Laser blepharoplasty in Switzerland: what the laser changes

The word "laser" features heavily in marketing around eyelid surgery. Yet it covers different realities: a laser can be used as a cutting instrument instead of a scalpel, as a tool to treat bags from inside the eyelid, or as a resurfacing technique to tighten and smooth the thin skin of the lower eyelid. This page explains what the laser really does in a blepharoplasty, what it brings and what it does not, what precautions it requires to protect the eyes, how the procedure and recovery go, what its specific risks are, and where to find it in Switzerland. For the basics of eyelid surgery, see our page on blepharoplasty in Switzerland.

In a laser blepharoplasty, the laser replaces the scalpel to cut and coagulate, or supplements the procedure with skin resurfacing. The principles of surgery remain the same: removing excess skin, treating fat and preserving eyelid function. The laser can reduce bleeding during the procedure; its effect on bruising and the final result varies between studies. Resurfacing improves texture and fine wrinkles, with redness lasting several weeks. Protecting the eyes with suitable shields is imperative. The relative budget is on our page on laser blepharoplasty prices in Switzerland.

The laser as a cutting instrument

A carbon dioxide laser, set to cutting mode, is used to incise the skin and tissues instead of a scalpel. Its beam vaporises a very fine line of tissue and coagulates small blood vessels at the same time. The surgeon thus performs the upper or lower blepharoplasty with an operating field that bleeds little.

The laser for the internal approach

To treat lower eyelid bags from the inside, through the conjunctiva, the laser allows the mucous membrane to be opened and the fat accessed while coagulating as it goes. The absence of a visible scar remains the main advantage of this approach, whether performed with a laser or with other instruments.

The resurfacing laser

A carbon dioxide or erbium laser, often in fractional mode, treats the surface of the skin: it creates tiny columns of micro-injuries that stimulate collagen production, slightly tighten the skin and soften fine wrinkles. It is often combined with a lower blepharoplasty through the internal approach, to treat the skin without removing any.

What the laser does not do

The laser does not remove significant excess skin from the upper eyelid without an incision, does not make large fat bags disappear simply by being applied to the skin, and does not lift a dropped eyebrow. Offers promising "non-surgical" laser blepharoplasty actually concern surface treatments with limited effects. For non-surgical treatments, see our page on medical blepharoplasty.

The carbon dioxide laser was developed in the 1960s and used in surgery from the 1970s, initially to cut and coagulate in areas with a rich blood supply. In the 1990s, eyelid surgeons began using it for blepharoplasty, attracted by the possibility of operating in a field that bled little, and dermatologists used it for full resurfacing of wrinkles. This full resurfacing, effective but heavy, sometimes left prolonged redness and depigmentation. In the mid-2000s, the arrival of fractional lasers changed the picture: by treating only a fraction of the skin with each pass, they made it possible to obtain much of the effect with a much shorter recovery. The erbium laser, which produces less heat, completed the range. Today, the eyelid laser is a well-mastered tool, whose use depends more on the choice of settings than on how new the device is.

Concentrated light

A laser produces light of a single, highly concentrated wavelength. The carbon dioxide laser emits in the infrared; its energy is absorbed by the water in the tissues, which vaporises instantly.

Cutting or resurfacing

Concentrated into a very fine point, the beam cuts; spread out or split into micro-beams, it treats the surface. The surgeon sets the power, pulse duration and density according to the step.

Coagulation

By slightly heating the surrounding tissues, the laser seals small blood vessels. This is what reduces bleeding during the procedure.

Erbium

The erbium laser is absorbed even more strongly by water; it removes skin very finely, with less heat spread, which can shorten redness, but it coagulates less.

The principle

The beam is divided into hundreds of micro-beams that create tiny columns a few tenths of a millimetre wide in the skin. Between these columns, the skin remains intact.

Repair

Cells from the neighbouring healthy skin quickly colonise the micro-columns and close them within a few days. Deeper down, the heat stimulates the production of new collagen for several months.

The result

The skin tightens slightly, fine lines soften, texture becomes finer and skin tone more even. The effect is gradual and continues after the redness has disappeared.

Settings

The practitioner chooses the depth of the columns, their density and the number of passes. On the eyelid, these parameters are gentler than elsewhere on the face.

Ablative or non-ablative

Ablative fractional lasers, carbon dioxide or erbium, actually vaporise small columns of skin; non-ablative lasers heat the skin without removing it, with a lighter recovery but a more modest effect that requires several sessions.

The first few hours

The heat causes redness and swelling. In the treated micro-columns, the skin is vaporised; around them, the heat coagulates the tissues and triggers a repair reaction.

The first few days

Cells from the neighbouring healthy skin migrate to close the micro-columns. Fine crusts, made of skin debris, form and then fall off.

The following weeks

The new surface layer is thin and sensitive; it stays pink while the small repair blood vessels are active.

The following months

Deeper down, cells produce new collagen that is denser and better organised. It is this slow phase that tightens the skin and softens fine lines.

The anterior lamella

It comprises the skin and the orbicularis muscle. This is what resurfacing treats and what upper blepharoplasty partly removes.

The posterior lamella

It comprises the tarsus, a fibrous plate that gives the eyelid its shape, and the conjunctiva. The internal approach passes through this lamella to reach the fat without touching the skin.

The orbital septum

This thin membrane holds back the orbital fat. Its slackening lets the fat bulge and form bags.

The tendons at the corners of the eye

They hold the eyelid taut against the eye. Their slackening explains the lowering of the lower eyelid with age, and the caution needed during resurfacing.

The tear ducts

They drain tears towards the nose through small openings at the inner corner of the eye. A poorly positioned eyelid disrupts this drainage and causes watering.

Eyelid skin is the thinnest on the body, often less than a millimetre thick. It has few sebaceous glands and almost no subcutaneous fat. Its collagen fibres, which give it firmness, and elastin fibres, which give it suppleness, decrease with age, sun and smoking. It therefore creases easily and forms the fine lines around the eyes.

Rapid healing

Thanks to an excellent blood supply, eyelid skin heals quickly after an incision. This is an advantage for surgery.

Sensitivity to heat

Its thinness makes it more vulnerable to the laser's heat. The energies used are lower than on the cheeks or forehead.

Risk of contraction

As it contracts, the skin of the lower eyelid can pull the eyelid down. Practitioners therefore limit the intensity of resurfacing in this area.

Reactive pigmentation

As everywhere on the face, olive skin reacts to inflammation with dark marks; the thinness of the skin sometimes makes these marks more visible.

Dermatologists classify skin into six phototypes, according to its colour and reaction to the sun. This classification helps predict the reaction to the laser and choose the settings.

The phototype is only a guide: the practitioner also takes into account your history of dark marks, your sun exposure and the area treated.

After resurfacing, the treated skin stays pink for a few weeks, sometimes two to three months with the deepest lasers. This redness gradually fades. On olive skin, temporary brown pigmentation can appear around the third or fourth week, especially with sun exposure; it is treated with lightening creams and strict sun protection. More rarely, an area may remain slightly lighter than the surrounding skin; this is one of the reasons why settings are adapted to the skin type.

• The sun, the leading cause of skin ageing, including in winter and at altitude.
• Smoking, which reduces blood supply and breaks down collagen.
• Repeated movements of the orbicularis muscle, which etch crow's feet.
• Rubbing the eyes, common in people with allergies.
• Dry air, made worse by heating in winter.
• Lack of sleep and weight fluctuations, which accentuate bags and dark circles.

Acting on these factors prolongs the effect of any treatment, whether surgical or laser.

Before 35

Requests concern hereditary bags or pigmentation. The skin is firm; a laser internal approach treats bags without a scar, and resurfacing is rarely necessary.

Between 35 and 45

The first fine lines appear, the skin loses some radiance and the tear trough starts to show. Light resurfacing, botulinum toxin and suitable skincare are often enough.

Between 45 and 60

Upper excess skin and bags become established, and fine lines deepen. This is the age at which combining blepharoplasty with resurfacing brings the most.

After 60

The skin thins and the lower eyelid becomes lax. Supportive surgery takes priority; cautious resurfacing is a complement.

A laser is never "good" or "bad" in itself: its effect depends on the settings chosen by the practitioner. For the very thin skin of the eyelids, these choices are decisive.

Energy

It determines the depth of action. Too low, the treatment achieves nothing; too high, it risks a burn or scar. On the lower eyelid, energies are lower than elsewhere on the face.

Density

In fractional mode, it corresponds to the proportion of skin treated. A high density gives a more marked effect, but a longer recovery and a higher risk of dark marks.

Number of passes

Each pass adds heat. Practitioners limit the passes on the eyelid so as not to contract the skin excessively.

Pulse duration

Shorter pulses spread less heat, which reduces redness and the risk of pigmentation, particularly on olive skin.

Adapting to each skin

The practitioner adjusts these parameters according to skin thickness, colour, age, aim and history. Two patients of the same age may receive very different settings.

The choice depends on the aim, the skin type and the practitioner's habits. Both exist in fractional mode, which shortens recovery.

Not all lasers are used for resurfacing. Pigment lasers target melanin to lighten certain marks; vascular lasers target haemoglobin to reduce small visible blood vessels. Around the eyes, they are used with great caution, for certain pigmented marks or fine redness. They do not tighten the skin and treat neither bags nor excess skin. Their occasional value is discussed with a dermatologist.

With age and sun, brown marks often appear on the eyelids and around the eyes. They accentuate the impression of tiredness, even when the skin is still firm. Some pigment lasers and intense pulsed light fade them effectively in a few sessions, with strict eye protection. Laser resurfacing also evens out skin tone.

Any mark that changes in appearance, grows, bleeds or has irregular colours must be examined by a dermatologist before any laser treatment, to rule out a suspicious lesion. Daily sun protection is essential after treatment, as dark marks easily recur under the effect of the sun.

