The Carbon Dioxide (CO2) laser has been used by ophthalmologists for well over 10 years. We have performed CO2 laser blepharoplasties on the oculoplastic service at the Jules Stein Eye Institute, Los Angeles, Calif, since the mid 1980s, initially using underpowered continuous wave machines, including one with a cumbersome flashlight-sized handpiece designed for podiatry. The machines have advanced significantly since then, particularly in their ability to perform controlled ablation of the superficial layers of the skin (laser resurfacing); however, the technological advances have been outpaced by the striking advances in media interest in laser cosmetic surgery. Laser aesthetic surgery, which has always been a popular topic for both physicians and the lay public, has recently had a firestorm of publicity, including, for example, a notable television personality having his own laser resurfacing performed live on his talk show. Marketing of laser blepharoplasty by physicians is now mainstream as
Goldberg RA. The Carbon Dioxide Laser in Oculoplastic Surgery and Sliced Bread. Arch Ophthalmol. 1996;114(9):1131–1133. doi:10.1001/archopht.1996.01100140333015
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