Evening and weekend appointments available

CO2 Laser Skin Resurfacing

CO2 laser is among the most powerful non-surgical tools for skin renewal — resurfacing the outer layer while rebuilding collagen deep in the dermis. At Trinity, it’s performed by Dr. Oliak, a board-certified surgeon, whose surgical training allows options like facial nerve blocks for more comfortable, higher-intensity treatment.

fractional CO2 laser

Service Details

Duration:

15-45 min

Surgeon-Performed CO2 Laser in Orange County

CO2 laser resurfacing is a gold-standard treatment for skin texture correction and rejuvenation — and at Trinity Aesthetic Studio in Brea, CA, it’s performed by Dr. David Oliak, a board-certified surgeon.

As a surgeon, Dr. Oliak can administer facial nerve blocks — not just topical numbing — which allow more powerful, higher-intensity treatment than topical anesthetic alone can tolerate, and better results from it.

The Alma Hybrid CO2 Laser – A New Standard in Skin Resurfacing

The Alma Hybrid combines two powerful wavelengths — ablative CO2 (10,600nm) and non-ablative Erbium Glass (1570nm) — in a single customizable platform that delivers dramatic results with greater comfort and less downtime than traditional CO2 lasers. Both wavelengths work fractionally, treating only a fraction of the skin surface at a time and leaving surrounding tissue intact to accelerate healing. Precisely calibrated for any skin type and any lifestyle — from a no-downtime refresh to a transformative single-session procedure.

  • CO2 Laser (10,600 nm) – The benchmark for surface and deep skin rejuvenation. Ablates damaged outer skin layers and triggers deep collagen and elastin rebuilding for lasting firmness and radiance.
  • Erbium Glass Laser (1570 nm) – Works synergistically with the CO2 laser for enhanced results, greater comfort, and reduced downtime.
  • PixelPeel – A quick, no-downtime CO2 protocol delivering progressive rejuvenation over a series of treatments, appropriate for all skin types and busy schedules throughout Orange County.

How Does CO2 Laser Resurfacing Transform Skin?

CO2 laser resurfacing works through controlled ablation — the laser vaporizes water within micro-columns of skin tissue, creating precise, controlled zones of damage that trigger a powerful healing response in both the epidermis and dermis. Because the Alma Hybrid is fractional, only a fraction of the skin surface is treated in each pass. The surrounding untreated tissue accelerates repair, driving cell turnover, collagen synthesis, and elastin production across the entire treated area.


The CO2 wavelength removes and replaces damaged outer layers while simultaneously stimulating deep dermal remodeling. The 1570nm non-ablative wavelength penetrates deeper without ablating the surface, adding an additional layer of collagen stimulation that enhances results while reducing recovery.


The outcome is a comprehensively renewed skin structure — a refreshed, healthy surface above and a denser, firmer dermis below — for results that are both immediately visible and continue improving for months as new collagen matures.

What CO2 Laser Can Do For You

For patients throughout Orange County seeking meaningful, lasting skin improvement, CO2 laser resurfacing excels at surface texture correction and delivers deep dermal renewal. It addresses a wide range of face and body concerns:

  • Fine lines & wrinkles – Smooths surface creases and stimulates deep collagen to prevent recurrence.
  • Skin laxity – Rebuilds firmness and elasticity through deep collagen and elastin remodeling.
  • Uneven skin texture – Restores smoothness and refinement across the treated area.
  • Uneven tone & radiance – Restores clarity, uniformity, and luminosity.
  • Sun damage & age spots – Fades pigmentation and corrects sun-damaged skin.
  • Enlarged pores – Minimizes visibility through skin tightening and resurfacing.
  • Acne scars – Significantly reduces pitted or raised acne scarring
  • Surgical & traumatic scars – Blends color and texture with surrounding skin.

Are You a Good Candidate for CO2 Laser in Orange County?

The Alma Hybrid is customizable for virtually all skin types — extra care is taken with darker skin tones, and we will assess your skin thoroughly at your complimentary consultation at our Brea, CA location.

CO2 laser may be right for you if you have fine lines, wrinkles, or surface texture concerns from aging or sun damage, loss of skin firmness and elasticity, acne scarring, surgical or traumatic scars, or uneven tone and sun damage, and you are looking for significant, lasting improvement.

CO2 laser is not appropriate for those with active acne, skin infections, autoimmune disease, or conditions affecting wound healing, a history of keloid scarring, current use of Accutane, or those who are pregnant.

What To Expect at Trinity Aesthetic Studio

At Trinity, your CO2 journey begins with a complimentary consultation — evaluating your skin with Alma IQ analysis, understanding your concerns, and recommending a personalized plan. CO2 laser may be the centerpiece or one part of a broader approach.

