Aktuelle Dermatologie 2004; 30 - 14
DOI: 10.1055/s-2004-835540

Reconstructive blepharoplasty

S Bosniak 1, M Cantisano-Zilkha 1
  • 1Manhattan Eye Ear and Throat Hospital, New York, NY, Edificio Colegio Brasileiro de Cirurgios, Botafogo, Rio de Janeiro, Brazil

Neuromodulation, filling agents, non-ablative lasers and therma-lifting can non-invasively rejuvenate the peri-orbital tissues, but eyelid skin redundancy and loss of elasticity, fatty prolapse, levator aponeurotic disinsertion, lacrimal gland prolapse, lateral canthal tendon and lower lid margin laxity need to be addressed surgically. Carbon dioxide laser techniques allow us to perform skin and skin-muscle resections, levator aponeurotic repairs, lacrimal gland suspensions, lateral canthal plications, lipo-vaporization, fat ransposition and eyelid skin resurfacing efficiently, with great accuracy and minimal downtime, in a virtually bloodless field.