True Vision Center


Melanie Tantisira, M.D. Ophthalmology
Medical Arts Building
1010 S. King St., Ste. 503,
Honolulu, Hawaii 96814
Fax (808)591-5588


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Fractional CO2 vs. Non-Fractional CO2

The Non-Fractional CO2 ablative laser has long been considered the gold standard for rejuvenating skin, due to the remarkable regrowth of collagen during the healing process.  But this treatment requires prolonged recovery time.  The Fractional CO2 laser also stimulates remarkable regrowth of collagen and skin rejuvenation.  However, the treatment is less-invasive and requires less downtime, because only a part of (a fraction of) the skin is treated and the remainder is left untouched, to grow back and heal quickly.  The result with Fractional CO2 laser skin treatment is incredible skin improvement with less downtime.

A new option to consider is the Fractional CO2 Eyelid lift, also known as the "Madonna Lift."  Basically a laser blepharoplasty, this procedure also enhances skin elasticity, and promotes smoother, tighter skin with better texture around the eye area and eyelid.  Dr. Bruce Katz of the New York Juva Skin and Laser Center pioneered the procedure and demonstrated the lift on The Doctors.

Because of the risk of damaging the patient's vision, prior to the "Madonna Lift," Fractional CO2 lasers were not used directly on the eyelid.  Dr. Katz led the way to treating the eye by preventing damage to a patient's vision with protective metal eye shields (like large contact lenses) inserted into the eyes.  Dr. Tantisira is the first physician to perform the Madonna Lift in Hawaii, a great option for people who want a mininal-downtime and non-invasive, effective eyelid lift for upper and lower eyelids.

Pre-Treatment Regime

Prior to any laser treatment, Dr. Tantisira requires darker-skinned patients to complete a strict pre-treatment regime of physician-grade sunscreen and pigment suppression cream. Proceeding with a laser treatment without strict compliance, may result in avoidable pigmentation issues.  Patients with severe pigmentation issues may need to pre-treat with an anti-pigmentation medication prescribed by Dr. Tantisira. 

What To Expect 

The eyelid lift takes approximately 1 hour. A topical anesthetic is applied, eye shields are inserted, and the procedure itself takes about 10-15 minutes.  Patients will “rest” afterward for a few minutes. Patients may experience redness and some swelling that typically resolves in 24-48 hours. A full lift usually requires a series of 3-5 treatments, spaced about 2 weeks apart, depending on Dr. Tantisira’s recommendations and the degree of skin sagging.

The Fractional CO2 laser may also be used on the hands, face and neck to address skin texture irregularities, pigmented lesions, fine lines, acne scars and sun damage. The same pre-treatment regime of physician-grade sunscreen and pigment suppression cream is required.