Treating Excess Lower Eyelid Skin Without Incisions

  • Caio Pundek GarciaEmail author
  • Ana Zulmira Diniz Badin
Original Article Non-Surgical Aesthetic



Periocular rhytids and dermatochalasis are common and striking signs of facial aging. The CO2 laser technique described herein addresses Hester classification type I, aging at the level of the lower eyelid, focus on the treatment of the dermatochalasis.

Materials and Methods

In this retrospective study of patients undergoing treatment at our clinic between 2000 and 2018, 263 were classified as Hester I and CO2 laser therapy was the treatment to improve the local rhytids.


Improvement in dermatochalasis was found in all patients, resulting in better rejuvenation of the target area while eliminating visible scarring from a suture through the skin.


In our experience, CO2 laser functions as a substitute for transcutaneous lower blepharoplasty, due to the fact that the contracture of the skin renders resection of that skin unnecessarily, thus avoiding the tell-tale scalpel incisions under the lashes.


The quality of the results of this retrospective study allows us to offer this laser therapy to treat lower eyelids classified as Hester I.

Level of Evidence IV

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Laser CO2 laser Blepharoplasty Eyelid Resurfacing 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest to disclose.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2019

Authors and Affiliations

  1. 1.Division of Plastic SurgeryUniversitary Hospital of Santa CatarinaFlorianópolisBrazil
  2. 2.Private Practice in Curitiba (Clínica Médica Athena)CuritibaBrazil

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