Many surgeons combine these tools: a scalpel for the skin incision, electric or laser coagulation for the deeper layers. No study shows that a cutting instrument alone gives a better final aesthetic result. The choice depends on the surgeon's habits.

The table shows that the difference lies mainly in operating comfort and the possibility of treating the skin at the same time. For the final result, the surgeon's experience counts for far more than the instrument.

The choice depends on the aim, skin type, tolerance of the recovery period and budget. Practitioners often combine several techniques over time. See also our page on medical blepharoplasty.

Beyond fine lines, many patients notice after resurfacing brighter skin, finer texture and a more even tone under the eyes. Renewal of the surface layer removes some dull cells and small pigment irregularities, while the new collagen improves light reflection. This benefit, discreet but real, contributes a great deal to the impression of a rested look.

An operating field that bleeds little

This is the most consistent advantage: the laser coagulates as it cuts, which improves visibility and can shorten some steps.

Bruising

Several practitioners report less bruising after a laser incision. Comparative studies give variable results: some show a slight advantage in the first few days, others no clear difference compared with scalpel surgery combined with careful coagulation.

Swelling

It is not systematically less. The heat may even cause slight extra swelling in some patients.

Scars

In the long term, scars from a laser incision and a scalpel incision are comparable when the procedure is well performed. Conversely, a laser incision that is too hot can give a slightly wider scar.

Skin texture

Resurfacing brings a specific, real benefit for fine wrinkles and the quality of the lower eyelid skin, which surgery alone does not provide.

Cost

The equipment and safety measures add a moderate extra cost.

In short, the laser is a tool, and its main value lies in the associated resurfacing and operating comfort. The result depends above all on the diagnosis and the surgeon's experience, as for any blepharoplasty.

Marketing about eyelid lasers often highlights spectacular advantages. To evaluate them, a few questions help. Does the advertised advantage concern the incision, the first few days of recovery or the final result? Has it been compared with conventional surgery performed carefully? Do the photos show results after several months, in the same lighting conditions? The available studies mainly confirm the value of resurfacing for skin texture and operating comfort, and show more variable results for bruising and scarring. A practitioner who presents these nuances frankly deserves your trust.

The beam of a surgical laser can seriously damage the cornea and the inside of the eye. Any use of the laser near the eyelids requires strict safety measures.

Protective shields

Special shields, often metal and non-reflective, are placed directly on the eyeballs, under the eyelids, after anaesthetic eye drops. They block the beam.

The team's glasses

Everyone present wears glasses suited to the laser's wavelength.

Fire safety

The laser can ignite materials. Oxygen is controlled, and the drapes are moistened or non-flammable.

Training

The practitioner and the team must be trained in laser use, and the device maintained according to the rules.

What you can ask

Do not hesitate to ask how your eyes will be protected. A reputable practitioner will be happy to explain.

A medical laser is a complex device that must be maintained and checked regularly to deliver exactly the programmed energy. Reputable practices follow the manufacturer's recommendations, have their devices checked and train their staff. Protective glasses suited to each wavelength and eye shields are part of the essential equipment. Do not hesitate to ask which device will be used and how its safety is ensured.

Bags without excess skin

An internal approach, with or without a laser, treats the bags with no visible scar; resurfacing can be added if the skin is a little wrinkled.

Thin, wrinkled lower eyelid skin

Fractional resurfacing slightly tightens the skin and softens fine lines, avoiding skin removal that would risk pulling the eyelid down.

Upper blepharoplasty

Laser incision is an option, with a field that bleeds little; the result depends mainly on the amount of skin removed and the examination of the eyebrow.

Fair skin

It lends itself well to resurfacing. Olive or dark skin carries a higher risk of dark marks and requires cautious settings, preparation and sometimes a different choice of treatment.

Situations to avoid

An active infection, a tendency to thick scarring, certain recent acne treatments, planned intense sun exposure and significant untreated dry eyes.

Confusing excess skin with a dropped eyebrow

A dropped eyebrow creates a false excess of skin; an eyelid laser will not correct it.

Confusing a bag with a hollow

Resurfacing does not erase a fat bag, and filling under a bag accentuates it.

Confusing fine lines with expression lines

The laser improves surface fine lines; wrinkles etched by the muscle respond better to botulinum toxin.

Confusing pigmented dark circles with hollow ones

One is a matter of skin, the other of volume; the treatments are different.

Neglecting eyelid laxity

Intense resurfacing on a lax eyelid can pull it down.

That is why a careful examination, not just a photo, must precede any treatment.

For a skin problem alone — fine lines, texture, pigmentation — without bags or excess skin, a dermatologist equipped with a fractional laser is often the most suitable contact. For bags, excess skin or eyelid laxity, you need a plastic surgeon or an ophthalmologist specialising in eyelid surgery, who can also perform resurfacing or work with a dermatologist. If in doubt, a first opinion can direct you to the right specialist.

For the upper eyelid, the laser is used mainly as a cutting instrument. The surgeon measures and marks the excess skin as for a conventional blepharoplasty, then makes the incision with the laser, which limits bleeding during the procedure. They remove the excess skin, treat the small fat pad near the nose if necessary, then close with a fine thread. The result depends on the accuracy of the measurement, the examination of the eyebrow and the quality of the closure. Resurfacing of the upper eyelid is rarely useful: the skin there is already very thin and the tightening effect remains modest. If excess skin obstructs vision, insurance coverage may apply to the blepharoplasty itself, but not to the laser supplement.

The most characteristic combination in laser blepharoplasty concerns the lower eyelid: treating the bags from the inside, with no visible scar, then resurfacing the skin. This pairing addresses a common problem: bags with slightly crinkled skin, in someone whose eyelid is still firm.

Why avoid removing skin

Removing skin from the lower eyelid risks pulling it down. Resurfacing offers an alternative: it slightly tightens the skin without an incision.

Limitations

If the excess skin is significant or the eyelid is lax, the pairing is not enough: an external approach with tightening of the corner of the eye is preferable.

Timing

Resurfacing is often performed at the same time as the internal approach; some practitioners prefer to postpone it by a few weeks, particularly on skin at risk of dark marks.

The result

The bags disappear, the transition with the cheek softens if the fat is repositioned, and the skin becomes finer and more radiant over the months.

The outer corner of the eye is often treated at the same time as the lower eyelid. Crow's feet there are both expression lines, etched by the muscle, and surface wrinkles, linked to skin quality. The fractional laser improves the latter; botulinum toxin acts on the former. The practitioner adapts the intensity, as the skin is slightly thicker than in the centre of the eyelid. The result is best when the two approaches are combined and maintained with regular sun protection.

Wrinkles at the outer corner of the eye, crow's feet, are mainly due to contraction of the orbicularis muscle. The laser improves skin texture, but does not prevent the muscle from etching the wrinkles again. That is why many practitioners combine a botulinum toxin injection, given a few days or weeks before resurfacing. With the muscle at rest while collagen rebuilds, the result on wrinkles is often better and longer lasting. See our page on botulinum toxin injections.

During a facelift, the surgeon treats the deep tissues and the jawline, but not skin quality. Resurfacing of the eyelids and eye area, performed at the same time or a few months later, harmoniously completes the result. Resurfacing must not, however, be performed on skin lifted during the facelift, whose blood supply is temporarily weakened; it is limited to areas that have not been undermined, such as the eyelids. See our pages on neck and face lift and deep plane facelift.

When the laser is used as a surgical instrument, the procedure is a one-off. For resurfacing, a well-set ablative fractional treatment often gives most of the effect in one session, possibly supplemented by a second after three to six months if fine lines remain marked. Non-ablative lasers, which are gentler, generally require three to five sessions four to six weeks apart. Lighter maintenance sessions can be considered every two to three years. The practitioner draws up a timetable suited to your skin and goals.

Men mainly seek advice for bags and tired-looking skin under the eyes. The laser internal approach suits them well, as it avoids any visible scar and allows a quick return to activity. Male skin, thicker and oilier, often tolerates resurfacing well with suitable settings. Redness can be harder to hide without make-up: it is useful to schedule treatment before a period of leave or working from home. For the upper eyelid, the principle of restraint remains essential to preserve a masculine look.

In men, the upper eyelid crease is lower and less marked, and the eyebrow lower and more horizontal. An overly generous blepharoplasty creates a high crease and a surprised, unnatural look. The surgeon therefore removes skin in moderation and respects the position of the crease. For resurfacing, male skin, which is thicker, often tolerates slightly stronger settings, but redness is harder to hide: planning a period of leave or working from home is useful.

In older people, eyelid skin is thinner and the lower eyelid often laxer. Resurfacing remains possible, but with cautious settings, as healing is slower and the risk of pulling the eyelid down is higher. When laxity is marked, surgical tightening of the eyelid is preferable to resurfacing alone. For the upper eyelid, laser incision is one option among others; if excess skin obstructs vision, insurance coverage of the blepharoplasty can be discussed, with the laser supplement remaining at the patient's expense.

Olive and dark skin reacts more strongly to heat and inflammation by producing pigment. After resurfacing, the risk of brown marks is therefore higher, especially if the skin is exposed to the sun. This risk does not rule out the laser, but it calls for an adapted approach: preparing the skin a few weeks beforehand, gentler settings, reduced density, sometimes a preference for the erbium laser or short pulses, treatment scheduled in autumn or winter, rigorous sun protection for several months and close follow-up. If a mark appears, it usually fades within a few months with depigmenting treatment. Laser incision alone, without resurfacing, poses no particular pigmentation problem.

The shape of the upper eyelid varies greatly according to heritage: a well-defined crease, a low or absent crease, a fuller eyelid. These differences influence how the laser and blepharoplasty can be used. The aim is never to impose a standard shape, but to refresh the look while respecting its characteristics. An experienced practitioner discusses with you the shape you want to keep and adapts the steps accordingly.

