• Fully Ablative Laser Resurfacing

    (CO2 & Erbium YAG) - London and Surrey


This is by far the most powerful skin rejuvenation technique available for facial skin.

It is performed in order to:

  1. Completely renew facial skin
  2. Tighten the skin to help reduce the consequences of laxity
  3. Remove wrinkles
  4. Improve elasticity and skin thickness

This is a facial laser surgical procedure performed under a special type of local anaesthetic. Treatment of skin laxity and wrinkles around the eyes can also be incorporated into the treatment.

Not all CO2 and Erbium YAG laser are the same. This is a fully ablative CO2 laser or fully ablative Erbium YAG procedure that is only performed by a handful of experienced laser surgeons worldwide. It needs to be performed using a surgical-grade CO2 and Erbium YAG laser (not an aesthetic grade CO2/Erbium YAG laser which lacks the power and the ultra-short pulse width required to perform this procedure safely). Dr Hussein is one of the few laser surgeons worldwide who have the knowledge and the experience to offer this procedure and has performed numerous cases. He uses the Lumenis Ultrapulse CO2 and Sciton Joule X Erbium YAG laser. These are the world’s most powerful and state-of-the-art skin resurfacing lasers

As you will see from the photos below Dr Hussein is capable of performing what few others worldwide are capable of. The level of skin rejuvenation is simply outstanding.

This degree of improvement will, however, require 9 days of downtime.

Dr Hussein can perform a full-face treatment including eyes OR periorbital treatment (around the eyes only). Eyelid tightening treatment with fully ablative CO2 technique is the second most effective technique to reduce eyelid laxity after a surgical blepharoplasty. For clients who are not keen on surgical blepharoplasty, fully ablative CO2 eyelid treatment will give a considerable improvement for eyelid skin laxity and wrinkles. It actually improves lower lid wrinkles and skin surface texture over and above surgical blepharoplasty.

The greatest benefit of this procedure is that the results are permanent. Once healing is complete the skin you are left with is your new skin. The procedure doesn’t have to be repeated like other cosmetic treatments such as dermal fillers or BotoxTM. As long as the client takes good care of their skin results will last for many years before they need to consider doing anything further.

New type 3 collagen continues to be synthesized for up to 6 months post-procedure meaning that there is further improvement after the immediate healing phase. Dr Hussein is capable of performing laser resurfacing with fully ablative CO2 and Erbium YAG laser on all skin types. In general, darker skin types may encounter a higher chance of hyperpigmentation but this will eventually settle.



Once the client has seen Dr Hussein for a consultation and treatment has been deemed appropriate the client will be listed for the procedure. During the consultation, a prescription for prophylaxis medications will be issued. These medications are to be used as instructed by Dr Hussein during the immediate few days recovery period following the procedure. Taking these medications minimises the risk of harmful side effects such as infection following this type of more aggressive skin laser surgery.

It is important that the client has somebody available to drive them home after the procedure is performed. Clients must not expect to drive back home themselves.

Dr Hussein will see the client before the procedure in order to prepare and clarify things. A consent form will be signed giving Dr Hussein permission to carry out the procedure. Antiviral tablets will be then administered as well as an optional sedative. Pre-procedure photos will be taken and following this, the face will be cleansed and prepared with a special type of topical local anaesthetic gel. Sometimes Dr Hussein will occasionally also use additional anaesthetic techniques such as tumescent anaesthesia or nerve blocks. These involve small injections of local anaesthetic under the skin.

Anaesthetic preparation will last for about 45 minutes. Following this, the Client will be moved into the procedure room and prepared for the fully ablative CO2 or Erbium YAG laser procedure. If treatment around the eye area is to be performed then the client will have had anaesthetic eyedrops applied and metal contact lens style eye-shields will be inserted. If the facial treatment only is performed then adhesive eye-shields that stick over the eyes will be applied. In most cases, clients who opt for full-face treatment usually will want to incorporate the benefits of eyelid treatment as well. It is therefore commonplace for clients to have both treatments performed in the same session.

