CO2 abrasion
Click here for clinics where treatment is available
Regenerate skin that you'll want to touch

CO2 ablation is a treatment that uses a CO2 laser to create a crater wound and stimulate the wound healing response (the body's ability to heal the wound).
By generating collagen, the skin is regenerated and smoothed to create a flawless appearance. This treatment is recommended for those who have not seen results from previous skin treatments.
CO2 ablation is recommended for:
- Those who are concerned about craters
- People who are concerned about chickenpox scars
- Those who are concerned about deep scars
Supervisor information
Tsubasa Shirozu
- 2010
- Graduated from Hiroshima University School of Medicine, Department of Medicine.
Worked at Saga Prefectural Hospital, Kyushu University Hospital, JCHO Kyushu Hospital, Fukuoka Red Cross Hospital, Kitakyushu Municipal Medical Center, Oita Prefectural Hospital, Kyushu Medical Center
- 2020
- Cosmetic dermatology Elm Clinic Fukuoka Clinic
- Juvederm Vista certified doctor
- Certified doctor trained in Allergan’s Vista program
- Cosmetic Ingredient Test Level 1
What is CO2 ablation?
CO2 ablation is a wound healing treatment that uses a CO2 laser to remove the epidermis from the walls and floor of sunken craters caused by chickenpox or acne scars.
There are several types of craters, but once they have stabilized in a state of dermal loss, they will not improve naturally. By burning away the abnormal, hard scar tissue (ice pick or boxcar shaped) around the craters caused by pus or inflammation, fibroblasts actively produce collagen. Repeating the treatment 2-3 times will gradually flatten the depressions and leave the skin smooth.
Treatment methods vary depending on the type of crater, so we will first suggest a treatment method during a consultation.

Types of craters
Treatment methods vary depending on the type of crater.
CO2 abrasion is an effective treatment for ice pick and boxcar abrasions, while subcision and potenza are effective treatments for rolling abrasions.
Ice pick mold
It is a narrow, deep acne scar that becomes thinner towards the tip and reaches the dermis and subcutaneous tissue.
Box type
They are usually round or oval, with a flat base and steep edges. Chickenpox (varicella) can also leave boxcar-shaped scars that are difficult to cover with makeup.
Rolling type
Unlike the boxcar type, this type is characterized by gentle depressions. This occurs when abnormal fibrous tissue produced by acne inflammation pulls on the skin, making the entire skin appear uneven.
Subcision + Juvelook injection
What is "subcision"?
Subcision is a treatment specifically designed to treat deep acne scars and craters.
After cutting the tough fibers with a special medical needle, Juvelook is injected to improve the skin to a smooth, even texture.
Unlike hyaluronic acid, Jubeck increases the production of your own collagen, making it less likely to form lumps and resulting in a natural finish.

CO2 ablation case photos


- Our Treatments
Both cheeks 8cm
- Treatment amount
- ¥99,000 (basic fee ¥55,000 + 8cm² ¥44,000)
- Side effects
- Bleeding, pain, temporary swelling, redness
- Doctor in charge
- Tsubasa Shirozu
Features and benefits of CO2 ablation
-
Point
Pinpoint shaving causes minimal damage to the skin
The 0.5mm laser can be used to precisely remove the crater, without damaging other tissues.
-
Point
Makeup is possible except for the treatment area
You can wear makeup on areas other than the treatment area as protective tape will be applied. Vaseline and protective tape are included in the price, so there is no need to worry.
-
Point
Treatment is completed in a short time
It usually only takes a few minutes per area, and there is almost no bleeding because the laser is used.
Treatment overview
| Duration of treatment | 5 to 30 minutes |
|---|---|
| pain | It depends on the area being treated, but it takes about 10 to 30 minutes including local anesthesia. The time varies depending on the area being treated. |
| down time |
Internal bleeding may occur.Internal bleeding will gradually improve over about two weeks. |
| make | The treatment area can be used from the next day. |
| Points to note | Please refrain from using facial cleansing foam on the day of treatment. The area needs to be protected with tape for two weeks, and redness may continue for another three to six months afterwards. |
| Side effects | You may experience internal bleeding, pain, temporary swelling, and redness. |
| Treatment frequency | We recommend that you receive the treatment 2-3 times, once a month. |
*Pain, downtime, and effects vary from person to person.
*The treatment time does not include counseling time.
*Pregnant women cannot undergo any treatments.
Flow of treatment
-
Flow of treatmentCounseling
Before the procedure, you will have a consultation with your doctor.During the consultation, you will receive a detailed explanation of the treatment area, effects, risks, costs, and aftercare.
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Flow of treatmentDisinfection/anesthesia
Before the procedure, the area to be resected will be marked, disinfected, and local anesthesia will be administered.
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Flow of treatmentTreatment
The doctor will perform the CO2 ablation treatment based on the treatment area and contents decided during the consultation.
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Flow of treatmentEnd of treatment
After the treatment, we will explain the aftercare.Please refrain from wearing makeup on the day of your appointment.
Clinics where treatment is available
For those who live in the Kansai region
For those who live in Kyushu
CO2 abrasion(Local anesthesia, Vaseline, and tape included)price of
(tax included)| Menu | Regular price |
|---|---|
| Basic charge | 55,000 JPY |
| per 1cm² | 5,500 JPY |
*Example: One cheek (up to 16cm²) 103,000 JPY, both cheeks (up to 32cm²) 151,000 JPY
Click here for details on the fees for each treatment
About Payment Methods
You can choose the payment method that suits you.
Various combinations are possible.
- Lump sum cash
- Credit Transfer

- Medical loan(3 to 60 installments/annual interest rate 8.4%)
For minor patients
If you are a minor, a "parental consent form" is required.Please download and fill out the form in advance and bring it with you, or bring one of your parents with you.
Clinics where treatment is available
For those who live in the Kansai region
For those who live in Kyushu
Hiroshi Kikuchi
- 2008
- Graduated from Hiroshima University School of Medicine, Department of Medicine Worked at Chiba University School of Medicine Affiliated Hospital and related hospitals.
- 2013
- Cosmetic dermatology Elm Clinic Fukuoka clinic opened
- Juvederm Vista certified doctor
- Certified doctor trained in Allergan’s Vista program
- Cosmetic Ingredient Test Level 1
About medical advertising guidelines
Review and improvement of homepage
At Elm Clinic, under the supervision of a doctor, we are reviewing and improving our website as appropriate in the following two areas, in accordance with the "Medical Advertising Guidelines."
(i) Addition/deletion of testimonials
(ii) When posting case photos, please describe the details of the treatment, risks of the treatment, price of the treatment, etc.
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*Temporary closures may be established.[Business hours] 9:00-18:00 [Closed] Sundays
*Temporary closures may be established.[Business hours] 10:00-19:00 [Closed days] Irregular holidays
*Temporary closures may be established.[Business hours] 9:00-18:00 [Closed days] Irregular holidays
*Temporary closures may be established.[Business hours] 10:00-19:00 [Closed days] Irregular holidays
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