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Why do some surgeons use an incision to remove excess eyelid folds if they have a...

Q:

Why do some surgeons use an incision to remove excess eyelid folds if they have a laser? Does a total laser resurfacing tighten up the face all over? I have some "jowl" look but do not want to undergo a partial facelift yet.

A:

Lasers can be used to tighten a small excess of eyelid skin. Patients with a larger excess of skin would do better to have the skin excised using the standard technique for lower eyelid surgery. Also, laser resurfacing alone does not allow manipulation of the herniated fat that causes lower eyelid bulges. Finally, the down time associated with laser resurfacing is actually longer than with skin excision techniques.

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