Once Dr Hussein has commenced the procedure it will usually take around 45 minutes to complete. The level of discomfort experienced during the procedure is typically a prickly burning sensation that usually can reach up to a 5 out of 10 subjective severity. Dr Hussein has never encountered anyone who has been unable to cope with the procedure from a pain or discomfort point of view. Pain or discomfort from this type of laser surgery is best described as moderate at the most.

Following the completion of the procedure, the clients face will feel very hot. It is best described as a sunburn sensation. This burning sensation will last for up to 24 hours before settling. Following removal of protective eye-wear, a barrier cream called CU3 cream or Eucerin Aquaphor cream is applied to the freshly treated skin. This cream acts as an impermeable barrier to protect the denuded skin from dehydration and infection.

Detailed aftercare instructions will be discussed and issued in a written format to the client. These instructions must be adhered to strictly. Strict sun avoidance will need to be maintained in the immediate recovery phase and up to a month at least post-procedure. Use of a broad spectrum Sunblock SPF50 minimum is recommended for at least 3 months post-procedure.

Clients are at risk of infection during the first few days following the procedure. It is important to keep the face clean and strictly adhere to the aftercare instructions to minimise this risk. Dr Hussein usually gives a once a day antibiotic dose to minimise bacterial infection risk. There will also be a three times a day antiviral tablet as well. These tablets are to be continued for 7 days after the procedure. There will also be a pack containing medications for use ONLY if instructed to do so by Dr Hussein.

Dr Hussein will typically monitor day by day healing through the use of ‘selfie’ photos taken by the client and sent to the contact details issued by Dr Hussein. Dr Hussein can then provide real-time advice during the recovery period. Any client having this procedure will have a direct line of communication with Dr Hussein at all times throughout recovery. Close monitoring of this nature allows any potential complications to be dealt with quickly and risks minimised.

After 9 – 10 days clients can return to work. There will still be some ongoing redness that will take a few weeks to settle. A light foundation can be applied to mask this redness. Use of perfume free gentle cleanser and appropriate moisturiser is recommended. A high-quality SPF 50 sunblock must be used and steps to avoid sun exposure must be taken for the weeks following treatment. If these steps are ignored clients may find that they develop brown pigmentation on the treated areas of the face (post-inflammatory hyperpigmentation). Although this will spontaneously settle or treated it is better to avoid it by observing the sun avoidance precautions.



Fully ablative CO2 resurfacing is the most aggressive type of skin resurfacing procedure undertaken by Dr Hussein. As Dr Hussein is an expert in cutaneous laser surgery the incidence of side effects is low. In Dr Hussein’s hands fully ablative CO2 laser is a safe procedure.

However with any laser resurfacing treatment complications are possible. In fully ablative CO2 laser these include the following:


This treatment is designed to renew, tighten and improve the texture of the facial skin. It is an aggressive procedure and requires strict adherence to these aftercare instructions. Immediate and very visible benefits can be seen in the form of reduction in laxity (tightening), reduction in wrinkles, removal of sun damage, increase in elasticity and improvement in collagen density and thickness.

It is a procedure that is also used to improve acne scarring by causing contraction of the skin, a degree of direct physical vaporization of the acne scars and remodelling of the collagen within the deeper layer of skin (dermis). Fractional CO2 laser may also be used for acne scar remodelling.

What you will experience following the treatment:

  • You will experience a burning sensation following treatment and swelling of the face will develop over the next 24 hours. The burning sensation takes 24-48 hours to resolve.
  • Over the next three to four days the face will feel tight and swollen. There can be weeping of yellowish serous fluid for up to 4 days after the procedure.
  • Crusts may develop over the first few days post procedure and must not be removed. They will come away leaving fresh new skin underneath as healing continues.
  • It is not unusual to experience some degree of itching between 4-6 days following the treatment. Dr Hussein will advise on how to manage this.
  • At the end of 10 days the skin will have largely healed. There should be no further crusted areas. The skin will remain pink and this will settle progressively over the following weeks.
  • It will usually be safe to return to a simple skin care regime 10 days post treatment.

