Tetra CO2 vs. Fraxel: What’s the difference?

co2 blog

Tetra CO₂ vs. Fraxel: What’s the Difference? And Why Tetra CO₂ Wins at Whitefish Creative Aesthetics

If you’re researching laser treatments to refresh your skin, reduce fine lines, or improve texture, you’ve likely come across Fraxel and Tetra CO₂. While they’re both popular, the differences matter—especially when it comes down to results!

First Things First: Fraxel is a Brand, Not a Technology

Let’s clear this up: “Fraxel” is a brand name, not a type of laser. Think of it like calling all facial tissues “Kleenex” or all toothpaste “Colgate” — it’s common, but not accurate. Fraxel uses a fractional, non-ablative erbium glass laser. It works on more superficial skin concerns but is not the same as a CO₂ laser like TetraPro.

Why Tetra CO₂ (and Our Advanced Tech) Outperforms Fraxel

At Whitefish Creative Aesthetics, we use the Cartessa TetraPro CO₂ system, which includes Tetra, DEKA, and CoolPeel technology—designed for both powerful resurfacing and gentle, no-downtime refreshers, depending on your skin needs.

What is CO2 CoolPeel?

CO2 CoolPeel is an innovative fractional CO2 laser treatment designed to deliver the same powerful resurfacing benefits as traditional CO2 lasers—but without the extensive downtime. It precisely targets damaged skin cells while preserving surrounding tissue, making it a game-changer for skin rejuvenation.

Downtime & Side Effects:

One of the biggest advantages of CoolPeel is its short recovery time—typically just 1-3 days of mild redness and minimal peeling. Unlike other aggressive laser treatments, it offers superior results without disrupting your daily routine.

What is Fraxel?

Fraxel is a fractional laser that creates tiny, controlled micro-injuries to stimulate collagen production. While effective, it tends to require multiple sessions and has a longer downtime compared to CoolPeel.

Comparison Table:

Tetra CO₂ (Cartessa TetraPro)Fraxel (Erbium Glass Laser)
Technology TypeFractional & fully ablative CO₂ laserFractional non-ablative Erbium glass
ResultsDeep collagen remodeling, skin tightening, dramatic resurfacingGradual improvement, more superficial
Downtime1-7 days (customizable with CoolPeel or deeper settings)2-4 days, repeated for each session
Treatments Needed1-3 sessions depending on the concern3-5 sessions for similar effect
Who Performs ItOnly licensed medical professionals (RN or MD)May be performed by estheticians (depending on state law)
Technology AccessTetraPro CO₂ is restricted to medical providers due to its powerFraxel can often be operated in spas by estheticians
Skin Concerns TreatedFine lines, deep wrinkles, acne scars, laxity, tone, sun damage, uneven texture, pore sizeFine lines, mild pigmentation, uneven texture

Boosted Healing with Exosomes

We don’t stop at the laser—we use exosomes post-treatment to accelerate healing, reduce inflammation, and boost collagen even further. This makes your recovery faster, more comfortable, and your results even better.

Medical-Grade Expertise

All laser treatments at Whitefish Creative Aesthetics are performed exclusively by our RN or Medical Director. We believe in clinical excellence, safety, and stunning results, and with the growing restrictions in many states, non-medical providers may not even be allowed to operate advanced devices like TetraPro CO₂. That’s why choosing a medically-led clinic matters.

The Bottom Line

Fraxel is a brand; Tetra CO₂ is a technology. If you’re looking for:

  • Fewer treatments
  • Deeper results
  • Faster healing
  • Medical-grade care

…Tetra CO₂ (with CoolPeel, DEKA, and exosome therapy) is the clear winner.

We’d love to chat more! Book a consultation with us today!