Face
The most common treatment zone. CO2 resurfacing addresses perioral lines, periorbital wrinkles, crow’s feet, forehead lines, and overall texture irregularity across the full face.
Sieveking/Medical Aesthetics/Tetra CO2 Laser
Tetra CO2 Laser in Nashville
Physician-Supervised · Fractional Delivery · Customizable Depth
If fine lines, laxity, or hyperpigmentation have become your primary skin concern, the Tetra CO2 laser treatment addresses the underlying structure of the skin rather than its surface alone.
Correcting sun damage, deep wrinkles, and uneven skin texture. Skin genuinely remodeled rather than temporarily refreshed. Clinically precise and personally guided.
A controlled ablative procedure. Heat delivered into the deeper dermis. A robust collagen remodeling response.
CO2 laser skin resurfacing is a controlled ablative procedure that uses concentrated carbon dioxide laser energy to remove the outer layers of damaged skin while simultaneously delivering heat into the deeper dermis. That combination clears away skin compromised by time and sun exposure while triggering a robust collagen remodeling response in the tissue beneath.
At Sieveking Plastic Surgery, CO2 laser resurfacing is performed using the Tetra CO2 laser, a platform recognized for its precision in both fully ablative and fractional modes. Fractional delivery treats thousands of microscopic columns of tissue while leaving surrounding skin intact, supporting faster healing without sacrificing the depth of correction that makes CO2 the gold standard among laser treatments.
Treatment areas for CO2 laser resurfacing.
CO2 laser skin resurfacing at Sieveking Plastic Surgery in Franklin, Tennessee, offers one of the most effective, physician-supervised approaches to correcting sun damage, deep wrinkles, and uneven skin texture.
Neck
Crepey texture, horizontal neck lines, and early laxity respond well when approached conservatively with precise energy settings.
Chest and décolletage
CO2 laser smooths wrinkles and corrects blotchy pigmentation patterns that develop from chronic sun exposure.
Hands
Age spots, thin skin, and textural changes on the dorsal hands benefit from targeted CO2 treatment.
Acne and surgical scars
CO2 resurfacing remodels scar tissue at the dermal level, improving surface irregularity, color mismatch, and overall scar quality.
Deeper scarring or significant photodamage
Patients with deeper scarring or significant photodamage may benefit from a series of lighter fractional passes, which Dr. Sieveking discusses during your consultation.
The approach
CO2 laser resurfacing vs. other skin rejuvenation treatments.
CO2 Laser vs. BBL® Photorejuvenation: BBL® is a non-ablative treatment that addresses pigment and vascular irregularities with minimal downtime. It works well for patients with early photodamage. CO2 resurfacing is the appropriate choice when textural damage, deeper wrinkles, or structural laxity require genuine dermal remodeling. The two treatments are frequently used together.
CO2 Laser vs. RF Microneedling: Radiofrequency microneedling is a strong option for skin tightening and mild textural improvement with a more modest recovery period. CO2 laser resurfacing reaches deeper into the skin structure and produces more significant correction per session, particularly for wrinkles and sun damage.
CO2 Laser vs. Chemical Peels: Medical-grade chemical peels address surface pigment, mild texture, and skin tone. CO2 laser skin resurfacing delivers a more precise, deeper, and more controlled result, particularly in the perioral and periorbital zones.
Why choose this treatment
The benefits of CO2 laser skin resurfacing.
The result is skin that is genuinely remodeled rather than temporarily refreshed.
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Improved skin texture and tone
Surface irregularities, enlarged pores, rough texture, and uneven pigmentation are corrected as new skin emerges during healing.
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Customizable depth and coverage
Dr. Sieveking tailors energy settings, pass depth, and fractional density to your specific skin condition and recovery tolerance.
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Significant wrinkle reduction
Fine lines and moderate wrinkles, particularly around the eyes and mouth, are among the most responsive targets.
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Long-term collagen stimulation
The thermal component sets off a collagen remodeling cascade that continues for six to twelve months after the procedure.
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Correction of hyperpigmentation and sun damage
Sunspots, blotchy tone, and diffuse brown discoloration are addressed directly by the ablative component.
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Complementary to surgical results
For patients who have undergone a facelift or eyelid surgery, CO2 resurfacing addresses surface skin quality that surgery alone does not target, making the two approaches genuinely synergistic.
For most patients, a single comprehensive treatment produces the correction they are seeking.
What to expect: timeline and recovery.
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Consultation
Understanding the timeline honestly
CO2 laser skin resurfacing requires real recovery time, and understanding that timeline honestly is part of making a good decision about whether this treatment is right for you. Patients with darker skin tones require careful assessment and adjusted treatment parameters. Candidacy is determined individually during your consultation with Dr. Sieveking.
