Andrea Boze
Medical Aesthetician
Fleming IslandA medical aesthetician with more than 18 years of experience leading advanced facials and skin-rejuvenation treatments.
AcuPulse Fractional CO2 · Fleming Island, FL
AcuPulse Fractional CO2: our deepest skin resurfacing
The AcuPulse fractional CO2 laser from Lumenis resurfaces deep scars, set-in wrinkles, and sun damage by driving controlled micro-columns into the skin. It reaches what gentler devices cannot — and asks for real recovery in return. Delivered by an advanced clinical provider in Fleming Island.
Written by the Well Labs+ editorial team · Last updated July 2026
Treatment Overview
What AcuPulse Fractional CO2 does
The AcuPulse Fractional CO2 laser from Lumenis is our resurfacing flagship, and it earns that place by working deeper than any other texture tool we carry. Controlled fractional micro-columns reach into the skin, removing the weathered outer layer and triggering collagen remodeling underneath. As the skin heals, deep acne and surgical scars, set-in wrinkles, and years of sun damage resurface into smoother, more even skin.
That depth is why it works, and why it asks for more recovery than gentler options. When your concern is milder or your schedule cannot spare the downtime, microneedling and RF microneedling are lower-downtime routes, and Morpheus8 is another path we will walk you through. Which one suits you is a decision we make together, and we will tell you honestly when a gentler tool serves you better.
Common Concerns
Where fractional CO2 helps most
Ablative resurfacing does its clearest work on the deeper, set-in concerns that surface treatments cannot reach. Each area is treated to the degree it needs, and the result reveals as the skin heals.
Deep acne & surgical scars
Etched acne scarring and older surgical scars that surface treatments leave behind. Controlled fractional micro-columns reach the depth those scars live at, prompting the skin to remodel and resurface as it heals.
Deep wrinkles & sun damage
Set-in lines around the mouth and eyes, plus years of accumulated sun damage. Ablative resurfacing removes the weathered outer layer and drives new collagen underneath, so the skin reads smoother and more even.
Overall resurfacing & texture
Rough, uneven texture and dull tone across the face. Because it works deeper than gentler devices, one considered treatment often achieves what a series of milder resurfacing sessions would build toward.
Fractional CO2 resurfacing is often planned alongside other skin treatments for an integrated program, which your provider can walk through at your consultation.
Fleming Island · Northeast Florida
Why Fleming Island trusts us with fractional CO2
Deep scars and sun damage are the concerns our Fleming Island patients have often given up on, because gentler treatments never fully reached them. Fractional CO2 resurfacing is the tool we reach for when the concern runs deep, delivered by a clinical team that will set honest expectations about both the result and the recovery it asks for.
Northeast Florida’s UV index climbs to extreme from spring through late summer, and sun exposure drives much of the collagen loss and visible aging we treat, so care here is as much about prevention as it is about correction.
The practice Fleming Island trusts for advanced skin care, voted the area’s best medspa six years running, a Lumenis Center of Excellence, cared for from our Medical Spa on Island Lane.
Serving
- Fleming Island
- Orange Park
- Middleburg
- Green Cove Springs
- Jacksonville
- Clay County
The Pura Vida Approach
Deeper results, honestly set expectations
Every fractional CO2 treatment at Pura Vida is delivered by an advanced clinical provider who assesses your skin and your skin tone first, sets the laser to suit both, and treats with care. We are candid about the downtime, because ablative resurfacing asks for a real recovery and no honest provider will pretend otherwise.
That is the difference between chasing a machine and getting care from a team that treats fractional CO2 as one part of a plan, part of our full lasers and devices program built around your skin.
Is This For You?
Am I a Candidate?
A Good Fit If…
- you have deep acne scars, surgical scars, or set-in wrinkles that gentler tools have not reached
- you have significant sun damage or rough, uneven texture across the face
- you can plan for several days of social downtime while the skin heals
- you would rather reach your goal in a single deeper treatment than build toward it over a series
Let’s Talk First If…
- you cannot spare the recovery right now, in which case microneedling or RF microneedling may suit you better
- you are pregnant or breastfeeding, so we will ask you to wait
- you have an active skin infection, so we will treat that first and reschedule
- you have a deeper or richer skin tone, so let us talk first — some tones need a gentler resurfacing plan
If fractional CO2 is not the right tool for your skin or your schedule, we will tell you honestly and point you toward what is, whether that is a gentler device or a referral. Declining a treatment that would not serve you is part of how we work.
Ready to Start?
Sounds like you? Let’s build your resurfacing plan.
Request an appointment and an advanced clinical provider maps an honest fractional CO2 plan, and its recovery, around your skin here in Fleming Island.
Our Process
What to expect at your visit
First, a consultation
Every plan begins with a consultation here in Fleming Island, and we never rush it. We look at your skin closely, talk through what fractional CO2 resurfacing can and cannot do, and decide honestly whether this is the right tool or whether a gentler option suits your skin, your tone, and your schedule better.
An honest look at downtime
This is our deepest resurfacing laser, and it asks for the most recovery in return. Your provider walks you through the social downtime in detail, typically several days of redness and peeling, so you can plan your treatment around work and life rather than be surprised by it.
Controlled fractional resurfacing
The AcuPulse delivers precise fractional micro-columns of energy into the skin. We keep you comfortable throughout with numbing and a careful clinical technique. Because the columns are fractional, untreated skin between them speeds the healing.
