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Selene fractional CO2 laser Macro tip with aiming beam on a patient’s cheek during skin resurfacing
Capital equipment · Selene by Focus

Selene fractional CO2 laser

A radiofrequency-excited CO2 platform on a mobile cart with an articulated arm. Energy is set per micro-spot, pattern and treated area are chosen independently, and four interchangeable tips take one machine from a light textural pass to a focused surgical one.

10,600 nmWavelength
120 µmSmallest micro-spot
4Interchangeable tips
MultipleScanning modes
USABuilt in Connecticut
Overview

What is a fractional CO2 laser for?

Ablative CO2 is the tool for structural problems: rhytides, atrophic acne scarring, textural change a surface treatment cannot reach. Selene delivers that ablation fractionally, so the depth is available without committing the patient to the recovery a continuous pass would demand.

Range of use

The same system covers a superficial, high-density pass on a Tuesday and a deep scar-revision protocol on a Thursday, with a tip change and a different preset in between.

Recovery time

Recovery from fractional CO2 is conventionally described in the literature as five to ten days. Consent, aftercare and scheduling should be built around that from the beginning. The documentation to do it ships with the system.

Technology

Why the untreated skin matters more than the treated skin

Fractional delivery divides the CO2 beam into microbeams that land as discrete columns. The intact tissue between the columns heals the surface from thousands of nearby edges at once, so a column can be driven deeper than a continuous ablation would safely allow.

Full-field CO2

One continuous wound. It heals inward from the margin.

Fractional CO2

Discrete columns with intact tissue between them. The surface closes from many nearby edges.

Schematic cross-section of skin, not to scale.
  1. 01

    Divide the beam

    Radiofrequency excitation, then the energy is split into microbeams that treat discrete micro-spots down to 120 microns.

  2. 02

    Set the column

    Energy is adjustable at the level of the individual micro-spot, so the same tip behaves differently on a forehead and on a cheek.

  3. 03

    Choose the coverage

    Pattern and treated area are selected independently of energy. Density decides how much intact tissue is left to do the repair.

Tips

Four tips, changed at the handpiece

Each tip shifts what the machine is good at, and swapping takes seconds. Pattern, area and energy are set independently of the tip, so a protocol built for one region can be adjusted rather than rebuilt.

Selene fractional CO₂ laser Micro tip during a resurfacing pass on a patient’s forehead
The default

Micro

The traditional microspot for fractional resurfacing. Small enough to keep healing time down while still allowing deeper ablation.

Reach for it when the case is about depth: scarring, established rhytides, anything structural.

Selene fractional CO₂ laser Macro tip during an ablative resurfacing pass
Broader, shallower

Macro

A larger spot for more superficial work at higher density, so more surface is addressed per pass and less energy is driven into any one column.

Reach for it when the goal is tone and texture across an area rather than depth in one place.

Selene fractional CO₂ laser Face tip treating perioral lines around the mouth
Small areas

Face

The smallest scanning field of the four. For regions where a wider pattern would extend beyond the treatment area.

Reach for it when the area is tight and the margin matters more than the coverage rate.

Selene CO2 laser Surgical tip with aiming beam on skin, for excision and lesion removal
Focused beam

Surgical

A focused tip for precision work rather than fractional resurfacing.

Reach for it when the procedure calls for cutting accuracy rather than a scanned pattern.

Gloved hand holding the Selene fractional CO₂ laser handpiece at the console
Tips change at the handpiece. Photography from a July 2026 clinical session.
Clinical focus

Early fractional CO2 for immature surgical scars

Published studies support treating a surgical incision in its first month, while the scar is still remodeling, rather than resurfacing it after it has set.

Earlier treatment

For years the standard advice was to let a scar mature, often a year or more, before treating it. Multiple randomized split-scar studies have since started fractional CO2 treatment far earlier, at suture removal or two to three weeks after surgery, and reported better scar quality on the treated side, with acceptable safety in properly healed incisions.

Eligibility depends on healing

Across the published work, eligibility is anchored to a closed, re-epithelialized incision rather than to a fixed day; open, infected or poorly healing wounds are not candidates. In practice that puts the window at roughly suture removal through the first month, decided patient by patient by the treating clinician.

SurgeryIncision closed.
Suture removalRoughly one to two weeks. The earliest point at which any of the trials treated.
Weeks 2 to 3Where most of the split-scar studies made their first pass.
One monthThe pooled analysis found the largest reduction in scar severity inside this window.
Twelve monthsThe previous convention: wait for the scar to mature, then resurface.

