Background: Multiple approaches to achieve eyelid tightening have been introduced over the years. However, a solid foundation of knowledge as to the origins of the aging appearance is paramount to target the specific causes of this natural phenomenon.
Objective: This review aims to touch upon the diverse modalities used to achieve the best therapeutic approach for eyelid tightening.
Materials and methods: A review of published articles on eyelid tightening using blepharoplasty and lasers was conducted. This information combined with an illustrative case example is presented.
Results: Although multiple treatment options exist, there are advantages and disadvantages for each.
Conclusion: Understanding the cause of the aging periorbital area with appropriate application of the various treatment options available will lead to a natural and youthful appearing result. Fractional ablative CO2 laser remains an excellent alternative to traditional blepharoplasty.