When to use the Fraxel or the DEKA DOT laser for the eyelid area and/or face?
You’re exactly right – both can be used just on the eyelid area. The Fraxel (both the original and the Dual) have a special tip (FDA approved) for the eyelid area. Generally, at 37 the Fraxel is an option because there isn’t too much laxity in the eyelid skin. One or two treatments will usually suffice. It’s also fine to do the full face and eyelids at the same treatment.
From 40-45 up the extra tightening with a CO2 fractionated laser like the DOT may be better. The tradeoff is a little more downtime. Treatments can be combined as well. Sometimes in our office we might do a Fraxel on the eyelids in combination with a full face CO2 or vice versa. You get the idea I’m sure. There is a lot of flexibility with these systems.
As for blending, this becomes more of a concern with darker skin types if just the eye area is done, but with a skilled doctor or nurse it’s generally not a problem. More info on eyelid problems.
Hope this helps,