title: Eyelid tightening by CO2 fractional laser, alternative to blepharoplasty.
abstract: BACKGROUND
  Multiple approaches to achieve eyelid tightening have been introduced over the years. However, a solid foundation of knowledge as to the origins of the aging appearance is paramount to target the specific causes of this natural phenomenon.
  
  
  OBJECTIVE
  This review aims to touch upon the diverse modalities used to achieve the best therapeutic approach for eyelid tightening.
  
  
  METHODS
  A review of published articles on eyelid tightening using blepharoplasty and lasers was conducted. This information combined with an illustrative case example is presented.
  
  
  RESULTS
  Although multiple treatment options exist, there are advantages and disadvantages for each.
  
  
  CONCLUSIONS
  Understanding the cause of the aging periorbital area with appropriate application of the various treatment options available will lead to a natural and youthful appearing result. Fractional ablative CO2 laser remains an excellent alternative to traditional blepharoplasty.
authors.affiliation: *Laser & Skin Surgery Center of New York, New York, New York; †Ronald O. Perelman Department of Dermatology, NYU Langone Medical Center, New York, New York.
authors.forename: Yoon-Soo Cindy
authors.initials: YS
authors.lastname: Bae-Harboe
authors.forename: Roy G
authors.initials: RG
authors.lastname: Geronemus
mesh_terms: D019882:Blepharoplasty / Q000379:methods*; D005143:Eyelids; D006801:Humans; D053685:Laser Therapy; D054020:Lasers, Gas / Q000627:therapeutic use*; D015595:Skin Aging / Q000473:pathology* / Q000528:radiation effects*