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THE EVOLUTION OF THE NON-SURGICAL BLEPHAROPLASTY

As patient demand grows for subtle, surgery-free eye rejuvenation, CO₂ laser technology is emerging as a powerful tool in clinical practice. Dr Alexander Parys discusses results, recovery and real-world outcomes

YOU HAVE A STRONG MEDICAL BACKGROUND. HOW HAS THIS SHAPED YOUR APPROACH TO TREATING THE EYE AREA?

“My medical background is probably one of the biggest reasons I’ve become so obsessed with safety, anatomy and patient selection – especially around the eyes. The skin is delicate, there are important structures, and there isn’t much room for error.

“I trained in emergency medicine and interventional radiology in the NHS for around a decade, which gives you a mindset of anticipating risk, spotting problems early, and having a clear plan if things don’t go as expected. In aesthetics, that translates into very detailed consultations, realistic expectations, thorough consent, and a conservative, stepwise approach.

“Around the eyes, less is often more. The goal is refinement – patients still look like themselves, just fresher.”

WHAT ARE THE MOST COMMON EYE CONCERNS YOU SEE IN CLINIC?

“Crepey skin is one of the most common, often starting surprisingly early, even in patients in their late twenties or thirties. People notice makeup settling into fine lines, which actually makes things look worse.

“Patients also come in saying they look tired, noticing laxity around the eyes, or feeling heaviness in the upper lids. Often toxin isn’t addressing these concerns anymore because the lines are no longer muscular – they’re due to skin quality and laxity. That distinction is crucial, because once you’re dealing with significant excess skin, you’re moving into surgical territory.”

WHY HAS DEMAND FOR NON-SURGICAL BLEPHAROPLASTY GROWN SO QUICKLY?

“Patients want natural, subtle improvement without the downtime, cost or fear associated with surgery, especially around the eyes. There’s also been a wider shift in aesthetics towards skin quality rather than chasing lines or adding volume.

“Many patients don’t want dramatic change. They want to look refreshed, not ‘done’. Non-surgical options allow gradual improvement, and surgery remains an option later if needed. Importantly, surgery doesn’t improve skin quality, which is why CO2 resurfacing is often combined with surgical blephs anyway.”

HOW DOES SMARTXIDE BLEPH WORK?

“SmartXide Bleph from Lynton uses fractional CO2 laser – the gold standard for skin resurfacing – specifically adapted for the periorbital area. Historically, CO2 was associated with extreme downtime, but DEKA’s advanced pulse patterns allow us to reduce recovery to around a week or less.

“The laser creates fractional columns in the skin, resurfacing the top layers while stimulating collagen. The heat also causes collagen contraction, which produces a tightening effect – something I’ve never been able to achieve with injectables. I describe it to patients as a real-life ‘airbrushed’ effect around the eyes.”

WHAT RESULTS ARE YOU SEEING IN PRACTICE?

“These are honestly the best non-surgical rejuvenation results I’ve seen in nearly a decade in aesthetics. We’re treating fine lines, texture and crepiness that simply don’t respond to toxin or filler.

“What’s surprised me most is the tightening, particularly in patients with under-eye bunching or upper lid heaviness. Some results are comparable to surgical outcomes, but still look natural because we’re just improving the patient’s own skin.

“Downtime typically involves swelling for a couple of days, followed by redness. By day six or seven, most patients can wear tinted SPF and go about their lives. Early results appear within a week, with continued improvement over three months as collagen regenerates.”

HOW IMPORTANT ARE TECHNOLOGY AND TRAINING WHEN WORKING IN THIS AREA?

“Absolutely essential. CO2 is a powerful tool – used well it produces beautiful results, used poorly it can cause complications. Training is about understanding tissue response, patient selection, preparation and aftercare.

“Lynton’s support has been key, from hands-on guidance to advanced training with DEKA in Milan. Even now, with extensive experience, there’s always more to refine, and having that ongoing manufacturer support makes a huge difference.”

For more information about SmartXide Bleph, visit lynton.co.uk

DR ALEXANDER PARYS

Dr Alexander Parys is an award-winning aesthetic doctor and trainer with a decade-long NHS background. He shares why non-surgical blepharoplasty has become such a key part of his practice and how CO2 laser technology is helping to address one of the most challenging areas in aesthetics.

This article appears in February 2026

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This article appears in...
February 2026
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DEAR READERS
Welcome to the February issue of Aesthetic Medicine
MEET THE EXPERTS
The Aesthetic Medicine editorial board’s clinical expertise and diverse range of specialities help ensure the magazine meets the needs of the readers. In this issue, we have received guidance from the following members:
HOT OFF THE PRESS
FDA approves the first GLP-1 weight loss pill
SPOTLIGHT ON… ASTAXANTHIN
Ellen Cummings explores the magic behind astaxanthin’s ability to enhance skin health, improve elasticity and defend against environmental stressors
IN CLINIC WITH DR LISA DINLEY
With a career spanning dentistry, aesthetics and advanced clinical education, Dr Lisa Dinley speaks to editor Kezia Parkins about why evidence, safety and integrity must outweigh trends, hype and follower counts
BLOCKED
Dr Ed Robinson discusses the role of dental (peri-oral sensory) nerve blocks in non-surgical aesthetic medicine
THE EVOLUTION OF THE NON-SURGICAL BLEPHAROPLASTY
As patient demand grows for subtle, surgery-free eye rejuvenation, CO₂ laser technology is emerging as a powerful tool in clinical practice. Dr Alexander Parys discusses results, recovery and real-world outcomes
BODY OF EVIDENCE
Dr Paul Charlson asks, is injectable lipolysis revolutionising non-surgical body contouring?
USING FRACTIONAL CO2 FOR NON-SURGICAL BLEPHS IN SKIN OF COLOUR
Dr Sonakshi Khorana and Dr Samantha Hills discuss fractional CO₂ laser for non-surgical blepharoplasty in skin of colour, focusing on safety, ocular protection and strategies to optimise outcomes
BEYOND GLASS SKIN
Rian Seo takes a closer look into how Korean beauty, the phenomenon leading aesthetic medicine and dermatology, differs outside of Korea
HIDRADENITIS SUPPURATIVA OVERLOOKED
Kezia Parkins speaks to experts about the underdiagnosed skin condition hidradenitis suppurativa, and how bias in dermatology leaves Black women unheard
LYMPHATIC RECOVERY
Rachel Fincham delves into bridging the gap between surgery and recovery with post-operative lymphatic therapy
PIGMENTATION IN SKIN OF COLOUR
Dr Ginni Mansberg delves into the causes, management, and the effects of pigmentation in skin of colour. tudies have confirmed that pigmentation is more common in skin of colour
EMOTIONAL BURNOUT
Could burnout be driven more by emotional strain than workload? WIAM investigates…
THE MENOPAUSE GOLD RUSH
Why aesthetic clinics should tread a careful line when it comes to menopause care by not simply cashing in on the “menopause gold rush”
BUILDING YOUR TRIBE: THE VOICES IN MY HEAD
Independent nurse prescriber Julie Scott shares how your mentors, colleagues, friends and patients shape how you practice
NHS TO PRIVATE PRACTICE NO BLUEPRINT – AND NO REDUCTION IN RESPONSIBILITY
As clinicians increasingly move beyond employed healthcare into increasingly commercial environments, Amy Bird says that governance, accountability, and professional foundations must come first
ROADMAP STRATEGY FOR 2026
Lisa Kelly shares her insights on how to futureproof your clinic for 2026 and drive sustainable growth in a competitive landscape
TRUST FIRST, TREATMENT SECOND
Jamila Begum breaks down how the consultation goes beyond the first appointment, shaping the client-practitioner relationship
ASK THE EXPERTS
What should I consider when choosing an LED device for aesthetic treatments?
HIGH-TECH FACIALS... GENEO X BESPOKE GLO₂ FACIAL
Editor Kezia Parkins visited AM Awards Finalist 2025 nurse Teresa Tan to experience the Geneo X bespoke facial for deep hydration
KERALASE HAIR RESTORATION
Contributing reporter Ellen Cummings visited D.Thomas Clinic to trial the laser-based hair restoration treatment
PRODUCT NEWS
mesoestetic mesoestetic has launched axion, a new microneedling
5 MINUTES WITH… TREVOR STEYN
Kezia Parkins sat down with Esse Skincare founder Trevor Steyn to discuss the microbiome, the gut–skin axis and how modern life disrupts skin balance
CLINIC CATFISHING
Are you catfishing your patients? Derek Uittenbroek explains how to ensure your marketing matches your reality
5 LYMPHATIC DRAINAGE EXPERTS TO FOLLOW
These practitioners are carving their niche in the lymphatic drainage space
ASK ALEX
How can I make the most of the reviews for my clinic?
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