic? 💙

At our clinic, we only align with brands that deliver real, visible results - which is why we proudly stock and use ZO Skin Health.

Developed by world-renowned dermatologists, ZO is a leading medical-grade skincare brand designed to transform skin at a cellular level; not just treat it on the surface.

Why we trust ZO:

💙 Clinically proven, science-backed formulations

🤍 Targets a wide range of concerns: acne, pigmentation, ageing + texture

💙 Strengthens and restores overall skin health

🤍 High-potency active ingredients for real, lasting results

💙 Medical-grade protocols tailored to each individual

This isn’t just skincare - it’s skin transformation.

Because your skin deserves more than basic. It deserves expert-led, results-driven care.

#zoskinhealth #zoskin #drjoney #londonskin #medicalgradeskincare

How can you find us?

Our clinic is located in Marylebone, London, in the heart of one of Central London’s most prestigious and renowned medical districts. Perfectly positioned for convenience and discretion, we are easily accessible from across the capital and beyond.

We welcome patients from Mayfair, Harley Street, Marylebone, Knightsbridge, Belgravia, Chelsea, Kensington, Fitzrovia and St John’s Wood, as well as international patients visiting London for specialist treatment.

Our location benefits from excellent transport connections, with close proximity to major Underground stations, mainline rail links and direct access to Heathrow, Gatwick and London City airports. Several secure parking facilities and convenient chauffeur drop-off points are available nearby, ensuring a seamless and comfortable visit.

Whether you are travelling from elsewhere in London, across the UK or internationally, our clinic offers a calm, private and exclusive setting in one of the world’s leading medical destinations.

Opening hours
Monday
9 am–6 pm
Tuesday
9 am–6 pm
Wednesday
9 am–6 pm
Thursday
9 am–6 pm
Friday
9 am–6 pm
Saturday
Closed
Sunday
Closed
Dr Joney De Souza
49 Blandford St, London W1U 7HH
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