Laser Blepharoplasty Vs. Surgery

I do both procedures. Personally I prefer a scalpel but essentially these are just to ways of doing the same thing. It is similar to using a nail gun to put a piece of wood together or a hammer. It really matters what the worker is most comfortable with. The laser theoretically has less bleeding because it burns as it cuts but if the surgeon is comfortable with a scalpel then the results are essentially the same. The surgery should last the same with both techniques. Some surgeons will tighten the orbital septum with a laser during the blepharoplasty and that can increase the length of results. I only do that for a small group of patients though  it is for patients with minimal fat protrusion or displacement. Hope this helps.Best of luck,DrC

Blepheroplasty surgery can be both have great outcomes if done by an experienced surgeon no matters if it is laser or not. Laser has some benefits like having less trauma during surgery when compared to classical surgery as no scalpel or anything touches the skin and laser has very less bleeding as it controls bleeding during surgery. So this means less trauma and less bruisings; less hematoma risk. The other is by using laser, we don't resect the muscle but just tighten it with laser so it also helps having less trauma during surgery; helping recovery much more faster as well. When we think about removing fat deposits, we cut them with scalpel in classical surgery but by using laser, we vaporize them. These all mean that technology helps us performing the surgery with less trauma and help our patients to have quicker and easier recovery period.

Other than these, I perform both techniques but I always prefer laser for years as this became a part of our surgeries, comfortable and easy to do. The best will be to choose your surgeon who needs to be experienced in eyelid surgeries and trust him/her on his/her preference of the technique for you.

Regards,

Dr. Turker Ozyigit

Thank you for your question Katya. When considering eyelid surgery, there are 3 main components that may require to be addressed. Firstly - excess skin and skin laxity can be apparent creating fine lines and wrinkles. Secondly the muscle town under the skin can be reduced creating the appearance of festoons and lastly the hermiation of fat deep to the muscle can create the appearance of lower eyelid fullness and bags. Patients suffer from these in various degrees, and it is important for the surgeon to assess all 3 components. Both surgical and laser treatments are recognised treatments for eyelid surgery but laser tends to address the superficial layer i.e the skin only. It can create some skin tightness to reduce the fine lines and wrinkles but will not address either the muscle or the fat. With surgery the incision is made under the eye lashes and into the crow's feet. This allows excess loose skin to be removed and it also provides access to re-drape the fat underneath and tighten the muscle of the lower eyelid, creating a more harmonious outcome and thus reducing the appearance of bags and fullness of the lower eye lid.Hope that helps and good luck.