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Comparison of Clinical Outcomes of CO2 Laser-Assisted Blepharoplasty Using Two Different Methods
Hamid Reza Fallahi1, Seied Omid Keyhan2, Joe Niamtu3
1Oral Maxillofacial Surgeon, Private Practice; Dental Research Center, Research Institute of Dental Sciences and School of Advanced Technologies in Medicine, Shahid Beheshti University of Medical Sciences and Health Services, Tehran, Iran.
Comparing carbon dioxide (CO2) laser and scalpel for blepharoplasty, this study found no significant differences in outcomes. Both methods, including combined approaches, yield similar results for upper eyelid surgery.
Area of Science:
- Ophthalmology
- Plastic Surgery
Background:
- Blepharoplasty techniques vary, with carbon dioxide (CO2) laser-assisted methods proposed as superior to traditional scalpels.
- Limited comparative data exists on CO2 laser alone versus combined scalpel and CO2 laser approaches for blepharoplasty.
Purpose of the Study:
- To compare the clinical outcomes of upper eyelid blepharoplasty using CO2 laser alone versus a combined scalpel and CO2 laser technique.
Main Methods:
- A randomized clinical trial involving 21 patients undergoing bilateral upper eyelid blepharoplasty.
- One eyelid incision was made with a CO2 laser, the other with a scalpel; remaining steps used CO2 laser.
- Postoperative evaluation included edema, ecchymosis, and the Manchester scar scale at various time points.
Main Results:
- No significant differences in clinical outcomes were observed between the two methods at one month post-surgery.
- Scar assessment at 60 days showed no significant difference, though the scalpel group had lower scar index scores.
Conclusions:
- Performing upper eyelid blepharoplasty with an initial scalpel incision followed by CO2 laser offers comparable advantages to using the CO2 laser exclusively.
- Both techniques provide similar clinical results for blepharoplasty procedures.
