The CO2 laser works at a wavelength of 10,600 nm. It creates microscopic columns of ablation in the skin, each surrounded by a zone of heat effect.
Your skin responds to these controlled micro-injuries by starting its natural repair process, which includes collagen remodelling. Because the change depends on your own skin's repair, it is not instant, and the degree of improvement varies from person to person.
The settings used are clinical decisions made by your practitioner for your skin and your concern. They are never a one-size-fits-all recipe.