Endolift® the “lunch-time” laser lifting for the lower eyelids

Abstract

Lasers and others energy-based devices have reached very high levels of results. Although the area of the lower eyelids is one of the most difficult to treat without surgery, Endolift® represents one of the safest and effective techniques that we can offer. Endolift® procedure was performed with a 200 microns second-generation bare fiber connected to an Italian 1470nm semiconductor laser to treat the lower eyelids of a 43-year-old patient with wrinkles and skin laxity. No anesthesia was required. The fiber was easily inserted through the skin, without any incisions, directly between the orbicularis oculi muscle and the septum. The total laser energy delivered was 80 J for each side. Post-procedure the patient immediately resumed her daily activities. Snap Back test was performed before (T0) and 6 months (T1) after the procedure; Fitzpatrick “wrinkle score” and “degree of elastosis” were assessed at T0 and T1; investigator Global Aesthetic Improvement scale (iGAIS), external investigator Global Aesthetic Improvement scale (eiGAIS) and participant Global Aesthetic Improvement scale (pGAIS) were also recorded at T1. The treatment has been completed with a session of a vascular 532nm diode laser for treating the fine telangiectasias, immediately before the Endolift® procedure. The lower eyelids have benefited from the possibility that the Endolift® has to remodel and retract the tissues, activate the collagen production, and stimulate the neo-angiogenesis. Results are evaluated at T1, when the skin laxity is reduced and superficial wrinkles are smoothed, resulting in an overall compacting of the skin which is visible and continues to progress over the following months. The only adverse events recorded were redness for 3 hours and a light swelling for 2 days. Snap Back test at T0 was severe and negative at T1; at T0 wrinkle score” was II and Fitzpatrick “degree of elastosis” was 7-9 but at T1 Fitzpatrick “wrinkle score” was I and Fitzpatrick “degree of elastosis” was 1-3; iGAIS, eiGAIS and pGAIS at T1 were all +3. Endolift® can currently be considered one of the leading non-surgical treatments for the laxity of lower eyelids.

Efficacy evaluation of endolift laser for treatment of nasolabial folds and marionette lines

“…In the past decades, there have been many requests for skin rejuve- were evaluated. [20][21][22][23][24][25][26][27][28] Our results were similar to these studies results.…”

“…Also the cutometer outcomes displayed that the Endolift laser treatment can increase skin elasticity. In some previous published study, the effect of Endolift laser for treatment of forehead wrinkles, acne scars, upper eyelid, and eyebrow ptosis, arm and under abdomen fat, lower eyebag, skin laxity, jowl fat, were evaluated 20–28 . Our results were similar to these studies results.…”

Treatment of horizontal neck wrinkles by Endolift laser: Biometric measurement

“…In some other studies, the effect of Endolift laser for treatment of forehead wrinkles, acne scars, upper eyelid and eyebrow ptosis, arm and under abdomen fat, lower eyebag, skin laxity, jowl fat, nasolabial folds, and marionette lines was evaluated previously. 18,19,[32][33][34][35][36][37][38][39] Our results were similar to these studies' results. According to these previous studies, Endolift laser can decrease the skin laxity and can tighten the skin and also can decrease the facial wrinkles.…”

“…Also, the cutometer outcomes displayed that the Endolift laser treatment can increase skin elasticity. In some other studies, the effect of Endolift laser for treatment of forehead wrinkles, acne scars, upper eyelid and eyebrow ptosis, arm and under abdomen fat, lower eyebag, skin laxity, jowl fat, nasolabial folds, and marionette lines was evaluated previously 18,19,32–39 . Our results were similar to these studies’ results.…”

Evaluation of eyebrow position and upper eyelid laxity after endolift laser treatment

“…9,10 One of the nonsurgical non-ablative successful modalities for the eyelid skin laxity and eyebrow ptosis treatment is Endolift laser. 11 In the present study we used Endo lift laser for excessive eyelid skin laxity and eyebrow ptosis.…”