We agree that there are no good data to support the incisional use of
the CO2 laser for blepharoplasty. It offers minimal or no advantage
in that area. In expert hands, phenol peels achieve results similar to laser
resurfacing; however, in most surgeons' hands, the CO2 laser and
the variable pulse erbium:YAG laser achieve excellent results with minimal
complications. The postoperative pain is generally minor if appropriate moist
wound healing is done (occlusive dressings for 3 days followed by open dressings).
We rarely need to use prescription pain medications for our resurfacing patients.
The redness after variable pulse erbium:YAG resurfacing is far shorter (6
weeks to 3 months) than that seen after Baker solution phenol peels. Nonablative
resurfacing lasers currently have very little science and clinical proof behind
them. Laser hair removal, however, was in the same situation 3 years ago and
is currently being performed with excellent long-term hair reduction in most
patients. The same situation could develop with nonablative resurfacing.
Hruza GJ, Larrabee WF. Editorial Comment. Arch Facial Plast Surg. 2002;4(1):7. doi: