This month's edition of the journal Lasers in Surgery and Medicine (Yu D, Biesman B, Khan JA. Bilateral Eyelid Dermal Burn from Subcutaneous Diode Laser Lipolysis Blepharoplasty. Lasers in Surgery and Medicine 2009; 41:609-611.) has an article that I've been expecting to see for some time now.  The article is a case report of a patient who had a bilateral blepharoplasty (had "her eyes done") using a laser. The procedure was described to the patient as a "non-surgical blepheroplasty" which would tighten the eyelids using the heat generated by laser placed directly under the skin.  Unfortunately for this patient the heat actually caused a serious burn to the under eyelids.  It was so bad that she actually had to go to the Emergency Room for treatment and was diagnosed with full-thickness dermal bruising secondary to laser injury.   As you know, I am a vigorous proponent of the use of lasers in aesthetic medicine, but I have been very reluctant to use lasers around the skin of the eyelids.  I refuse to perform laser-assisted blepharoplasty for the main reason that the thinness and fragility of the eyelid skin puts it at a huge risk for complications due to burning. This case-report only reinforces my belief that this procedure is not an ideal one.