People who flush easily, have visible blood vessels or rosacea may see these symptoms temporarily worsen after resurfacing, as heat encourages dilation of small blood vessels. The practitioner can stabilise the rosacea before treatment, choose gentle settings or a laser that produces less heat, and plan soothing care. In some cases, they will propose another approach, such as radiofrequency or a very gentle peel.

For olive or sensitive skin, and when there is doubt about how the skin will react, some practitioners first offer a trial on a small, discreet area a few weeks before the full treatment. This test allows healing and pigmentation to be observed and settings to be adjusted. It lengthens the process slightly, but reduces the risk of unpleasant surprises on an area as visible as the eye area.

After refractive eye surgery

After LASIK or a similar technique, dry eyes can last several months. An interval and the ophthalmologist's opinion are recommended before treating the eyelids. See our page on LASIK.

With anticoagulant treatment

The risk of bruising is higher; never change your treatment without the prescribing doctor's advice.

With thyroid disease

The eyelids may be affected by the disease; it must be stabilised and assessed before any treatment.

For contact lens wearers

Contact lenses are removed on the day of treatment and resumed after one to two weeks, according to the instructions.

As a precaution, cosmetic eyelid laser treatments are generally postponed during pregnancy and breastfeeding. Pregnancy hormones also increase the risk of brown marks after treatment, particularly on olive skin. Most practitioners advise waiting a few months after breastfeeding has ended, when the skin has regained its balance, before scheduling resurfacing or laser blepharoplasty.

Resurfacing can improve the texture and fine lines of eyelid skin years after a blepharoplasty. It does, however, require caution if the lower eyelid has already been operated on through an external approach, as the skin and eyelid support may be weakened. The practitioner assesses eyelid firmness before any treatment, chooses moderate settings and may combine tightening of the corner of the eye if necessary. Bring the report of the previous procedure.

A blepharoplasty scar is generally very discreet. Sometimes, however, it remains slightly thick, irregular, red or raised, particularly where it extends towards the temple. Once mature, at least six months after the procedure, a fractional or vascular laser can improve its texture and colour. One to three spaced sessions are often needed. The practitioner first assesses the scar and may propose, depending on the case, silicone care, injections or a small surgical revision.

Smoking reduces the oxygen supply to the skin, breaks down collagen and elastin, and encourages fine wrinkles around the eyes and mouth. In smokers, healing after resurfacing is slower and the risk of complications slightly higher. Stopping smoking a few weeks before and after treatment clearly improves recovery. In the longer term, stopping also preserves the result obtained.

At menopause, falling hormone levels accelerate skin thinning and collagen loss, which accentuates fine lines around the eyes and laxity of the lower eyelid. Resurfacing can improve skin quality at this time, with settings adapted to thinner skin and slightly slower healing. When laxity is significant, supportive eyelid surgery remains preferable to intense resurfacing.

It all depends on the type of dark circle. Hollow dark circles call for filling or fat repositioning, not the laser. Pigmented dark circles, more common on olive skin, can be improved by certain pigment lasers or peels, but the risk of worsening pigmentation calls for great caution and strict sun protection. Vascular dark circles, linked to thin, translucent skin through which blood vessels show, can be slightly softened by resurfacing that thickens the skin a little, or by vascular lasers. In all cases, improvement is partial and a prior diagnosis is essential.

These profiles are fictitious, inspired by common requests in Switzerland.

Anne, 49, Lausanne: bags and fine lines

Anne had moderate bags and thin, crinkled skin under her eyes. The surgeon proposed a laser internal approach, with no visible scar, combined with fractional resurfacing of the lower eyelid. The redness lasted six weeks; the skin became smoother.

Marc, 56, Zurich: upper excess skin

Marc had excess skin on his upper eyelids. The surgeon made the incision with the laser, with a field that bled little, and explained that the result depended mainly on the amount of skin removed and the examination of the eyebrow.

Leila, 42, Geneva: olive skin

Leila wanted resurfacing. Because of the risk of dark marks on her olive skin, the dermatologist prepared her skin for several weeks, chose cautious settings and scheduled the treatment in winter.

Bruno, 63, Bern: a lax eyelid

Bruno had a very lax lower eyelid. The surgeon favoured surgical tightening and decided against aggressive resurfacing, which could have pulled the eyelid down.

Sara, 38, Lugano: hereditary bags

Sara, who had firm skin, had a laser internal approach with fat repositioning, without resurfacing, and recovered in about ten days.

Nathalie, 44, Fribourg: early fine lines

Nathalie had neither bags nor excess skin, but fine lines under her eyes, accentuated by years of mountain sun. The dermatologist proposed erbium fractional resurfacing in winter, combined with botulinum toxin for crow's feet. She returned to work after a week.

Pierre, 59, Neuchâtel: excess skin and bags

Pierre had excess skin on his upper eyelids and pronounced bags. The surgeon performed a laser upper blepharoplasty and an internal approach for the bags, without resurfacing, as his skin was of good quality.

Amira, 36, Basel: dark skin and bags

Amira wanted to treat hereditary bags. The laser internal approach was performed without resurfacing, to avoid any risk of dark marks on her dark skin. The bags disappeared with no visible scar.

Hélène, 70, Sion: thin, lax skin

Hélène hoped resurfacing would tighten her lower eyelids. The surgeon found significant laxity and explained that resurfacing alone could pull the eyelid down. He proposed surgical tightening combined with very light resurfacing.

Laura, 33, Lausanne: bags and perfect skin

Laura only had bags. The surgeon performed a laser internal approach, without resurfacing, which was unnecessary on her good-quality skin. She returned to work after a week.

Marco, 48, Lugano: fine lines and sun

Marco, a sailing instructor, had pronounced fine lines and a few dark marks. The dermatologist treated the marks first, then performed fractional resurfacing in winter, stressing sun protection when the season resumed.

Ursula, 62, Zurich: a two-stage plan

Ursula wanted to treat everything at once. The surgeon proposed a four-eyelid blepharoplasty with tightening of the corner of the eye, then light resurfacing three months later, once the eyelid had stabilised.

"The laser avoids surgery"

A surgical laser is a surgical instrument. Treatments without incisions have limited effects.

"There is no bruising"

Bleeding is reduced during the procedure, but bruising is still possible.

"Scars are invisible thanks to the laser"

They are comparable to those of a well-performed scalpel incision.

"The laser removes bags through the skin"

Bags are treated with a surgical procedure, possibly performed with a laser through the internal approach.

"Resurfacing has no after-effects"

The skin stays pink for several weeks and requires strict sun protection.

"All lasers are the same"

The type of laser, the settings and the practitioner's experience greatly change the results and risks.

"The more powerful the laser, the better the result"

Excessive energy mainly increases the risk of burns, dark marks and lowering of the eyelid. The best results come from settings adapted to each skin.

"The laser rejuvenates in a single session for ever"

The effect on the skin lasts several years, but ageing continues; maintenance and sun protection are essential.

"Olive skin cannot be treated"

It can be, with precautions: preparation, cautious settings, a suitable laser and the cold season.

"Redness means the treatment has gone wrong"

Redness lasting several weeks is normal after ablative resurfacing; only redness that spreads with pain should cause concern.

Identify the problem

Upper excess skin, bags, fine lines, skin quality: each has its own solution.

Check whether the laser is worthwhile

The laser is mainly useful for the internal approach and resurfacing.

Choose an experienced practitioner

Eyelid surgery and laser use, with rigorous eye protection.

Adapt to your skin

On olive skin, preparation and cautious settings.

Choose the right season

Autumn and winter in the lowlands for resurfacing.

An eyelid laser treatment remains a medical procedure, even if it is often presented as a cosmetic session. Taking time to compare two opinions, understand the recovery and choose the right time of year avoids disappointment. A reputable practitioner never pushes you to decide on the day.

• Is my main problem the skin, bags, excess skin or the eyebrow?
• Am I prepared to accept several weeks of redness after resurfacing?
• Can I avoid the sun and trips to the mountains for several months?
• Do I have olive skin, a tendency to dark marks or cold sores?
• Are my eyes dry?
• What is my budget, including maintenance over several years?
• Which time of year allows me a quiet recovery?

Answering these questions before the consultation will help you express your expectations and choose the most suitable approach with the practitioner.

Listening

The practitioner asks what bothers you: hanging skin, bags, fine lines, skin tone, and your expectations regarding recovery and discretion.

Medical history

They look for dry eyes, eye surgery, cold sores, a tendency to dark marks or thick scarring, and your treatments, particularly dermatological ones.

The examination

They assess excess skin, bags, the position of the eyebrow, the firmness of the lower eyelid, and the thickness and colour of the skin.

The proposal

They explain what the laser will bring in your case, what requires surgery, the settings envisaged, the recovery, the risks and the ideal timing.

The quote

It details the steps, the type of laser, care, check-ups and the price.

Reflection

A period of reflection is advisable before committing, especially for a surgical procedure.

Take a front view with eyes open and then closed, two profiles and close-ups of each eye in natural light, without make-up. Add a close-up photo of the skin under the eyes to judge the fine lines. Specify your skin type, tendency to dark marks, any history of cold sores, dry eyes or eye surgery, and recent dermatological treatments.

• Which laser do you use, and for which steps exactly?
• Does the laser bring a real benefit in my case, or would conventional surgery be enough?
• Are you planning resurfacing, and with which settings for my skin?
• How will my eyes be protected?
• How long will the redness last?
• What is the risk of dark marks on my skin, and how can it be prevented?
• Is my lower eyelid firm enough for resurfacing?
• What does your quote include?

