How close to the under eye and crows feet areas can the Halo laser treat? (Photos)

Question

I had a Halo laser done 3 days ago. I wanted the laser to treat closer to my under eye area. I’d like to know if this laser is able to get closer to under the eyes than appears in my photos. Perhaps my provider can redo this area? What is the general protocol for under eyes?

David M. Lieberman, MD · Answer

Thank you for your question.  Your Halo results seem to be right on schedule based on your photos.  You can get right up to the lash line with a Corneal Shield in.  With no shields in, one must stay below the orbital bone.   Best of luck to you!

Jason Emer, MD · Answer

Thank you for the photos, the under eye area can be treated with this laser and in order to get the best results most doctors use a lens called intra ocular lenses, this is a metal contact lenses that protect the eyes during the procedure. With the intra ocular lens the laser can done all the way to the lower lid of the eye. However, a combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Brian K. Zebrowski, MD · Answer

The proximity to the eyes with laser treatments is always dependent on the laser delivery system.  The Halo laser treatment roller system is a great delivery system with the smoke evacuator and cool rollers but they don't make for fine close treatments  The delivery system is extremely comfortable compared to others and well tolerated.  For closer treatments a CO2 laser with a pinpoint delivery system given in different shapes and sizesd will allow for close treatments even between the eyebrow and eye or under eye.  With every laser it has its strengths and weaknesses.  Halo is a great treatment and can even be better when mixed with the BBL. It isn't truly made to get close to the eye or closer than the orbital floor which is defined by the bone that you can palpate.  I hope this helps

Jake Wardwell, DO · Answer

In order to target the under eye area effectively your provider needs to use intra ocular lenses (metal contact lenses that protect the eye but fit under the lids). Not all doctors are comfortable with this or have these in their office. In addition, the new Halo software upgrade allows the Halo laser to be moved off center and the range can be restricted to an area width of 4 mm so you can basically draw a straight line along the edge of the hand piece around the contours of the eyelid. Most docs I’ve worked with do not use the intra ocular lenses for this procedure because over the eye protection is quicker, easier and removes any risk of getting too close to the eye. I always use the intra ocular lenses because aging under the eyes is important to treat and it looks more apparent when you treat everything but that area. The only downside to using the lenses is that they can be a bit uncomfortable to insert and if the hand piece knocks into the handle it can be uncomfortable as well so takes a skilled steady hand to make the lenses a pain free comfortable experience.

How close to the under eye and crows feet areas can the Halo laser treat? (Photos)

Answers (4)

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