Rejuvenation and resurfacing
Laser treatment of periocular wrinkles
The appearance of periocular wrinkles is subject to factors such as the passage of time, genetics, sleep habits, sun exposure and the patient’s anatomy. Although there are many treatments proposed to improve their appearance (cosmetics, peelings, microneedling, etc.), the fractional ablative CO2 laser is one of the best non-surgical options.
The approach to this anatomical location is similar to that of wrinkles in the perioral area “Treatment of the barcode (perioral wrinkles) with ablative laser”.
In the periocular area, we can achieve a discreet or moderate improvement of the skin, depending on the case. However, many patients are candidates for blepharoplasty to achieve acceptable results. This treatment is performed under topical anaesthesia and recovery takes between 5 and 10 days.
Lasers Med Sci. 2022 Mar;37(2):1111-1118. doi: 10.1007/s10103-021-03362-6. Epub 2021 Jun 19. PMID: 34146192; PMCID: PMC8918125.
Frequently asked questions
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We can use fractional non-ablative lasers to improve the texture and elasticity of the eyelid skin. At least 4 sessions are required and recovery is rapid (oedema during the initial hours and almost immediate return to normal activities). The procedure is performed under topical anaesthesia and is well tolerated.
On the other hand, in many cases we can associate this treatment with eyelid surgery, once it has already been performed. This improves the texture of the skin and attenuates any scars that may persist.
These wrinkles can be addressed in two ways. With several low intensity CO2 sessions (3-4), or with a single higher intensity session (longer recovery time and inflammation after the procedure), although the latter can be repeated over time depending on the patient’s response and expectations.
Recovery from this procedure usually lasts between 7 and 10 days, although depending on the intensity or characteristics of the patient, this duration can be variable.
The improvement is considered to be between 30 and 50%, although this depends on the individual’s ability to produce new collagen.
The CO2 ablative facelift laser treatment generates small microscopic areas of thermal damage in the treated skin, from which new collagen is slowly and progressively generated.
Treatment of this anatomical region with CO2 laser shows progressive improvement over the course of months. During the first few weeks these wrinkles may even be accentuated (due to tissue retraction), and then progressively show a better texture and attenuation of the wrinkles. The maximum effect is considered to be 18 months after the procedure.
Some patients do not have sufficient capacity to generate collagen after treatment despite the use of sufficiently intense parameters. In these cases, it may be considered to improve the final result using other techniques that act synergistically, such as hyaluronic acid infiltration or fractionated needle radiofrequency.
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