A Novel Technique for Eye Rejuvenation: A Case Series of the Combined Use of CO Laser Blepharoplasty and Erbium: YAG Resurfacing and A Novel Artificial Intelligence Model to Quantify Laser Results.

[BACKGROUND] Consumers are searching for a solution to rejuvenate the eye area. Surgical blepharoplasties are a common solution, but they lack improvement in skin quality.

[AIMS] To present a novel procedure of a laser upper blepharoplasty in combination with erbium laser resurfacing of the lower eyelid for optimal rejuvenation and minimal complications.

[METHODS] The authors present a laser upper blepharoplasty with the CO laser performed at the same time as lower eyelid resurfacing using an erbium laser. The authors used an artificial intelligence large language model to assess the patient before and after photographs to quantify cosmetic improvement.

[RESULTS] After this novel procedure, patients demonstrated significant improvements in upper eyelid contour, reduced skin laxity, and smoother lower eyelid texture. Patient satisfaction was high, with each patient reporting an overall rejuvenated appearance and a more "awake" and youthful look. The artificial intelligence algorithm showed cosmetic improvement in line with the clinical evaluations by the patient and physician.

[CONCLUSIONS] The combination of CO laser blepharoplasty and Er:YAG laser resurfacing addresses both upper eyelid dermatochalasis and lower eyelid wrinkles effectively while minimizing recovery time and the potential for complications. Artificial intelligence models were used to enhance this study and corroborate evaluator cosmetic improvement.