A technology popularized in the 1990s, laser resurfacing is designed to reduce wrinkles and enhance the texture and appearance of the facial and periorbital skin. A variety of lasers have been designed to perform laser resurfacing. Carbon dioxide (CO2) and erbium:yttrium-aluminum-garnet (Er:YAG) are the most widely used.
The advantage of the newer lasers is a smaller zone of thermal injury and less heat transfer into the tissues, allowing for a better final result with faster recovery.
Laser skin resurfacing is often a useful adjunct to blepharoplasty surgery for further collagen tightening once excess skin has been removed.
Doctor Perman taught laser resurfacing courses for the American Academy of Ophthalmology at the annual international meeting for several years in the 1990s to a surgeon looking to learn the technology in making the transition to an aesthetic practice.