The Best Choice For Clinics: 1927nm Thulium Laser Or Fractional CO2 Laser?

May 08, 2026

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When selecting laser equipment for clinics or beauty salons, decision-makers often seek cost-effective beauty instruments. However, the sheer variety of high-end devices can make choosing and discarding difficult. A classic question is: how to choose between a 1927nm thulium laser and a fractional CO₂ laser? Both are core tools in the field of skin rejuvenation, but they differ significantly.

 

For medical clinics, choosing the right laser equipment not only affects treatment outcomes and customer satisfaction but also directly impacts profit margins and brand reputation. This article will comprehensively analyze the similarities and differences between 1927nm thulium lasers and fractional CO₂ lasers to help you make an informed and efficient choice.

 

 

Similarities Between 1927nm Thulium Lasers and Fractional CO₂ Lasers

 

Both types of devices belong to the category of fractional lasers, employing a segmented laser output mode. This disperses the originally concentrated laser spot into dozens to hundreds of tiny focal spots, forming an array of laser beams that act on the skin.

 

The common advantage of this working mode is that the laser only creates tiny thermal damage areas on the skin, while the surrounding healthy skin tissue remains intact. This precisely triggers the skin's self-repair mechanism, promoting collagen regeneration and reconstruction.

 

In terms of indications, approximately 90% of their treatment areas are similar, including anti-aging and wrinkle removal, moderate to severe acne and enlarged pores, adjunctive treatment for age spots and freckles, adjunctive improvement of atrophic and hypertrophic scars, enhanced product absorption, and intimate area tightening treatments, among others. For clinic operators, this means that regardless of which type of device is chosen, mainstream cosmetic treatment needs can be covered.

 

 

Detailed Differences Between 1927nm Thulium Laser and Fractional CO₂ Laser

 

Different Technical Principles

What is the operating principle of fractional CO2 laser therapy?

 

The fractional CO₂ laser is a gas laser with a wavelength of 10600nm. It uses CO₂ gas as its working medium, and its output mode is fractional. Its mechanism of action is the focal photothermal decomposition effect-after the laser is focused, it forms microbeams that act on the skin, especially the dermis. Each microbeam forms a columnar micro-damage structure. Water absorbs the laser energy and produces a vaporization effect, belonging to the category of micro-ablative/ablative treatments. The water absorption rate of the CO₂ laser is very high, 24 times that of the 1927nm Thulium laser, enabling it to vaporize directly from the stratum corneum to the deep layers of the skin.

What is the operating principle of 1927nm thulium laser therapy?

 

The 1927nm Thulium laser, on the other hand, is a solid-state laser with wavelengths of 1927nm/1940nm. It belongs to the long-pulse infrared laser category and emits laser light using a fractional scanning method. This wavelength of light is readily absorbed by water molecules, but melanin and hemoglobin in the skin also absorb laser energy. It is classified as a non-ablative/micro-ablative treatment, acting on the epidermis and superficial dermis.

 

Thulium lasers combine some characteristics of both ablative and non-ablative lasers, and are known for their high epidermal penetration precision, promotion of cell renewal, removal of pigmentation, and stimulation of collagen production. They are well-tolerated.

 

Different Treatment indications 

 

What symptoms can fractional CO2 laser treat for you?

Fractional CO₂ lasers are primarily used for more severe skin problems: deep wrinkles, severe photoaging, acne scars, surgical scars, stretch marks, and atrophic scars.

It can significantly improve skin texture, promote collagen production and fiber remodeling, making it a powerful tool in deep skin repair.

 

What can 1927nm thulium laser machine do for you?

1927nm thulium lasers, on the other hand, focus more on fine-tuning the epidermal layer: pigmentation, solar lentigines, melasma management, photoaging pigmentation changes, rough texture, enlarged pores, fine lines, and mild skin laxity.

1927nm non-ablative thulium lasers are highly effective in treating melasma, scars, and skin rejuvenation, with fewer adverse reactions and high patient satisfaction. Furthermore, thulium lasers have unique therapeutic functions, such as a positive effect on promoting hair growth.

 

NOTE:  The indications for the two types of devices are not entirely mutually exclusive. For the treatment of moderate to severe acne scars, fractional CO₂ lasers can effectively promote dermal remodeling and improve scar appearance. Therefore, for the treatment of deep and severe scars, CO₂ lasers remain the more mainstream and mature choice. For mild to moderate acne pits, 1927nm thulium lasers can also be considered as a non-ablative treatment option.

