Best Laser for Eyelid Wrinkles?

In addition to the incredible Fractionated CO2 lasers results for the face, I have achieved excellent results for my patients using the laser in the periorbital areas including crow's feet and upper eyelids as well. We use the Lumenis UltraPulse system which is highly versatile and powerful to get specialized results such as these. Skin is tightened, lines are mimimized all with the diminished downtime of fractionation. I even did this on my wife! I also combine long term Neurotoxin (either BOTOX or Dysport) therapy around the eyes and forehead for a layered, custom long term result...and happy patients.

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

The gold standard for skin rejuvenation with a laser for the best result with one treatment is the carbon dioxide  (CO2) laser, non-fractional, ablative. This is uncommonly done because of long standing redness and a higher risks than the newer fractional ablative CO2 laser, Fraxel Repair. Remember that lines around the eyes, especially the sides (crows' feet) will return as the muscle moves and the skin creases above it. Botox is a great adjunct for this treatment. Fraxel restore can be done multiple times with great results but not necessarily the same end result as Fraxel Repair. Interestingly, although you didn't ask for this comment, Portrait plasma therapy (Energist)  formerly Rhytec, has provided equivalent results to the Fraxel Repair CO2 laser in my hands.