Facial aging is characterised by reabsorption of bone, reabsorption and downward sliding of adipose tissue, reabsorption of collagen (which causes wrinkles) and the appearance of blemishes and fine superficial capillaries. While the volume and descent of the tissues can be corrected with surgery or fillers and botulinum toxin, today the more superficial aspect of cutaneous aging can be corrected with fractional ablative CO2 laser. Ultrapulsed CO2 technology has 2 handpieces that enable both superficial and deep skin damage to be treated. Treatment involves the removal of the most superficial layers of the epithelium, contraction of the dermis and massive production of new collagen. Today, facial rejuvenation with ultrapulsed fractional CO2 laser is considered the most effective treatment for the signs of facial aging; wrinkles, solar lentigo and opaque skin.