 

 

Treatment Experience Comparison

 

Fractal CO₂ laser treatment generates stronger heat and causes more noticeable pain, usually requiring the application of local anesthetic ointment and good cooling equipment. Topical anesthetic ointment is typically applied for 30-60 minutes to improve tolerance.

 

The 1927nm thulium laser is much gentler; patients usually experience warmth or a slight tingling sensation, and topical anesthesia is usually sufficient.

 

 

Treatment Efficacy Comparison

 

Fractional CO₂ lasers offer the most significant single-session results, making them particularly suitable for patients requiring intensive improvement. For severe acne scars, CO₂ lasers can be a highly effective treatment, delivering noticeable improvements in texture and appearance within a short period.

 

1927nm thulium lasers, on the other hand, produce more gradual results, requiring multiple treatments to accumulate significant effects. Therefore, to achieve ideal skin improvement with 1927nm thulium laser treatment, patience and adherence to the prescribed treatment schedule are essential; treatment should not be discontinued prematurely.

 

For patients with darker skin tones (Fitzpatrick skin types III to VI), thulium lasers are preferred due to their lower risk of pigmentation. Fractional CO₂ lasers carry a higher risk of pigmentation, requiring careful parameter settings and selection of suitable patients.

 

 

Recovery Period Length

 

The recovery period for 1927nm thulium laser is very short

Only mild redness and slight desquamation occur after treatment, usually subsiding within 1-3 days. Some clinical data also show that edema and erythema completely disappear within about 5 to 7 days.

 

The recovery period for fractional CO₂ laser is much longer

Erythema, swelling, and desquamation typically last 5-10 days, requiring more stringent post-treatment care. Many patients using CO₂ laser experience significant redness, desquamation, and scab formation for about a week, thus requiring more careful scheduling and allowing at least a week of "social quiet."

It is important to note that the recovery period for CO₂ laser varies greatly depending on the energy setting; mild ablative settings have shorter recovery times, while deep treatments have longer recovery periods.

 

 

For Clinics, How Do They Choose Between These Two Options?

 

The choice of equipment essentially depends on your clinic's positioning, target customer group, and operating model.

 

If your target group primarily consists of busy individuals seeking "non-intrusive treatment"-choose the 1927nm thulium laser.

 

These clients cannot accept a long recovery period but desire visible skin improvement. Thulium lasers require only a 1-3 day recovery period, allowing patients to have treatment on Friday afternoons and return to work on Mondays, significantly reducing the decision-making threshold and travel concerns.

Furthermore, thulium lasers are suitable for a wider range of skin types, including patients with darker skin tones, greatly expanding your potential customer base.

 

If your clinic focuses on a high-end positioning of "deep repair and significant results"-choose fractional CO₂ lasers.

 

For complex skin problems such as deep wrinkles, severe acne scars, and significant photoaging, CO₂ lasers remain the most advanced technology in the field of intensive skin repair. They can provide your clinic with powerful treatment options, often resulting in significant improvement after just one treatment, helping to attract loyal clients who value results and are willing to accept the recovery period.

 

The Best Strategy – Having Both Types of Equipment

 

From a holistic clinic operations perspective, thulium lasers and CO₂ lasers are not opposing choices, but rather complementary. Having both types of equipment means you can provide personalized treatment pathways for clients with different needs and tolerance levels:

  • 1927nm Thulium lasers are suitable for daily maintenance, skin cleansing, and minor improvements;
  • CO₂ lasers are suitable for deep repair, scar correction, and intensive rejuvenation.

 

Some clinics employ a "tiered service" strategy: clients with low-frequency, mild issues can receive thulium laser treatment, while clients with high-frequency, severe aging or scarring issues can receive CO₂ laser treatment. Both can also be combined in stages on the same client, greatly increasing the flexibility of treatment plans and the average transaction value.

 

 

1927nm thulium lasers and fractional CO₂ lasers each have their advantages:

thulium lasers are known for their short recovery time, high safety, wide applicability, and suitability for frequent repeat purchases; CO₂ lasers are renowned for their strong single-session efficacy, excellent deep repair capabilities, and high-end image.

 

For clinic owners, the ideal choice is not "which is the best," but "which better suits your business model." If conditions permit, having both devices to cover a wider customer base will be a wise move to enhance the clinic's competitiveness and profitability.

 

 

📌 Need further information or detailed product information?

Please contact the Newangie team to learn more about 1927nm thulium lasers and fractional CO₂ lasers.

WhatsApp:+86 187 1351 9520

Email: info@newangie.com support@newangie.com

 

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