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Laser blepharoplasty was introduced in 1984 by Sterling Baker and although there are few disadvantages, several advantages as compared to traditional blepharoplasty have been assessed. These advantages include an improved scar, a shorter operating time, and a more rapid recovery time in most patients. Methods include laser resurfacing of the periorbital area or full face with excision of the upper eyelid skin and fat, as well as excision of the lower eyelid fat through a transconjunctival incision alleviating the need for a lower eyelid scar. In some cases, an upper eyelid excision may not be necessary following resurfacing of this area. Excellent results have been achieved in over 150 cases with comparisons of scarring in scalpel versus laser incisions.