The ultrapulse carbon dioxide laser has been used in 110 patients for resurfacing and 50 patients for facelift, eyelid, and forehead surgery. Skin resurfacing is able to remove layers of skin of 100 mu m without bleeding. Use of the computer pattern generator automatic scanning device allows a very rapid, uniform treatment in a variety of geometric patterns, sizes, and densities. Hemostatic incision is possible for cosmetic surgery. Sequence of the laserbrasion procedure as well as patient preparation, selection for surgery, and postoperative care are detailed. Laser lower blepharoplasty through the transconjunctival approach is commonly done concurrently with skin resurfacing to smooth out fine rhytides and extra skin.
