eCO2 Laser

The Lutronic eCO2 is an ablative fractional CO2 laser (10,600 nm) that removes precise microscopic columns of skin while leaving surrounding tissue intact, triggering a strong wound‑healing response and new collagen and elastin formation for deep resurfacing and tightening. By adjusting energy, density and depth, treatment can be tailored from lighter “polishing” to more intensive resurfacing for wrinkles, scars and severe sun damage, offering significant textural improvement at the cost of some controlled downtime.

  • The eCO2 delivers high‑energy CO2 laser pulses that are absorbed by water in the skin, instantly vaporising columns of tissue (micro‑ablative columns) in a grid‑like pattern while leaving islands of intact skin between them. This fractional pattern allows rapid re‑epithelialisation from the surrounding healthy tissue, while the deeper thermal effect stimulates robust collagen remodelling, tightening and replacement of damaged dermal structures over the following months. Lutronic’s Controlled Chaos Technology (CCT) pseudo‑randomly spaces each micro‑beam to maximise the distance between adjacent columns, reducing overlapping heat, improving safety and comfort, and supporting faster healing.

  • eCO2 is particularly suited to:

    • Moderate to deep wrinkles and etched lines (especially around eyes and mouth).

    • Acne scars, surgical scars and traumatic scars.

    • Coarse, uneven texture, enlarged pores and longstanding sun damage.

    • Pigmented lesions and dyschromia (such as sun spots and solar elastosis) when appropriate for skin type.

    Treatment is most commonly performed on the face, including full‑face resurfacing or focused areas (perioral, periocular), but settings can also be adapted for neck, chest and some body scars or stretch marks in carefully selected patients.

    • Fractional resurfacing mode uses a scanning handpiece to create a field of micro‑ablative columns for overall improvement in wrinkles, scars and texture; depth and density are adjusted according to indication and downtime tolerance.

    • Lesion vaporisation mode (full‑field or focused) allows precise removal of benign lesions such as skin tags, seborrhoeic keratoses and some raised scars by vaporising tissue layer by layer, aiming to minimise damage to surrounding skin.

  • eCO2 is generally performed as a single stronger session or a short series of 1–3 treatments, spaced several months apart, depending on the severity of wrinkles or scarring and the settings used. After higher‑intensity resurfacing, patients can expect several days of oozing and crusting followed by redness and peeling; social downtime typically ranges from about 5–10 days, with pinkness and skin sensitivity gradually settling over weeks.

  • Once healing is complete, skin usually appears smoother, more even and firmer, with further improvement in fine lines, scars and elasticity as collagen continues to remodel over 3–6 months. Results from properly performed eCO2 resurfacing can be long‑lasting, especially when combined with good sun protection and skincare, although natural ageing and ongoing UV exposure will continue to affect the skin over time. As an ablative treatment, eCO2 carries higher risks than non‑ablative lasers (including infection, pigment change and scarring), so it is reserved for appropriate skin types and indications and delivered with careful parameter selection, aftercare and strict sun avoidance.