• Which laser do you use, and who maintains it?
• How will my eyes be protected during the treatment?
• Which settings are you planning for my skin, and why?
• What happens if a dark mark, burn or infection appears?
• Can you be reached if there is a problem after the treatment?
• What is your protocol if there is a history of cold sores?

Before laser treatment around the eyes, an ophthalmological opinion is useful in cases of significant dry eyes, previous eye surgery, glaucoma or corneal disease. The ophthalmologist assesses the surface of the eye and can prepare it, for example by treating dryness. Some oculoplastic surgeons, ophthalmologists specialising in the eyelids, perform laser blepharoplasty and resurfacing themselves, which simplifies the process.

Eyelid resurfacing is not reserved for surgeons. Many dermatologists perform it, alone or in addition to a blepharoplasty performed by a surgeon. The dermatologist can also prepare the skin before treatment, prevent and treat pigmentation, manage rosacea or cold sores, and offer additional sessions. Collaboration between surgeon and dermatologist is common, particularly for olive or sensitive skin.

Your family doctor can review your treatments, particularly those that encourage bleeding or photosensitivity, and refer you to a dermatologist, ophthalmologist or surgeon. After the treatment, they can see you if you have any doubts, for example about unusual redness or a cold sore outbreak, in liaison with the practitioner who treated you.

Eyelid laser treatment often involves several professionals: a surgeon for the blepharoplasty, a dermatologist for resurfacing or skin preparation, an ophthalmologist for dry eyes or a history of eye problems, and the family doctor for local follow-up. This collaboration is a sign of quality. Simply make sure that each knows about the treatments carried out by the others, by sharing your reports and photos.

One to two months before

Avoid the sun and UV sessions. Mention your dermatological treatments and any history of cold sores. On olive skin, skin preparation may be prescribed.

Two weeks before

On medical advice, suspend products that encourage bleeding. Avoid irritating products around the eyes.

The day before

Prepare cold compresses, the prescribed ointment or balm, artificial tears, sunscreen, a hat and sunglasses.

On the day

Come without make-up or contact lenses, accompanied.

Four to six weeks before

Avoid the sun, sunbeds and self-tanners. Apply high-factor sunscreen every day.

On olive skin

The practitioner may prescribe a depigmenting cream or preparatory product for a few weeks, to reduce the risk of dark marks after the treatment.

One to two weeks before

Suspend irritating products around the eyes, such as retinoids and exfoliants, according to the instructions.

If you get cold sores

Start the preventive antiviral treatment on the date indicated.

On the day of treatment

Come with clean skin, without make-up or cream, and without contact lenses.

The herpes virus, responsible for cold sores, lies dormant in the nerves of many people. Trauma to the skin from a laser or peel can reactivate it, with painful blisters on the treated skin that can lead to poorer-quality healing. If you have had cold sores before, mention it: preventive antiviral treatment, started before the session and continued for a few days, greatly reduces this risk. Blisters that appear after the treatment must be shown promptly to the practitioner.

• Work-up done and detailed quote signed.
• Preventive antiviral treatment started if there is a history of cold sores.
• Irritating products suspended as instructed.
• No recent sun exposure, sunscreen bought.
• Balm, artificial tears, cold compresses and sunglasses ready.
• Contact lenses removed, prescription glasses to hand.
• Someone arranged to take you home.
• Lighter schedule for the following days.

If you have a tattooed eyeliner or permanent eyebrow make-up, you must mention it. Tattoo pigments absorb the energy of certain lasers, which can cause a burn, a change in pigment colour or an inflammatory reaction. The practitioner then avoids treating the pigmented areas directly, adapts the settings or chooses another technique. To remove permanent make-up you no longer want, a specific tattoo removal laser is used, following a separate protocol; see our page on laser tattoo removal.

The eyelashes and eyebrows are protected during laser treatment, as heat could damage their roots. Practitioners work at a distance from the lash line and protect the eyebrows with a gel or moist compress. It is advisable to stop lash growth serums, extensions and lash lifts a few weeks before and after treatment, to avoid irritation. Permanent eyebrow make-up must be mentioned, as some pigments react to the laser.

After the treatment, wait until healing is complete before resuming mascara, false eyelashes or extension glues, which could irritate skin that is still fragile. Eyebrows can be plucked gently a few days afterwards, outside the treated area. If in doubt about a product or care routine, simply ask the practitioner at the next check-up.

For resurfacing alone

An anaesthetic cream applied thirty to sixty minutes before the session, sometimes supplemented by small local anaesthetic injections, is generally enough. A cold-air cooling system makes the session more comfortable. The sensation is one of prickly heat.

For laser blepharoplasty

Local anaesthesia, with or without light sedation, is the rule for the upper eyelid. For all four eyelids combined with extensive resurfacing, deeper sedation or general anaesthesia may be offered.

The eyes

Anaesthetic eye drops allow the protective shields to be placed without discomfort. They are removed as soon as the treatment is over.

After the session

A sunburn-like sensation can last from a few hours to a day or two; cold and simple painkillers are enough.

Many patients are apprehensive about pain. During treatment, the anaesthetic cream or injection and cold air make the sensations bearable: heat, prickling, sometimes brief pinching. After resurfacing, a burning sensation similar to sunburn lasts from a few hours to two days; cold and a simple painkiller relieve it. After laser blepharoplasty, pain is generally mild, more a feeling of tightness and discomfort. Pain that increases instead of decreasing, especially if it involves the eye, requires prompt medical attention.

Preparation

The surgeon marks the excess skin with you sitting up. Anaesthetic eye drops are instilled, then the protective shields are placed over the eyes.

Anaesthesia

Local, with or without sedation, for most upper blepharoplasties; local with sedation or general for all four eyelids or extensive resurfacing.

The surgical procedure

The laser cuts the skin or conjunctiva, the surgeon treats the fat and other structures, then closes if an external incision was made.

Resurfacing

If planned, it is performed at the end of the procedure on the skin of the lower eyelid, sometimes on the crow's feet, avoiding the lash line.

The end

The shields are removed, and cold compresses and an ointment are applied. You generally go home the same day, accompanied.

The duration is close to that of a conventional blepharoplasty: forty-five minutes to an hour for the upper eyelids, one to two hours with the lower eyelids and resurfacing.

Preparation

After anaesthetic eye drops, a shield protects the eye. The lower eyelid is anaesthetised with small injections, possibly under sedation.

Opening the conjunctiva

The surgeon gently turns the eyelid out and opens the conjunctiva with the laser, over a few millimetres, below the eyelid cartilage.

Treating the fat

They locate the three fat pads, reduce those that protrude and, if planned, reposition some of the fat under the groove of the tear trough.

Closure

The conjunctiva usually closes on its own, with no visible stitch.

Possible resurfacing

If planned, the skin of the lower eyelid is then treated at the surface, at a distance from the lash line.

The end

The shield is removed, and cold and an ointment are applied. The whole procedure takes forty-five minutes to an hour and a half for both eyes.

When resurfacing is performed alone, without surgery, often by a dermatologist, the session takes place in the consulting room. The skin is cleaned, an anaesthetic cream is applied for thirty to sixty minutes, then shields or protection are placed over the eyes. The practitioner treats the area in successive passes, while a flow of cold air relieves the feeling of heat. The session lasts fifteen to thirty minutes. A balm is applied, and you leave with care and sun protection instructions. Driving is often possible if no sedation has been given, but your vision may be slightly blurred by the balm: it is safer to be accompanied.

If the laser was only used to cut, recovery is similar to that of a conventional blepharoplasty. If resurfacing was combined, the treated skin follows its own, longer course.

Caring for resurfaced skin

A greasy ointment or healing balm is applied several times a day for the first few days to keep the skin moist. Do not rub or pull off the crusts.

Redness

It can last from a few weeks to two or three months, depending on the intensity of the treatment and the skin type. Suitable covering make-up hides it once the skin has healed.

Sun

Resurfaced skin is very sensitive to the sun for several months. Strict protection — high-factor sunscreen, a hat and sunglasses — is essential to avoid dark marks, particularly at altitude.

The eyes

As after any blepharoplasty, the eyes may be dry or watery; artificial tears bring relief.

Days 1 and 2

Swollen eyelids, red and hot resurfaced skin, slight oozing. Cold, ointment, rest with your head raised.

Days 3 to 5

Fine crusts on the treated skin, swelling going down. Do not scratch; keep the skin moist.

Days 6 and 7

The crusts fall off, leaving pink skin. Stitch removal if there was an external incision.

Washing

Clean the treated skin with lukewarm water or saline, without rubbing, then apply the prescribed balm. Avoid perfumed soaps and wipes.

Sleep

Sleep with your head slightly raised for the first few nights to limit swelling, and avoid sleeping on your front.

Diet

No particular restrictions; limiting salt and alcohol in the first few days reduces swelling.

Activities

Quiet activities resume from the next day; avoid anything that makes you sweat, heat and dust for about a week.

Make-up

Wait until the skin has closed, then choose gentle, non-comedogenic mineral make-up, applied without rubbing.

Skincare

Active products such as retinoids or acids are suspended for several weeks; only resume them on the practitioner's advice.

After resurfacing, the skin must remain constantly hydrated for the first few days, under a layer of prescribed healing cream or balm, to avoid crusting and promote quick, even healing. Washing is done with lukewarm water or saline, without rubbing. After that, a simple, fragrance-free moisturiser takes over for several weeks, together with mineral sun protection as soon as the skin tolerates it.

The practitioner will tell you which products suit your skin; if in doubt, ask before applying a new product.

After laser resurfacing, eyelid skin is fragile and pink for several days to a few weeks. Make-up is generally allowed as soon as the skin has completely covered the treated area, often after seven to ten days. Choose fragrance-free mineral products and apply them with clean or new brushes.

