Abstract
Laser (light amplification by the stimulated emission of radiation) skin resurfacing is currently one of the most widely adopted technologies in facial rejuvenation. While most often used for aesthetic purposes, lasers also have applications in the management of scars. Since the introduction of the CO2 laser for skin rejuvenation in the 1990s, the last three decades have seen significant growth in the number of laser devices available to the physician. More recently, promising alternatives to light-based resurfacing technologies have emerged that include radiofrequency and intense focused ultrasound. To help the physician navigate the most current laser technologies as they apply to periocular scars, this review discusses the available treatment modalities, pre-treatment assessment of periorbital scars, treatment selection, and reported outcomes and complications. The recommendations described herein are based on published literature and the authors’ experience in an academic oculoplastics practice.
Highlights
Laser skin resurfacing is an important adjunct in the management of many types of periorbital scars
We present a general approach to treating periorbital scars with laser
Laser skin resurfacing has become an integral tool for the management of periorbital scars
Summary
Laser skin resurfacing is an important adjunct in the management of many types of periorbital scars. These lasers can be very effective; they carry a greater risk of causing scarring and hyperpigmentation, in patients with higher Fitzpatrick skin types. By selecting a wavelength that is preferentially absorbed by a target chromophore, applying enough energy to cause thermal destruction, and setting a pulse duration shorter than the target’s thermal relaxation time, tissues can be targeted at precise depths for treatment with minimal surrounding damage[12].
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