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Should I Consider Transconj. with Laser or Peel Resurfacing?
asked 9 months ago by yvonne1 in Atlanta, GA
Latest answer by Barry L. Eppley, MD, DMD
Question viewed 161 times
Tags: laser, options
I am 54 years old & have bags under the eyes & a good bit of loose skin. One doctor recommended Transconj. w/skin pinch & laser resurfacing (erbium I think). Another Transconj w/hetter peel. Others recommended the incision under the lashes. Years ago I had facial resurfacing with a CO2 laser. My cheeks had mild hypopigmentation and a waxy look. I'm afraid the peel or the laser may have the same effect under the eyes. Any suggestions or feeback would be greatly appreciated!
4 answers to Should I Consider Transconj. with Laser or Peel Resurfacing?
+2
Blepharoplasty and browlift
Looking at your posted photo I see a drooping brow, excess upper eyelid skin with overhanging skin or hooding at the outer corners and a lot of excess lower eyelid skin. The upper eyelid skin covers the eyelashes so I would bet you have some degree of a visual field defect. You need a visual field test. If the test shows a 50% or more deficit of the upper fields corrected by taping the eyelid skin up then your health insurance (even Medicare) would cover the upper eyelid surgery and maybe...
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Aaron Stone, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+2
Should I Consider Transconj. with Laser or Peel Resurfacing?
Yes, each olastic and cosmetic surgeon that does eyelid surgery will have a slightly different way to get the job done. IMHO however, the transconjunctival lower bleph is superior to the transcutaneous (incision below the lashes) because the incidence of lower eyelid malposition is much less with the transconjubctival approach and was the scientific paper I published on the subject in 1990 or 91. I also prefer to use a peel, on the lower eyelid skin over the more aggressive lasers.
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+2
A skin pinch is another way of describing an incision under the lashes!
A lot of what cosmetic surgeons do is think up better ways to sell the same surgery. You do have a degree of lower eyelid skin laxity. You also have significant eyebrow ptosis.
It makes no sense to propose to both excise lower eyelid skin and laser resurface it. Although to be honest, the effect of erbium laser resurfacing are no modest that it may make no difference here. The could be an argument to staging a skin pinch and then at a later date, performing...
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+1
Different Surgical Approachs To Lower Eyelid Aging
What you have been described are multiple ways to treat the effects of aging on the lower eyelids. Each one of these from transconjunctival to an external pinch to a formal lower eyelid incision have advantages and disadvantages and none of them are wrong. They all will make improvements, it is just a question of how much and at what risk. The greater amount of loose lower eyelid skin the more an external skin approach is needed. Do not be too concerned about the differences...
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