Use of electrosurgery in blepharoplasty

The use of electrosurgery in blepharoplasty is controversial. The reluctance to use this technique may be related to a misunderstanding of the principles of electrosurgery and to uncertainty about its physical effects on local tissues. On the basis of a review of the physics of electrosurgery, our personal technique, and our clinical results, we feel the method is safe and may offer several advantages over traditional techniques.