Potent Periorbital Fractionated CO 2 Laser Resurfacing

Dermatol Surg. 2022 Oct 1;48(10):1089-1091. doi: 10.1097/DSS.0000000000003533. Epub 2022 Aug 9.

Abstract

Background: The aged face results from a culmination of skin changes, gravitational descent, and volume loss. Surgical interventions in the periorbital region are beneficial for addressing these 3 factors. Despite this, studies describing CO2 laser safety settings are lacking.

Objective: There is no present consensus on ideal periorbital CO2 laser; therefore, this study evaluates the safety of periorbital laser resurfacing as an adjunct to lower blepharoplasty using robust settings.

Materials and methods: A retrospective review was performed of all patients who underwent bilateral lower blepharoplasty with adjunctive periorbital (upper and lower eyelid) fractionated CO2 laser resurfacing from 2013 to 2018 performed by a single oculoplastic surgeon.

Results: Fifty-nine patients were included. Six patients experienced side effects including postinflammatory hyperpigmentation, (3/59, 5.1%), prolonged superficial excoriations (1/59, 1.7%), prolonged hyperemia (1/59, 1.7%), and lower eyelid retraction requiring lower eyelid recession (1/59, 1.7%). None of the patients developed postoperative infection. All patient expressed satisfaction at their final postoperative visit.

Conclusion: CO2 laser resurfacing, even with robust settings, is a safe and effective adjunct to lower blepharoplasty.

MeSH terms

  • Aged
  • Blepharoplasty* / adverse effects
  • Blepharoplasty* / methods
  • Eyelids / surgery
  • Humans
  • Laser Therapy* / adverse effects
  • Laser Therapy* / methods
  • Lasers, Gas* / therapeutic use
  • Skin Aging*