Hautmedizin Westend – Dermatology | Laser | Aesthetics

Fullface CO2 Treatment

Full-face treatment with the fractional CO2 laser renews the skin across the entire face – lines, pigment changes, pores and sun damage in a single session.

Why full-face rather than in patches?

Treating individual areas often leaves a visible transition: the treated zone is smoother and lighter than its surroundings. The fullface treatment avoids this by renewing the entire face in one session – from the hairline to beyond the jawline, including the neck and décolleté if you wish. The result is a consistently even complexion without any steps.

What the treatment achieves

The fractional CO2 laser works on two levels. At the surface it removes the damaged outer layer of skin in microscopically fine columns – pigment changes, rough texture and enlarged pores improve. At depth, the controlled heat creates a stimulus to which the skin responds over months by forming new collagen and elastin. The skin becomes measurably thicker, firmer and more elastic.

  • Fine lines around the eyes, upper lip and cheeks
  • Slackened skin with an uneven surface and large pores
  • Sun damage, photoageing and uneven pigmentation
  • Acne scars and other depressed scars
  • Actinic elastosis – the typically coarsened skin that follows decades of UV exposure

The procedure

Preparation. About four weeks beforehand we start preparatory skincare where this is needed; from then on strict sun protection applies. If you are prone to cold sores, we start preventive medication the day before.

On the day of treatment. After thorough cleansing, an anaesthetic cream is left to work for 45 to 60 minutes; with more intensive settings we add a local anaesthetic or nerve blocks. The treatment itself takes 45 to 60 minutes. Afterwards we cool the skin and apply a regenerating ointment.

Healing. Days 1 to 3: marked redness, swelling and a feeling of heat – the swelling is at its strongest on the second day. Days 3 to 5: the skin turns brownish, with fine crusts and the beginning of flaking. Days 5 to 7: the skin flakes away and the new skin appears beneath it. From day 7 to 10 you are usually presentable again; the skin stays pink for four to six weeks and can be covered with make-up from around day ten.

Aftercare

  • Cool consistently in the first few days, use rich skincare, do not scratch off the crusts
  • Mild cleansing from day seven, then step by step back to your usual routine
  • Four to six weeks of consistent sun protection with SPF 50 – the most important rule
  • No sport, no sauna and no swimming pool for ten days
  • Only use retinol and fruit acids again after four weeks

Fees

TreatmentFee
Fullface CO2 treatment (full face)from €1,290
Partial area (cheeks, perioral or periorbital)from €490
Neck, in additionfrom €590
Décolleté, in additionfrom €690

The fullface CO2 treatment is a self-pay service (IGeL); it is billed according to the GOÄ scale of fees. Where the indication is aesthetic and there is no medical necessity, the services are subject to VAT; all amounts are final prices including 19 % VAT.

Frequently asked questions

How much does a fullface CO2 treatment cost?
From €1,290 for the full face, a partial area from €490. Face, neck and décolleté combined from €2,390.
How long is the downtime?
About seven days. Days 1 to 3 redness and swelling, days 3 to 7 crusts and flaking. From day ten the skin can be covered well with make-up.
When will I see the final result?
The skin has healed after four to six weeks. Collagen formation continues for a further three to six months and keeps improving the result.
How long does the effect last?
The newly formed collagen remains for years. Many people repeat the treatment after two to three years.
When is the best time?
Autumn and winter, because the four to six weeks of avoiding the sun are easier to keep to then.
Is one session enough?
As a rule, yes. With pronounced sun damage or deep scars, a second session after six months may be worthwhile.
Who is the treatment not suitable for?
It is not suitable with active skin infections, during isotretinoin therapy, with a tendency to keloids, or in pregnancy and while breastfeeding. For darker skin types we work with reduced energy or recommend alternatives.

Source: S2k-Leitlinie "Lasertherapie der Haut" (German S2k guideline on laser therapy of the skin, DDG)