A green-based concealer neutralises residual redness. Remove make-up with a gentle product, without rubbing, and continue to moisturise generously. Mascara and eyeliner can be resumed as soon as the eyelids are no longer irritated; use new products to limit the risk of infection.

In the weeks following resurfacing, several products can irritate weakened skin: retinoids, fruit acids, concentrated vitamin C, scrubs, fragrances and essential oils. They are generally reintroduced gradually after four to six weeks, on the practitioner's advice. Self-tanners and long-wear make-up are also not advised at first. In the event of unusual redness, itching or spots after applying a product, stop it and tell the practitioner.

Collagen rebuilds slowly: that is why the improvement in texture and fine lines continues for several months after the redness has disappeared.

Photos taken before the treatment, then at one month, three months and six months, in the same lighting and from the same angle, allow an objective measurement of the improvement in texture and fine lines, which is often gradual and therefore hard to perceive day to day in the mirror. Many practitioners take these photos routinely; ask to see them at the check-ups. They also help decide whether an additional session would be useful.

At the one-month check-up, the practitioner assesses the healing of any incisions, the colour of the resurfaced skin, the appearance of any dark mark or lighter area, the position of the lower eyelid and dry eyes. They compare with the starting photos and adapt the care: continued sun protection, depigmenting cream if a mark is beginning to appear, gradual reintroduction of active cosmetic products. It is also the time to ask your questions about additional sessions or maintenance.

These timescales are indicative: they depend on the intensity of the treatment, your skin and how discreet you want to be. Scheduling the treatment before a long weekend or holiday limits time off.

After laser blepharoplasty, the eyes may be dry and sensitive. Screen work is possible quickly, with breaks every twenty minutes, moderate brightness and preservative-free artificial tears. Contact lenses generally have to wait one to two weeks, until the eyelids have gone down and the treated skin is no longer irritated by handling. Eye make-up and make-up removal must remain very gentle for several weeks.

Prolonged screen work does not directly age the skin, but it encourages dry eyes, frowning and squinting, which accentuate fine lines. After treatment, and more generally to preserve the result, a few habits help: a screen correctly adjusted for brightness and distance, regular breaks looking into the distance, suitable glasses if your prescription has changed, and artificial tears for dryness.

Sweat irritates resurfaced skin, as does pool chlorine: wait until it has fully closed.

In Switzerland, light in the mountains is intense all year round, and snow reflects a large proportion of ultraviolet rays. After resurfacing, eyelid skin is particularly vulnerable to dark marks for several months. Schedule the treatment preferably in autumn or winter in the lowlands, avoid trips to the snow in the following weeks and always use high-factor sunscreen, a hat and wraparound sunglasses, even in cloudy weather.

After eyelid treatment, sunglasses protect both the eyes, which are often sensitive to light, and the treated skin. Choose lenses that filter all ultraviolet light, a wraparound frame that covers the eye area well, and a tint category suited to the brightness, darker in the mountains or on snow. These glasses must be worn systematically outdoors for several months, including in cloudy weather.

Cycling, hiking, mountain running, sailing on the lakes: outdoor activities, very popular in Switzerland, expose the skin to ultraviolet rays, wind and cold. After resurfacing, wait until the skin has closed and is less red, generally two to four weeks, then protect it with high-factor mineral sunscreen, reapplied regularly, wraparound glasses and a cap or hat. Outdoor jobs — farming, construction, ski instruction — require the same precautions and sometimes slightly longer time off.

In Switzerland, indoor air becomes very dry in winter because of heating. After resurfacing, the treated skin tends to dry out and feel tight. A humidifier in the bedroom, a repairing balm applied regularly and good hydration improve comfort. The eyes, often drier after eyelid treatment, also benefit from artificial tears and regular breaks from screens.

This timetable avoids summer sun during the sensitive phase and leaves the winter for recovery. It can of course be adapted to each situation.

People allergic to pollen often have itchy, red, watering eyes in spring and early summer. Rubbing your eyes on resurfaced skin or operated eyelids risks irritation, infection and dark marks. It is better to schedule the treatment outside your allergy season and to have the allergy treated beforehand. In Switzerland, autumn and winter combine the absence of pollen with weaker sun, making them the ideal periods for eyelid laser treatment.

Air in aircraft cabins is very dry. After resurfacing or laser blepharoplasty, it dries out the treated skin and the eyes. If a flight is planned in the first few weeks, take your balm, artificial tears and sunglasses, and moisturise your skin regularly. Avoid very sunny destinations for several months, or protect yourself rigorously. If surgery was performed, ask the practitioner how long to wait before flying.

Many patients want the treatment to go unnoticed. After a laser internal approach without resurfacing, discretion comes quickly: a few days of slight swelling. After resurfacing, the redness is visible for one to two weeks, then is easily concealed with covering mineral make-up. Sunglasses are a great help for the first outings. Scheduling the treatment before a holiday, a period of working from home or the end-of-year festivities, when your diary is lighter, makes discretion easier. On video calls, soft lighting and a camera positioned slightly further away soften any remaining marks.

After resurfacing, the skin under your eyes will be red and then crusty for about a week, and pink for several weeks. Warn those close to you that this is normal and not painful, but that you will be avoiding the sun, trips to the mountains and activities that make you sweat for a while. Their help is useful on the day of treatment, as you will not be able to drive, and to remind you not to touch or scratch the treated skin.

"Did you get sunburnt?"

In the first few days, the redness looks like sunburn. It gradually disappears.

"Does it hurt?"

Not much: a feeling of heat in the first few hours.

"Why not have real surgery?"

Depending on the problem, the laser sometimes complements or replaces surgery; for pronounced excess skin, surgery is still necessary.

"How long does the result last?"

Several years for the skin, provided it is protected from the sun.

If you live alone, arrange for a relative or friend to be with you on the day of treatment and the first night if sedation was used. Prepare cold packs, balm, eye drops and simple meals in advance. After resurfacing alone, most patients are independent from the same evening. In the event of intense eye pain or vision problems, call 144.

Here is the fictitious but realistic account of a 51-year-old patient who had her bags treated through a laser internal approach, with fractional resurfacing of the lower eyelid.

Day 1

"No visible scar, but the skin under my eyes is red and hot, like after sunburn. I apply the balm every two hours, and cold packs."

Day 3

"The skin is slightly crusty and a little swollen. No pain, just a feeling of tightness."

Day 6

"The crusts are falling off. The skin is bright pink but smooth. The bags have gone."

Day 10

"Back at work with covering mineral make-up. Nobody notices anything, except a colleague who thinks I look rested."

Week 6

"The redness has almost faded. I never go out without sunscreen and sunglasses."

Month 4

"The fine lines under my eyes are much less visible. The result looks natural."

Every patient progresses differently; this diary illustrates a typical recovery.

Here is the fictitious but realistic account of a 55-year-old patient who had a laser upper blepharoplasty, without resurfacing.

Day 1

"Procedure under local anaesthesia, just under an hour. Eyelids swollen in the evening, little pain. Cold packs every hour."

Day 2

"Swelling at its peak on waking, some purple shadows under the eyebrows. I sleep with my head raised."

Day 5

"The bruises are turning yellow. Stitches removed, painlessly. My eyes already look more open."

Day 8

"Back at the office, with sunglasses for the journey. My colleagues think I look rested."

Month 2

"The scar in the crease is almost invisible. I no longer raise my eyebrows all the time to see."

Eye injury

This is the most serious risk, made exceptional by the systematic use of protective shields. Intense pain or reduced vision after the procedure requires emergency medical attention.

Burns

Settings that are too powerful or a pass that is too heavy can burn the skin, with a risk of scarring. The practitioner's experience is decisive.

Pigmentation disorders

Brown marks can appear, especially on olive or dark skin and with sun exposure. Conversely, lasting depigmentation, which is rarer, can occur after resurfacing that is too deep.

Prolonged redness

It can last several months in some people, particularly those with sensitive skin.

Lowering of the lower eyelid

Overly aggressive resurfacing can contract the skin and pull the eyelid down. Settings are cautious in this area.

Infections

Reactivated cold sores or infection of the treated skin are possible; preventive treatment is often prescribed if there is a history of cold sores.

Common risks

Those of any blepharoplasty: dry eyes, asymmetry, temporary incomplete closure, haematoma and, rarely, haematoma behind the eye, which is an emergency.

In the event of intense eye pain, sudden swelling or reduced vision, call 144 without delay.

Choosing the practitioner for their laser

Experience in eyelid surgery counts for more than the instrument.

Believing in blepharoplasty without an incision

Upper excess skin or pronounced bags require a surgical procedure.

Neglecting the sun

Exposure in the months after resurfacing encourages lasting dark marks.

Pulling off crusts

This risks scars and dark marks.

Resuming make-up too soon

Wait until the skin has closed and use gentle products.

A touch-up may be offered for a small residual excess of skin, asymmetry or texture that is still irregular. For the skin, a lighter additional fractional laser session can be performed after three to six months. For surgery, a touch-up is discussed once things have stabilised, generally several months after the procedure. It is often simpler than the initial procedure and is performed under local anaesthesia.

The improvement in the skin after resurfacing builds slowly: the redness at first masks the result, then collagen re-forms for three to six months. Many patients judge the treatment too soon in the mirror, whereas photos at six months show a clear improvement. Keeping up sun protection and care throughout this period, and waiting for the review before considering an additional session, allows you to appreciate the real result.

To judge a result objectively, compare photos taken in the same conditions: the same light, preferably natural and from the front, the same distance, the same expression, without make-up. Look at the depth of the fine lines at the corner of the eye and under the eyelid, the texture of the skin in raking light, the radiance and evenness of the skin tone and, after surgery, the amount of skin on the upper eyelid and the relief of the bags. Make this comparison at six months rather than at the first month, when redness and swelling still mask the improvement. If something disappoints you, note it precisely to discuss with the practitioner.