What the human studies found

See the six studiesHide the studies
Shin et al., 2021 · Mastectomy scars
Significantly better scar scores, P=0.002

First treated two to three weeks after surgery, around suture removal. Randomized controlled split-scar design; treated scars had better Vancouver Scar Scale scores than untreated control.

Shin HW, Suk S, Chae SW, Yoon KC, Kim J. Early postoperative treatment of mastectomy scars using a fractional carbon dioxide laser: a randomized, controlled, split-scar, blinded study. Arch Plast Surg. 2021;48(4):347-352. DOI · PubMed

Lee, Zheng & Roh, 2013 · Postoperative scars
Greater reduction in texture and thickness

Treated three weeks after surgery. Prospective split-scar study; greater scar-scale reduction and greater patient satisfaction on the treated side.

Lee SH, Zheng Z, Roh MR. Early postoperative treatment of surgical scars using a fractional carbon dioxide laser: a split-scar, evaluator-blinded study. Dermatol Surg. 2013;39(8):1190-1196. DOI · PubMed

Sobanko et al., 2015 · Facial Mohs surgery
Treated on the day of suture removal

Randomized split-scar study; no laser-related adverse effects, and patients significantly preferred the treated half (P=0.002).

Sobanko JF, Vachiramon V, Rattanaumpawan P, Miller CJ. Early postoperative single treatment ablative fractional lasing of Mohs micrographic surgery facial scars: a split-scar, evaluator-blinded study. Lasers Surg Med. 2015;47(1):1-5. DOI · PubMed

Jung et al., 2011 · Thyroidectomy incisions
12 of 23 patients improved by more than 51%

Treated two to three weeks after surgery. Significant scar-scale improvement from the early postoperative baseline.

Jung JY, Jeong JJ, Roh HJ, et al. Early postoperative treatment of thyroidectomy scars using a fractional carbon dioxide laser. Dermatol Surg. 2011;37(2):217-223. DOI · PubMed

Esmat et al., 2026 · Facial traumatic scars
Every timing group improved

Randomized to treatment immediately, two weeks, or four weeks after suture removal. The two-week group also showed favorable objective changes in epidermal thickness and scar depth.

Esmat SM, Khafagy MM, Mostafa BA, Amer MA. Traumatic scars: evaluation of the best timing for early intervention with fractional CO2 laser using optical coherence tomography. Photodermatol Photoimmunol Photomed. 2026;42(2):e70071. DOI · PubMed

Ji et al., 2025 · Meta-analysis, 14 controlled trials
Mean difference −1.66 in scar severity

Beginning fractional CO2 at or within one month of surgery significantly reduced postoperative scar severity (95% CI −2.31 to −1.01).

Ji Q, Luo L, Ni J, Pu X, Qiu H, Wu D. Fractional CO2 laser to treat surgical scars: a system review and meta-analysis on optimal timing. J Cosmet Dermatol. 2025;24(1):e16708. DOI · PubMed

The findings come from published human studies and meta-analyses of fractional CO2 devices as a category. They are not Selene clinical claims and not a statement of cleared indications, and published study parameters belong to the devices studied. Early-scar protocol guidance for Selene comes from our clinical team, matched to your tips and configuration. Read the full evidence review → Ask about early scar protocols →

Specifications

Specifications and cost of ownership

Cost of ownership is best compared on an itemized quotation, line by line, plus how much of the machine is built to last its whole life.

Setting energy, pattern and treatment area on the Selene fractional CO₂ laser touchscreen
Pattern, treated area and energy are set independently at the touchscreen, so a protocol built for one region can be adjusted rather than rebuilt.
Specifications
Laser sourceRadiofrequency-excited CO2
Wavelength10,600 nm
DeliveryFractional: energy divided into microbeams treating discrete micro-spots
Smallest micro-spot120 microns, approximately the width of a human hair
Energy controlFully adjustable per micro-spot
ScanningMultiple modes; treated area selectable independently of pattern and energy
Tips suppliedMicro · Macro · Face · Surgical, interchangeable at the handpiece
Beam deliveryArticulated arm
Form factorMobile cart; moves between treatment rooms

Full technical specification, including electrical and site requirements, is supplied with every quotation. Ask for the current instructions for use before planning a protocol or a room.

Pricing

Prices in this category are not published. A Selene quotation is issued per configuration, because the tips you take, the training you need and the service term you choose all affect the price. The lines that belong on every fractional CO2 quotation are listed below, so you can compare ours against any other.