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Treatment
Kept comfortable throughout
A topical anesthetic is applied before treatment, and oral medication may be used to keep you comfortable throughout. Most patients describe a sensation of warmth and pressure. The procedure typically takes between 30 and 90 minutes, depending on the area treated. Preparation and post-treatment care add additional time to your appointment.
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Aftercare
Real recovery time
Discomfort during the first 24–48 hours of recovery is managed with medications prescribed in advance by your care team. During days 1–3, skin appears red, swollen, and weeping. The practice team provides detailed wound care instructions. Most patients remain at home. During days 4–7, peeling begins, and new, pink skin starts to emerge. Itching is common and should not be managed by picking or rubbing. During weeks 2–4, surface skin heals, and pink coloration begins to fade. Many patients return to work with mineral-based makeup coverage. Sun protection becomes non-negotiable.
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Maintenance
A longer-term skin health plan
During months 1–3, collagen remodeling accelerates. Skin firmness, texture smoothness, and tonal evenness all continue to improve. Most patients see their most visible results in this window. During months 3–12, the ongoing collagen response continues to refine the skin. Results from a single session, with appropriate maintenance and sun protection, can be sustained for several years. Complementary treatments such as BBL® photorejuvenation or chemical peels may be recommended as part of a longer-term skin health plan.
Why Sieveking
Meet Dr. Sieveking
Under the direct medical oversight of a plastic surgeon.
Stanford-trained. Triple board-certified (including The American Board of Wound Management, ABWM) plastic surgeon.
Dr. Nicholas Sieveking oversees every laser treatment at the practice, bringing the same precision to your skin that he brings to the operating room.
Sieveking Plastic Surgery at 1200 Old Hillsboro Road in Franklin is the only practice in Middle Tennessee where CO2 laser skin resurfacing is performed under the direct medical oversight of a triple board-certified (including The American Board of Wound Management, ABWM) plastic surgeon with fellowship training in both reconstructive surgery and anti-aging medicine. Dr. Sieveking evaluates your skin within the full context of your health, your anatomy, and your long-term goals.
The Tetra CO2 platform, combined with Dr. Sieveking’s 25 years of experience and a care team that includes registered nurses with deep aesthetic expertise, means your treatment is both clinically precise and personally guided.
Investment
CO2 laser skin resurfacing cost in Franklin, TN.
The investment in CO2 laser skin resurfacing at Sieveking Plastic Surgery reflects the expertise of a triple board-certified (including The American Board of Wound Management, ABWM) physician overseeing treatment, the precision of the Tetra CO2 platform, and a concierge-calibrated care experience from consultation through recovery.
Pricing varies based on the area treated, the depth and density of the treatment plan, and the number of sessions appropriate for your skin condition. A personalized quote is provided during your consultation. Contact us to schedule that conversation.
Questions, answered.
The questions most prospective patients ask before booking a consultation.
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The procedure typically takes between 30 and 90 minutes, depending on the area treated. Preparation and post-treatment care add additional time to your appointment.
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A topical anesthetic is applied before treatment, and oral medication may be used to keep you comfortable throughout. Most patients describe a sensation of warmth and pressure. Discomfort during the first 24–48 hours of recovery is managed with medications prescribed in advance by your care team.
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Expected side effects include redness, swelling, weeping, and peeling during the first week. Temporary hyperpigmentation, prolonged redness, and, in rare cases, scarring or infection are possible, which is why physician-supervised treatment with proper pre- and post-care protocols matters.
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With appropriate sun protection and a maintenance skincare regimen, results from a single CO2 laser resurfacing session can be sustained for several years. Periodic lighter maintenance treatments help sustain the outcome over time.
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Ideal candidates are patients with moderate to significant wrinkles, sun damage, textural irregularity, acne scarring, or surface laxity who can accommodate a recovery period of 2–3 weeks. Patients with darker skin tones require careful assessment and adjusted treatment parameters. Candidacy is determined individually during your consultation with Dr. Sieveking.
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Yes. CO2 laser resurfacing is frequently combined with dermal fillers, toxins, or surgical procedures to address both surface skin quality and deeper structural support. Dr. Sieveking designs combination plans based on your specific anatomy and goals.
More in Medical Aesthetics.
Lasers & Devices
Begin your journey
Reveal smoother, younger-looking skin at Sieveking Plastic Surgery in Franklin, TN.
For patients in Franklin, Brentwood, Nashville, and across Williamson County seeking meaningful, natural-looking results from a practice they can trust completely, this is where that conversation begins. Contact Sieveking Plastic Surgery to schedule your consultation and find out whether CO2 laser skin resurfacing is the right step toward the skin you want to live in.
1200 Old Hillsboro Road, B2 · Franklin, Tennessee
Mon–Thu 9–4:30 · Fri by appointment