• Has the result stabilised, or can the skin still improve?
• Would an additional session be useful, and when?
• What daily care do you recommend to preserve the result?
• When can I resume my usual active products?
• How often should maintenance be considered?

One year on, any scars are invisible and the resurfaced skin has regained a normal colour, with a finer texture. The result of the surgery is stable. To preserve the effect of resurfacing, daily sun protection, suitable skincare and, if you wish, spaced maintenance sessions or botulinum toxin for crow's feet are useful.

Sun protection

This is the most effective step: high-factor sunscreen every day, including in winter, and wraparound sunglasses in the mountains.

Daily care

A moisturiser suitable for the eye area, possibly enriched with antioxidants, and gentle make-up removal.

Maintenance sessions

A lighter fractional laser session every two to three years, or gentle surface treatments, prolong the effect.

Botulinum toxin

It limits the return of crow's feet and protects the result of resurfacing.

Lifestyle

Stopping smoking, getting enough sleep and staying well hydrated contribute to skin quality.

Facial ageing affects several layers: skin, fat, muscles and bone. The laser acts on the skin, surgery on the structures, injections on volume and botulinum toxin on the muscles. An overall plan, drawn up with the practitioner, orders these treatments over time: for example, blepharoplasty and eyelid resurfacing in the first year, botulinum toxin regularly, filling of the temples if necessary, then maintenance sessions. This gradual approach gives harmonious, natural results rather than a sudden change concentrated on a single area.

After a laser treatment, ask for a report or at least a note of the parameters used: type of laser, fractional mode or not, energy, density, number of passes, areas treated and products prescribed. This information is invaluable for a maintenance session or if you consult another practitioner later, who will be able to adjust the settings according to how your skin reacted. Keep it with your follow-up photos.

Carbon dioxide and erbium surgical lasers are available from many plastic surgeons, dermatologists and oculoplastic ophthalmologists in the major cities, and from some practitioners in medium-sized towns. Resurfacing of the lower eyelid is also offered by dermatologists, independently of any surgery. Check with the practitioner which laser they use, for which steps, and how they protect the eyes.

Geneva

Plastic surgeons, specialist ophthalmologists and dermatologists equipped with fractional lasers are numerous. The choice allows you to compare approaches, surgical or purely skin-based.

Vaud

Lausanne and the Riviera concentrate provision; equipped dermatologists also practise in Nyon, Morges and Yverdon.

Neuchâtel

A few dermatologists and surgeons have a fractional laser; Lausanne and Bern supplement local provision.

Jura

Jura residents often turn to Basel or Biel/Bienne for eyelid laser treatment.

Fribourg

Bilingual local provision exists; Lausanne and Bern are half an hour away.

Valais

Sion and Martigny have equipped practitioners; sun protection after treatment is particularly important at altitude.

Bern

Bern offers a good choice of equipped dermatologists and surgeons; Biel/Bienne offers bilingual provision.

Solothurn

Solothurn and Olten have a few practitioners; Bern and Basel are close by.

Basel-Stadt and Basel-Landschaft

Basel has many equipped practitioners, accessible within a few minutes from Basel-Landschaft.

Aargau

Aarau and Baden offer local provision; Zurich is twenty minutes away.

Zurich

The largest number of practitioners equipped with surgical and fractional lasers in the country.

Schaffhausen

Local provision is limited; Zurich and Winterthur are close by.

Zug

Local provision exists, supplemented by Zurich and Lucerne.

Schwyz

The north of the canton looks to Zurich, the south to Lucerne.

Lucerne

Lucerne concentrates provision for Central Switzerland, with several equipped practitioners.

Uri, Obwalden and Nidwalden

Patients from these cantons usually consult in Lucerne.

Glarus

Zurich or St. Gallen, about an hour away.

St. Gallen

St. Gallen offers local provision; Zurich for a wider choice.

Appenzell

Both half-cantons look to St. Gallen.

Thurgau

Frauenfeld, Kreuzlingen, Winterthur and St. Gallen offer several options.

Graubünden

Chur offers basic provision; sun protection is essential in the mountains.

Ticino

Lugano has several equipped practitioners, with consultations in Italian.

For 43 cities, this table shows the usual centre, the indicative travel time, the likelihood of finding a surgical laser suitable for the eyelids and the usual price difference compared with Geneva. These indications reflect the density of provision and should be confirmed with each practice.

Using the laser adds a moderate extra cost, linked to the equipment and safety measures. Combined resurfacing adds a further step. The table positions the options, base 100: conventional upper blepharoplasty.

A functional part, if visual impairment is documented, may be covered by basic insurance; use of the laser and resurfacing remain at the patient's expense. Details on our page on laser blepharoplasty prices in Switzerland.

Equipment

Recent lasers, more precise and more comfortable, represent a larger investment.

The practitioner

A surgeon who also performs the blepharoplasty and a dermatologist who only performs resurfacing do not have the same costs or provide the same services.

Extent of treatment

Eyelids alone, the whole eye area or the entire face: the price varies with the surface treated.

Services included

Skincare products, check-ups, a touch-up session: check what the price includes.

The city

Geneva and Zurich are at the top of the scale, with medium-sized towns often below.

• The type of laser used and the steps performed with the laser.
• The eyelids treated and the approach.
• Any resurfacing, its area and type.
• Anaesthesia and theatre or clinic costs.
• Post-operative care and products supplied.
• Check-ups included and touch-up conditions.
• VAT and, where applicable, the separation of a functional part.

Two quotes are only comparable if they describe the same steps. Ask for written details if one of them remains vague.

Imagine two quotes for treating bags and fine lines of the lower eyelid. The first, cheaper, mentions a "laser blepharoplasty" without further detail. The second, more expensive, details a carbon dioxide laser internal approach, fractional resurfacing of the lower eyelid, anaesthesia with sedation, skincare products, three check-ups and a skin touch-up session if necessary. At first sight, the first seems the better deal; in reality, it does not tell you whether the skin will be treated or what the follow-up includes. Ask the first practitioner to specify these points in writing before comparing. A detailed quote is a sign of transparency.

Beyond the price of the treatment, allow for the consultation and work-up, prescribed skincare products such as healing balm and artificial tears, high-factor mineral sunscreen, covering make-up suitable for sensitive skin, good sunglasses and, on olive skin, possible depigmenting preparation. These costs remain modest, but they contribute to the result.

To compare options, it is useful to think over several years. Laser blepharoplasty with resurfacing represents a larger initial investment, but its effect on excess skin and bags is lasting, and its effect on the skin lasts several years with good sun protection. Conversely, lighter treatments such as radiofrequency or non-ablative lasers cost less per session but require repeated sessions. Adding up the costs over five years, including maintenance, allows an informed choice. Our page on laser blepharoplasty prices in Switzerland gives guidelines in percentage terms.

Resurfacing and cosmetic use of the laser are not covered by compulsory health insurance. If an upper blepharoplasty is medically justified, because excess skin reduces the visual field as documented by an ophthalmologist, coverage may apply to the procedure itself under the usual rules; the laser supplement and resurfacing then remain at your expense, billed separately. Some supplementary insurance policies contribute to cosmetic treatments under specific conditions: check your policy. Always ask for a quote that clearly separates the parts.

Protective shield. Protection placed over the eye while the laser is being used.

Carbon dioxide. A laser that cuts, coagulates and resurfaces.

Erbium. A resurfacing laser with low heat spread.

Fractional. A mode that treats the skin in micro-columns separated by healthy skin.

Hyperpigmentation. The appearance of brown marks.

Hypopigmentation. Lasting lightening of the skin.

Resurfacing. Laser treatment of the skin's surface.

Transconjunctival approach. Access to the bags from inside the eyelid.

Ablative. Describes a laser that actually vaporises part of the skin, with a more marked effect and a longer recovery.

Non-ablative. Describes a laser that heats the skin without removing it, with a light recovery and a more modest effect.

Density. The proportion of the skin surface actually treated during a pass.

Energy. The amount of energy delivered per pulse, which determines the depth of action.

Pass. A sweep of the area by the laser; several passes strengthen the effect.

Spot. The size of the beam's point of impact.

Eye shield. Protection placed over the eye during treatment.

Post-inflammatory hyperpigmentation. A brown mark that appears after skin inflammation, more common on olive skin.

• The laser is a tool: it cuts and coagulates, or it treats the skin's surface.
• Its main specific advantage is resurfacing, which improves fine lines and texture.
• It does not remove significant excess skin or a fat bag without a surgical procedure.
• Protecting the eyes with shields is an absolute rule.
• Olive skin requires preparation, cautious settings and the cold season.
• The sun is the enemy of the result for several months.
• The result depends above all on the practitioner's experience.

Our role is to help you see clearly before you commit. Based on your photos and answers, a practitioner assesses whether your eyes call for blepharoplasty, laser treatment, a non-surgical approach or a combination, and gives you an idea of the budget. You can then consult with full knowledge of the facts, in Switzerland, close to home or in the centre of your choice. This opinion is free and without obligation.

• A first opinion on the most suitable approach for your eyes.
• A budget estimate, in percentage terms relative to Swiss benchmarks.
• Tips for preparing your consultation and your questions.
• Guidance towards the most suitable type of practitioner: surgeon, ophthalmologist or dermatologist.

Laser blepharoplasty is neither a revolution nor a mere sales pitch. Used as a surgical instrument, the laser offers an operating field that bleeds little; used for resurfacing, it brings a real improvement in eyelid skin that surgery alone does not provide. Its limitations are clear: it does not replace surgery for excess skin or pronounced bags, it requires rigorous eye protection and great caution on olive skin, and its results build over several months. Properly indicated, properly set and performed by an experienced practitioner, it gives a rested look and finer skin, naturally. For a first opinion on your situation, you can send us your photos using the form on this page.