Treatment begins with thorough numbing. Beyond a standard topical anesthetic, Dr. Oliak can perform facial nerve blocks — injected lidocaine that numbs the entire face. This doesn’t just improve comfort: it allows higher-intensity treatment than topical numbing alone can tolerate, meaning better results. Numbing takes about 15–45 minutes, and the procedure 20–45 minutes depending on area and intensity.

We offer four treatment intensities:

  • PixelPeel — No downtime — Progressive no-downtime treatments delivering gradual, compounding improvement. All skin types.
  • Low intensity — Weekend downtime — Mild redness and peeling resolving in 2–3 days, with meaningful progressive improvement and minimal disruption.
  • Moderate intensity — 3–5 days downtime — More significant improvement with a short recovery — a strong balance of results and convenience.
  • High intensity — 7–14 days downtime — A single transformative treatment for the most dramatic results, in one session.

Initial improvements in texture and tone appear within 7–14 days as the skin heals. The most significant results — firmness, fewer fine lines, deep dermal renewal — develop over 3–6 months as new collagen matures, and are long-lasting with proper skincare.

Why Choose Trinity for CO2 Laser in Orange County?

At Trinity, CO2 laser is one tool within a comprehensive, physician-led approach — and the advantage is the combination behind it: a genuine understanding of how skin ages, root-cause treatment planning, and the the technology to address concerns at every layer.

CO2 addresses the Surface and Structure layers of the Trinity Method, resurfacing damaged skin while stimulating deep collagen rebuilding. It pairs naturally with EMFACE, which rebuilds the muscular Foundation, and Exion Face, which restores deep dermal collagen and hyaluronic acid — together addressing every layer of facial aging at its root, for results greater than any single treatment alone. This layered sequence is the approach behind our non-surgical facelift.

Every CO2 treatment is performed personally by Dr. Oliak, a board-certified surgeon, bringing surgical precision and options like facial nerve blocks. Your plan is built around what your skin needs.

Begin with a complimentary consultation at Trinity Aesthetic Studio in Brea, CA.

Frequently Asked Questions

How many CO2 treatment sessions will I need?

This depends on your goals and the treatment intensity we select together. PixelPeel and low-to-moderate intensity treatments are performed as a series, delivering progressive improvement over multiple sessions with minimal downtime. High-intensity treatments require only a single session and deliver the most dramatic results. We will recommend the right approach at your complimentary consultation.

Comfort is a priority at Trinity. Every treatment begins with thorough numbing — and beyond the standard topical anesthetic, Dr. Oliak can perform facial nerve blocks using injected lidocaine to numb the entire face below the eyes, including the lower lids. As a board-certified surgeon, he offers a level of anesthetic comfort that makes even high-intensity treatments far more tolerable. Most patients describe the experience as mild warmth or pressure, and we’ll provide detailed aftercare to keep you comfortable during recovery.

Two things: the surgeon performing it, and the technology delivering it. As a board-certified surgeon, Dr. Oliak brings surgical precision and clinical judgment to every CO2 treatment, along with options like facial nerve blocks that allow higher-intensity, more effective treatment. The Alma Hybrid’s combination of CO2 and 1570nm wavelengths delivers strong results with less downtime than traditional CO2 lasers.

The Alma Hybrid is customizable for all skin types. Extra care is taken with darker skin tones, and we will assess your skin thoroughly at consultation to design the safest, most effective plan for you. Patients from throughout Orange County with a wide range of skin types are welcome for a complimentary consultation.

PixelPeel is a no-downtime CO2 protocol that uses lower energy settings to deliver gentle, progressive rejuvenation over a series of treatments — ideal for patients who want improvement without any recovery time. A full CO2 treatment uses higher energy settings for more significant results in fewer sessions, with downtime ranging from a weekend to 1–2 weeks depending on intensity. Both use the same Alma Hybrid platform and are performed by Dr. Oliak.

Traditional CO2 lasers use a single ablative wavelength, which delivers excellent results but typically requires more downtime. The Alma Hybrid adds a 1570nm non-ablative wavelength that works synergistically with the CO2, enhancing results while reducing recovery time. It is also more customizable for different skin types and treatment goals — making it a more versatile and patient-friendly platform while maintaining the full effectiveness of CO2 laser resurfacing.

At your consultation, we’ll provide personalized preparation instructions based on your skin type and treatment plan. Generally, patients should avoid sun exposure, retinoids, and certain skincare actives in the days leading up to treatment. Arriving with clean skin and no makeup on the day of your appointment is important. We will guide you through everything you need to know at your complimentary consultation.

Following your treatment, it is important to keep the skin clean, moisturized, and protected from sun exposure. Avoid picking or peeling the skin during healing, and refrain from strenuous exercise, heat exposure, and active skincare ingredients like retinoids and acids until the skin has fully healed. Your Trinity provider will provide detailed, personalized aftercare instructions at your appointment.

Results are long-lasting — the collagen remodeling triggered by CO2 laser continues for 3–6 months after treatment, and the improvements in skin quality can last years with proper skincare maintenance. We will design a maintenance plan tailored to your skin and goals, which may include periodic PixelPeel treatments or complementary skincare programs.

