Flavio Rezende Gomes1, Luis Fernandez de Córdova1, Antonio Carlos Iglesias2 and Ricardo Cavalcanti Ribeiro1*
1Department of Plastic & Reconstructive Surgery, Federal University of the State of Rio de Janeiro, Brazil
2Department of General and Specialized Surgery, Federal University of the State of Rio de Janeiro, Brazil
Background: The use of new technologies in medicine is increasingly present in the life of physicians. With the advent of fractional CO2 laser, surgeons have been advertising their use in blepharoplasty as a minimally invasive procedure. However, there are few studies comparing its benefits with those of the conventional technique. The aim of this study was to evaluate the efficacy, safety and (in) existence of advantages and disadvantages between laser blepharoplasty and conventional blepharoplasty in the Fitzpatrick scale from III to VI. Methods: This is a retrospective serial study of cases of blepharochalasis and dermatochalasis treated at the Gaffrée and Guinle University Hospital from November 2015 to March 2017. Inclusion criteria to perform the operation were: Presence of blepharochalasis or dermatochalasis in Fitzpatrick scale skin III to VI. All the patients were followed up by the same medical team and through photos taken by a professional photographer. Results: Of 40 patients underwent procedure, of which 20 were submitted to laser treatment and 20 to the traditional eyelid surgery. After One year period follow-up and comparison of before and after photos, it was observed that the laser technique is effective and safe. In addition, it was found that the patients in the group submitted to it had a more comfortable and shorter postoperative period, with less edema, bruising, and an earlier final surgical result. Conclusion: Laser blepharoplasty is another surgical possibility and, despite the differences mentioned, both techniques are considered safe, for the surgeon to make the best final choice. Level of evidence and type of study: Level III, risk/prognostic study.
Blepharoplasty; Fractional CO2 laser; Blepharochalasis; Dermatochalasis; Periorbital rejuvenation; Fitzpatrick scale
Gomes FR, de Córdova LF, Iglesias AC, Ribeiro RC. Laser vs. Traditional Blepharoplasty in Patients with Fitzpatrick III to VI. Clin Surg. 2021; 6: 3241..