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Upper Eyelid Fractional CO2 Laser Resurfacing With Incisional Blepharoplasty.
Brett S Kotlus1, Robert M Schwarcz, Tanuj Nakra
1*Private Practice, New York, New York; †Albert Einstein College of Medicine, Bronx, New York, New York; and ‡Texas Oculoplastic Consultants, Austin, Texas, U.S.A.
Ophthalmic Plastic and Reconstructive Surgery
|October 28, 2015
Summary
Upper eyelid laser resurfacing combined with blepharoplasty effectively reduces wrinkles and improves skin quality. This safe procedure enhances aesthetic outcomes by directly treating upper eyelid skin concerns.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Dermatology
Background:
- Laser resurfacing is commonly used for lower eyelid rejuvenation.
- Upper eyelid application for rhytidosis and skin quality is less established.
- Blepharoplasty is a surgical procedure to improve the appearance of the eyelids.
Purpose of the Study:
- To evaluate the safety and efficacy of fractional CO2 laser resurfacing on the upper eyelid.
- To assess the combined procedure of laser resurfacing and upper blepharoplasty.
- To determine the impact on rhytidosis and skin quality of the upper eyelid.
Main Methods:
- Fractional CO2 laser resurfacing performed concurrently with incisional upper blepharoplasty.
- Laser energy applied to sub-brow, upper medial canthal, and pretarsal skin.
- 30 patients included, with pre- and post-operative (3 months) photographic documentation.
Main Results:
- Significant reduction in upper eyelid rhytidosis observed in all patients.
- Mean improvement in rhytidosis grading was 42%.
- No serious complications reported; one case of wound dehiscence resolved without intervention.
Conclusions:
- Simultaneous upper eyelid laser resurfacing and blepharoplasty is a safe and effective procedure.
- This combined approach can reduce or eliminate the need for medial incisions.
- Directly addresses upper eyelid wrinkles and improves skin quality during blepharoplasty.
