Eyelid Tightening and Improved Eyelid Aperture through Nonablative Fractional Resurfacing

Abstract

BACKGROUND AND OBJECTIVE The effects of fractional resurfacing on eyelid tightening and aperture are unknown. Our purpose was to retrospectively examine the potential for eyelid tightening and eyeaperture opening in patients treated with nonablative fractional resurfacing for facial photorejuvenation.

Treatment of lower eyelid rhytids and laxity with ablative fractionated carbon-dioxide laser resurfacing: Case series and review of the literature

“…[4][5][6] The pixilated pattern of wounding in FP, where columns of thermal damage are surrounded by nonablated tissue, promotes more rapid re-epithelialization and potentially enhanced tissue contraction and tightening. [13][14][15][16][17][18][19][20][21][22] As a result of the fractionated nature of tissue ablation, recovery time posttreatment is minimized. [13][14][15][16][17][18][19][20][21][22] Review of the recent literature (Table III) demonstrates significant advantages of FP in terms of decreased recovery times relative to traditional ablative laser resurfacing devices (CO 2 and Er:YAG).…”

“…[13][14][15][16][17][18][19][20][21][22] As a result of the fractionated nature of tissue ablation, recovery time posttreatment is minimized. [13][14][15][16][17][18][19][20][21][22] Review of the recent literature (Table III) demonstrates significant advantages of FP in terms of decreased recovery times relative to traditional ablative laser resurfacing devices (CO 2 and Er:YAG). [13][14][15][16][17][18][19][20][21][22][23][25][26][27][28][29][30][31] Although traditional ablative laser resurfacing was able to achieve results for periorbital skin tightening that rivaled surgical correction, the side effects of several months of erythema and swelling and long-term risks of prolonged dyspigmentation and potential scarring significantly limited the application of this technology.…”

“…[13][14][15][16][17][18][19] In addition, the safety profile seen with AFP marks a significant advantage over the traditional ablative resurfacing devices, associated with prolonged postoperative erythema and risk of postinflammatory pigmentary change and scarring. [13][14][15][16][17][18][19] Several recent studies have compared NAFP with AFP and have found that AFP produces greater improvements in skin tightening and texture.…”

“…[13][14][15][16][17][18][19] In addition, the safety profile seen with AFP marks a significant advantage over the traditional ablative resurfacing devices, associated with prolonged postoperative erythema and risk of postinflammatory pigmentary change and scarring. [13][14][15][16][17][18][19] Several recent studies have compared NAFP with AFP and have found that AFP produces greater improvements in skin tightening and texture. [17][18][19] Given the greater degree of improvement seen in skin tightening and texture with AFP relative to the original generation of NAFP devices, [16][17][18][19][20][21][22] we set out to prospectively examine treatment of lower eyelid rhytids and laxity with an AFP device.…”

“…An increasing array of recent novel technologic advancements in laser and cosmetic dermatology have led to a number of effective nonsurgical treatment modalities for periorbital rhytids. [4][5][6][7][8][9][10][11][12][13][14][15][16][17] In terms of nonsurgical modalities for the treatment of eyelid skin laxity, one of the most successful treatment modalities to date has been traditional ablative carbondioxide (CO 2 ) resurfacing. [4][5][6] Alster and Bellew 4 performed ablative CO 2 resurfacing on a series of 67 patients with dermatochalasis of the upper eyelid and periorbital rhytids.…”