Micropunch Blepharopeeling of the Upper Eyelids: A Combination Approach for Periorbital Rejuvenation – A Pilot Study

Abstract

Eighty-nine percent phenol peeling combined with multiple small upper eyelid skin excisions effectively tightens upper eyelid skin excess and lessens periorbital rhytides. The procedure has the advantage of not creating a linear scar and decreases the risk of prolonged healing and hypopigmentation, which is more likely with deeper peels.

Micropunch blepharopeeling versus blepharoplasty; what is the best procedure for upper eyelid rejuvenation?

“…In the other hand, peeling is effective enough and also not expensive . The number of studies in which blepharopeeling is used for rejuvenation is rare . The aim of current study was to assess advantages and disadvantages of micropunch blepharopeeling as a less invasive procedure in comparison with blepharoplasty.…”

“…Complications are associated with all the methods of periocular rejuvenation. Sterling et al mentioned less scar in micropunch blepharopeeling procedure with the hypothesis of more efficient reepithelialization and also less tension on wound in comparison with blepharoplasty that was similar to our findings as we found significantly less scar in patients who had undergone micropunch blepharopeeling. Other complications were not significantly different among two groups.…”

“…Although prior to the surgery eyelids were not completely symmetrical, as it was not easy to remove surplus skin, connective tissue, and fat identically, primary asymmetry may aggravate and it can cause higher dissatisfaction of both patient and physician . In our study, physicians and patients reported better symmetry with micropunch blepharopeeling.In another study, patients presented satisfaction of micropunch blepharopeeling due to less scar creation, lack of hypopigmentation, and short healing duration which are in accordance with our findings.…”

“…Micropunch blepharopeeling is a way to treat periorbital wrinkle and reduce skin excess of upper eyelid and also poses no linear scar which is seen in usual blepharoplasty …”

“…In contrast to blepharopeeling, micropunch blepharopeeling does not rely on deep chemical peels (Baker‐Gordon phenol‐croton oil peel), which can cause long‐term erythema and hypopigmentation …”