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CO2 Laser

CO2 Fractional Laser for Acne Scars — Real Results, Real Expectations

CO2 点阵激光治疗痘疤 — 真实效果与合理预期

June 2026 · 7 min read · By Gelina
2026年6月 · 阅读约 7 分钟 · 作者 Gelina

CO2 fractional laser is the most effective single treatment available for acne scarring — and also the one people most often go into underprepared. The recovery is real. Here is what the week actually looks like.

CO2 点阵激光是目前针对痘疤最有效的单一项目——也是最多人准备不足就去做的项目。恢复期是真实存在的。这篇讲清楚那一周究竟是什么样。

Why it is called fractional

为什么叫「点阵」

Older resurfacing lasers removed the entire surface layer of skin across the treatment area. Effective, but the recovery was weeks and the risks were significant.

早期的剥脱激光会把治疗区域的整层表皮全部去除。效果确实好,但恢复期以周计,风险也高。

Fractional technology divides the beam into a grid of tiny columns. Each column of skin is treated to depth, but healthy untreated skin is left in between. Those untreated bridges are what drive rapid healing — the surrounding intact tissue supplies the repair. That is the entire reason recovery dropped from weeks to days.

点阵技术把光束分成网格状的微小柱阵。每一个柱状区域被深度处理,但柱与柱之间保留完好的皮肤。这些未被处理的「桥梁」是快速愈合的关键——周围完整的组织为修复提供支持。这就是恢复期从数周缩短到数天的原因。

How it addresses a scar

它如何作用于疤痕

An indented acne scar is a place where the skin healed with less tissue than it started with. The surrounding skin sits at normal height and the scar sits below it.

凹陷型痘疤是皮肤在愈合时组织量少于原本的位置。周围皮肤在正常高度,疤痕陷在下方。

The laser does two things. It removes a controlled amount of tissue at the edges of the scar, softening the sharp shoulder that makes an indentation catch the light and look deeper than it is. And the thermal effect below stimulates new collagen to build the base of the scar upwards over the following months.

激光做两件事。一是可控地去除疤痕边缘的部分组织,柔化那道让凹陷「卡光」、显得比实际更深的锐利边缘。二是下方的热作用刺激新生胶原,在接下来数月里把疤痕的底部逐步垫高。

This is why results keep improving for three to six months after the skin has healed. The visible recovery is over in a week; the actual remodelling takes far longer.

这就是为什么皮肤表面愈合之后,效果还会持续改善三到六个月。可见的恢复一周结束,真正的重塑要长得多。

The recovery week, honestly

恢复的那一周,如实说

DayWhat to expect 天数会发生什么
1–2Hot, red, swollen. Similar to strong sunburn. Swelling is often worst on waking day two. 1–2发烫、泛红、肿胀,类似严重晒伤。第二天早上起床时肿胀通常最明显。
3–5A fine bronzed, gritty texture develops. This is the treated tissue moving out. Do not pick it. 3–5出现细密的古铜色粗糙质感,是处理过的组织在向外代谢。不要抠。
5–7Flaking clears to reveal pink new skin. Makeup is usually fine from around here. 5–7脱屑完成,露出粉红色新生皮肤。大约从这时起可以上妆。
Weeks 2–6Pinkness fades gradually. Sun protection is non-negotiable through this phase. 第 2–6 周粉红逐渐消退。这个阶段防晒没有商量余地。

The one rule that matters most: do not pick, scrub or exfoliate while the skin is flaking. Interfering with that layer before it is ready is the main cause of prolonged redness and, in some cases, new marks. Let it come away on its own.

最重要的一条:脱屑期间不要抠、不要搓、不要去角质。在皮肤准备好之前干预这一层,是持续泛红——某些情况下甚至留下新痕迹——的主要原因。让它自己脱落。

Which scars respond, which don't

哪些疤痕有效,哪些没有

Before you book

预约之前

Active acne needs to be under control first — treating skin that is still breaking out risks spreading inflammation and creating new marks. Recent isotretinoin use also affects timing, and any history of cold sores should be mentioned, as resurfacing can trigger an outbreak that is worth preventing in advance.

