Laser (light amplification by the stimulated emission of radiation) skin resurfacing is currently one of the most widely adopted technologies in facial
rejuvenation. While most often used for aesthetic purposes,
lasers also have applications in the management of
scars. Since the introduction of the
CO2 laser for skin
rejuvenation in the 1990s, the last three decades have seen significant growth in the number of
laser devices available to the physician. More recently, promising alternatives to light-based resurfacing technologies have emerged that include radiofrequency and intense focused ultrasound. To help the physician navigate the most current
laser technologies as they apply to periocular
scars, this review discusses the available treatment modalities, pre-treatment assessment of periorbital
scars, treatment selection, and reported outcomes and complications. The recommendations described herein are based on published literature and the authors' experience in an academic oculoplastics practice.