CoolBleph Non-Surgical Blepharoplasty

The eye area ages early because the skin is thin, expressive and exposed to UV. Patients typically notice:

• fine lines at the outer corners (“crow’s feet”)
• crepey texture on the lower lids
• early laxity on the upper lids (“a heavier lid” rather than true obstruction)
• general tiredness of the eye contour

CoolBleph is designed for skin quality change, not structural surgery. When the main issue is skin texture and mild laxity, a carefully planned laser approach can make the eye area look fresher and more defined.

How CoolBleph tightens and lifts the periorbital area

CoolBleph is a protocol name used to describe a controlled, fractional Erbium:YAG (Er:YAG) resurfacing approach around the eyes.

In simple terms, the laser delivers tiny micro-columns of treatment to the skin around the eyes. These micro-injuries trigger the body’s natural healing process:

• faster renewal of the surface of the skin
• collagen remodelling in the deeper layers of the skin
• gradual improvement in texture and fine lines

The degree of “lift” depends on the treatment intensity. With more conservative settings, the tightening effect is subtle and biological — a gradual improvement in skin support. With stronger settings, improvement can be more noticeable, but this comes with increased swelling, redness and a longer recovery period. It is still not the dramatic lift achieved by removing excess skin surgically.

The precision of fractional laser for hooded lids

When we talk about “hooded lids”, it is important to define what we mean.

CoolBleph can help when:

• the upper lid looks heavier due to mild skin laxity
• fine lines and crepiness are part of the problem
• you want a more refreshed look but prefer to avoid the downtime of surgery

CoolBleph is not appropriate when:

• there is significant excess skin overhanging the lash line
• the main issue is fat herniation (“eye bags”) or deeper structural change
• there is functional impairment or visual obstruction

In those cases, surgical blepharoplasty may be more appropriate — and we will say that plainly.

CoolBleph vs. surgical blepharoplasty: choosing your path

This is where honest medicine matters.

What CoolBleph can realistically do:

• improve crepey skin and fine lines
• refine texture and make the eyelid skin look smoother
• create a modest tightening effect in suitable patients

What surgery can do (that lasers cannot):

• remove excess skin reliably in moderate–severe hooding
• address fat pads and deeper structural concerns
• deliver a more dramatic, immediate contour change

A good rule of thumb: If your goal is skin quality, CoolBleph may suit you. If your goal is removing excess skin or “bags”, surgery is usually the better tool.

Some patients choose laser first; others choose surgery first and later use laser as a maintenance strategy for skin quality.

Am I a candidate for a laser eyelid lift?

CoolBleph works best when you:

• have mild–moderate upper lid laxity and/or lower lid crepiness
• want improvement rather than perfection
• can commit to careful aftercare and sun protection
• do not have active inflammatory eye-area skin disease

Skin type considerations (Fitzpatrick skin types)

Dermatologists often describe skin using the Fitzpatrick system, which relates to how skin reacts to sun exposure.

• Fitzpatrick I–III: very fair to light–medium skin that usually burns or burns then tans. We can often use a wider range of resurfacing intensities.
• Fitzpatrick IV–VI: medium to dark brown and black skin that usually tans easily and rarely burns. The key issue is a higher tendency for pigment cells to react to inflammation (PIH risk). This does not mean treatment is “not possible” — it means we plan more conservatively and discuss risk properly.

When your “eye ageing” may actually be a medical issue

Sometimes what looks like ageing is driven by treatable skin conditions:

• eczema/dermatitis around the eyes
• rosacea-related inflammation
• allergic contact dermatitis (skincare, make-up, nail products)
• chronic rubbing and irritation

If inflammation is the driver, resurfacing can worsen things unless the skin is stabilised first.

Our commitment to ocular safety and clinical excellence

The periocular area is a high-sensitivity zone. Safety is not a slogan — it is a protocol.

CQC regulation and doctor-led periorbital care

Your assessment is diagnosis-led, risk-stratified, and documented. The goal is to deliver a predictable outcome while keeping complication risk low.

Specialist training in delicate eye-area laser safety

Periorbital laser work requires strict boundaries, appropriate settings, and the experience to recognise early complications.

Medical-grade technology: Asclepion Er:YAG “cool laser” resurfacing

We use Erbium:YAG for controlled, precise resurfacing. Intensity is adjusted to the eyelid area — which is not the same as treating cheeks or forehead.

Ocular protection and advanced safety protocols

• appropriate eye protection is mandatory (including metal eye shields where indicated)
• careful marking of treatment zones and safety margins
• conservative settings on eyelid skin
• structured aftercare and low threshold for review

We also screen for dry eye tendency and discuss how swelling and barrier disruption can temporarily exacerbate dryness.

Your treatment journey: restoring a youthful eye contour

1. Consultation
   Assessment of eyelid skin, brow position and structural factors. We discuss expectations and surgical alternatives when appropriate, alongside medical history, medications and skin type risk. Photographs are taken where appropriate.
2. Preparation
   Sun avoidance and strict SPF discipline are essential. You will need to pause certain actives (retinoids, acids) for a defined period. Barrier preparation may be required for reactive skin.
3. Procedure day
   We may use topical anaesthetic (numbing cream) depending on intensity. The laser is applied with precise control to the planned eye area, followed by immediate cooling and protective aftercare.
4. Follow-up
   A planned review is scheduled depending on treatment intensity. We provide advice on the healing process, maintenance vs staged improvement, and early complication recognition.

Post-treatment care: recovery and protecting the eye zone

Recovery is part of the treatment. Visible settling is typically within a few days to around 7–10 days, depending on intensity and your skin’s natural healing process.

Expected effects:

• swelling (often most noticeable day 1–3)
• redness and warmth
• dryness/tightness and fine crusting
• mild weeping or “sandpaper” texture as skin heals

Aftercare principles:

• keep the area clean and hands off
• use only the recommended topical products
• avoid make-up until the barrier has settled
• strict sun avoidance and high-SPF protection
• avoid heat exposure in early healing

Red flags (contact us urgently):

• increasing pain, pus, spreading redness
• clusters of blisters (possible infection/HSV)
• worsening rather than improving swelling
• delayed healing beyond the expected recovery time
• new visual symptoms (rare, but urgent)