Laser Resurfacing for Eyelid Rejuvenation

I had an endoscopic brow lift in the fall of 2006. I still had loose, crepey skin on my upper eyelids so my doctor told me to wait several months to "let things settle" he said, but after almost a year, my eyelids were still hooded, and I had loose, crepey skin. Now he suggest doing Laser resurfacing on my upper lids to tighten them. Will this actually solve this problem?

Doctor Answers 6

Nothing removes all lines unfortunately

It sounds as though you have had an agressive treatment program so far. It may have been a miscommunication from your MD but there are no treatments in existence that remove all lines. If you lasered deep enough into the skin to try to get this to result, you would have a dramatic increase in the rate of hypopigmentation where your skin permanently looses color. In addition, deep lasering carries an increased risk of scars.

Without seing you, one can't determine if a revision of your blepharoplasty might help but please alter your expectations to ones where a dramatic reduction in lines is the goal, not their total elimination.

Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Eyelid asymmetry

It is difficult if not impossible to answer your questions without seeing you in person.

Laser resurfacing will help tighten loose skin to some extent but it well certainly not correct significant asymmetry nor will it eliminate all lines or wrinkles from your skin.

You may wish to see other surgeons for a consultation before doing additional procedures.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

We have had great results with Blepharoplasty followed by several sessions of resurfacing with coag....

We have actually had very good results with blepharoplasty followed by one or more sessions of resurfacing with coag.  We use the Sciton platform and resurface with two passes of 80nm and 50nm.  We add coag for improved skin tightening.  Some patients have required up to two laser treatments for the full effect.  This treatment seems to provide the tightening patients look for and seems to help thicken the skin for a more youthful look.

R. Stewart Collins, MD
Raleigh-Durham Plastic Surgeon
4.4 out of 5 stars 17 reviews

Blepharoplasty better than laser resurfacing for upper eyelids.


The problem here is probably excess skin, and blepharoplasty fixes this best.  Laser resurfacing has more of a role in the lower eyelids.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Upper blepharoplasty is required to remove excess crepy upper eyelid skin

Laser resurfacing is excellent for removing skin wrinkles. Only minmal skin tightening occurs with safe levels of laser resurfacing.

If you have significant loose, crepy upper eyelid skin, you will be disappointed with laser resurfacing of the upper eyelids.

Upper blepharoplasty is safe, effective with minimal recovery.

Laser Resurfacing on the eyelids

Laser resurfacing on the upper eyelids can tighten the skin. However, the results are usually minimal. Don’t expect to set the world on fire with a laser resurfacing treatment on the eyelids. Unfortunately there is not much that can be done for this problem other than surgery.

David Goldberg, MD
New York Dermatologic Surgeon
3.3 out of 5 stars 4 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.