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Updated: Apr 20, 2026
Using a 1064-nm Picosecond Neodymium-Doped Yttrium Aluminum Garnet Laser for Periorbital Hyperpigmentation
Published on: May 23, 2025
Eyelid tightening by CO2 fractional laser, alternative to blepharoplasty
Yoon-Soo Cindy Bae-Harboe1, Roy G Geronemus
1*Laser & Skin Surgery Center of New York, New York, New York; †Ronald O. Perelman Department of Dermatology, NYU Langone Medical Center, New York, New York.
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.
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