CO2 Laser Treatment | What to Expect

How do I explain CO2 laser treatment to my child?

Your child’s care team will provide tips for preparing your child. In addition, you may want to:

  • tell your child in simple terms why CO2 laser treatment is necessary and what will happen
  • assure your child you will be close by during the procedure
  • bring your child’s favorite toy or blanket to the hospital
  • pack loose-fitting clothing for your child to wear home after the treatment

Read more tips for talking to your children in our age-related guidelines.

How do I prepare my child for CO2 laser treatment?

Before undergoing CO2 laser treatment, your child may need an appointment in our pre-op clinic. During this visit, you will:

  • review important details and questions with a pre-op nurse
  • meet with the interventional radiologist who will explain the procedure and review the consent process.
  • meet with an anesthesiologist, who will explain anesthesia during the procedure and review the consent process
  • undergo any necessary laboratory testing, such as blood work

What should we expect the day of the procedure?

Consent is a necessary step before the procedure may begin. Get answers to frequently asked questions for consenting to tests, treatments and procedures. Once the consent process is complete your child will change into a hospital gown. Our team will bring you and your child to the room where the procedure takes place, and the anesthesiologist will deliver anesthesia through an IV to help your child relax. (Young children may receive the medicine through a mask.)

You may be able stay in the room until your child is asleep; however, during the procedure, you will wait in a special area until we move your child to the post-anesthesia care unit (PACU).

For some patients, CO2 laser treatment is an outpatient, or one-day, procedure that does not require a hospital stay. Patients undergoing multiple treatments on the same day may require an overnight stay. Read more about preparing for an overnight stay.

How will my child recover from CO2 laser treatment?

There are no major complications associated with CO2 laser treatment, but it will take time for your child’s skin to fully heal. Your child’s recovery period depends on the size of the area we treat.

It’s important to understand that your child’s skin will be open during recovery and require daily dressing changings. Before you leave the hospital, a nurse practitioner will teach you what to do and answer any questions you may have.

How will you manage my child’s pain after CO2 laser treatment?

CO2 laser treatment tends to be less painful than other skin treatments because the laser actually evaporates the skin and nerve endings. We may prescribe medication to help manage pain, but many patients do not end up using it.

What happens after CO2 laser treatment?

Our team will ask you to follow up with us weekly by email or telephone until your child’s skin heals. We will also schedule an office visit six to eight weeks after the procedure.

In cases where patients do not live close to Boston Children’s, we may partner with a physician in your community to monitor recovery.