Pre-Treatment Protocol for CO₂ Laser Resurfacing
Everything you need to do before your procedure so healing is smoother, risks are minimised, and results are maximised. This guidance supports (not replaces) your clinician’s instructions.
Quick Checklist (Overview)
4–6 weeks before
- Strict SPF 30–50 daily; avoid tanning & sunbeds.
- Pause active facials/peels on the treatment area.
- Disclose all meds/supplements (see list below).
- If prone to cold sores, tell us (possible antiviral plan).
7–10 days before
- Stop retinoids (vitamin A), strong AHAs/BHAs on area.
- Stop waxing/epilation/laser on area.
- Reduce alcohol; prioritise hydration and sleep.
24–48 hours before
- No strenuous exercise, heat exposure, or saunas.
- Have bland cleanser, occlusive, SPF ready at home.
- Arrange transport if having numbing/sedation.
Important: If you develop illness, active infection, open lesions, or have had recent significant sun exposure, contact the clinic—your date may need moving for safety.
Candidacy & Fitzpatrick Guidance
Who may need to defer
- Pregnant or breastfeeding.
- Active acne, dermatitis, or infection in the area.
- Recent isotretinoin (typically defer 6–12 months; clinician will advise).
- History of keloid/hypertrophic scarring (risk/benefit discussion).
- Photosensitising meds (see list below) without clearance.
Skin tone considerations
All treatments are individualised. Higher Fitzpatrick types (III–VI) may require gentler parameters, extended prep, and stricter post-care to reduce PIH risk.
- I–II: Standard prep; strict sun avoidance.
- III–IV: Consider 2–4 weeks of pigment-calming topicals; slower parameter build.
- V–VI: Conservative settings, extended prep, and close follow-up; alternative modalities may be advised for some concerns.
Medications & Supplements to Flag
| Category | Examples | Notes |
|---|---|---|
| Retinoids / exfoliants | Topical tretinoin, adapalene; strong AHAs/BHAs | Stop 7–10 days pre-treatment unless told otherwise. |
| Systemic retinoids | Isotretinoin | Often defer 6–12 months; clinician decides. |
| Photosensitisers | Doxycycline, minocycline, some diuretics, St John’s wort | May increase sensitivity; disclose for timing adjustments. |
| Anticoagulants | Warfarin, DOACs, aspirin (not prescribed) | Discuss risks—do not stop prescribed meds without medical advice. |
| HSV prophylaxis | Aciclovir/valaciclovir (if history of cold sores) | May be recommended around treatment dates. |
| Supplements | High-dose omega-3, garlic, ginkgo, vitamin E | Can increase bruising/bleeding—disclose usage. |
Never alter prescribed medications without guidance from your clinician/GP.
Suggested Skin-Prep Plan (Customised at Consultation)
AM
- Bland cleanse (no acids/scrubs).
- Barrier-supporting moisturiser.
- Broad-spectrum SPF 30–50 (reapply).
PM
- Bland cleanse.
- Niacinamide or barrier cream if sensitised.
- No retinoids/strong actives for 7–10 days pre-treatment.
Your protocol may include pigment-modulating or antiviral prescriptions depending on skin type and history.
On the Day
- Arrive with clean skin—no makeup, SPF, fake tan, or occlusives on the area.
- Bring a list of current meds/supplements.
- We’ll review consent, take photos, and apply anaesthesia if indicated.
- Plan a calm 48–72 hours post-procedure for cooling, cleansing and occlusion.
- Have pillows/towels, sterile saline/spray, bland cleanser, occlusive, and SPF at home.
- If you feel unwell or have active lesions, call us before travelling.
Book Your Consultation
We’ll tailor parameters, prep, and aftercare to your skin and goals.
Prefer to speak? Call 020 7584 7000.
Related guides
CO₂ resurfacing overview · Post-treatment care · Laser Clinic · Skin Lab diagnostics
This information is general guidance only and does not replace individual medical advice.