Aesthetic Plastic Surgery

, Volume 31, Issue 5, pp 579–585 | Cite as

Laser-Assisted Blepharoplasty and Inferior Lateral Retinaculum Plication: Skin Contraction Versus Skin Traction

  • Paraskevas P. Kontoes
  • Nektaria Lambrinaki
  • Spiros P. VlachosEmail author


Blepharoplasty is one of the most commonly performed operations in plastic surgery, especially among middle-aged patients. Ablative lasers, especially the carbon dioxide laser, assist in tissue cutting and hemostasis. These lasers also offer skin resurfacing with its unique advantages despite the prolonged downtime. The authors present their laser-assisted blepharoplasty experience and the recent addition of one simply performed, inferior lateral retinaculum plication to the procedure (single suture traction technique, SSTT). Hence, the need for laser skin resurfacing of the lower eyelid has been reduced due to the skin traction applied, avoiding the long period required for resolution of erythema and potential hyperpigmentation. Furthermore, the tightening effect on the canthal ligament offers a more youthful look to the surgically treated eye.


Blepharoplasty Inferior lateral retinaculum plication Laser Canthopexy 

Supplementary material

Supplementary material

Supplementary material

Supplementary material


  1. 1.
    Fagien S (2002) Advanced rejuvenative upper blepharoplasty: Enhancing aesthetics of the upper periorbita. Plast Reconstr Surg 110:278–291CrossRefPubMedGoogle Scholar
  2. 2.
    Jacobs S, (2003) Prophylactic lateral canthopexy in lower blepharoplasties. Arch Facial Plast Surg 5:267–271CrossRefPubMedGoogle Scholar
  3. 3.
    Jelks G, Glat P, Jelks E, Longaker M (1997) The inferior retinacular lateral canthoplasty: A new technique. Plast Reconstr Surg 100:1262–1270CrossRefPubMedGoogle Scholar
  4. 4.
    Kontoes P (2001) Combined laser and aesthetic surgery techniques for the rejuvenation of the facial area. Hellenic Plast Surg 1:31–42Google Scholar
  5. 5.
    Kontoes P, Vlachos S (2002) Intense pulsed light is effective in treating pigmentary and vascular complications of CO2 laser resurfacing. Aesth Surg J 22:489–491CrossRefGoogle Scholar
  6. 6.
    McCord C, Boswell C, Hester R (2003) Lateral canthal anchoring. Plast Reconstr Surg 112:222–236CrossRefPubMedGoogle Scholar
  7. 7.
    Rohrich R, Coberly D, Fagien S, Stuzin J (2004) Current concepts in aesthetic upper blepharoplasty. Plast Reconstr Surg 113:32e–42eCrossRefPubMedGoogle Scholar
  8. 8.
    Seckel B, Kovanda C, Cetrulo C, Passmore A, Meneses P, White T (2000) Laser blepharoplasty with transconjunctival orbicularis muscle/septum tightening and periocular skin resurfacing: a safe and advantageous technique. Plast Reconstr Surg 106:1127–1141CrossRefPubMedGoogle Scholar
  9. 9.
    Seckel B, Younai S, Wang K (1998) Skin tightening effects of the UltraPulse CO2 laser. Plast Reconstr Surg 102:872–877CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Paraskevas P. Kontoes
    • 1
  • Nektaria Lambrinaki
    • 1
  • Spiros P. Vlachos
    • 1
    Email author
  1. 1.Department of Plastic, Aesthetic, and Laser SurgeryHYGEIA HospitalAthensGreece

Personalised recommendations