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Hi, I'm Doctor John Martin, and today we're going to show you how to do an upper lid blepharoplasty. When we do a blepharoplasty, that's a surgery to remove the skin from the upper eyelids and also any fat that you might have that's creating the boulders in the upper eyelids. We're going to do this with a carbon dioxide or a CO2 laser which helps to maintain a bloodless field and you'll see it actually really makes for a very nice clean surgery.
Okay, I'm gonna do an upper lid blepharoplasty and see we have eye protective shields in and just with the laser. So, we start in the corners. It creates a bit of smoke, so we have a smoke evacuator and a line ran a little bit. What we're gonna do now is take up a clean cut flap. It's hard to get the skin, you always get some muscle with it. Now if you're going to take out fat, what you would do is insert a medial fat pad, and shave that a little more, okay, see if there's any in here. And this is the one fat pad you can take out without any problems. If you take out some of the other ones, you can get some following. This crazy little bit of puffiness. On the inside, which nobody likes, you can take this out, but she doesn't have a lot. Just clean it up a little bit. Now, to recreate the lid crease, what we'll do, you just tighten the tissue with a laser. And you can see how little blood there is with this procedure, we'll just tighten up the muscle, right next to the interior wound [inaudible 00:03:34]. There we go, we'll put our stitches in, looks like there will be a gape, and some of that is because the brow is pretty high right now. This will fall a little bit and once everything's all set that will close, the eye will close easily. What we I'll do is place a running stitch on here. This is a dissolvable stitch. It'll usually dissolve in about a week to 10 days. If it doesn't, we just take it out. And you see brows up, as I said there's a little gap here. And once the swelling goes down this eye this will close again. We checked that before the surgery to figure out how much skin to take out.
Okay, I'm gonna do an upper lid blepharoplasty and see we have eye protective shields in and just with the laser. So, we start in the corners. It creates a bit of smoke, so we have a smoke evacuator and a line ran a little bit. What we're gonna do now is take up a clean cut flap. It's hard to get the skin, you always get some muscle with it. Now if you're going to take out fat, what you would do is insert a medial fat pad, and shave that a little more, okay, see if there's any in here. And this is the one fat pad you can take out without any problems. If you take out some of the other ones, you can get some following. This crazy little bit of puffiness. On the inside, which nobody likes, you can take this out, but she doesn't have a lot. Just clean it up a little bit. Now, to recreate the lid crease, what we'll do, you just tighten the tissue with a laser. And you can see how little blood there is with this procedure, we'll just tighten up the muscle, right next to the interior wound [inaudible 00:03:34]. There we go, we'll put our stitches in, looks like there will be a gape, and some of that is because the brow is pretty high right now. This will fall a little bit and once everything's all set that will close, the eye will close easily. What we I'll do is place a running stitch on here. This is a dissolvable stitch. It'll usually dissolve in about a week to 10 days. If it doesn't, we just take it out. And you see brows up, as I said there's a little gap here. And once the swelling goes down this eye this will close again. We checked that before the surgery to figure out how much skin to take out.
Upper Eyelid Blepharoplasty with CO2 Laser
Dr. John Martin takes us into the operating room to witness an upper eyelid blepharoplasty. He uses a CO2 laser for a cleaner, more precise cut.
