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Traditional Blepharoplasty Vs Laser Blepharoplasty for Eye Bags?
I am turning 50 next month and want to have an undereye procedure to remove the bags under my eyes. I've seen two plastic surgeons. One suggested laser blepharoplasty and the other an under eye incision. I'm confused now. Is laser blepharoplasty better than undereye surgery? I would appreciate any suggestions or clarification regarding these two procedures.
Asked 42 months ago by
Stephie in Pasadena, CA
Traditional Blepharoplasty Vs Laser Blepharoplasty for Eye Bags
+4
Laser blepharoplasty vs transconjunctival vs subciliary vs cheeklift
The laser offers no proven benefits when used as a cutting tool except slower healing.
Of the options for your lower eyelids, if there is just a small amount of puffiness, transconjunctival (from inside the eyelid) reduction in fat combined with a peel of the lower lids or CO2 laser resurfacing conservatively for the entire face to avoid color changes should be considered.
In patients with a great deal of undereye skin, we have found that a limited incision superficial cheeklift, often with...
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+7
Happy Birthday! There are many ways to treat undereye bags
Hello, you look great. The best "plastic surgery" is smiling, and your smile makes you look very young.
Now as far as your under eye area - it is difficult to advise you based on this picture alone. If you have minimal fat under your eyes then a fractionated carbon dioxide laser such as Fraxel re:pair gives great results alone. If you have excessive skin, then it can be combined with a skin "pinch" excision. If you have a lot of fat protrusion then a transconjunctival...
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+4
Traditional Blepharoplasty Vs Laser Blepharoplasty for Eye Bags?
Good question, and some basic definitions would help here. "Traditional" blepharoplasty probably refers to making an incision just underneath your eyelashes with a knife, taking out the fat pockets, and then removing the excess skin. This method leaves a scar underneath the lower eyelid, and is probably still the most common method of lower eyelid blepharoplasty.
The other method of treating lower eyelid fat is through a transconjunctival incision (making...
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New York Facial Plastic Surgeon
+3
Blepharoplasty
If you have a hammer then all the world is a nail! Those that have a laser to cut through the skin will want to use it at every opportunity. It is a great marketing tool, but no better than doing it traditionally. The laser just cuts through the tissue a little differently. Both can give great results. Go with the doctor that you feel most comfortable with, and that has a good track record.
+2
Traditional Blepharoplasty Vs Laser Blepharoplasty for Eye Bags?
Laser Blepharoplasty is a confusing term because it does not describe what is being done with the laser. Similarly, what is traditional Blepharoplasty? I would guess that is cutting the eyelid through a skin incision.
In any case, from your photos I don't believe you need a skin incision. I would think a transconjunctival blepharoplasty would suffice. If you have eyelid skin crepiness that you want to address, laser resurfacing would be a good option....
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+2
Laser transconjunctival lower blepharoplasty and laser upper lid surgery has many advantages
I respect the other opinions expressed above. However I have used the laser blepharoplasty exclusively for almost 14 years in over 2400 blepharoplasty cases and have my own opinion about the benefits which were published in my 2000 article in the plastic surgery journal:
http://www.ncbi.nlm.nih.gov/pubmed/11039385
Recent studies in Asia have also confirmed the benefits of laser blepharoplasty and in that study concluded that laser blepharoplasty was superior.
The benefits of the laser are...
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+1
When is a Laser Blepharoplasty Indicated?
A laser blepharoplasty has no distinct wound healing or improved scar advantages over a traditional, scalpel blepharoplasty. There is no scientific evidence to show that one is better than the other both in post operative wound healing and swelling. In summary, a laser blepharoplasty is mainly used as a marketing advantage for removing redundant upper and lower eyelid skin.
+1
Lower blepharoplasty with lasers
I think the confusion is bases on how your surgeon plans on making incisions(using a laser or not). There are some differences in terms of length of edema,etc with lasers. The real question based on your photo is whether you need a lower blepharoplasty at all. If you have "puffiness" then blepharoplasty is appropriate. If,though, you have hollowness, then placing a filler, like, restylane is more appropriate.
Dallas Facial Plastic Surgeon
+1
Lasers in blepharoplasty
Many patients ask me if I use lasers for cosmetic surgery, specifically, blepharoplasty. The short answer is no, I use a cutting cautery method that I believe has many advantages over the laser as a cutting tool.
I have summarized my reasons for this choice below. I have been using lasers in medicine since 1980. I currently use lasers when I feel that their use has unique advantages for the patient, such as laser skin resurfacing and laser vision correction. A few surgeons describe...
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Newport Beach Oculoplastic Surgeon
+1
Laser v. traditional blepharoplasty
My advise is to go to the surgeon who suggested doing an incision under the eyelid. There is no difference in the technique. One surgeon is going to make his skin incision with a knife and the other is going to make his incision with a laser. The way I see it . One is going to cut you and the other is going to burn you. Take your pick. I feel that the burn (laser) is going to cause more tissue damage to the skin edges. The advertisement of the...
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+1
We should consider both of these are surgical procedures
We should consider both of these are surgical procedures. The laser assists when making incisions. Lasers can also improve the eyelid skin by tightening the skin and reducing fine lines. Incisions from laser show no difference than traditional incisions.
+1
Various techniques for lower eyelid surgery
Lower eyelid surgery (Blepharoplasty) is one of the more difficult operations. I have seen the various techniques achieve similar results.Therefore, as long as your surgeon has made the correct evaluation of your problems and provides the proper operation to correct these problems, you should get a good result.
Selecting your surgeon is important; your surgeon should be have a conservative and effective technique for treating the lower eyelid. The general trend in lower blepharoplasty is...
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+1
The issue should be transconjunctival vs transcutaneous blepharoplasty
The question is not whether laser is best option. The real question is, should you undergo a transconjunctival blepharoplasty (through the inner aspect of the lower eyelid) or a transcutaneous technique (through the skin)?
A transconjuntival technique is a fine option if you only desire to remove or redrape some fat with or without laser resurfacing of the skin. The trancutaneous technique will allow you to address the fat, muscle, and overlying skin all at once. Most patients in their 40's...
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+1
Many surgeons favor a posterior transconjunctival approach
I suspect that the different suggestions had to do with where the incision might be placed. The plastic surgeon offering the laser blepharoplasty may have been discussing a transconjunctival approach to the lower eyelid herniated fat. Another approach is a lower eyelid skin crease incision. Much depends, as has been discussed, with what the problem is.Many now favor a posterior transconjunctival approach which can be accomplished with a CO2 laser, cutting cautery, etc. Fat can then be...
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Austin Oculoplastic Surgeon
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