David L M
Division of Laser Surgery, Hermosa Skin Medical Clinic, Hermosa Beach, California 90254.
J Dermatol Surg Oncol. 1988 Jul;14(7):741-6. doi: 10.1111/j.1524-4725.1988.tb01158.x.
A new technique for upper and lower eyelid blepharoplasty, combining the advantages of the transconjunctival approach with those of the CO2 laser, is described. The use of the CO2 laser as the only cutting tool eliminates many of the most common and the most serious complications of blepharoplasty attributable to hemorrhage and hematoma. The transconjunctival approach yields superior cosmetic results to those of the more commonly performed traditional techniques, which sometimes results in unacceptable lower eyelid scars and/or lower eyelid retraction. Patient rehabilitation to normal activity is rapid because of decreased bruising and swelling. The laser procedure is well suited to the office-based laser surgical practice, but requires a high degree of skill in CO2 laser excisional surgery. In the hands of the inexperienced operator, new and serious complications may occur.
本文描述了一种上下眼睑整形术的新技术，该技术结合了经结膜入路和二氧化碳激光的优点。使用二氧化碳激光作为唯一的切割工具，消除了许多因出血和血肿导致的眼睑整形术中最常见和最严重的并发症。与更常用的传统技术相比，经结膜入路能产生更好的美容效果，传统技术有时会导致不可接受的下眼睑疤痕和/或下眼睑退缩。由于瘀伤和肿胀减轻，患者恢复正常活动很快。激光手术非常适合门诊激光手术操作，但需要在二氧化碳激光切除手术方面具备高度技能。在缺乏经验的操作者手中，可能会出现新的严重并发症。
