Periorbital laser resurfacing: what to know

Resurfacing is designed for selected surface and deeper skin changes, such as rough texture, fine lines, and some sun-damaged skin. It is different from a pigment-only plan and will not correct every cause of under-eye darkness or a hollow. The chosen device may be ablative, fractional, or a gentler non-ablative option, with different levels of skin disruption and recovery.

The clinician examines eyelid thickness, laxity, pigmentation, scarring tendency, and the distance from the eye surface. [Sun-Damaged Skin](/conditions/photoaging/) can be relevant when photoaging contributes to the concern.

A [CO2 Laser](/technology/co2-laser/) can create more substantial resurfacing, while a [Thulium Laser](/technology/thulium-laser/) may be selected for a different depth and target. The plan depends on the goal, skin type, and how much recovery is acceptable. A [Chemical Peel](/treatments/aesthetic-procedures/chemical-peel/) may be an alternative for some surface concerns.

Before treatment, discuss eye disease, cold sores, medicines, recent tanning, and previous eyelid procedures. Follow instructions about cleansing and stopping irritating products. During healing, expect temporary redness, sensitivity, dryness, or peeling depending on the device. Do not pick or scrub the area, and use only the recommended ointment and sun protection. The treatment page for [Laser Skin Resurfacing](/treatments/laser-and-energy/laser-skin-resurfacing/) provides related context.

Contact the treating team for worsening swelling, increasing pain, pus, spreading redness, delayed healing, or a blistering reaction. Seek urgent eye care for severe eye pain, new light sensitivity, double vision, or any sudden change in sight. A rash or infection around the eye should be assessed before another session.

Which layer and concern are you treating? Why is this device suitable for my eyelid skin? What level of redness or peeling is expected? How will my eyes be shielded? When can I restart active skincare, exercise, and sun exposure, and what signs mean I need review?