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Laser blepharoplasty.

Abstract

Laser blepharoplasty was introduced in 1984 by Sterling Baker and although there are few disadvantages, several advantages as compared to traditional blepharoplasty have been assessed. These advantages include an improved scar, a shorter operating time, and a more rapid recovery time in most patients. Methods include laser resurfacing of the periorbital area or full face with excision of the upper eyelid skin and fat, as well as excision of the lower eyelid fat through a transconjunctival incision alleviating the need for a lower eyelid scar. In some cases, an upper eyelid excision may not be necessary following resurfacing of this area. Excellent results have been achieved in over 150 cases with comparisons of scarring in scalpel versus laser incisions.

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BibTeXRIS

R Gregory. 1997. Laser blepharoplasty.. https://doi.org/10.1097/00006527-199723000-00004

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Restrictive horizontal strabismus following blepharoplasty.

PURPOSE: To report a case of horizontal diplopia after a four-lid blepharoplasty. DESIGN: Observational and interventional case report. METHODS: Analysis of the history and management of a 64-year-old man who underwent a four-lid blepharoplasty, after which he developed horizontal diplopia. RESULTS: The patient was found to have a restrictive esotropia. He underwent a recession of the left medial rectus on an adjustable suture, with recurrence of the same pattern of diplopia one month after surgery. CONCLUSIONS: The involvement of the extraocular muscles as a complication of blepharoplasty is uncommon, but when it is present, it may be very difficult to treat.

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