Everything I keep reading is that an individual should have CO2 laser done in addition to the eyelid surgery. I am 60 years old and have bags under my eyes that are quite swelled and make me feel a lot older. I am a CA girl who loved the sun too much growing up, so my skin is not in prime condition, but it's not too bad either (I do use Obaji). I am just afraid that my skin will look too crepe-y under my eyes if I don't have the laser...any thoughts or suggestions prior to my final decision?
September 2, 2019
Answer: CO2 Laser with Blepharoplasty I am not sure where you are reading about CO2 laser as a must with eyelid surgery. I disagree. I have never used the laser with this surgery and get excellent results. Removing some skin when also removing the bags tightens the skin enough to avoid the laser. The scar fades nicely as this is never an issue.The laser avoids the skin removal portion of the procedure. It's one or the other.
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September 2, 2019
Answer: CO2 Laser with Blepharoplasty I am not sure where you are reading about CO2 laser as a must with eyelid surgery. I disagree. I have never used the laser with this surgery and get excellent results. Removing some skin when also removing the bags tightens the skin enough to avoid the laser. The scar fades nicely as this is never an issue.The laser avoids the skin removal portion of the procedure. It's one or the other.
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September 2, 2019
Answer: Laser and eyelid surgery There are different ways to approach the lower eyelids and surgeons have preferences as to techniques used. The key when adding laser resurfacing to lower eyelids is to avoid a thin flap of skin that is lasered as this can compromise the skin. Based on your photos I would do a traditional upper blepharoplasty and for the lowers I would do a transconjunctival blepharoplasty to remove fat and laser the skin with the Sciton erbium laser to tighten the skin and improve skin quality. If you had more excess skin in the lower eyelids I would also remove a “skin pinch” in addition to the fat removal and laser. I tend to laser the skin under the eyebrow as well to help tighten the upper lids.I really prefer the Sciton erbium laser to carbon dioxide lasers as with the Sciton in can precisely vary the amount of ablation and coagulation (thermal damage). You cant really vary this with ost carbon dioxide systems.
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September 2, 2019
Answer: Laser and eyelid surgery There are different ways to approach the lower eyelids and surgeons have preferences as to techniques used. The key when adding laser resurfacing to lower eyelids is to avoid a thin flap of skin that is lasered as this can compromise the skin. Based on your photos I would do a traditional upper blepharoplasty and for the lowers I would do a transconjunctival blepharoplasty to remove fat and laser the skin with the Sciton erbium laser to tighten the skin and improve skin quality. If you had more excess skin in the lower eyelids I would also remove a “skin pinch” in addition to the fat removal and laser. I tend to laser the skin under the eyebrow as well to help tighten the upper lids.I really prefer the Sciton erbium laser to carbon dioxide lasers as with the Sciton in can precisely vary the amount of ablation and coagulation (thermal damage). You cant really vary this with ost carbon dioxide systems.
Helpful 1 person found this helpful