Erbium:YAG Laser resurfacing of periorbital skin: Report of 7 cases

Nowadays, Erbium: YAG laser resurfacing of periorbital skin has become a very popular method of wrinkle reduction. Seven patients with Fitzpatrick skin phototypes of II to V were treated with a 2940 nm Erbium: YAG laser system for resurfacing of periorbital wrinkles. Photographic evalution performed before and after treatment. Patients were visited at 1,2,3,5,7,14,30 and 60 days after laser resurfacing. The results were graded into five categories: no improvement (grade 0), mild (grade 1: up to 25% ), moderate (grade 2: 25-50%), good (grade 3: 50-75%) or excellent (grade 4: 75-100%). Two independent investigators and also the patients themselves evaluated the improvement grades by comparing the photographs. Peri- orbital skin re- epithelization after treatment took a mean duration of 3.7 days. Duration of erythema varied from two to seven weeks with a mean duration of 16.2 days. Eight weeks after the end of the treatment the mean improvement grade was 2.35 (moderate to good) by investigators judgment and 2.14 (moderate to good) by the patients themselves. No pigmentary complications were evident after 8 weeks. No scars or ectropion were observed.