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      Laser‐assisted blepharoplasty: An innovative safe and effective technique

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          Abstract

          Background

          Blepharoplasty is one of the most popular esthetic procedures with an acceptable risk profile and a relatively quick procedure.

          Methods

          The aim was to evaluate the efficacy and safety of a new CO 2 and 1540‐nm laser‐assisted blepharoplasty technique applied to the upper and lower eyelids. A total of 38 patients were enrolled. Photographs were taken before the treatment and at 6‐month follow‐up. One “blind” observer assessed the performance of this technique by ranking the results in four categories of eyelid esthetic: 1 = no or poor results (0%–25%), 2 = slight improvement (25%–50%), 3 = moderate improvement (50%–75%) and 4 = marked improvement (75%–100%). All possible complications were monitored.

          Results

          Thirty‐two patients (84 %) achieved marked improvement, four patients (11%) moderate improvement, two patients (5 %) slight improvement, while zero subjects (0%) poor or no improvement. No serious adverse effects were observed.

          Conclusions

          Our results from clinical evaluations suggest that the CO 2 and 1540‐nm laser assisted blepharoplasty is proved to be a sophisticate intervention efficacious in improving the treatment of patients with various degrees of eyelid and periocular aging and also in reducing downtime.

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          Most cited references48

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          Platelet-rich Plasma for Skin Rejuvenation and Treatment of Actinic Elastosis in the Lower Eyelid Area

          Matthias C Aust, Hanno Pototschnig, Sarina Jamchi … (2018)
          Background Treatment of the lower eyelid region to rejuvenate the skin or treat actinic elastosis often proves difficult. Established treatment options, such as hyaluronic acid injections, botulinum toxin injections, microneedling, skin resurfacing (microdermabrasion, chemical peel (exfoliation), laser treatment), as well as blepharoplasties and autologous fat transfers, can be associated with significant risks and increased patient burden. Furthermore, they may not be effective for treating the signs of skin aging or actinic elastosis, including dark rings under the eyes, a lack of volume and cutis laxa. A minimally invasive treatment approach which visibly improves the above-mentioned conditions and which involves minimal risk and patient burden would be a desirable alternative. Materials & methods Twenty patients were treated a total of three times at monthly intervals with PRP (platelet-rich plasma). The patients were examined on the days of treatment and one month after the third injection. The PRP was obtained directly prior to treatment using the Arthrex ACP double syringe at the point of care. The injections (2 ml PRP per side) were administered laterally using 27 G 38 mm cannulas. Accurate photographic documentation and skin elasticity measurements using a cutometer were performed to objectify the subjective assessments from the patient and practitioner questionnaires. Results A progressive improvement in the esthetic outcome and a high level of patient satisfaction were determined. The cutometer measurements showed a statistically significant higher level of skin firmness (due to increased collagen production) and a statistically significant increase in skin elasticity (thanks to increased elastin production). Other than the anticipated visible swelling directly after the PRP injection, no other undesirable side effects or complications occurred. The typical burning sensation during the injection had not been reported. Conclusion The results indicate that a series of PRP injections in the lower eyelid region is a safe, efficient, virtually pain-free, simple and rapid treatment option for an area with otherwise limited treatment alternatives.
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            Current concepts in aesthetic upper blepharoplasty.

            Rod J Rohrich, Dana Coberly, Steven Fagien … (2004)
            After studying this article, the participant should be able to: 1. Discuss nomenclature and anatomy associated with upper blepharoplasty. 2. Perform preoperative assessment, decision-making, and counseling of patients. 3. Describe current surgical planning, eyelid marking, and various techniques used in upper blepharoplasty, including lasers. 4. Recognize and treat postoperative complications from blepharoplasty. Traditional blepharoplasty has often involved the excision of both lax skin and muscle and excessive removal of fat, leaving patients long term with a hollow orbit and a harsh, operated appearance that accelerates the aging process. Current methods of periorbital rejuvenation are more conservative, are based on concise preoperative evaluation, and involve the limited resection of the coveted soft tissue from the eye to restore a youthful appearance. The authors describe anatomy, preoperative assessment, decision-making and counseling of patients, surgical planning, eyelid marking, and various techniques, including lasers, along with postoperative complications associated with current concepts in aesthetic upper blepharoplasty.
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              Updates on upper eyelid blepharoplasty

              Kasturi Bhattacharjee, Diva Kant Misra, Nilutparna Deori (2017)
              The human face is composed of small functional and cosmetic units, of which the eyes and periocular region constitute the main point of focus in routine face-to-face interactions. This dynamic region plays a pivotal role in the expression of mood, emotion, and character, thus making it the most relevant component of the facial esthetic and functional unit. Any change in the periocular unit leads to facial imbalance and functional disharmony, leading both the young and the elderly to seek consultation, thus making blepharoplasty the surgical procedure of choice for both cosmetic and functional amelioration. The applied anatomy, indications of upper eyelid blepharoplasty, preoperative workup, surgical procedure, postoperative care, and complications would be discussed in detail in this review article.
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                Author and article information

                Contributors
                Irene Fusco: i.fusco@deka.it
                Journal
                Journal ID (nlm-ta): Skin Res Technol
                Journal ID (iso-abbrev): Skin Res Technol
                Journal ID (doi): 10.1111/(ISSN)1600-0846
                Journal ID (publisher-id): SRT
                Title: Skin Research and Technology
                Publisher: John Wiley and Sons Inc. (Hoboken )
                ISSN (Print): 0909-752X
                ISSN (Electronic): 1600-0846
                Publication date (Electronic): 16 May 2023
                Publication date Collection: May 2023
                Volume: 29
                Issue: 5 ( doiID: 10.1111/srt.v29.5 )
                Electronic Location Identifier: e13351
                Affiliations
                [ 1 ] Laser Cutaneous Cosmetic and Plastic Surgery Unit Villa Donatello Clinic Florence Italy
                [ 2 ] El.En. Group Calenzano Italy
                [ 3 ] Skin Center – Dermal‐Aesthetic Laser Centres, Avezzano, Pescara and L'Aquila Pescara Italy
                Author notes
                [*] [* ] Correspondence

                Irene Fusco, El.En. Group, 50041 Calenzano, Italy.

                Email: i.fusco@ 123456deka.it

                Article
                Publisher ID: SRT13351
                DOI: 10.1111/srt.13351
                PMC ID: 10189347
                PubMed ID: 37231919
                SO-VID: 3fa0e08c-e25d-4b97-930e-b519ba0203e9
                Copyright © © 2023 The Authors. Skin Research and Technology published by John Wiley & Sons Ltd.
                License:

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 31 March 2023
                Date accepted : 04 May 2023
                Page count
                Figures: 4, Tables: 0, Pages: 7, Words: 5119
                Categories
                Subject: Original Article
                Subject: Original Articles
                Custom metadata
                source-schema-version-number 2.0
                cover-date May 2023
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:6.2.8 mode:remove_FC converted:17.05.2023

                Keywords: co2 and 1540‐nm laser‐assisted blepharoplasty,lower eyelid blepharoplasty,upper eyelid blepharoplasty
                Data availability:
                Keywords: co2 and 1540‐nm laser‐assisted blepharoplasty, lower eyelid blepharoplasty, upper eyelid blepharoplasty

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