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.

Traditional blepharoplasty vs laser blepharoplasty for eye bags?
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8 answers to “Traditional blepharoplasty vs laser...”

A: Happy Birthday! There are many ways to treat undereye bags

Michael A. Persky, MD

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... more

A: Laser blepharoplasty vs transconjunctival vs subciliary vs cheeklift

Brent Moelleken, MD

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... more

A: Laser transconjunctival lower blepharoplasty and laser upper lid surgery has many advantages

Brooke R. Seckel, MD

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... more

A: Blepharoplasty

Steven Wallach, MD

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... more

A: The issue should be transconjunctival vs transcutaneous blepharoplasty

Sanjay Grover, MD

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... more

A: Various techniques for lower eyelid surgery

Daniel Reichner, MD

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... more

A: Many surgeons favor a posterior transconjunctival approach

Sean M. Blaydon, MD

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... more

A: We should consider both of these are surgical procedures

David R. Stephens, MD

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.

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