Radiowave Surgery versus CO₂Laser for Upper Blepharoplasty Incision: Which Modality Produces the Most Aesthetic Incision?

Abstract

Both 4.0-MHz radiowave surgery and CO(2) laser incision produce simultaneous incision and coagulation. Both modalities restrict blood loss in the average four lid blepharoplasty surgery to less than 1 cm(3) of blood and decrease operative time. In this study, qualified blinded surgeons judging 12-month postblepharoplasty photos of incisional scars were unable to differentiate a statistically significant difference between the two modalities and the aesthetic quality of the scars. This represents the first study of its type in the literature utilizing Caucasian patients.

NonsuturedHotz–Celsus technique performed byCO2laser in two dogs and two cats

“…Given thevascularity of the face and periorbital regions, intraoperative bleeding can complicate the procedure. Bleeding makes the dissection more difficult and prolongs the operating time . A CO 2 laser lets the surgeon perform the procedure without bleeding and the vessels are sealed, so that the risk of postoperative bleeding and bruising is lower .…”

Vi̇tal Pulpa Tedavi̇leri̇nde Güncel Yaklaşimlar

“…72 Handa ve ark. 73 farelerde direkt pulpa kaplamasında HRW'nin tamir dentin stimulasyonunu incelediklerinde; HRW ile hemostazın daha kısa sürede sağlanabildiğini ve bu yöntemin pulpal inflamasyonu azaltarak yüksek kalitede reperatif dentin oluşumunu indüklediğini bildirmiştir. HRW'nin avantajı; pulpal inflamasyon ve nekroz riskini azaltarak, yüksek kalitede tamir dentini oluşumunu indükleyebilmesidir.…”

Lasers in Major Oral and Maxillofacial Surgery

“…71 Advantages specific to cosmetic procedures include the ability of some lasers (depending on wavelength) to work through endoscopes and use several very small incisions rather than one large incision. Lasers have not only improved existing procedures, but also have allowed new cosmetic procedures to be done safely and effectively using only specific laser wavelengths and IPL devices.…”

“…71 Once the excess skin is removed, the orbicularis muscle can be partially excised. Although the laser is generally not as precise at making skin incisions as a scalpel, in the eyelids the final result appears to be identical using either modality, and the laser has the advantages mentioned previously, making it the technique of choice.…”