Abstract
Although many energy-based devices offer well-documented benefits in treating facial rhytids, less comprehensive study exists to support their safety and efficacy within the orbital rim. Choose ocular safety devices appropriate to the therapy. These include plastic eye shields for radiofrequency treatments and metal eye shields for laser resurfacing. To determine the optimal treatment, consider the anatomic basis for the patient’s periorbital rhytids: photodamage, volume loss, frequent use of the underlying musculature, or a combination of the three. Understand the primary indications and limitations of each of the major treatment options that are safe and efficacious for use in the periorbital region. Multiple treatment approaches are often required to optimize cosmetic results in the periocular area. These may include dermal fillers, chemical peels, neurotoxins, or blepharoplasty in addition to lasers or other energy-based devices. Surgery is indicated for individuals with excessive periorbital laxity or skin redundancy, which cannot be treated effectively with laser and energy treatments alone.
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Geraghty, L.N., Biesman, B.S. (2011). Wrinkles and Acne Scars: Technology-Based Treatment of Periorbital Wrinkles. In: Raulin, C., Karsai, S. (eds) Laser and IPL Technology in Dermatology and Aesthetic Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-03438-1_22
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