Glassberg E, Babapour R, Lask G
Division of Dermatology, Harbor-UCLA Medical Center, Torrance, CA 90509-2910, USA.
Dermatol Surg. 1995 Dec;21(12):1060-3. doi: 10.1111/j.1524-4725.1995.tb00559.x.
The use of lasers in cosmetic surgery has been expanded fairly recently to include blepharoplasties. Controversy exists as to the efficacy of this procedure. This survey is designed to gain an understanding of the efficacy of blepharoplasty performed by laser versus conventional scalpel techniques.
A group of surgeons who perform the procedure were questioned. Over 4,000 cases of upper and lower lid laser blepharoplasty were reported by the responding physicians.
The results of this survey indicate that carbon dioxide is by far the most common laser used in laser blepharoplasty (96%). A laser is used as a sole cutting tool by 70% of the responders and as a sole hemostasis tool by 88% of surgeons. Overall, both the intraoperative time and postoperative recovery period were reported as significantly reduced when blepharoplasty is performed by laser as compared with scalpel. In general, the incidences of edema, ecchymosis, and postoperative pain were reported as less severe with laser. No serious complications related to the laser were documented by the survey responders.
This study confirms that laser blepharoplasty techniques can be safe and effective in skilled hands and may even have some potential advantages over conventional blepharoplasty.
激光在整形手术中的应用最近才扩展到包括眼睑整形术。关于该手术的疗效存在争议。本次调查旨在了解激光与传统手术刀技术进行眼睑整形术的疗效。
对一组进行该手术的外科医生进行了询问。回复的医生报告了4000多例上下眼睑激光眼睑整形术病例。
本次调查结果表明，二氧化碳是激光眼睑整形术中使用最普遍的激光（96%）。70%的回复者将激光用作唯一的切割工具，88%的外科医生将其用作唯一的止血工具。总体而言，与手术刀相比，激光进行眼睑整形术时，术中时间和术后恢复期均显著缩短。一般来说，激光治疗时水肿、瘀斑和术后疼痛的发生率较低。调查回复者未记录到与激光相关的严重并发症。
本研究证实，激光眼睑整形术技术在技术熟练的医生手中可以安全有效，甚至可能比传统眼睑整形术具有一些潜在优势。