Yes — and combination therapy is where CO2 laser’s results are most powerfully amplified. CO2 addresses the Surface layer of the Trinity Method — and when combined with treatments that address Foundation and Structure, the results compound significantly. EMFACE rebuilds the facial muscle and connective tissue foundation before CO2 refinishes the surface. Exion Face stimulates deep collagen, elastin, and hyaluronic acid in the dermis — the structural layer between muscle and surface. Used together in the right sequence, these three treatments address every layer of facial aging comprehensively. Your Trinity physician will recommend the optimal combination at your consultation.

Ready to transform your skin?

Book Your Complimentary CO2 Laser Consultation Today

dave oliak


Co-Founder, Medical Director

David Oliak, MD

Dr. Oliak has spent his career drawn to fields of medicine that are genuinely transformational for patients — the kind of transformation that changes not just health, but how people feel about their lives.

 

That journey began with bariatric surgery. Over a 20-year surgical career, Dr. Oliak performed more than 3,500 operations — including as one of Orange County’s first surgeons to offer laparoscopic weight loss surgery — helping patients achieve outcomes that rippled across every dimension of their lives: physical, medical, and emotional. The benefit came not from the surgery itself, but from what the body achieved once the conditions for change were in place.

 

That insight shaped everything that followed. In 2023, Dr. Oliak founded MD Total Wellness on a simple but powerful conviction: that the body has a remarkable capacity to heal, rejuvenate, and restore — and that when given the right signals and raw materials, it does this better than anything we can artificially impose. Hormone therapy restores what aging takes away. Peptide therapy stimulates the body’s own pathways to achieve meaningful outcomes. The body, properly supported, does things better than we can artificially replicate.

 

Aesthetics became the natural next chapter. The same technology-driven, root-cause philosophy applies — advanced energy-based technologies and regenerative skincare stimulate the body’s natural processes to address the underlying causes of aging at every layer — from the structural foundation to collagen and skin surface. At Trinity, that means starting with the foundation — rebuilding muscle and connective tissue — before addressing collagen, and refining the surface last. Achieving results that are compelling precisely because they are natural. Everyone wants to look and feel their best — Dr. Oliak believes the body can get us there on its own terms.

 

At Trinity, Dr. Oliak brings a combination of surgical precision, deep scientific grounding, and a genuine passion for patient transformation — helping people not just look better, but feel better about who they are.

Dr Gail Ann Krishnan resting on her chair, smiling, next to tthe emface machine

Co-Founder

Gail Ann Krishnan, DDS, MS

In Dr. Krishnan’s own words:

 

My work has always been shaped by a simple but profound conviction: that the face is not a surface to be perfected — it is a living system to be understood, respected, and supported.

 

Over more than 20 years of full mouth rehabilitation and restorative dentistry, I have come to see every smile as something far more than an aesthetic outcome. A smile is connected to the face, the muscles, the way a person moves, communicates, and expresses who they are. That understanding — of the head, neck, and facial system as a whole — is the foundation of everything I do, both in dentistry and at Trinity.

 

My clinical training at the University of Michigan School of Dentistry gave me a rigorous foundation in precision, proportion, and restorative excellence. But what has defined my work over the years goes beyond technical standards. It is a commitment to pushing past them — through innovation grounded in science, not trends. Every decision I make — shape, proportion, occlusion, material, treatment — is guided by one question: will this harmonize with the body’s natural expressions, preserve its integrity, and support its long-term health?

 

I have a deep resistance to the idea that aesthetics should depend on masking or on creating dependency. There is a meaningful difference between treatments that simply change how someone looks and treatments that restore and enhance the body’s own capacity to function and heal. That distinction matters to me. It is why I am drawn to biocompatible, structurally sound approaches — treatments that work with the body’s biochemical and physiologic processes, not against them. Because if someone is investing in looking better, it should also mean becoming healthier.

 

I feel strongly about muscle. Not as an obstacle to smooth away, but as something essential — to movement, to expression, to identity. We speak with our muscles. We smile, connect, and live fully through them. Treatments that diminish natural movement work against the very systems that make us human. Preserving muscle function is not just an aesthetic choice — it is a commitment to longevity and vitality.

 

Trends in beauty come and go, driven by marketing cycles that shift and disappear. But timeless beauty operates differently. It is rooted in confidence, authenticity, and the ability to fully express yourself. That is what I am committed to — for every patient, in every treatment decision.

 

This philosophy is what brought me to co-found Trinity with Dr. Oliak. In aesthetics, as in dentistry, the goal has never been to override nature. It has always been to support it — using the best available science and technology to help the body do what it already knows how to do, only better. Because an exceptional result isn’t just seen. It’s felt — by you, and by everyone around you.

 

I would love to be part of your journey.

 

— Gail Ann Krishnan, DDS, MS