活动期的痘痘需要先控制住——在还在长痘的皮肤上做,有扩散炎症和产生新痕迹的风险。近期使用过异维 A 酸也会影响时间安排。如果有唇疱疹病史一定要说明,剥脱治疗可能诱发复发,这是可以提前预防的。

Common Questions

常见问题

How many sessions do I realistically need?
实际需要做几次?
For moderate acne scarring, two to four sessions spaced eight to twelve weeks apart is typical. Each session produces incremental improvement — the common estimate is a meaningful percentage of improvement per session rather than complete clearance. Anyone promising full removal of acne scars in one session is not being straight with you.
中度痘疤通常需要两到四次,间隔八到十二周。每一次都是渐进式改善——普遍的预期是每次改善一定比例,而不是一次清除。有人承诺一次就能完全去除痘疤,那不是实话。
What does the recovery actually involve?
恢复期具体是什么样?
Day one to two: the skin feels hot and looks red and swollen, similar to a strong sunburn. Day three to five: a fine bronzed, sandpaper-like texture appears as the treated micro-columns work their way out. Day five to seven: this flakes off and pink new skin is underneath. That pinkness can persist for several weeks and is easily covered with makeup after the first week.
第一到二天:皮肤发烫、泛红肿胀,类似严重晒伤。第三到五天:出现细密的古铜色砂纸样质感,是被处理的微小柱状组织在向外代谢。第五到七天:这层开始脱落,下面是粉红色的新生皮肤。这种粉红可能持续数周,一周后可以用底妆遮盖。
Will it work on all types of acne scars?
对所有类型的痘疤都有效吗?
No. Rolling and boxcar scars — the shallow, dish-shaped indentations — respond best. Deep narrow ice-pick scars respond less well to laser alone and often need a combined approach. Raised or keloid scars are a different problem entirely and can worsen with resurfacing, so those must be assessed separately.
并非全部。滚动型和箱车型疤痕——也就是浅而碟状的凹陷——反应最好。深而窄的冰锥型疤痕单靠激光效果有限,常需要联合方案。增生性或疤痕疙瘩型是完全不同的问题,剥脱治疗可能使其加重,必须单独评估。
Is it safe for Asian skin?
亚洲皮肤适合做吗?
It can be, but the risk of post-inflammatory hyperpigmentation is higher in skin that pigments readily. This is managed by using conservative settings, sometimes pre-treating the skin for several weeks beforehand, and being strict about sun avoidance afterwards. It is a discussion to have honestly at consultation rather than something to book online without assessment.
可以,但容易产生色素的肤质发生炎症后色素沉着的风险更高。应对方式是采用保守参数、有时提前数周做皮肤预处理,并在术后严格避光。这是面诊时需要坦白讨论的事,不适合不经评估就在网上直接预约。
When can I go back to work?
多久能正常上班?
Most people take five to seven days. Working from home is possible from around day three if you are not on camera. Book it with a clear diary — the most common regret is scheduling it too close to an event.
多数人需要五到七天。如果不需要露脸开会,大约第三天起可以居家办公。安排时确保日程宽松——最常见的后悔是排得离重要场合太近。
G

Gelina — Founder & Senior Aesthetician, Best of Beauty Clinic Chatswood.
Diploma of Beauty Therapy (TAFE NSW) · 18+ years in aesthetic practice.

Gelina — Best of Beauty Clinic Chatswood 创办人及资深美容师。
Diploma of Beauty Therapy(TAFE NSW)· 18 年以上实操经验。

Not sure if this is right for you?

不确定这个项目适不适合你?

Start with the free skin assessment, or take the 60-second quiz — no personal details needed.

先做个免费皮肤检测,或者花 60 秒测一测——都不需要留个人信息。

This article is general information about cosmetic treatments and is not medical advice or a diagnosis. Individual results vary depending on age, skin condition, lifestyle and how closely aftercare is followed. A consultation is needed before any treatment so suitability can be assessed properly.

本文为美容项目的一般性介绍,不构成医疗建议或诊断。实际效果因年龄、皮肤状况、生活方式及术后护理配合程度而异。任何项目开始前都需要面诊,以便正确评估是否适合你。

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