Choosing Between LASIK and SMILE: An Essential Guide to Laser Vision Correction

If you’ve been dreaming of ditching your glasses or contacts, you’ve likely come across two standout options: LASIK and SMILE. Both are advanced forms of laser vision correction, but they differ in technique, recovery and suitability. At Lake Lazer Eye Center, we’re here to help you navigate the decision with clarity—pun intended.

Understanding the Basics

LASIK (Laser-Assisted In Situ Keratomileusis) has long been the gold standard in refractive surgery. It involves creating a thin flap in the cornea, reshaping the underlying tissue with a laser and repositioning the flap. SMILE (Small Incision Lenticule Extraction), on the other hand, is a newer, flapless procedure that uses a femtosecond laser to remove a small piece of corneal tissue through a tiny incision. 

NOTE: Lake Lazer Eye Center is one of the first practices in the U.S. to offer the advanced SMILE Pro procedure with the state-of-the-art VisuMax system. This technology allows us to achieve precise vision correction, better safety and comfort, and a quick recovery for our SMILE patients.

Refractive Error: What Are You Correcting?

LASIK is highly effective for myopia (nearsightedness), hyperopia (farsightedness) and astigmatism. Our Zeiss SMILE Pro procedure is FDA-approved for myopia, hyperopia and astigmatism as well. If you have a complex prescription or mixed refractive errors, LASIK may offer broader correction options.

Age and Lifestyle Considerations

Patients in their 20s to early 40s are typically ideal candidates for both procedures. However, SMILE may be better suited for those with active lifestyles or who engage in contact sports, thanks to its flapless design and lower risk of dislocation. For patients over 40, especially those experiencing presbyopia, a consultation will help determine the best path forward.

Corneal Health and Thickness

Corneal thickness plays a pivotal role in determining eligibility. SMILE preserves more corneal integrity, making it a strong option for patients with thinner corneas. However, our Soft-Touch LASIK offers more customization in reshaping the cornea, which can be beneficial for certain visual needs.

Recovery and Comfort

SMILE typically results in less dry eye and a more comfortable recovery due to its minimally invasive nature. LASIK offers faster visual recovery, often within 24 hours, while SMILE may take a few days longer. Both procedures are safe, effective and performed in-office with minimal downtime.

Which Is Right for You?

Choosing between LASIK and SMILE isn’t about which is better—it’s about which is better for you. At Lake Lazer Eye Center, we tailor every recommendation to your unique eyes, lifestyle and visual goals. Whether you’re considering LASIK in Detroit or exploring the benefits of SMILE, our team is here to guide you every step of the way.

Frequently Asked Questions (FAQs)

Do LASIK or SMILE affect night vision? 

Some patients experience temporary halos or glare around lights at night. These typically fade within a few weeks as the eyes fully adjust after surgery.

Can I swim or use hot tubs after laser eye surgery? 

You should avoid swimming pools, hot tubs and lakes for at least two weeks to prevent irritation or infection as your eyes heal. After that, you can enjoy summer in all its glory.

How long do LASIK and SMILE take? 

Both LASIK and SMILE typically take less than 15 minutes per eye with the laser portion lasting only seconds. Many patients report that their procedure was over much more quickly than expected, with little to no discomfort.

Are LASIK and SMILE painful? 

Most patients report only mild pressure during both LASIK and SMILE procedures. Numbing drops are used to ensure comfort throughout, and the LASIK surgeon will provide additional instructions to manage discomfort if needed. 

Can I drive after LASIK surgery? 

You’ll be instructed not to drive for a certain amount of time after laser eye surgery. Enlist someone to drive you home after your procedure, as your vision may still be blurry. However, most LASIK patients can drive the next day, while SMILE patients may need just a bit longer.

How soon can I return to work? 

Many LASIK patients return to work within 24 hours of surgery. SMILE patients generally resume normal activities within 1–2 days.

Is LASIK financing available? 

Yes! We offer CareCredit, in-house financing or other assistance and advice to help patients pay for LASIK or SMILE within their budget. Lake Lazer Eye Center offers flexible payment plans to make vision correction more accessible—so patients can stop buying expensive prescription glasses and contact lenses sooner.

With convenient locations in Clinton Township, Southfield and Milford, Lake Lazer Eye Center offers Metro Detroit-area patients comprehensive glaucoma care as well as up-front pricing and convenient and affordable payment plans for SoftTouch LASIK and the SMILE Pro procedure. Dr. Khambati has helped thousands of people from all over the world escape the restrictions of glasses and contacts through laser vision correction procedures. Detroit patients who are not candidates for vision correction can get our assistance with a contact lens evaluation or a selection of designer and specialty eyewear.