Very very good. I did this because at age 45 my eyes were looking heavy and tired all the time. Botox and fillers only last approx one year. I researched all pros and cons before procedures. I do not have to explain that the pros are excellent tightening and renewed skin. The cons could be hyperpigmentation (permanent or hard to correct darkening of skin especially in med to dark skinned pts) Asymmetry (uneven healing of shrinked skin), over tightening that could cause the eyelids to retract and not close! Infection or scarring. My experience was so great, I may do it a second time.
I had only local anesthesia. They rubbed lidocaine into the areas and let me relax in a recliner for at least 30 minutes while the numbing process began. Gave me one valium to relax, and I asked for a second coating of lidocaine just to be certain I was as numb as I could get. (Ha. Speak up if you are scared.) In the surgical room they put numbing drops in both eyes, protective lens over my inner eyes, and gave me several numbing injections around each eye that I could not feel. I barely felt little zaps.
The next day, the first shower where you must wash and gently exfoliate the dead skin, and especially the middle of the first week, when the blisters and weeping stage developed it was painful. It stung, oozed yellow drainage and ached. By day 7 it was much better, and even though I hyperpigmented because I am jewish, I was able to treat that with hydrocortisone 2.5 and vitamin c. I'm completely healed before my 2 month period.
Before and immediately after the surgery I took Super B complex, Biotin 2,000 mg, I ate chewable fruit flavored 500mg vitamin C like candy (about 2,000-5,000mg per day), vitamin D3. I could only use Vitamin E after the surgery.
Before my 2 month checkup, my skin has returned to flesh color with only minimal pinkness. The procedure did great tightening, feels very dry and leathery now, but that is supposed to improve over the 6 months. I would like to do it just one more time because after the swelling goes down near the second month the bottom inner eye area near my nose still needs a little tweeking. Then, I will feel beautiful.
My doc will not even attempt to do it again for 6 months. He said he can not put a burn on top of a burn. I'm 45 and have zero botox or fillers. Only the CO2 done on my eyes and It made me feel instantly brighter and more awake looking. I am happy I did it. They say it takes about 2 weeks to wear makeup and be okay to go out. In reality it really took a full month caked with makeup to camouflage the redness. If I get overheated a pinkness returns. It looked skin tight the first few weeks, and first month, but then a few wrinkles come back about 1-1/2 months after the procedure when the swelling goes down.
So in my case I will repeat the process a second time. People say it looks excellent now, but I am a perfectionist. People say just get botox or fillers, but why when this is instant permanent tightening. The downtime is worth it.