
Compare CO2, UltraClear and Fraxel laser skin resurfacing at Dr Joney De Souza in Marylebone, London. Doctor-led, from £350. Book a consultation.
If acne scarring, sun damage, pigmentation, fine lines or a dull, uneven texture keeps pulling your eye in the mirror, laser skin resurfacing is one of the most direct ways to reset the surface and quality of your skin. It suits people who want a genuine step-change in texture and tone, not just a temporary glow, and who are happy to plan a little recovery time around the result. It is a strong option for skin that feels rough, looks tired or carries the marks of past breakouts.
Laser resurfacing is not a fix for everything. It will not lift sagging skin or replace lost volume, so deeper laxity or hollowing is better addressed with skin tightening or volumising treatments. Active infections, certain skin conditions and recent sun exposure can mean it is not the right moment, and some lasers carry more pigment risk on deeper skin tones. Your suitability is confirmed at consultation before anything proceeds.
Laser skin resurfacing at Dr Joney De Souza Clinic in Marylebone is not a single machine but a considered choice between several. The right device for deep acne scars is rarely the right one for a gentle refresh, so your practitioner selects the laser that fits your concern, your skin type and how much recovery time you can spare. The plan is built around you rather than around a piece of equipment.
Below, you can compare our three resurfacing lasers side by side, then read more on each treatment page. Whichever you choose, the depth, settings and number of sessions are set to your skin rather than a fixed protocol.
Related treatments at Dr Joney De Souza: CO2 laser, UltraClear, Fraxel 1540 and acne scarring.

| Compare resurfacing lasers | CO2 LaserFully ablative | UltraClearCold-ablative fibre | Cynosure Icon 1540Non-ablative fractional |
|---|---|---|---|
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| Best for | CO2 Laser Deep resurfacing, acne scarring and deeper lines | UltraClear Resurfacing with less downtime; tone, texture and acne scars | Cynosure Icon 1540 Lighter photo-rejuvenation; tone, pigment and fine texture |
| How it works | CO2 Laser Fully ablative CO2 laser removes the outer layers to trigger strong renewal | UltraClear Cold-ablative fibre laser resurfaces precisely with less heat spread | Cynosure Icon 1540 Non-ablative fractional laser works below the surface, leaving it intact |
| Downtime | CO2 Laser About 5 to 7 days of visible healing | UltraClear Around 2 to 3 days of redness | Cynosure Icon 1540 Minimal; usually 1 to 2 days of pinkness |
| Results appear | CO2 Laser Over weeks to months as new collagen forms | UltraClear From 1 to 2 weeks, building over time | Cynosure Icon 1540 Gradually over the weeks after a short course |
| Sessions | CO2 Laser Often one, sometimes a short course | UltraClear Usually 1 to 3 | Cynosure Icon 1540 A short course of 3 to 5 |
| Price from | CO2 Laser £680 | UltraClear £850 | Cynosure Icon 1540 £350 |
| View CO2 resurfacing | View UltraClear | View CYnosure ICON 1540 |



Many patients notice improved skin quality, texture and radiance following a course of laser treatment. Results develop gradually as growth factors stimulate collagen production and tissue regeneration over the weeks following treatment.


