Document Detail

Improvement of dermatochalasis and periorbital rhytides with a high-energy pulsed CO2 laser: a retrospective study.
MedLine Citation:
PMID:  15056134     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Upper eyelid dermatochalasis is typically treated with excisional blepharoplasty. The role of the CO2 laser previously had been confined to that of a vaporizing, incisional, or hemostatic tool. Over the past several years, however, ablative CO2 laser skin resurfacing has been popularized as an adjunctive treatment to blepharoplasty to minimize periorbital rhytides through its vaporizing as well as skin-tightening action. OBJECTIVE: To evaluate the safety and efficacy of a high-energy pulsed CO2 laser as a stand-alone treatment for dermatochalasis and periorbital rhytides. METHODS: Sixty-seven patients (skin phototypes I-IV) with mild-to-severe upper eyelid dermatochalasis and periorbital rhytides received periocular CO2 laser skin treatment. Global assessment scores of dermatochalasis and rhytides were determined by a side-by-side comparison of periocular photographs preoperatively and 1, 3, and 6 months postoperatively. In addition, caliper measurements of upper eyelids before and 1, 3, and 6 months after treatment were obtained. RESULTS: Both dermatochalasis and periorbital rhytides were significantly improved after periocular CO2 laser skin resurfacing. Patients with more severe dermatochalasis and rhytides showed greater improvement after CO2 laser treatment than did those with mild or moderate involvement. Side effects were limited to erythema and transient hyperpigmentation. No scarring, hypopigmentation, or ectropion were observed. CONCLUSIONS: Periocular skin resurfacing with a CO2 laser can safely and effectively improve upper eyelid dermatochalasis and periorbital rhytides.
Tina S Alster; Supriya G Bellew
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]     Volume:  30     ISSN:  1076-0512     ISO Abbreviation:  Dermatol Surg     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-04-01     Completed Date:  2004-06-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9504371     Medline TA:  Dermatol Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  483-7; discussion 487     Citation Subset:  IM    
Washington Institute of Dermatologic Laser Surgery, 2311 M Street NW, Suite 200, Washington, DC 20037, USA.
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MeSH Terms
Carbon Dioxide / therapeutic use
Eyelids / surgery*
Gases / therapeutic use
Laser Therapy / methods*
Middle Aged
Retrospective Studies
Skin Aging
Skin Diseases / surgery*
Treatment Outcome
Reg. No./Substance:
0/Gases; 124-38-9/Carbon Dioxide
Comment In:
Dermatol Surg. 2004 Dec;30(12 Pt 1):1500; author reply 1500   [PMID:  15606742 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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