Never pick or remove skin flakes or crusts. Allow them to shed naturally. Picking will increase the likelihood of scarring.

Please note the time periods above may vary according to the strength of treatment. For example the duration of crusting may be longer in more aggressive treatments.

You will be issued with a skincare pack containing dermol facewash, CU3 cream and a pack of sterile gauze on completion of the procedure.

Skincare day 1 to day 10

It is imperative that you adhere strictly to the following skin care routine after CO2 laser treatment. The skin barrier has been temporarily impaired by the laser. Premature application of your normal skincare products will result in inflammation, irritation, slow healing and may increase the risk of pigmentation problems and/or scarring. You are more susceptible to contact irritant and allergic dermatitis during this first 14 day period.

After the first 10 days have elapsed you must use a sunscreen SPF50 for the following 6 weeks. You must minimise your sun exposure at all times throughout the treatment and for 6 weeks after treatment.


  1. Wash the face in the morning with Dermol face wash and allow to air dry OR pat dry gently with a clean face towel or clean kitchen roll (DO NOT RUB).
  2. Apply CU3 barrier cream to the face. This will protect the skin and stop it from drying out while the epidermal barrier is healing.
  3. Take any antiviral and/or antibiotic tablets according to instructions that Dr Hussein may have prescribed Complete the course of medication.

Throughout the day

  • Top up the CU3 cream at any point when the skin starts to feel dry and tight. This should be at least twice throughout the day. Allowing the skin to become too dry will slow the healing process.


  • Repeat steps 1 & 2 (and step 3 if your Doctor has prescribed the medication) before going to bed.

Dr Hussein will review you at 2 weeks following treatment but do not hesitate to contact him before this if you need earlier advice/review/information.
Remember to send healing ‘selfie’ photos at least every two days so that Dr Hussein can monitor your healing. Use the details on the contact card.

Skincare – Day 10 to week 6 post treatment

Your skin will have healed sufficiently by day 10 after treatment. You will now be able to return to work. You will notice that the skin will still be red. This redness will settle over the next 6-12 weeks. During this period your skin will be more sensitive than normal. It is important that very mild cleansers, moisturizers and make-up be used in this period. Some products contain acetyl alcohol, retinoids and alpha hydroxy acids that can potentially irritate the skin and delay healing. These should be avoided or minimised.

Sunscreen is also very important. High factor (SPF30+) is ideal. Sunscreens that contain physical filters rather than chemical filters are preferred as they are less likely to irritate the skin. Physical barrier sunscreens are sometimes less acceptable because they leave a prominent white residue on the skin.

I have recommended a basic skincare regime that can be used during this period that will minimise any irritation to the skin, speed the healing process and optimize the results of your CO2 laser treatment.


Fully Ablative CO2 Laser & Erbium YAG:

  • Full face fully ablative CO2 OR Erbium YAG laser resurfacing including eyes – £3000
  • Eyelids (Upper and Lower) fully ablative CO2 treatment ONLY – £1575
  • Erbium Light epidermal resurfacing – £1575


