Will a J-Plasma treatment help my eyes look refreshed enough to avoid a blepharoplasty? (Photo)

Question

I have seen before & afters and am impressed with the J-Plasma treatment. I was considering getting a lower Transjunctional Blepharoplasty. I am wondering if I do this before hand if it may be enough improvement to avoid surgery? Also, I am currently unaware of a Doctor in Los Angeles who does this procedure, as I understand it's new. If you know of any please inform me. Thanks in advance for your help with my questions.

Brian K. Machida, MD, FACS · Answer

Based on our experience, j plasma will give you a significant improvement. However, we usually do not recommend an eyelid only treatment due to lines of demarcation. It’s best to go for a personal consultation.

Raymond E. Lee, MD · Answer

Thanks for sharing.  The aging eyelid composes of loose skin, prolapsing fat and possibly muscle.  Laser skin resurfacing whether it is J Plasma or Fraction CO2 will only treat mild loose skin.  A blepharoplasty addresses all of the variables contributing to the aging eyelid.  Discuss with several experienced board certified surgeons to review your candidacy.

Toby Mayer, MD · Answer

This will not remove excess skin and bags which is your problem. These "treatments" come and go and many people participate in the "learning curve". See an experienced blepharoplasty surgeon. The quality of the skin can be better improved after this with a phenol peel.

Kenneth D. Steinsapir, MD · Answer

This is superficial ablative skin treatment.  The same level of injury is accomplished with a deep ablative fractionated laser treatment.  This treatment is getting hyped by the company that makes the device but there is no inherent advantage with the method.  It is unrealistic to expect that this treatment will accomplish something that is not currently available with other technologies.  Healing will be no faster with this treatment vs fractionated CO2.  The treatment ablated approximately 200 microns of skin.  This will actually be quite aggressive for the lower eyelid and likely to cause full thickness scaring of the eyelids.  I strongly advise you from rushing out to find this treatment.  Many of these new services have a complication curve that needs to be resolved with experience to actually produce a stable, safe treatment.  I personally think you would do better with a phenol chemical peel of the lower eyelid area.  Caveat emptor!

Ben Lee, MD · Answer

The J plasma procedure is an intriguing new technology for improving fine to moderately severe wrinkles. I have seen some amazing results from it, and I suspect you would get some improvement in this regard. However, resurfacing procedures cannot improve all the components of the aging eyelid. For example, you have some fat herniation of the lower eyelids, and this would remain after a resurfacing procedure. Asking J plasma to address all these issues is asking too much of the procedure.

Richard D. Gentile, MD · Answer

It is always amusing to read comments on here when I believe the comments come from those who do not own or have never investigated the technology being asked about. J Plasma is new, J Plasma is revolutionary and will be one of the most important technologies introduced in the 21st century. It is NOT a superficial treatment and is similar to Deep Phenol Peeling and Deep Laser Skin rejuvenation whether erbium or laser. The results are specacular. The issue at hand is a somewhat long recovery period as it is not a superfical treatment. We are the first provider of J Plasma in the midwest and continue to be impressed by the unique technology.

Terry E. Restivo, DO · Answer

Yes, J-Plasma is new but it is spectacular. I would definitely recommend it. It is, by far, the best resurfacing tool we have to date! I suspect you will have significant improvement in you lower lids, however, after some time, you may find you need some transposition of fat as well. It would be helpful  to see a picture from 20 years ago. That will help us determine how much return to normal you  will get from J-plasma.

Curtis Perry, MD · Answer

Minimal treatments get minimal improvements. If you want a result that will not only equal but be better than blepharoplasty consider either ablative CO2 laser or a phenol based  peel. While an examine is needed for final recommendation, your photo suggests that you would benefit more from a brow lift surgery than a blepharoplasty surgery.

Will a J-Plasma treatment help my eyes look refreshed enough to avoid a blepharoplasty? (Photo)

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