Laser Resurfacing or Pinch Excision for Loose Skin on Eyelids?

asked 2 years ago by Nochecita in NoVA
Latest answer by Sam Goldberger, MD
Question viewed 889 times
Tags: lower eyelids

I have consulted with two surgeons, and they both agree that a transcutaneous lower eyelid surgery is not indicated in my case because of the shape of my eyes, and the resulting risk of lower lid drooping, thus revealing too much sclera. As such, the recommendation is transconjunctival; however, there is concern about loose skin. Which approach will be better between Laser resurfacing and pinch excision?

5 answers to Laser Resurfacing or Pinch Excision for Loose Skin on Eyelids?

Laser Resurfacing or Pinch Excision for Loose Skin on Eyelids?

That is a difficult question to answer without examining you. If your skin problem is treatable with laser, then, in general, I would prefer that route. However, complications related to lower lid drooping is also possible from either laser resurfacing or "pinch" excision. You need to make sure that you are a good candidate for those procedures as well.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon

www.neweyelids.com

Lower lid skin treatment

If there are risks in the lower eyelid because of concerns of scleral show, then I would recommend a canthopexy to support the lower lid. Excising lower lid skin as a "pinch" can improve the crepey appearance. But, a laser can also do that as well.

Steven Wallach, MD
Manhattan Plastic Surgeon

Laser Resurfacing vs. Skin Pinch Lower Lids

As always, each case is individual and the treatment plan should be customized for each patient after careful evaluation and discussion with your surgeon. In general, laser resurfacing ( I prefer fractional lasers such as the Active and Deep F/X) is used to smooth out wrinkled skin. The CO2 fractional lasers have the advantage of creating more collagenesis because of the thermal (heat) component of the laser. Of course, it is limited because the surgeon is not removing skin or muscle. A... more

Julio F. Gallo, MD
Miami Facial Plastic Surgeon

No laser resurfacing and pinch excision if you are at risk for ectropion

Your surgeons feel you are pre-disposed to ectropion-you are fortunate that you were examined by doctors who knew the risk and did not operate on you. In a person pre disposed to ectropion or lid droop after blepharoplasty, both pinch excision and laser resurfacing could cause an ectropion. Even a transconjunctival blepharoplasty should be done cautiously. If your surgeon is comfortable doing a canthoplasty to tighten the lower eyelid then the risk of ectropion is lessened. In that... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

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Laser Resurfacing or Pinch Excision for Loose Skin on Eyelids?