There are multiple ways to utilize this laser, depending on each patients’ individual needs… which is precisely why it is so effective. The modalities, or ways of using the laser, can be customized not only for different patients but for different areas of an individual.

Advanced Drug Delivery:

Another thing we do at Grossman Dermatology to maximize your results is to use fractioned procedures(ActiveFX, DeepFX, TotalFx, MaxFx, Fraxel, M8 and/or Fractora) as an advanced drug delivery system. These procedures produce small micro-channels in the skin to allow better absorption of different medications/drugs, increasing their effectiveness.  Thus, you receive the benefits of the procedure and the drug applied to the surface. Options for use with these procedures include PRP (platelet rich plasma), Sculptra, Cortisone, CE Feurlic, and Tranexamic acid.  Dr. Grossman may suggest using one or multiple products depending upon an individual's unique needs.

Are all fractioned CO2 lasers the same?

To put it simply, no. At Grossman Dermatology, we have one of the largest selections of lasers and technologies. This allows your provider to find the exact modality or combination of modalities that best fits you and the results you are looking to achieve. The graph below provides a comparison of the different fractioned CO2 modalities we offer.


ActiveFx has a wide range of settings which allows for maximum customization to superficially treat fine lines, skin laxity, texture, and dyschromia/pigmentation. After treatment, patients will notice visible improvement which will continue to progress with the regeneration of healthy, glowing skin.


DeepFX is designed to impact deeper wrinkles, acne scars, and cosmetic lesions than the ActiveFX.  The DeepFX treatment heats deep layers of your skin, promoting the production of collagen while resurfacing and smoothing out scars and wrinkles. This treatment can significantly improve texture and give the appearance of younger, healthier, skin.


TotalFx combines ActiveFX and DeepFX, treating both the surface layers of the skin and the deeper levels of the dermis. With one treatment you will notice impressive improvement in pigmentation, deep wrinkles, fine lines, scars and dermal lesions while stimulating long-term collagen production. 


PigmentFx sub-ablatively treats pigmentation issues such as ‘sun-spots’ or freckles. Healing time is 3-4 days with visual symptoms being nothing more than slight bronzing and some mild flaking.

Unlike the CO2 laser, all of these modalities can be performed on the neck, chest and hands…great news for those who may have had the CO2 and want to improve these other areas as well… and for those who are new to this process and want to improve all areas at one time and avoid possible lines of demarcation.



How soon will I see results?

How many fractioned CO2 treatments will I need?

How soon will I see results?

Results are visible immediately after treatment with continued improvement seen up to 3 months post-procedure due to the “remodeling” of the skin.

How many fractioned CO2 treatments will I need?

Dr. Grossman’s innovative techniques will provide you with visible improvement with just one treatment. However, depending on your aesthetic goals and area(s) of concern, more than one treatment or a combination of different treatments may be necessary to provide you with the best possible results. Check out our Kustom Karyng Lift page to see some amazing transformations that occur when patients combine modalities.

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What is the downtime and recovery like after Fractionated  CO2 Laser Resurfacing?

Recovery time varies depending on the individual and the area(s) being treated. During your consultation, your provider will discuss your concerns and desired outcome and give you detailed instructions/expectations for your recovery. Generally, it will take about 5-10 days for your skin to heal; some pink or red undertones may persist for weeks thereafter. After your treatment, it is critical that you avoid direct sun for the first week and keep exposure very limited during the following months. 
What sets Grossman Dermatology apart from other practices, besides our outstanding results,  is our dedication to ensuring you have the best experience before, during, AND after your treatment. Every patient is a VIP. Our staff will always go above and beyond to help you through the entire process and equip you with the tools to make your recovery as easy as possible.

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