Clinical investigation of post blepharoplasty adjuvant carbon dioxide laser resurfacing

Ali Arkan Alsagban, Muhanad Lebnan Alshami, Mohammed A. Al-Maliky


Background Aging is continuous process that affects negatively people social activities. Aesthetic procedures can bring confidence, happiness and improves social relationships. The goal of this study is the evaluation the eyelid skin tightening after the post blepharoplasty adjuvant CO2 laser carried out at one month after the surgery.


Methods Eleven patients with age range of 34 to 57 years were treated by blepharoplasty surgery followed by laser resurfacing after one month of the surgery. The first session of laser irradiation were carried out under topical anesthesia at one month from the day of surgery. The degree of wrinkles of both upper and lower eyelids was measured by Image J V 1.51K computer software for the recorded photographs both before and at one month after treatment.


Results Descriptive results of the treatment before and after CO2 laser irradiation were 125.53 (±2.17) and 115.13 (±14.55) pixels, respectively. The Wilcoxon Signed Ranks statistical test showed a significant difference between the before and after treatment wrinkles reduction, p=0.016.


Conclusion Adding the CO2 laser as assisted tool for this procedure has led to synergistic effect for eyelid skin tightening by 8.3%.



Blepharoplasty, fractional CO2 laser, aging, eyelid, eye wrinkles

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Gonzalez-Ulloa M, Flores ES. SENILITY OF THE FACE--BASIC STUDY TO UNDERSTAND ITS CAUSES AND EFFECTS. Plast Reconstr Surg. 1965;36:239-46.

Warner JP, Gutowski KA. Surgical improvement of the aging forehead and eyelids. Clin Obstet Gynecol. 2006;49:367-74.

de la Torre JI, Martin SA, De Cordier BC, et al. Aesthetic eyelid ptosis correction: a review of technique and cases. Plast Reconstr Surg. 2003;112:655-60; discussion 61-2.

Naik MN, Honavar SG, Das S, et al. Blepharoplasty: an overview. J Cutan Aesthet Surg. 2009;2:6-11.

Korchia D, Braccini F, Paris J, et al. Transconjunctival approach in lower eyelid blepharoplasty. Can J Plast Surg. 2003;11:166-70.

E. FJ, THOMAS B. Collagen Shrinkage (Selective Dermaplasty) with the High-Energy Pulsed Carbon Dioxide Laser. Dermatologic Surgery. 1998;24:37-41.

Kontoes PP, Lambrinaki N, Vlachos SP. Laser-assisted blepharoplasty and inferior lateral retinaculum plication: skin contraction versus skin traction. Aesthetic Plast Surg. 2007;31:579-85.

Sukal SA, Chapas AM, Bernstein LJ, et al. Eyelid tightening and improved eyelid aperture through nonablative fractional resurfacing. Dermatol Surg. 2008;34:1454-8.

Roberts TL, 3rd, Yokoo KM. In pursuit of optimal periorbital rejuvenation: laser resurfacing with or without blepharoplasty and brow lift. Aesthet Surg J. 1998;18:321-32.

Manuskiatti W, Triwongwaranat D, Varothai S, et al. Efficacy and safety of a carbon-dioxide ablative fractional resurfacing device for treatment of atrophic acne scars in Asians. J Am Acad Dermatol. 2010;63:274-83.

Mannor GE, Phelps RG, Friedman AH, et al. Eyelid healing after carbon dioxide laser skin resurfacing: histological analysis. Arch Ophthalmol. 1999;117:913-6.

DeBacker CM, Putterman AM, Zhou L, et al. Age-related changes in type-I collagen synthesis in human eyelid skin. Ophthalmic Plast Reconstr Surg. 1998;14:13-6.


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