CO2 laser for periocular aging: what are its advantages?

The CO2 laser blepharoplasty procedure has been shown to have fewer complications than conventional surgery. How it is performed?

Last update: September 18, 2022

The CO2 laser is a treatment that serves as an alternative to conventional blepharoplasty. The latter is a surgery that is carried out to remove excess skin from the eyelids or to repair them if there is any abnormality.

The truth is that the eyelids are one of the areas most affected by the passage of time. Their skin is very thin and is made up of internal structures that undergo changes with age. Fortunately, through this intervention it is possible to minimize this periocular aging.

Its main advantage over blepharoplasty is that significantly reduces the effects and postoperative complications. At the same time, it offers interesting aesthetic results. In this article we will talk about this procedure.

What is the CO2 laser for periocular aging?

The CO2 laser is a blepharoplasty — eyelid surgery — that is carried out with a laser scalpel. It is a technique in which the excess tissue of the eyelids is vaporized, in a selective and controlled manner.

It is a point-to-point procedure. This means that each area of ​​the eyelid can be vaporized differently, depending on the amount of excess skin, thickness, etc. With each shot of the CO2 laser, a very specific retraction of the skin is produced.

In addition, it depends less on the skill of the surgeon. It allows rearranging the shape of the eye and its contour in a very precise way. Each incision is very clean, fine and exact, which then manifests itself in better results.

The CO2 laser is an intervention that helps reduce the signs of aging around the eyes.

Benefits and advantages of the CO2 laser

The CO2 laser has great advantages over conventional eyelid surgery. The most important is that does not leave any kind of scars and reduces bleeding to a minimum. Only a thin scab forms that requires minimal care postoperatively.

The intervention is ambulatory and only requires the application of local anesthesia. Similarly, the postoperative period is fast and undemanding, with less inflammation, bruising and ecchymosis. It also offers optimal results, such as the following:

  • Noticeable reduction of fine wrinklesespecially the so-called “crow’s feet”.
  • It causes a tightening effect without the need to resort to other procedures.
  • There is revitalization of the skin of the eyelids and it looks more luminous.
  • Eliminates spots and redness around the eyeswhich unifies the skin tone.


Often, to carry out the CO2 laser technique, local anesthesia is appliedusually cream. The procedure is carried out in the doctor’s office or in a health center. If the bags under the eyes are very voluminous, a conventional blepharoplasty may be necessary.

Almost always only one session is necessary. Sometimes a little more is required, but it is rare. The procedure lasts between 30 and 70 minutes, depending on the complexity of the case and whether it is performed only on the lower eyelid or both.

The steps are the following:

  • The areas of the skin to be resected are marked.
  • Then, protective lenses are placed on the eye.
  • Local anesthesia is then applied. In some cases it is not necessary.
  • Subsequently, the excess skin is removed using the CO2 laser.with the «point to point» technique, as already explained.
  • The fat is extracted with a minimal laser incision, which does not require sutures.
  • Finally, the wound is closed with a very fine suture..

Tips and recommendations

It is usual that after the CO2 laser procedure, some restorative and calming substances are applied to the area to reduce discomfort. The most common is that there is no painalthough there may be some tingling and dryness.

There is almost always only mild swelling and perhaps minor bruising. during the first days. This can be managed with the application of cold and usually disappears on the third or fourth day after the intervention.

The patient can carry out daily activities from the first day, but it is recommended to avoid social activity and smoky environments for at least a week. Tasks that require a lot of effort are also not advised. There should be no direct exposure to the sun until after a month.

Some additional recommendations are as follows:

  • Shower with warm water, not hot.
  • Sleep with your head up two days after the CO2 laser.
  • Sleep in a horizontal position, on your back, for the first three days.
  • Wear sunglasses for the first month.
  • Do not use makeup until the stitches are removed. Mascara should only be used up to three weeks after the procedure.
  • Use artificial tear drops if you feel dryness in the eye.
  • Use sunscreen on the area for at least two months.
Skin care after CO2 laser intervention is key to maintaining your results.

Final recommendations

The final results of CO2 laser blepharoplasty are usually seen from the second or third week after the procedure. After this, it is possible to notice a rejuvenated appearance.

Anyway, it’s very It is important to perform this procedure with a certified professional. In addition, it is convenient to advance it at times of the year when there is less sun, such as autumn or winter. Thus, there are fewer risks during recovery.

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