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Restorative Skin Procedures by Mr Ioannis Goutos

Carbon Dioxide Laser

Carbon Dioxide Laser

At a glance

Treatment time:

15-30 minutes, depending on the size and area of skin being treated.

Return to work:

No delay.


None or local anesthetic cream applied 20-30 minutes before the procedure.

There are a number of treatment options for the regeneration of skin and the reduction of the appearance of blemishes, lines and wrinkles.

Lasers work by emitting concentrated beams of light energy and are considered suitable, safe and effective procedures for a number of patients.  Different wavelengths of light emission can be used to treat different types of skin conditions, including scarring, moles and wrinkles. Carbon dioxide lasers are considered among the most powerful modalities and produce wavelengths of 10,600 nm.

Mr Ioannis Goutos is an experienced plastic surgeon, with wide breadth of experience managing different functional and cosmetic skin issues. He takes a particular interest in managing individuals with troublesome and difficult-to-treat scars and burns and places special attention on the social and psychological complications associated with these issues.

Initial consultations will include a full assessment of any areas of skin that you are concerned about or are interested in having treatment for. He will then be able to discuss all the appropriate treatment options with you to make an individualised treatment plan. As a skilled surgeon, he is highly competent in performing a number of aesthetic procedures, including laser treatments.

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About this treatment

Carbon dioxide laser treatments work by producing a concentrated beam of light which can penetrate to the deeper layer of the skin, the dermis. This light is then converted to heat energy, where it causes microscopic damage within the dermis layer. The aim of this is to promote regeneration in the layers of the skin and promote production of collagen and new skin cells. This makes carbon dioxide lasers a good treatment option for lines and wrinkles (particularly deeper wrinkles that may not be effectively targeted by more superficial laser treatments), , stretchmarks and age-related skin damaged. They can also be used in treatment plans for a number of different scar types, including acne scarring and hypertrophic scars. Laser treatments are very precise which confers the benefit of accurately targeting problem areas and lesions, whilst minimising adverse effects in the surrounding skin.

Carbon dioxide laser treatments can be done in an outpatient clinic within a scheduled appointment. The target area of skin is cleaned using a sterile cleaning solution and then the laser treatment is applied by an experienced specialist. This can take 15-30 minutes depending on the size and location of the area being treated. Appropriate eye protection is also supplied and cooling packs or a cooling device is used to ensure comfort during the session. Once complete, you will receive appropriate post-procedure skincare advice and a list of symptoms to monitor for. You will be able to go home after the appointment, and normally there is no anaesthetic required. Laser treatments usually produce localised swelling, redness and flaking, however this should fade over the next days to weeks when you will begin to see the initial effects of your treatment.

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Goutos London - Carbon Dioxide Laser
Goutos London - FAQ


We know having medical, surgical or cosmetic treatment can seem daunting and it is natural to have questions. We are here to ensure your comfort and safety at all times. If you are unable to find the answer to your questions below, then please do not hesitate to contact us so we can help.

Most laser treatments will produce some redness, swelling and dryness in the skin which will resolve with time. In some individuals, the skin flaking may be more extensive. There is also a small risk of developing a skin infection after treatment. These risks are mitigated through the skills of an experience plastic surgeon or clinician, use of appropriately sterile equipment and good post-procedure skin care advice.

Carbon dioxide lasers are particularly helpful in treating deeper lines or wrinkles, which are not targeted as well by other, more superficial, types of laser treatment. It is important to discuss all the treatment options available with an experienced clinician to ensure that you are getting the best type of treatment for your aesthetic goals and skin type.

Carbon dioxide lasers are less suitable for individuals with darker skin tones and those with connective tissue disease. These lasers may also not be suited for those who have a tendency to form keloid scars. Additionally, laser treatments are generally not recommended for those who have had other recent procedures to the same area of skin, such as dermabrasion or chemical peels, to avoid excessive irritation in the skin. It is not advisable to have laser treatments on areas of skin with any active bacterial or viral infections.

It is crucial to follow all your post-treatment advice provided by your practicing clinician. This will typically include avoidance of any further skin irritation by waiting for the skin to heal before having any further cosmetic treatments and avoiding the application of products containing fragrances or harsh chemicals. Laser treatments also increase the skin’s sensitivity to sunlight, so you should ensure good sun protection with clothing or application of sun screen with at least 30 SPF.

Prices from

Starting from £650

At Goutos London, we aim to deliver a premium service with no compromise on quality in order to deliver the best results possible for your needs.

Goutos London

Related conditions

Whatever your condition, and whatever your health goals are, we will ensure you get a holistic, focused and bespoke service that offers you the safest options for treatment aiming for the best possible outcome.

Acne Scarring

Hypertrophic Scars

Lines & Wrinkles


Mr Goutos is delighted to share some of his patient and peer feedback on their experiences of his services.

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