Past and Present in Laser-Assisted Blepharoplasty

Abstract

As usually happens with any innovation or new technology, in Medicine and other fields, it tends to be overused, and its indications are initially, easily expanded.

The use of carbon dioxide laser in blepharoplasty came up as an evolution around the early 1990s and was applied in every single surgical step of the laser blepharoplasty technique. We started applying laser blepharoplasty in 1997 and undoubtedly realized the great advantages of this technology.

In our practice, skin incisions were switched from scalpel to laser when the device was first acquired in 1997. It was soon evident that healing of the incisions was problematic. By comparing data from the operations that had until that time been performed by scalpel incisions with the early data on the laser skin incisions, we came to the conclusion that scars produced by a laser incision were of worse quality than those produced by cold steel. They also showed signs of delayed healing.