CO2 Laser


PicoSure


Ultraclear
Strong resurfacing results come from matching the laser to the skin and setting it with care. That judgement is what separates a safe, even result from an uneven one, and it is the heart of how this clinic works.
“My ‘less is more’ approach has become the mainstay of my practice and clients appreciate that they will have natural looking results” Dr Joney De Souza, The Sybarite
By renewing the surface while stimulating the skin’s own collagen underneath, resurfacing done well is really an investment in the quality and health of your skin for the years ahead.
Knowing what happens at each stage makes resurfacing feel far less daunting. From assessment to review, every step is guided and unhurried. To see what each stage involves, open the steps below.
Your practitioner reviews your skin, your concerns and your medical history, then recommends the laser and depth that suit you. A patch test or preparation cream is sometimes needed, so this step is never rushed.
On the day, we cleanse the skin and apply a topical numbing cream so the treatment stays comfortable. We also confirm your aftercare plan before we begin.
Using the chosen laser, your practitioner resurfaces the area precisely, adjusting settings while working. Sessions are typically quick, and most patients tolerate them well.
The skin then goes through a short healing phase whose length depends on the laser used. We give you clear instructions on cleansing, moisturising and sun protection to protect your result.
Once healed, you return for a review so your practitioner can check your progress and plan any further sessions. The result is guided, not left to chance.
Book a consultation in Marylebone and Dr Joney De Souza will recommend the right laser, depth and number of sessions for your skin. Of course, there is never any pressure.
Below are the questions patients ask most about laser resurfacing in Marylebone. If your question is not here, simply ask at your consultation.
Prices depend on the laser and the area treated. As a guide, Fraxel 1540 starts from £350 for a small area, CO2 resurfacing from £680, and UltraClear from £850, with full-face treatment priced higher. Every price includes the doctor-led assessment and aftercare. The right laser and number of sessions vary from person to person, so your practitioner confirms your plan and cost at consultation. You can also see the full breakdown on our pricing page.
It depends on your concern and how much downtime you can spare. CO2 fractional laser resurfacing with the Deka SmartXide DOT laser does the deepest work for scarring and heavier resurfacing, UltraClear resurfaces with less recovery, and Fraxel refreshes tone and texture with the least downtime. Your practitioner matches the laser to your skin at your assessment.
Downtime scales with depth. CO2 typically needs about 5 to 7 days of visible healing, UltraClear around 2 to 3 days of redness, and Fraxel only 1 to 2 days of mild pinkness. We give you a clear recovery plan so you can time your treatment around work and events.
Most patients are comfortable. We apply a topical numbing cream beforehand, and the sensation during treatment is usually described as warmth or a light prickling. Deeper CO2 treatment feels more intense but is well managed. Any tenderness afterwards settles quickly.
Safety depends on choosing the right laser and settings for your skin type. Some lasers carry more pigment risk on deeper skin tones, so this assessment matters. Your practitioner confirms suitability and may recommend a patch test before treatment. Nothing proceeds until it is safe to do so.
It varies by laser and goal. CO2 often achieves a lot in a single session, UltraClear may need 1 to 3, and Fraxel works best as a short course of 3 to 5. Your practitioner sets your plan around your skin rather than a fixed number.
Between them, our lasers address acne scarring, sun damage and pigmentation, fine lines and wrinkles, enlarged pores, and dull or uneven texture. For deeper concerns such as acne scarring, CO2 fractional laser resurfacing (which treats fractionally rather than fully ablatively) or UltraClear are usually preferred; for lighter rejuvenation, Fraxel is often ideal.
Carried out by Dr Joney De Souza, Dr Mattia Parducci, or Roma, our laser and skin specialist. Your consultation is with Dr Joney De Souza or Dr Mattia Parducci. Laser settings and skin-type judgement carry real weight, so this doctor-led approach is central to a safe, even result at the Marylebone clinic.
Yes. The clinic sits in Marylebone, within easy reach of Bond Street, Baker Street and Marble Arch, and welcomes patients from across the West End and wider London. Many travel in specifically for doctor-led laser treatment.
Year after year, patients return to Dr Joney De Souza for careful, doctor-led results. Indeed, every review reflects a commitment to precision, safety and a personalised approach at our Marylebone clinic.
I highly recommend Dr. Joney and his clinic. I have been his patient for many years and he is definitely one of the best. His work is natural and subtle, he always puts the patient’s interest first and will never try to upsell unnecessary treatments.
Had an excellent experience today getting the Profhilo treatment done by Dr. Joney De Souza. The entire team was so friendly, and prepped me about what I should expect during and after the treatment.
Dr Joney is the most wonderful Dr, kind and caring and highly experienced. I feel safe in his care and trust his opinion 100%.