Budget

Price differences between cities and cantons, the quote breakdown and ways to save are detailed on our page Laser blepharoplasty: prices in Switzerland.

Related procedures

• Medical blepharoplasty in Switzerland
• Fox eyes in Switzerland
• Ethnic rhinoplasty in Switzerland
• Genioplasty in Switzerland
• Septoplasty in Switzerland

Our guides

• Blepharoplasty in Switzerland
• Cosmetic surgery in Switzerland

Answers to the questions most often asked by patients living in Switzerland about laser blepharoplasty. For general questions, see our page on blepharoplasty in Switzerland.

The laser and the technique

What is laser blepharoplasty? It is a blepharoplasty in which a surgical laser is used to cut and coagulate instead of a scalpel, or which is supplemented by skin resurfacing. The principles remain those of any blepharoplasty: removing excess skin, treating the fat in the bags, and preserving eye closure and eyelid position. The laser is a tool, not a different procedure. Always ask the practitioner exactly which steps will be performed with the laser.

Which lasers are used? Mainly the carbon dioxide laser, which cuts and coagulates, and the erbium laser, used mainly for resurfacing. Both exist in fractional mode, which treats the skin in micro-columns while preserving islands of healthy skin, which speeds up healing. The choice between them depends on the aim and the skin type.

Does the laser completely replace the scalpel? For the incision, it can replace it. However, the surgeon also uses fine scissors and forceps for some steps, and closes the incision with stitches as in conventional blepharoplasty. Stitches remain necessary for an external incision.

Can laser blepharoplasty be performed without an incision? For the upper eyelid, removing excess skin requires an incision. For the lower eyelid, the internal approach avoids any visible scar, and resurfacing can treat the skin without an incision. Purely superficial laser treatments remove neither significant excess skin nor large bags. An examination distinguishes what requires surgery from what can be treated at the surface.

What is resurfacing? It is laser treatment of the skin's surface. It creates controlled micro-injuries that stimulate collagen production, slightly tighten the skin and soften fine wrinkles. It also improves texture and radiance. The effect builds over several months as collagen re-forms.

What is a fractional laser? A fractional laser divides its beam into a large number of micro-beams, which treat the skin in small columns separated by untouched areas. The remaining healthy skin speeds up healing, which shortens recovery compared with full resurfacing. This mode is now the most widely used around the eyes.

Does the laser reduce bruising? It coagulates small blood vessels as it cuts, which reduces bleeding during the procedure. The effect on bruising after the procedure varies between studies and patients: some have less, others as much as after careful conventional surgery. Cold and keeping the head raised remain the best ways to limit bruising.

Does the laser reduce swelling? Not systematically. The laser's heat may even cause slight extra swelling. Swelling depends mainly on the extent of the procedure and on the individual. Keeping the head raised at night helps reduce it.

Are the scars more discreet with the laser? In the long term, they are comparable to those of a well-performed scalpel incision. The laser does not guarantee a finer scar; the quality of closure, individual healing and sun protection matter more than the instrument.

Is the laser more precise? The beam is very fine and the operating field bleeds little, which improves visibility. The precision of the result, however, depends mainly on planning and the surgeon's skill. Planning remains the most important stage.

Does the laser treat bags? It can be used to open the conjunctiva and treat the fat during an internal approach. But it is the surgical procedure that treats the bag, not the laser applied to the skin. The laser internal approach avoids any visible scar.

Does the laser treat dark circles? Resurfacing can slightly improve skin quality and some discolouration. It does not fill a hollow or erase significant pigmentation, which require other treatments. An accurate diagnosis of the type of dark circle avoids disappointment.

Does the laser treat crow's feet? Resurfacing can soften fine wrinkles at the outer corner of the eye. Botulinum toxin remains the reference treatment for expression lines. The two treatments are often combined.

Can the laser replace an upper blepharoplasty? Not if the excess skin is significant. Resurfacing the upper eyelid only gives slight tightening; excess skin hanging over the crease requires an incision. The practitioner will tell you honestly whether surgery is necessary.

Are plasma treatments lasers? No. So-called "plasma" devices produce small electric arcs that create micro-injuries on the surface of the skin. They are sometimes presented as an alternative to blepharoplasty, but their effect is limited to small excesses of skin. See our page on medical blepharoplasty. Their effect is often wrongly compared with that of surgery.

Is the laser a recent technique? Carbon dioxide lasers have been used in surgery for several decades, and in eyelid surgery since the 1990s. Fractional modes are more recent. There is therefore a long track record. Settings and safety protocols have improved considerably.

Do all practitioners who offer laser use it in the same way? No. Some use it to cut, others only for resurfacing, others for both. Ask precisely what will be done with the laser. The precision of the answer is a good indicator of the practitioner's seriousness.

Is the laser regulated? Medical lasers are medical devices subject to conformity requirements, and their use requires safety measures. The practitioner must be trained in their use and should be able to explain the safety measures applied.

Can a brow lift be combined? Yes. The laser does not lift a dropped eyebrow; if the eyebrow is the cause, a brow lift is combined or offered instead. The brow lift is performed using other techniques.

Why do some surgeons not use the laser? Because they obtain excellent results with the scalpel and careful coagulation, and do not consider the benefit sufficient to justify the extra cost. This choice is legitimate; some refer resurfacing to a dermatologist. Both approaches give excellent results in experienced hands.

Indications and precautions

Are my eyelids suitable for the laser? The laser is mainly worthwhile if you have bags without much excess skin, to be treated through the internal approach, and thin, wrinkled lower eyelid skin to be resurfaced. For upper excess skin, it is an incision option. The surgeon will tell you after an examination. A first opinion from photos can guide you before the consultation.

Is the laser suitable for olive or dark skin? With caution. This skin carries a higher risk of brown marks after resurfacing. The practitioner adapts the settings, sometimes prepares the skin and may offer other treatments. Laser incision alone poses fewer problems. Suitable preparation significantly reduces this risk.

Can I have resurfacing if I get cold sores? Yes, but mention it: preventive treatment is generally prescribed to avoid an outbreak on the treated skin. This preventive treatment generally starts before the session.

Are some acne treatments incompatible? Some oral acne treatments require an interval before resurfacing, as they alter healing. Mention any recent dermatological treatment. The interval depends on the treatment concerned.

Are dry eyes a problem? As for any blepharoplasty, dry eyes must be assessed and treated beforehand. Resurfacing of the lower eyelid can also slightly contract the skin, which requires assessment of eyelid firmness. Preservative-free artificial tears are often recommended.

Is the laser suitable for men? Yes. Male skin, which is thicker, often tolerates resurfacing well. The same principle of restraint applies, to preserve a natural, masculine look.

Is there an ideal age? Age matters less than the condition of the eyelids and skin. Hereditary bags can be treated at a young age through the internal approach; resurfacing is more often offered from the age of forty. It is rarely offered before thirty-five.

Can resurfacing be done in summer? It is not advisable: treated skin is very sensitive to the sun for several months. Autumn and winter in the lowlands are preferable and are often chosen.

Is the laser suitable for very lax eyelids? A very lax lower eyelid requires surgical tightening. Aggressive resurfacing could accentuate its lowering. Settings are cautious in this case, and surgical tightening is often preferable.

Can I have resurfacing if I wear contact lenses? Yes, but contact lenses are removed for the procedure and only resumed after healing, according to the instructions. Have a pair of glasses ready for recovery.

Should the skin be prepared? On some skin types, a depigmenting product or a preparatory cream may be prescribed a few weeks beforehand to reduce the risk of dark marks. Avoid the sun in the preceding weeks. Also avoid self-tanners and sunbeds.

Can I have resurfacing after injections? The practitioner will tell you how long to wait, as heat and inflammation can interact with a recently injected product. Mention the date and product of any recent injection.

Is the laser suitable if I have rosacea? Rosacea can temporarily worsen after resurfacing. Mention it; the practitioner adapts the treatment or offers a gentler approach.

Is smoking an obstacle? It slows the healing of resurfaced skin and incisions. Stopping is recommended. Healing is quicker without smoking.

Can just one eyelid be treated? Yes, if asymmetry justifies it, but treatment is generally symmetrical for a harmonious result. Symmetrical treatment is the rule in most cases.

Is the laser suitable after a first blepharoplasty? Resurfacing can improve skin texture after blepharoplasty, but requires caution if the lower eyelid has already been weakened. An assessment of eyelid firmness is essential.

Can the laser correct a blepharoplasty scar? Some visible or irregular scars can be improved with laser sessions once the scar has matured. Several spaced sessions may be needed.

Is the laser suitable for ptosis? No. Ptosis is corrected surgically by tightening the levator muscle; the laser can only be used as a cutting tool. Surgery remains the solution for the levator muscle.

Can pregnant women be treated? Cosmetic procedures are postponed until after pregnancy and, generally, breastfeeding. Hormones also increase the risk of dark marks. Treatments resume after breastfeeding has ended.

Can I get an opinion from photos? Yes. Front photos with eyes open and closed, profile photos and close-ups of the eyelids allow a first opinion on whether the laser would help. An examination remains essential. This opinion is a useful step in preparing the consultation.

Recovery and results

How long is recovery? If the laser was only used for the incision, one to two weeks, as for a conventional blepharoplasty. With resurfacing, the treated skin remains pink for several weeks, sometimes two to three months, although social life often resumes after ten to fourteen days with suitable make-up. Covering make-up often allows a quicker social return.

What does the skin look like after resurfacing? In the first few days, it is red, swollen and oozes slightly, as after sunburn. Then fine crusts form and fall off within a few days, leaving pink skin that gradually fades. Never scratch the crusts.

