Carbon Dioxide Laser Blepharoplasty: Advantages and Disadvantages

Mittelman, Harry; Apfelberg, David B.

doi:10.1097/00000637-198908000-00023

Cited by 7 publications

(11 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite the documented advantages of the CO 2 laser, a significant number of blepharoplasty surgeons still opt for traditional cold steel surgery for convenience, economy of resources, and their dissatisfaction with the loss of tactile feedback associated with the use of the CO 2 laser [11,12]. In this report we compared CO 2 laser assisted blepharoplasty to a newer type of blepharoplasty performed using a Colorado microneedle attached to an electrocautery unit.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The short pulse carbon dioxide laser versus the colorado needle tip with electrocautery for upper and lower eyelid blepharoplasty

et al. 2008

View full text Add to dashboard Cite

Neutrophil functions can be modified by Recombinant human G‐CSF (rhG‐CSF) treatment, with divergent effects on phagocytosis, motility, bactericidal activity, and surface molecule expression. Neutrophil morphology is modified by treatment with filgrastim (the nonglycosylated form of rhG‐CSF), while it is not affected by lenograstim (the glycosylated type of rhG‐CSF). Little information is available about actin polymerization in neutrophils from subjects treated with the two types of rhG‐CSF. In the current paper we evaluated two groups of donors of peripheral blood stem cells (PBSC) for allogeneic transplantation. Ten subjects were treated with filgrastim and 10 with lenograstim to mobilize PBSC; 15 blood donors were evaluated as a control group. Actin polymerization (both spontaneous and fMLP‐stimulated) was studied by a flow cytometric assay. A microscopic fluorescent assay was also carried out to evaluate F‐actin distribution in neutrophils. We found that filgrastim induced an increased F‐actin content in resting neutrophils, along with morphologic evidence for increased actin polymerization distributed principally at the cell membrane and frequently polarized in focal areas; in addition, fMLP was not able to induce further actin polymerization. On the contrary, treatment with lenograstim was associated with F‐actin content, distribution, and polymerization kinetics indistinguishable from those displayed by control neutrophils. Such experimental results show that filgrastim and lenograstim display divergent effects also on neutrophil actin polymerization and provide further explanation for previous experimental findings. Am. J. Hematol. 81:318–323, 2006. © 2006 Wiley‐Liss, Inc.

show abstract

Section: Discussionmentioning

confidence: 99%

“…However, there are significant disadvantages to CO 2 laser assisted blepharoplasty [11]. The learning curve can be steep, and there is no tactile feedback, which many feel is essential when negotiating a delicate surgical field [12].…”

Section: Introductionmentioning

confidence: 99%

The short pulse carbon dioxide laser versus the colorado needle tip with electrocautery for upper and lower eyelid blepharoplasty

et al. 2008

View full text Add to dashboard Cite

show abstract

“…The major potential complications of laser and radiosurgery for blepharoplasty include injury to the eye and inadvertent damage of the surrounding structures during dissection, and misfiring or inaccurate aiming of the laser [6][7][8]. We protected the eyeballs with corneal protectors to avoid corneal injury or globe perforation.…”

Section: Discussionmentioning

confidence: 99%

“…The most important factor in the prevention of these complications is strict hemostasis. Recently both carbon dioxide (CO 2 ) laser [5][6][7][8] and radiosurgery [9,10] have become excellent surgical tools in blepharoplasty in minimizing intraoperative hemorrhage than the conventional scalpel technique. To date, however, no studies have yet been performed to compare these two surgical techniques for dermatochalasis correction.…”

Section: Introductionmentioning

confidence: 99%

Radiosurgery versus carbon dioxide laser for dermatochalasis correction in Asians

Chan

Tse

2006

Lasers Surg Med

View full text Add to dashboard Cite

Background and Objectives: Carbon dioxide (CO 2 ) laser and radiosurgery are techniques commonly employed in oculoplastic surgery. However, there is no literature comparing their results in blepharoplasty. Study Design/Materials and Methods: Twenty Chinese patients with dermatochalasis underwent radiosurgery in one upper eyelid and CO 2 laser in the contralateral eyelid. Intraoperative time, hemorrhage, and pain control were assessed. Subjects were evaluated at postoperative 1 hour, 1 week, 1 month, and 3 months for hemorrhage and wound healing by a masked assessor. Results: All patients reported minimal pain with either technique. A significantly shorter operative time was achieved with CO 2 laser, with better intraoperative hemostasis. There was no significant difference in postoperative hemorrhage and wound swelling between radiosurgery and CO 2 laser. No significant intraoperative complications were noted. Conclusions: Both radiosurgery and CO 2 laser are equally safe and effective for upper lid blepharoplasty. CO 2 laser achieves shorter operative time with superior intraoperative hemostasis.

show abstract

“…Using CO2 laser, blepharoplasty was processed safely and more enhanced to decrease bleeding, operation time, edema, time to heal. Mittelman et al (Mittelman and Apfelberg 1990) evaluated as safe method in spite of having risks of eyeball injury, breakaway from its course, fire at operation room, burn injury of skin.…”

Section: Clinical Application In Plastic Surgerymentioning

confidence: 99%