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.
Rohrich R, Coberly D, Fagien S, Stuzin J (2004) Current concepts in aesthetic upper blepharoplasty. Plast Reconstr Surg 113:32e–42eCrossRefPubMedGoogle Scholar
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
Seckel B, Younai S, Wang K (1998) Skin tightening effects of the UltraPulse CO2 laser. Plast Reconstr Surg 102:872–877CrossRefPubMedGoogle Scholar