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Correction of cicatricial ectropion using non-ablative fractional laser resurfacing

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Abstract

Lower eyelid malposition is the most frequent and severe complication after blepharoplasty and ectropion is observed in 1% of patients after surgery. This article describes a non-surgical method to treat lower eyelid cicatricial ectropion using a non-ablative laser as an alternative to surgery. Twelve patients with unilateral or bilateral lower lid cicatricial ectropion, following surgery or trauma, underwent laser therapy from 2012 to 2016. Laser therapy was performed with a fractional non-ablative laser emitting at a wavelength of 1540 nm. Ten patients had a full correction of their ectropion and two patients had a partial recovery after laser therapy at 6-month follow-up visit. No serious adverse events were reported. Non-ablative fractional laser resurfacing can successfully treat cicatricial ectropion by remodeling the periocular scar tissue and improving the scar texture, and as such may be considered as a valuable alternative to surgery in selected patients.

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Author information

Author notes

  1. Fabio Nicoli, Georgios Orfaniotis, and Alberto Balzani equally contributed to this work.

Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, University of Rome “Tor Vergata”, Tor Vergata, Rome, Italy

    Fabio Nicoli, Valerio Cervelli & Alberto Balzani

  2. Plastic Reconstructive and Aesthetic Surgery Unit, Villa Salaria Clinic, Rome, Italy

    Fabio Nicoli & Davide Lazzeri

  3. Department of Plastic and Reconstructive Surgery, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

    Fabio Nicoli & Georgios Orfaniotis

  4. Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan

    Fabio Nicoli, Georgios Orfaniotis, Pedro Ciudad & Michele Maruccia

  5. Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai JiaoTong University School of Medicine (China), 639 Zhi Zao Ju Road, Shanghai, 200011, China

    Davide Lazzeri, Ke Li & Yi Xin Zhang

  6. School of Medicine, University of Perugia, Perugia, Italy

    Lorenzo Costabile

Authors
  1. Fabio Nicoli
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  2. Georgios Orfaniotis
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  3. Pedro Ciudad
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  4. Michele Maruccia
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  5. Davide Lazzeri
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  6. Lorenzo Costabile
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  7. Ke Li
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  8. Yi Xin Zhang
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  9. Valerio Cervelli
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  10. Alberto Balzani
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Corresponding authors

Correspondence to Fabio Nicoli or Ke Li.

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The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Nicoli, F., Orfaniotis, G., Ciudad, P. et al. Correction of cicatricial ectropion using non-ablative fractional laser resurfacing. Lasers Med Sci 34, 79–84 (2019). https://doi.org/10.1007/s10103-018-2601-y

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  • DOI: https://doi.org/10.1007/s10103-018-2601-y

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