Potent Periorbital Fractionated CO 2 Laser Resurfacing.

Area of Science:

• Ophthalmology
• Plastic Surgery
• Dermatology

Background:

• Facial aging involves skin changes, gravity, and volume loss.
• Periorbital surgical interventions address these aging factors.
• Limited data exists on carbon dioxide (CO2) laser safety settings for the periorbital area.

Purpose of the Study:

• To evaluate the safety of periorbital laser resurfacing as an adjunct to lower blepharoplasty.
• To assess the efficacy of fractionated CO2 laser with robust settings in periorbital rejuvenation.

Main Methods:

• Retrospective review of patients undergoing lower blepharoplasty with adjunctive periorbital CO2 laser resurfacing (2013-2018).
• Single oculoplastic surgeon performed all procedures.
• Inclusion criteria: bilateral lower blepharoplasty with upper and lower eyelid fractionated CO2 laser resurfacing.

Main Results:

• Fifty-nine patients were included in the study.
• Six patients (10.2%) experienced side effects: postinflammatory hyperpigmentation (5.1%), prolonged excoriations (1.7%), prolonged hyperemia (1.7%), and lower eyelid retraction (1.7%).
• No postoperative infections occurred, and all patients reported satisfaction.

Conclusions:

• Fractionated CO2 laser resurfacing is a safe and effective adjunct to lower blepharoplasty, even with robust settings.
• Periorbital CO2 laser resurfacing demonstrates a favorable safety profile and high patient satisfaction when combined with lower blepharoplasty.