How should resurfaced skin be cared for? By keeping it moist with the prescribed ointment or balm several times a day, without rubbing, cleaning gently with water or saline, and avoiding any make-up until the practitioner agrees. The practitioner will give you written instructions.

When can I wear make-up? On resurfaced skin, generally after seven to ten days, once the skin has closed, with gentle products. On incision scars, after they have closed. Use new, gentle products.

How long does the redness last? From a few weeks to two or three months, depending on the intensity of the treatment, the type of laser and the skin. Fractional and erbium treatments often give shorter-lasting redness. Sun protection speeds up the disappearance of redness.

Is it painful? Resurfacing gives a burning sensation in the first few days, relieved by cold and simple painkillers. Pain from the blepharoplasty itself is mild. Cold compresses relieve the feeling of heat.

When can I go back to work? Often after one to two weeks, depending on the extent of the treatment and your job. Working from home often allows a quicker return.

When can I expose myself to the sun? Not for several months without protection. High-factor sunscreen, a hat and sunglasses are essential, summer and winter, and particularly in the mountains. Protection is essential even in cloudy weather.

When is the result visible? The effect of the blepharoplasty is visible as soon as the swelling goes down. The effect of resurfacing on texture and fine lines builds over three to six months as collagen re-forms. Photos at six months allow you to measure the progress made.

How long does the result last? Blepharoplasty gives a lasting result. The effect of resurfacing lasts several years, but skin ageing continues; sun protection and suitable skincare help prolong it.

Are several resurfacing sessions needed? A single treatment combined with surgery is often enough. For more pronounced wrinkles, additional fractional laser sessions may be offered later. They are spaced several months apart.

Are the eyes dry after the procedure? Often, temporarily, as after any blepharoplasty. Artificial tears bring relief. The dryness generally decreases within a few weeks.

Will I have bruising? Sometimes less than after conventional surgery, but this is not guaranteed. Cold and keeping the head raised limit it. It is generally less marked than after an external approach.

When are the stitches removed? With an external incision, around the fifth to seventh day. After an internal approach, there are often no stitches to remove. Absorbable stitches sometimes avoid this appointment.

Can I do sport? Gentle exercise resumes after two weeks, intense sport and heavy sweating after three to four weeks, once the resurfaced skin has healed. Sweat can irritate the treated skin.

Can I go to the sauna or swimming pool? Wait until the skin and incisions have fully healed, generally three to four weeks, and the practitioner agrees. Chlorine and heat irritate healing skin.

Will those close to me notice the treatment? In the first few weeks, some redness may be visible under the eyes. After that, they will mainly notice a more rested look and smoother skin. Light make-up helps keep it discreet.

How many check-ups should I plan for? A check-up in the first week, then at one month and three months, to monitor healing, redness and pigmentation. They allow care to be adjusted if necessary.

Can the skin become lighter? After deep resurfacing, a lighter area can sometimes appear, especially on olive skin. That is why settings are adapted to each skin tone.

Is the result more natural than with a scalpel? How natural the result looks depends on the restraint of the surgery, not on the instrument. Resurfacing, however, adds an improvement in the skin that surgery alone does not provide.

Risks and safety

Is the laser dangerous for the eyes? The beam can seriously damage the eye. That is why protective shields are placed over the eyes whenever the laser is used nearby. With these precautions, the risk is exceptional. The shields are placed after anaesthetic eye drops.

How are my eyes protected? After anaesthetic eye drops, special shields, often metal and non-reflective, are placed over the eyeballs, under the eyelids. They are removed at the end of the treatment.

Can the laser burn the skin? Yes, if the settings are inappropriate or a pass is too heavy. The practitioner's experience is essential to avoid burns and the resulting scars. The practitioner's experience is the best safeguard.

Can dark marks appear? Yes, especially on olive or dark skin and with sun exposure. They often fade within a few months with strict protection and sometimes depigmenting treatment. Strict sun protection is the first measure.

Can the lower eyelid be pulled down? Overly aggressive resurfacing can contract the skin and lower the eyelid. Practitioners remain cautious in this area, especially if the eyelid is already lax. Surgical tightening is then often preferable.

Can there be an infection? Yes, particularly a reactivation of cold sores on the treated skin. Preventive antiviral treatment is prescribed if there is a history.

Can the redness last a long time? In some people with sensitive skin, it can last several months. It generally disappears in the end. Strict sun protection helps it fade.

Does the laser carry a fire risk? The laser can ignite certain materials. Operating theatres apply strict protocols: oxygen control and moistened or non-flammable drapes. These protocols are standard in operating theatres.

Which signs should alert me? Intense eye pain, reduced vision, sudden swelling, spreading redness with fever, blisters on the treated skin. Contact the team promptly; in case of intense pain with reduced vision, call 144. Keep the practice's number to hand.

Are the risks higher than with a scalpel? The risks of the surgery are comparable. The laser adds its own risks, related to the eyes, burns and pigmentation, which precautions make rare. The prior assessment helps reduce how often they occur.

Is a touch-up possible? Yes, for residual excess skin or asymmetry. An additional laser session can also improve texture. It is generally simple and quick.

Does smoking increase the risks? Yes, it slows healing and increases the risk of skin complications. Stopping also improves the quality of the skin in the long term.

Do I need to stop certain medicines? Products that encourage bleeding and certain dermatological treatments may need to be suspended, on medical advice. Never change a treatment without medical advice.

Are complications covered? For a cosmetic procedure, the after-effects may not be covered. Ask your insurer for a written answer.

Who should perform laser blepharoplasty? A plastic surgeon or an ophthalmologist specialising in eyelid surgery, trained in laser use. Resurfacing alone is also performed by dermatologists. Check the title in the MedReg register and their specific experience of the eye area.

Is the laser suitable for sensitive skin? It requires cautious settings. A test on a small area is sometimes offered. This precaution is simple and reassuring.

What if a dark mark appears? See the practitioner: strict sun protection and suitable treatment often fade it within a few months. A depigmenting treatment may be prescribed.

What if I am not satisfied? Wait three to six months for the skin to stabilise, then talk to the practitioner. Reference photos help judge objectively.

Can resurfacing leave scars? Rarely, mainly in cases of burns, infection or inappropriate care. Following the care instructions reduces this risk.

How can I reduce my risks? Choose an experienced practitioner, avoid the sun before and after, mention any history of cold sores and your treatments, stop smoking and follow the care instructions precisely. These simple precautions make a big difference.

Organising your procedure in Switzerland

Where can I have laser blepharoplasty in Switzerland? In the major cities, with plastic surgeons, specialist ophthalmologists and, for resurfacing alone, dermatologists. Several medium-sized towns also have equipped practitioners. Check the practitioner's equipment and experience.

How much does laser blepharoplasty cost? It generally costs a little more than conventional blepharoplasty, and more with resurfacing. Our price page details these differences in percentage terms. Compare complete quotes.

Is it reimbursed? Not for the cosmetic part. If visual impairment is documented, the functional part of the upper blepharoplasty may be covered by basic insurance; the laser and resurfacing remain at your expense. The quote must clearly separate the two parts.

What is the best time of year? Autumn and winter in the lowlands, with little sun, are the most favourable for resurfacing. Avoid summer and ski trips in the following weeks. Centres often have more availability in winter.

How many days off should I plan for? One to two weeks in general, depending on the extent of the treatment. Working from home can shorten the absence.

What should the quote specify? The steps performed with the laser, the type of laser, any resurfacing, anaesthesia, theatre costs, care, check-ups and VAT. A vague quote should prompt you to ask for details.

Should I consult several practitioners? It is useful to compare the real value of the laser in your case and the approaches proposed. Write down the answers so you can compare with a clear head.

I live far away: what should I do? Have a photo-based pre-assessment, then consult in the nearest equipped centre. Plan the first-week check-up. Some check-ups can be done using photos.

Can my family doctor help me? Yes, with the pre-operative check-up, managing your treatments and local follow-up. Give them a copy of the report.

Can a dermatologist help? Yes, to prepare the skin, perform resurfacing alone or treat pigmentation after the treatment. Collaboration between surgeon and dermatologist is common.

Can I be treated in my own language? Yes, provision exists in all language regions. State your preferred language.

What should I prepare at home? Cold compresses, the prescribed ointment or balm, artificial tears, high-factor sunscreen, a hat, sunglasses and pillows to sleep with your head raised. Prepare everything before the day of the treatment.

Do I need someone with me? Yes, to get home after the procedure. You will not be able to drive straight afterwards.

Which documents should I keep? The report, which specifies the settings and areas treated, prescriptions, instructions and the invoice. They will be useful for later sessions.

Can it be combined with other treatments? Yes: botulinum toxin, injections, a brow lift or facelift, according to your needs and the timetable recommended by the practitioner. The timetable is drawn up with the practitioner.

Are waiting times long? A few weeks in general. Plan ahead if you are aiming for autumn, the most popular period for laser treatments.

Can I see the laser at the consultation? Many practitioners are happy to show their equipment and explain the safety measures. Openness about the equipment is a good sign.

Is the laser available in Ticino? Yes, from several practitioners, particularly in Lugano, with consultations in Italian.

How should I prepare my photos? Front view with eyes open and then closed, two profiles and close-ups of each eye, in natural light, without make-up. Specify your skin type and medical history. Avoid filters, which distort the analysis.

How can I get a personalised opinion? Fill in the form on this page with your photos and medical history. A practitioner will tell you whether the laser would be useful for your eyelids and what budget to plan for. Free and without obligation. You generally receive a reply within twenty-four hours of receipt of a complete file.

Send us photographs — front view with eyes open and then closed, profile and close-ups of the eyelids, in natural light — together with your medical history and skin type. A practitioner will tell you whether the laser would be useful for you and what budget to plan for. Free, no obligation, no administration fees.