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At Trifecta Med Spa in Manhattan, CO2 laser resurfacing is treated as a precision procedure, not a routine service. Every treatment is performed by a certified oculoplastic surgeon, with a focus on both safety and aesthetic outcome.

Dr. Emma Vinarsky combines surgical-level expertise with a refined aesthetic eye, customizing each session based on your skin type, condition, and long-term goals. No templates. No "standard settings."
Technology plays a major role in outcomes—but only when paired with the right technique. At Trifecta, we use the Velo by Medi Creations CO2 laser, a modern system designed for consistent energy delivery and high-level precision. Compared to older CO2 platforms, it provides more stable output, which allows for better control during treatment and more predictable healing.
Controlled depth for safer, more accurate resurfacing
Even energy distribution across the treatment area
Ability to adjust settings in real time based on skin response
This level of control is critical, especially when treating delicate areas like under the eyes or around the mouth.
* Results may vary. Individual outcomes depend on skin type, condition, and treatment plan.
Schedule a consultation to see if CO2 laser resurfacing is the right fit for your skin.
One of the key advantages of the Velo platform is its flexibility. We're not locked into a single treatment style—we can adapt the approach depending on what your skin actually needs.
Creates thousands of microscopic channels in the skin, stimulating collagen and elastin production while leaving surrounding tissue intact. This is ideal for wrinkles, acne scars, and overall skin quality.
Used for precise removal of skin irregularities such as skin tags or benign lesions, with minimal impact on surrounding tissue.
A lighter setting focused on improving tone, refining pores, and enhancing overall skin brightness with less downtime.
CO2 resurfacing is one of the most comprehensive tools we have for skin correction. At Trifecta, it's commonly used for:
Because the treatment works at multiple depths, it improves both the surface and underlying structure of the skin.
Fine lines and deeper wrinkles (especially around the eyes and mouth)
Acne scars, including boxcar and rolling scars
Sun damage and pigmentation
Uneven skin texture and enlarged pores
Mild skin laxity, particularly along the jawline and under-eye area
CO2 laser is highly technique-dependent. The device itself is only part of the equation—the outcome depends on the experience of the provider. At Trifecta Med Spa, treatments are never delegated to inadequately trained estheticians. Each session is performed by a seasoned provider, who has at least 10 years of experience working with lasers who performs each treatment with careful adjustment of energy, density, and pattern based on real-time skin response. We don't rely on default settings or aggressive "one-pass" treatments. The goal is controlled, intentional resurfacing that delivers strong results without unnecessary risk.
We start with a detailed skin evaluation to determine if CO2 resurfacing is the right option for you. This includes reviewing your skin type, concerns, and downtime tolerance.
A topical numbing cream is applied for about 45–60 minutes. Most patients describe the procedure as manageable, with additional cooling used throughout to improve comfort.
Redness and warmth, similar to a moderate sunburn
Peeling and flaking as damaged skin sheds
Skin looks significantly refreshed; most patients resume normal activities
Some residual pinkness can last a few weeks, depending on treatment depth.
You'll typically notice improvement within the first couple of weeks, but the real transformation happens over time. Collagen remodeling continues for several months after treatment—often up to 6–12 months—leading to progressively smoother, firmer, and clearer skin. With proper skincare and sun protection, results can last for years.
Everything you need to know about CO2 laser resurfacing at Trifecta Med Spa.
Fractional CO2 laser resurfacing is an advanced skin treatment that uses targeted beams of carbon dioxide energy to remove damaged skin layers while stimulating new collagen production deep within the dermis. It improves both the surface texture and structural quality of the skin.
At Trifecta Med Spa, CO2 laser is commonly used to treat: Fine lines and deeper wrinkles, Acne scars, Sun damage and pigmentation, Uneven texture and enlarged pores, Mild skin laxity. It's one of the few treatments that can address multiple concerns at once.
All CO2 laser treatments are performed by a certified esthetician under supervision of an oculoplastic surgeon. This is important because CO2 resurfacing requires precise control of depth and energy—especially in delicate areas like under the eyes.
The Velo system delivers stable, controlled energy, allowing for more precise resurfacing and consistent results. It also offers multiple treatment modes, so the procedure can be adjusted based on your skin's condition rather than using a fixed setting.
Most treatments take between 30 and 60 minutes. More intensive resurfacing or larger treatment areas may take up to 90 minutes.
The procedure is generally well tolerated. A topical numbing cream is applied beforehand, and additional cooling is used during treatment to keep you comfortable.
Schedule a consultation to see if CO2 laser resurfacing is the right fit for your skin.