Dr H Consult
Based on 36 reviews
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Miss L
Miss L
21:20 30 Jul 20
I had fully ablative co2 laser resurfacing 15th February this year (it is now July) and it was quite an experience!... This is a long one which will hopefully be helpful to anyone considering having it done who would like some insight. I will start by saying that I'm probably not the most obvious candidate for it as I'm only 30 and have been fortunate enough not to suffer acne scarring however I am a skin obsessive and perfectionist so I see a thousand flaws and I had it done as I wanted to get rid of some of the fine lines that had taken up residence over the last 5 years or so as well as other imperfections. The procedure itself wasn't painful (at least not most of the time) and Dr H was very reassuring however it does leave you feeling rather in shock afterwards I found, so if you can, have someone waiting for you after. I was prepared for pain in the immediate recovery days what I wasn't prepared for was how little I would be able to see due to the swelling up around my eyes (audio books are your friend at this point people! Also plenty of painkillers and food that you can eat without having to open your mouth too wide because that will hurt too.)I had a week off from work and then I had to go back and well looking at me was definitely pretty shocking - no longer hideous like I had been (there is a definite hideous monster stage of recover, no point sugar coating it) but pretty darn shocking. I had a lot of odd looks and as a teacher I gave my poor kids a bit of a shock but thankfully kids are super accepting. Every time I caught a glance of myself in the mirror though I'd be like "wow the kids are amazing!" they treated me just like normal after the initial morning of shock wore off and honestly I looked pretty awful for a while. Kids are way better at that stuff than adults. You just have to roll with it and concentrate on making sure you're doing everything right to help your skin recover. I didn't rush to put make-up back on or anything because honestly why potentially mess something so major up by not just waiting a little while longer. I did unfortunately get an infection around my eyes which meant they took longer to heal overall but Dr H soon got the infection itself cleared up and he checked the selfies daily. The recovery can be hard, I expect some people heal a lot more quickly than I do but I'm not a fast healer and it isn't easy to constantly have to put yourself out there not looking like yourself. It was at least month before I started feeling like my outside reflected my inside again and it can make various aspects of life difficult. Shortly before lockdown happened in the last week of schools being open I was wearing very light make-up again and looking passably normal but although probably not noticeable to most people I was pinker in overall tone and that takes a long time to fade. I was finally feeling attractive again though - yay! I think my skin appreciated lockdown and having more time of zero commute/pollution/little make-up as it gave it more recovery time and I now look totally normal. Well I say normal...I look better! The little lines around my eyes - gone! My cheeks - plumper! Gotta love that collagen. My mum says my cheeks remind her more of 19 year old me. It has also slightly softened the frown between my eyebrows (that thing is a curse) It hasn't totally perfected my skin but it has done a darn good job of all but the most problematic area of it. My friends say I look really good and I did not look bad before! It is quite fascinating because it is basically impossible for someone to put their finger on exactly what is different but something subtle is. I think if you had more skin irregularities or older skin you would probably see more dramatic results but it would still be very natural looking. I would have it or something similar done again in another 10 years or when I felt it needed doing but I urge you do plan enough down time! Was it worth it? Yes..but I'm not rushing to go through that recovery again ;)I hope this has been helpful 🙂 Thanks Dr Hussein 🙂read more
Siobhan Todd
Siobhan Todd
18:27 30 Jul 20
5 star results and 5 star service. I felt at ease in Dr H and his staff’s hands throughout my co2 laser resurfacing... treatment and after treatment, Dr has been on hand with any questions I’ve had and regular updates throughout my recovery. I received co2 laser mainly for acne scarring & marks and have noticed a dramatic difference in texture already, I feel like I have new baby skin 🙂read more
Laura Robinson
Laura Robinson
17:21 19 Jul 20
I am literally over the moon with the results of my fully ablative CO2 laser treatment. I have spent years researching... for the perfect Doctor and correct procedure to help reduce my acne scarring, I finally decided on Dr Asif and travelled from Liverpool to London for the treatment. Dr Asif and his team are so professional and supportive both during the procedure and the following weeks. I would say my skin is looking 80/90% better than before. Thank you so much Dr Asif, you're the best.read more
