Laser-assisted tarsoconjunctival flap harvesting for lower eyelid defect reconstruction

Tarsoconjunctival flap procedures are reliable and versatile procedures for reconstruction of large lower lid defects. We present a new carbon dioxide laser-assisted flap-harvesting technique. This technique combines precise and accurate incisions with simultaneous complete hemostasis. We have done carbon dioxide laser-assisted flap harvesting for large and total lower lid defects. The hemostatic evaporative cutting of the carbon dioxide laser decreases time, swelling, and bleeding in obtaining tarsoconjunctival grafts and flaps.