Eyelid skin tightening: a novel 'Niche' for fractional CO₂ rejuvenation

J Eur Acad Dermatol Venereol. 2012 Feb;26(2):186-93. doi: 10.1111/j.1468-3083.2011.04034.x. Epub 2011 Mar 24.

Abstract

Background: The periorbital area is a barometer of chronologic and environmental age for which patients usually seek rejuvenation; fractional CO(2) laser plays a key role among the variety of available dermatologic treatments.

Objectives: The purpose of this study is to evaluate the efficacy and safety of Fractional CO(2) laser in eyelid tightening and periorbital wrinkles.

Methods: Forty-five patients received a range of 2-3 treatments in the upper, lower eyelids and periorbital area with a fractional laser device. Photographs were taken before and after each treatment and 2 weeks, 4 weeks, 3 months, 6 months and 12 months after the final treatment. The results were judged by three dermatologists who had not taken part in the treatments.

Results: One year after the last laser session, all patients showed global improvements in eyelid skin tightening: five patients (11.1%) achieved excellent improvement, 11 patients (24.5%) marked improvement, 15 patients (33.3%) moderate improvement and 14 subjects (31.1%) slight improvement. At the 1-year follow-up, the percentage of subjects with a lift in their eyebrows and consequently a widened palpebral fissure was 82.2 (37 patients), whereas 17.8% (eight patients) showed no eyebrow elevation.

Conclusions: Fractional CO(2) laser treatments allow dermatologists to achieve notable improvements in eyelid skin tightening, and eyebrow elevation safely and without significant side-effects.

MeSH terms

  • Carbon Dioxide*
  • Eyelids / surgery*
  • Female
  • Humans
  • Laser Therapy*
  • Skin Aging*

Substances

  • Carbon Dioxide