Eyelid tightening by CO2 fractional laser, alternative to blepharoplasty.

[BACKGROUND] Multiple approaches to achieve eyelid tightening have been introduced over the years. However, a solid foundation of knowledge as to the origins of the aging appearance is paramount to target the specific causes of this natural phenomenon.

[OBJECTIVE] This review aims to touch upon the diverse modalities used to achieve the best therapeutic approach for eyelid tightening.

[MATERIALS AND METHODS] A review of published articles on eyelid tightening using blepharoplasty and lasers was conducted. This information combined with an illustrative case example is presented.

[RESULTS] Although multiple treatment options exist, there are advantages and disadvantages for each.

[CONCLUSION] Understanding the cause of the aging periorbital area with appropriate application of the various treatment options available will lead to a natural and youthful appearing result. Fractional ablative CO2 laser remains an excellent alternative to traditional blepharoplasty.