What to Do Before and After Laser Resurfacing Appointment (CO2, Erbium-YAG, Pico)

What To Do Before Your CO2 Laser Appointment

48 Hours Before Treatment

  • Stop using active skincare products entirely unless specifically recommended by your provider.
  • Avoid excessive heat exposure, including saunas, hot showers, and intense exercise, as these can cause inflammation.
  • If prescribed a topical numbing cream, follow your provider’s instructions on when and how to apply it before your appointment.
  • If you have a history of herpes (such as oral cold sores or genital) or shingles in your treatment area, let your healthcare provider know.  
  • Stay well-hydrated and follow a healthy diet to support skin healing and improve treatment results.
  • If you are prone to cold sores, start taking an antiviral medication (such as Valtrex®) as directed by your provider to prevent an outbreak.
  • Avoid direct sun exposure and tanning beds. Sunburned or tanned skin can increase the risk of complications. Always use SPF 30+ sunscreen daily if you will be outdoors.

Day of Treatment

  • Arrive with clean skin. Do not apply makeup, lotion, sunscreen, or any skincare products to the treatment area.
  • Wear loose, comfortable clothing, especially if treating areas beyond the face.
  • Eat a light meal before your appointment to prevent dizziness or lightheadedness.
  • Plan for some downtime post-treatment, as redness, swelling, and peeling are expected.
  • Arrange for transportation if needed, especially if receiving a strong numbing agent or sedative during your procedure.
  • Inform your provider of any recent illnesses, new medications, or health changes, as these may affect your treatment eligibility.

By following these pre-treatment instructions, you will ensure a smoother procedure and better healing. If you have any questions or concerns, contact Azure Dream MedSpa before your appointment.

What To Do After Your CO2 Laser Appointment

First 24 Hours

  • Keep the treated area covered with Aquaphor at all times to maintain a protective barrier and prevent excessive dryness.
  • Expect redness, swelling, and a sunburn-like sensation. The skin may feel tight and dry.
  • Swelling is common, especially in the morning. Use a cold compress or ice packs for 10-15 minutes, 4-5 times a day, to help reduce swelling.
  • Sleep with your head elevated on pillows above the level of your heart to minimize swelling, especially around the eyes and mouth.
  • Avoid touching, rubbing, or picking at your skin to prevent infection and scarring.
  • Avoid all skincare products except those recommended by your provider. Do not apply sunscreen, makeup, or other lotions.

Days 1-3: Cleansing & Moisturizing

  • Always wash your hands before touching your face.
  • Gently cleanse the skin three times a day with lukewarm water and a mild cleanser such as Cetaphil Gentle Cleanser.
  • If needed, use a vinegar soak (1 teaspoon of white vinegar per 1 cup of water). Soak gauze in the solution and apply it to the skin for 5-15 minutes. This helps with pain, reduces bacteria, and dissolves any residue.
  • Apply a thick layer of Aquaphor after each cleanse to keep the skin hydrated and protected. Do not let the treated area dry out.
  • Pinpoint bleeding may occur, which is normal. If this happens, gently blot your skin—do not rub.
  • Avoid all exercise, heat exposure, saunas, and swimming pools during this period.

Days 4-7: Healing Process

  • Swelling, redness, and mild itching are normal as the skin begins to heal. Grid marks from the laser may appear but will fade over time.
  • On day 4, you may switch from Aquaphor to a gentle moisturizer, such as CeraVe Face Moisturizer. Do not switch if your skin is still oozing, raw, or highly sensitive.
  • Avoid direct sun exposure completely. Wear a protective hat if going outside, but do not apply sunscreen until cleared by your provider.
  • Avoid scrubbing, exfoliating, or picking at the peeling skin. Allow it to shed naturally.
  • Do not use makeup until your provider has evaluated your healing progress. If cleared, mineral makeup is recommended.
  • Once the skin has fully healed, begin wearing sunscreen (SPF 30+). Use a mineral-based sunscreen with zinc oxide or titanium dioxide to prevent hyperpigmentation.

When to Expect Results

  • Initial skin improvements will be visible within the first few weeks, but full results will develop over 3-6 months as collagen production continues.
  • Redness and pinkness may last longer in some individuals, but this is a positive sign of continued skin regeneration.
  • For best results, multiple treatments may be needed depending on your skin concerns.

When to Contact Your Provider

  • If you experience excessive pain, prolonged redness, severe swelling, or signs of infection (such as pus, warmth, or unusual odor).
  • If you develop abnormal scarring, prolonged discoloration, or persistent irritation.
  • If your skin does not seem to be healing as expected.
By following these post-treatment instructions, you will support proper healing and maximize your results. If you have any questions or concerns, contact Azure Dream MedSpa for further guidance.