Oculoplastic and Orbital Surgery Department, Wills Eye Hospital, Philadelphia, Pennsylvania.
Department of Ophthalmology, University of Washington, Seattle, Washington.
Dermatol Surg. 2022 Oct 1;48(10):1089-1091. doi: 10.1097/DSS.0000000000003533. Epub 2022 Aug 9.
The aged face results from a culmination of skin changes, gravitational descent, and volume loss. Surgical interventions in the periorbital region are beneficial for addressing these 3 factors. Despite this, studies describing CO2 laser safety settings are lacking.
There is no present consensus on ideal periorbital CO2 laser; therefore, this study evaluates the safety of periorbital laser resurfacing as an adjunct to lower blepharoplasty using robust settings.
A retrospective review was performed of all patients who underwent bilateral lower blepharoplasty with adjunctive periorbital (upper and lower eyelid) fractionated CO2 laser resurfacing from 2013 to 2018 performed by a single oculoplastic surgeon.
Fifty-nine patients were included. Six patients experienced side effects including postinflammatory hyperpigmentation, (3/59, 5.1%), prolonged superficial excoriations (1/59, 1.7%), prolonged hyperemia (1/59, 1.7%), and lower eyelid retraction requiring lower eyelid recession (1/59, 1.7%). None of the patients developed postoperative infection. All patient expressed satisfaction at their final postoperative visit.
CO2 laser resurfacing, even with robust settings, is a safe and effective adjunct to lower blepharoplasty.
衰老的面部是皮肤变化、重力下降和体积丧失的综合结果。眼眶区域的手术干预有益于解决这 3 个因素。尽管如此，描述 CO2 激光安全性设置的研究仍然缺乏。
目前对于理想的眶周 CO2 激光尚无共识；因此，本研究评估了使用稳健设置作为辅助下眼睑整形术的眶周激光换肤术的安全性。
回顾性分析了 2013 年至 2018 年间由同一位眼整形医生进行的双侧下眼睑整形术联合辅助性眶周（上、下眼睑）分割 CO2 激光换肤术的所有患者。
共纳入 59 例患者。6 例患者出现副作用，包括炎症后色素沉着过度（59 例中的 3 例，5.1%）、浅表擦伤持续时间延长（59 例中的 1 例，1.7%）、持续红斑（59 例中的 1 例，1.7%）和需要下眼睑退缩的下眼睑回缩（59 例中的 1 例，1.7%）。无患者发生术后感染。所有患者在最终随访时均表示满意。
CO2 激光换肤术，即使采用稳健的设置，也是下眼睑整形术的一种安全有效的辅助手段。
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