Most of it lasts the life of the machine

The four tips are metal, cleaned or autoclaved between patients and used again rather than thrown away. The laser tube is sealed and radiofrequency-excited, with no gas to refill; metal RF tubes are generally rated at 20,000 to 50,000 hours of use. The routine replacement item is the smoke evacuator filter.

Four metal tipsCleaned or autoclaved and used again. Nothing is thrown away after a treatment.
Sealed RF tubeNo gas to refill. Rated across the category at 20,000 to 50,000 hours of use.
Air cooledNo chiller to buy, no water line to plumb, nothing to drain.
One routine partThe smoke evacuator filter is the routine replacement item.

Paid onceThe system

Device and tips
Quoted per configuration, itemized line by line, so each item is visible and can be compared against other quotations.
Installation
Site survey, delivery, setup and calibration. Included with Selene.
Training
Hands-on clinical training in your own room, included.
Room and safety
Class IV signage, protective eyewear and, if you choose to fit one, a door interlock. Signage and eyewear are supplied with the system.

Paid onceThe room

Plume extraction
Ablation produces smoke that can carry viable tissue particulate, so a medical grade smoke evacuator should be included in the budget.
Electrical
100 to 240 V at a 10 A breaker, on a standard receptacle within about fifteen feet of the system. No three-phase and no plumbing. A dedicated circuit is recommended.
Cooling
Nothing to install. The tube is air cooled, so there is no chiller to buy and no water line to run. The heat still arrives in the room; the operator manual sizes the air conditioning against roughly 1,500 watts from the system.

OngoingRunning the system

Tips
Four metal tips, cleaned or autoclaved between patients and used again.
Laser tube
Sealed and radiofrequency-excited, with no gas to refill. Metal RF tubes are generally rated at 20,000 to 50,000 hours of use.
Filter
The smoke evacuator filter is the routine replacement item.
Consumables
Tips, accessories and routine service items on a single account.
Service
The service term is chosen at quotation and priced on its own line.

Room, electrical and cooling requirements depend on your building, which is why a site survey comes before the invoice. Your own quotation is itemized: device, tips, consumables, installation, training and service, each on a separate line. Ask for an itemized quotation → Fractional CO₂ laser buying guide →

After purchase

What happens after the purchase order?

01

Site survey and install

We look at the room before the machine ships, then deliver, set up and calibrate it.

02

Clinical training

Hands-on, in your room, with the staff who will run the device.

03

Service, answered fast

The number on this page reaches Hyperion Medical, not a distributor, and a person picks up between 8:00 and 5:00 Central. Call outside those hours and you hear back first thing the next morning.

Supplied with the system

Provider documentation is issued with the device and on request. It is not published here because the current version depends on your configuration.

With system ships with the device On request issued per configuration

  • Instructions for useIndications, contraindications and full labeling for your configuration
    On request
  • Operator manualFocus Medical CO2 operating manual, US edition
    With system
  • Pre-treatment instructionsPatient preparation sheet for fractional CO2
    With system
  • Post-operative instructionsPatient aftercare sheet for fractional CO2
    With system
  • Consent formFractional CO2 skin resurfacing consent template
    With system
  • Treatment protocolsA library of ready-to-use clinical protocols, matched to your tips and configuration
    With system
  • Technical specification & quotationItemized: device, tips, consumables, training and service
    On request
FAQ

The questions we get on demos

Does it replace a full-field CO2 resurfacing laser?

For most of the work, yes. You treat a proportion of the surface per pass rather than all of it, and compensate with density and repeat sessions rather than a single deep wound.

Who can operate it?

That is set by your state's scope-of-practice and delegation rules, and it varies by state. Tell us the state and the staffing you have in mind and we will share what we have seen work. Confirm it with your own counsel or board.

What does the room need?

The system is on a mobile cart, so it moves between rooms. Beyond that, a Class IV laser room has requirements (access control, eyewear, signage and the right surfaces) that depend on your building. A site survey is part of installation and we will tell you what needs changing before you buy.

What are the consumables, and what do they cost to run?

Tips, accessories and the routine service items, on one account with us. No third-party minimum orders. Ask for the consumable schedule with your quote so the running cost is visible before you commit.

What happens if it breaks?

You call Hyperion Medical, not a distributor. Focus Medical has built medical laser systems for thirty years, and service sits with the same people who sold you the machine.

What is the Lunchtime Peel?

A Selene treatment offering designed for patients who cannot schedule a week of downtime. Protocol, positioning and pricing guidance come from our clinical team, because they depend on the tips you hold and the patients you see. Call and ask.

Can we see one before we decide?

Yes, on-site or virtual, whichever suits. If there is a Selene running near you, we can arrange for you to see it in a working practice.