Over the last decade, optical 3D printing has proved itself to be a flexible and capable approach in fabricating an increasing variety of functional structures. One of the main reasons why this technology has become so prominent is the fact that it allows the creation of objects in the mesoscale, where structure dimensions range from nanometers to centimeters. At this scale, the size and spatial configuration of produced single features start to influence the characteristics of the whole object, enabling an array of new, exotic and otherwise unachievable properties and structures (ie metamaterials). Here, we present the advantages of this technology in creating mesoscale structures in comparison to subtractive manufacturing techniques and to other branches of 3D printing. Differences between stereolithography, sintering, laser-induced forward transfer and femtosecond laser 3D multi-photon polymerization are highlighted. Attention is given to the discussion of applicable light sources, as well as to an ongoing analysis of the light–matter interaction mechanisms, as they determine the processable materials, required technological steps and the fidelity of feature sizes in fabricated patterns and workpieces. Optical 3D printing-enabled functional structures in micromechanics, medicine, microfluidics, micro-optics and photonics are discussed, with an emphasis on how this particular technology benefits advances in those fields. 4D printing, achieved by varying both the architecture and spatial material composition of the 3D structure, feature-size reduction via stimulated emission depletion-inspired nanolithography or thermal post-treatment, as well as plasmonic nanoparticle-polymer nanocomposites, are presented among examples of the newest trends in the development of this technology. Finally, an outlook is given, examining further scientific frontiers in the field as well as possibilities and challenges in transferring laboratory-level know-how to industrial-scale production.