Anne Swan
Anne Swan
19:03 14 Jul 20
I am absolutely delighted with the results of my CO2 laser treatment. It was a big decision to have it done but Dr.... Hussein and his team could not have been more professional, more helpful or more supportive - both during the procedure and in the weeks following it. The improvements are considerable but look totally natural and I feel so much more confident. Thank You!read more
Aura Bo
Aura Bo
18:00 10 Jul 20
I had tailored liberator subcision with Dr Hussein, he was so friendly, knowledgeable and professional! The procedure... was not painful at all, you'll be under local anaesthetic, and even after that you feel 0 pain! The recovery was super quick just 1 day. You can see results the day after, I can see a major improvement in my tethered scars and I am also having done in 1 month the Fully Ablative Laser. If you have acne scars, trust Dr Hussein, he is honestly the best specialist out there! I cannot thank him enough, he brought so much confidence in my life!! 5 *****read more
PKo99 MD
PKo99 MD
11:26 07 Jul 20
I reached out to Dr. Hussein, from the US, to discuss ablative laser resurfacing and to discuss his approach with acne... scar cases. He couldn’t have been more friendly and attentive during these discussions. He clearly understands parameter control and was willing to share his insights which is very appreciated. Happy to have met him and would recommend him to anyone in need of resurfacing. You will be in good hands.read more
Sandra Gil
Sandra Gil
14:39 04 Jul 20
I had the CO 2 laser with Dr. Asif Hussein and the results are amazing eventhoug I was very apprehensive about the... whole procesure his professional team kept me at ease. Dr. Asif shows his passion and guide me throug the whole journey. I'm very happy a 100% recomend..read more
Bianca B
Bianca B
15:53 03 Jul 20
I was so impressed with Dr Hussein and the entire team. Very happy and pleased with the visible results after my laser... treatment. Amazing staff and an even more amazing service!read more
Teresa Ryan
Teresa Ryan
11:53 03 Jul 20
Dr H was recommended to me as in the past I had a bad experience with a Dermatologist sometime ago. I could not... recommend Dr H more as from the first consultation Dr H was honest and straight forward about the treatment I needed for acne scarring. Dr H recommended Subcision first followed by C02 Laser. Dr H fully explained the reason for the Subcision and i am glad I went for it. I have seen a significant difference in the scarring with the Subcision alone. I have now followed this up with the C02 laser and although I am still in the healing process, I am looking forward to seeing the results. Throughout this, Dr H has been in contact, and taking me step by step through the process. On both treatments, Dr H was very reassuring and informed me of what he was doing and when, which relieved some of the anxiety. I also have to mention Lulia, who has been great again through both treatments Both make a great team.read more
Iria Behbahani Ortola
Iria Behbahani Ortola
09:42 18 Mar 20
I am very happy with the result!I had very large pores and sun damage on my skin, I had halo laser but it was a light... laser for the size of my pores so we attempted a mild Co2 laser, today is day 11 and I can't be happier with the results, the large pores have reduced a lot! My skin looks younger, healthier, still a bit red but that will settle soon.I have definitely achieve what I wanted I am not going to wear make up foundation for a while 😊. Dr H has been there for me every time I had a question, daily since the first day giving me advice and looking after me. It was the best money investment I've done on my skin. Also mention Iulia, she has been incredible taking care of me while I had the treatment as I had to go on my own to the clinic, reassuring me and making sure I was fine. I know how important is this as I am a nurse myself, they both made me feel like at home. Thank you all! 😘😘read more
Sarah Fox
Sarah Fox
12:51 08 Mar 20
I was recommended Dr Hussein by a friend and have been having anti-aging treatments for a couple of years. I am always... very happy with the results and find him highly skilled, reassuring and friendly. He offers wise skin advice and his treatments are targeted at exactly the areas that need work, non invasive & quick procedures. His results are subtle and natural which is exactly what I want to achieve. I highly recommend Dr Asif Hussein.read more
Scan Services
Scan Services
17:31 04 Mar 20
A few weeks ago I have done CO2 laser (fully ablative laser resurfacing) with Dr H and I can highly recommend him. I... truly like the way how he keeps in touch with patients, checking on you, taking care of you.He definitely knows what he does! I can already see big improvement on my skin texture even though I know my skin still needs loads of time to fully settle so the improvement will continue.Thank youread more
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