Fractional CO2 laser treatment is a popular option for addressing various skin concerns, including under-eye wrinkles. This type of laser works by delivering concentrated beams of light to the skin, creating tiny, controlled injuries in the deeper layers. These micro-injuries stimulate the body’s natural healing process, leading to the production of new collagen and elastin, which can improve skin texture, tone, and firmness.
When considering fractional CO2 laser treatment for under-eye wrinkles, it’s essential to consult with a qualified dermatologist or skincare professional. They can assess your skin’s condition, discuss your treatment goals, and determine if fractional CO2 laser is the right option for you.
While fractional CO2 laser treatment can be effective for improving the appearance of under-eye wrinkles, it’s essential to be aware of potential risks and side effects. These may include temporary redness, swelling, and peeling, as well as a risk of hyperpigmentation or scarring, especially in individuals with darker skin tones. Your skincare professional will discuss these risks with you and provide guidelines for minimizing them.
Additionally, it’s crucial to follow post-treatment care instructions carefully, which may include using gentle skincare products, avoiding sun exposure, and protecting the treated area with sunscreen.
fractional CO2 laser treatment can be an effective option for addressing under-eye wrinkles, but it’s essential to approach it with realistic expectations and to work closely with a qualified professional to achieve the best possible results while minimizing risks.
Fractional Laser Resurfacing for Eye Wrinkles
Your eyes say a lot about you. They can reveal your emotions, your level of attentiveness, as well as the amount of sleep you had last night. Your eyes are a focal point of your face and whether you realize it or not, they communicate a wealth of information to those around you. It’s no surprise that the eyes are a top cosmetic concern for patients like you. One of the most common questions our patients have is about improving the wrinkles around the eyes.

Your eyelid skin is extremely thin and delicate. This is why it’s one of the first areas of your face to be adversely affected by age. It thins just like the rest of our skin, so it’s quick to sag, crease, droop and wrinkle. If you’ve researched eye rejuvenation at all, you know that products such as Botox, Dysport and fillers like Restylane and Juvederm can all help reduce the signs of age around the eyes. But sometimes these treatments aren’t enough. To really repair and rejuvenate the eyelid skin, laser resurfacing is necessary.

Here at Celibre Medical, we offer Sciton Profractional laser resurfacing around the eyes. This treatment works by precisely creating thousands of pinpoint, microscopic perforations in the skin. The laser energy does this by heating the skin by targeting water within the skin cells. By carefully creating these microscopic wounds, we force the body into healing, which produces new collagen and healthier looking skin. A specific technique we use is called “coagulation”, and just like it sounds, it heats up the tissue around the area of the laser injury. This second type of injury is more indirect, but it creates a tightening effect, especially in the thin skin under the eyes. The overall effect after treatment is tighter, firmer, younger and smoother looking skin under the eyes.

Fractional laser resurfacing is a great tool for dramatic improvement of eyelid wrinkles. It is often combined with other treatments (like Botox, Dysport, Restylane) to enhances results! There are risks involved in treating the sensitive and delicate eyelid skin with powerful lasers, so make sure that your laser practitioner is expertly trained and has plenty of experience to ensure the safety of your eyes as well as fantastic results.
Treatment of Under-Eye Wrinkles
A combination of volume (fat) loss beneath the eyes, frequent eye movement, inflammation, and sun damage results in wrinkles under the eyes. In under-eye wrinkles, volume loss is often the determining factor.
The under-eye fat pads are shrinking and sliding down the cheeks, which causes a deficit in the area right under the eyes. This creates a shadowing or dark circle and a crinkling and bunching of skin on facial expressions. Repeated facial expressions have less of an effect on the development of undereye wrinkles than crow feet. However, there is some impact.
- Dermal filler plumps and fills under the skin to treat under-eye wrinkles.
- PDO mono threads are a new emerging treatment to volumise under the eye, along with specialised Avaderm thread treatments.
- Smoothing under eye wrinkles usually necessitates laser resurfacing.
- Crow’s feet and under-eye wrinkle laser treatments are frequently combined.
- Under-eye wrinkles occasionally benefit from tiny doses of anti-wrinkle injections.
- CO2 laser for under-eye wrinkles is limited because of the safety of treating up to the lid, and ocular shields must be worn.
- Collagen-stimulating treatments, including Tixel, PRP, skin needling, and radiofrequency resurfacing, are commonly combined with laser treatment of the under-eye area.
Laser for Under-eye Wrinkles
- Laser treatment for undereye wrinkles includes Tixel, CO2 laser, Pico laser, and fractionated RF.
- Tixel is superior because the lower lid can be safely treated to the margin.
- Eye laser treatment with Tixel provides skin tightening and collagen stimulation.
- Tixel combined with PRP can help improve the texture and quality of the skin in this area.
- Additional under-eye laser treatments include a vascular laser for dark circles.
Although eye cream is essential, you can usually extend the wrinkle cream on your face to the eye area. Also, ongoing sun protection with sunglasses to retard the progression of ageing changes should always be included with any laser for wrinkles under the eye.
Fractional CO2 Laser Before & After

While the definitive for upper eyelid hang is an upper eyelid blepharoplasty, there are also other alternatives that do not require surgery that give a dramatic clinical improvement. The use of fractional CO2 helps to tighten the lids and lift the drooping skin. Sometimes one treatment is all that is needed or other times we may do a second treatment at 6 weeks to give an additional bit of tightening. This Charlotte, North Carolina female had one Smartskin treatment to the periocular area.

Gender: Female
Age: 50-60
Charlotte Female who desired facial skin tightening without having to do a facelift. Discussed several options and decided to do a Smartskin fractional CO2 laser to help with the eyelid drooping and tightening of the skin.

The wrinkles under the eye begin to show themselves in our late 30’s onward. Sometimes the area is helped when filling the tear trough or addressing the midface facial flattening. The best laser to treat this area is a fractional CO2 laser around the eyes. There is a downtime of 4-5 days where the skin becomes darker and then peels, however, the results are quite visible even with just one laser.

Gender: Female
Age: 50-60 year old
While it takes around 6-9 weeks to truly begin to see the collagen stimulation post fractional CO2 laser, there is some immediate tissue tightening. This is a photo of a Charlotte, North Carolina female who is 1-week post Smartskin Fractional CO2 laser treatment.

Gender: Female
Age: 50-60 year old
One of the best ways to improve the texture and tone of your skin in Charlotte, North Carolina is with a fractional CO2 laser. While there is a downtime of around 4 days, the laser treatment allows for collagen regeneration and leaves the skin looking younger.