Results reveal as skin heals
As the treated skin sheds and new collagen forms underneath, texture and tone improve over the following weeks and months. Many patients reach their goal in a single treatment, which is part of what sets ablative resurfacing apart from the gentler tools that need a series.
What Our Patients Are Saying
What Fleming Island patients say
4.9★ From 1,400+ verified Google reviews across both Fleming Island locations.
"Kara is truly exceptional at what she does… she takes the time to explain every step of the laser treatment process, which immediately put me at ease… The laser treatment itself exceeded my expectations. The results have been fantastic, and the process was far more comfortable than I anticipated."
"Kara is incredibly patient, understanding, and knowledgeable. I never felt pressured or rushed to do or buy anything extra. Super professional and clean atmosphere. Will be back again and again."
"Can’t say enough great things about this place! Everyone is so nice!… All are so knowledgeable and really tailor treatments to the person. I’ve been seeing them for 2 years and I’ve been happy with every visit."
Prefer to Talk First?
Questions about the downtime? Call us.
Talk through what fractional CO2 recovery really looks like with our Fleming Island team before you schedule.
Proven Excellence
The most-reviewed medspa in Clay County
AcuPulse fractional CO2 resurfacing is available at our Island Lane Medical Spa, serving Orange Park, Middleburg, and greater Jacksonville.
1,400+
Five-Star Reviews
More Google reviews than any other medspa in the region.
4.9★
Average Rating
Verified on Google across both Fleming Island locations.
2
Fleming Island Locations
Serving Clay County, Orange Park & greater Jacksonville.
Meet Your Care Team
Experienced providers who know your skin
Advanced clinical providers led by Kara Wilfong, backed by our medical aesthetic team — the same expert care team, visit after visit.
Sherrida Ayabarreno
Medical Aesthetician
Fleming IslandA medical aesthetician with years of experience guiding skin-health and rejuvenation treatments tailored to your skin.
Brittany Smith
MSN, APRN, FNP-C
Fleming IslandA certified Family Nurse Practitioner specializing in advanced aesthetic medicine, with six years in trauma and progressive care before aesthetics.
Kara Wilfong
Doctorate Prepared Advanced Registered Nurse Practitioner
Fleming IslandA doctorally-prepared nurse practitioner who spent a decade as an emergency room nurse before moving into aesthetics and wellness.
Scroll to meet the full team
Frequently Asked Questions
Fractional CO2 Laser Questions, Answered
What does the AcuPulse Fractional CO2 laser treat?
The AcuPulse Fractional CO2 laser resurfaces deep acne scars, surgical scars, set-in wrinkles, and sun damage by removing the weathered outer layer of skin and driving new collagen underneath. It is an ablative fractional CO2 laser from Lumenis, the deepest resurfacing tool we offer, and it is especially suited to sun damage: UV in the Jacksonville area reaches Extreme, Index 10 to 11, from April through August, and research (Flament, 2013) links UV exposure to up to about 80% of visible facial aging. As the treated skin heals over the following weeks, texture becomes smoother, tone more even, and scarring less visible.
What is the downside of fractional CO2 laser resurfacing?
The downside of fractional CO2 resurfacing is downtime: because the laser is ablative, expect several days of redness, swelling, and peeling as the skin heals, more recovery than any other resurfacing option we offer. We would rather tell you that upfront than have it surprise you. That deeper recovery is the trade for deeper results, reaching scarring and sun damage gentler devices cannot, often in a single treatment. Your provider maps out exactly what your recovery will look like at your consultation.
How long do AcuPulse results last, and how many treatments will I need?
Most patients need only one AcuPulse treatment, and results continue to improve for two to three months as new collagen forms, then hold well since the treatment resurfaces the skin rather than just plumping it. Because ablative resurfacing works so deep, a single well-planned session often achieves what gentler devices would need a series to build toward. Some patients choose a second session later for further refinement, but many do not. Ongoing sun exposure and aging affect all skin over time, so your provider gives you a realistic expectation for your skin, and your pricing, at your consultation.
How does fractional CO2 compare to microneedling or RF microneedling?
Fractional CO2 resurfacing goes deeper in a single session than microneedling or RF microneedling, which is exactly why it also asks for more downtime. Classic microneedling and RF microneedling are collagen-building treatments with minimal to modest downtime, well suited to fine lines, pores, and milder texture, usually across a series. If your concern is milder or your schedule cannot spare the recovery, our microneedling and RF microneedling options are the gentler routes, and Morpheus8 is another radiofrequency path we will walk you through.
Who performs fractional CO2 laser resurfacing, and who oversees it?
Fractional CO2 laser resurfacing at Pura Vida is performed by one of our advanced clinical providers, led by Kara Wilfong, Doctorate Prepared Advanced Registered Nurse Practitioner, because it is our deepest and most technical laser treatment. Our medical aesthetic team supports your care throughout, and health content on this site is medically reviewed by our Medical Director.
Where can I get fractional CO2 laser resurfacing near Fleming Island?
Pura Vida offers AcuPulse fractional CO2 laser resurfacing at our Medical Spa on Island Lane in Fleming Island, FL, serving patients from Orange Park, Middleburg, Green Cove Springs, and greater Jacksonville and Clay County. We have been voted best medspa in the area six years running, and our advanced clinical team treats fractional CO2 as one part of a broader, honestly built skin plan rather than a one-size-fits-all fix.
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Ready When You Are
Let’s build a plan around your skin
Request an appointment and we’ll assess your skin and your tone, explain honestly what fractional CO2 resurfacing can do and what recovery it asks for, and build a plan around the result you actually want.
Not ready to book? Send us a question instead.