Non-surgical Lower Blepharoplasty Procedure Using a Laser

Laser is called "EyeTight" (laser company web site at www.lasertight.com). It is supposed to get rid of bags under the eyes. Does it work? Can it be used after a surgical lower blepharoplasty to tighten undereye skin to reduce wrinkles? If not, what can be done to reduce wrinkles and a remaining malar mound? Thanks. I had a lower blepharoplasty over 3 months ago. I am left with a lot of undereye wrinkles that I never had before and a left undereye malar mound that I thought would go away. I am wondering if this EyeTight (LaserTight) would help.

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12 Doctor Answers | Asked by Sueesquisite in Commack,NY

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The answer can be very difficult

Hello, It is important to get the terminology correct. A blepharoplasty is a surgical procedure to remove fat and/or skin and to sometimes lift up and remove excess skin. There is no such thing as a non-surgical blepharoplasty. Often times, I will use a laser (a well established machine without a gimmicky name) to tighten skin and remove wrinkles at the same time. This can be done to improve your situation. It will have no effect, however on the malar mound. This is an extremely... more

Wrinkles and Malar Mounds

Laser resurfacing can work great for fine lines. BOTOX in small doses can help, sometimes. Laser resurfacing ("non-invasive laser Blepharoplasty") does not remove bulges or fat bags. You can see a very short term (days to weeks) improvement in bulges or bags due to skin tightening effect. There are several techniques for improving the malar (cheekbone) contours, from injectable fillers to mid-face lift. Which would be best for you should be determined during... more

Non-surgical blepharoplasty is not possible

The 980 laser target is water, not fat. There is no transcutaneous laser that can remove eye bags. Laser resurfacing with fractional ablative and non-ablative erbium lasers combined can tighten eyelid skin and improve wrinkles. I use the Starlux Lux1540 combined with the Lux2940. Other good lasers for this skin treatment are Fraxel Repair, ActiveFX, Deep FX, and the Sciton Profractional. All these laser treatments treat skin--none can get at the fat beneath the eyelid. See a board... more

Lower eyelid lasering

Apparently you have experienced malar swelling or wrinkles after a lower blepharoplasty. Your next step will be very important. First, only 3 months have elapsed. It is best to wait at least six months until contemplating any revisions, even in my opinion lasering of the lower eyelid and cheek areas. Things may still change, and you may be treating something that may change, so best to wait. Also, for malar bulges or wrinkles and loose skin below the eyelid, you may want to consider a... more

Lasers and the lower eyelid

It still is early after your blepharoplasty and you might want to wait a bit for more healing to take place. If after 4-6 months postop you still are not happy, you should visit with a surgeon who does alot of lower lid lasering (using standard well proven lasers) and discuss your options. What you don't want is to go from unhappy to unhappier because of complications from the laser or another result that doesn't meet your expectations. The complications from lasers are hypopigmentation or... more

Laser resurfacing for lower eyelid

Laser resurfacing of the lower eyelid will significantly improve the fine wrinkles of the lower lid and and tighten the skin in this area. However, it will not treat the bulging fat, heavy bags, or dark circles under the eyes. Blepharoplasty (eyelid surgery) will help address these issues.

Laser will help, but be weary

Removal of fat during a blepharoplasty without removal of the skin can leave you with more skin and thus wrinkles. This is because the fat has been pushing against the skin causing it to stretch. When the fat was removed you're left with the excess skin. Some lasers are better than others. The "gold standard" is the CO2 laser. Unfortunately this left patients red for weeks to months. The newer frational CO2 lasers (and there are many companies that make these) have less down... more

Eye Tight is not what you think it is

Dear Sueesquisite, This company is selling a machine that is for laser assisted liposuction. The cannula contains a 980nm diode laser beam that is intended to disrupt fat. Over the years, there have been a number of attempts to melt lower eyelid fat using various means, through a small incision either in front of the eyelid or behind. However, these types of procedures do not permit inspection of the orbital fat after the manipulation. This can lead to bleeding behind the eye and... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Please be careful around your eyes.

Please be careful around your eyes. You just had surgery three months ago. It may seem like a long time to you, but there is still swelling to resolve and the tissues have not completely gone through the maturation phase. Also, I would avoid "new" procedures until they have been fully tested. There are different ways to use a laser for "blepharoplasty." The can be used externally for skin tightening and internally (similar to Smartlipo) to melt the fat and contract the dermis. If you... more

Avoid anything that has a catchy name. It's a gimmick.

Hi! I have seen a number of people with this problem after lower blepharoplasty, which is a very tricky operation. I doubt that laser resurfacing alone will get you there, although it can be part of a revision. Most likely, you need removal of lower eyelid skin along with support of the corner fo the eyes (canthopexy) to prevent dropping of the lids. This may also help with the malar mound. I like the dual-modality erbium laser made by Sciton. Don't do anything for another 3 months. ... more

Careful with laser for lower blepharoplasty

Lasers will tighten the skin in all directions. You are still recovering from your surgery, and now may not be the best time to decide if you like the results (they are not final), or to do something else. The thing that may be a problem with the laser is that it may shrink the skin in such a way that you may have trouble closing your eye, or the lid may sag, exposing the sclera "white of your eye". Lasers are great (as are many less invasive peels) at smoothing sun damaged skin,... more