New Technologies in Aesthetic Blepharoplasty and Brow-lift Surgery

ABSTRACT

New technologies are important in the advancement of any field. Two such advancements in blepharoplasty and brow lifting include use of the PlasmaBlade and fractionated CO₂ laser resurfacing. The PlasmaBlade uses pulsed radiofrequency energy with a highly insulated blade to assist with incision and dissection during eyelid surgery, resulting in minimal bruising and edema. This article describes specifically how the PlasmaBlade can be used and its typical settings. Fractionated CO₂ laser resurfacing is also a powerful tool that can significantly enhance eyelid rejuvenation. This resurfacing can address fine lines in the periocular region with limited downtime. Use of these technologies can help to improve results and shorten the recovery time traditionally associated with blepharoplasty and periocular resurfacing.

KEYWORDS

PlasmaBlade - blepharoplasty - fractionated CO₂ laser resurfacing

REFERENCES

• 1 Beeson W, Kabaker S, Keller G S. Carbon dioxide laser blepharoplasty: a comparison to electrosurgery.  Int J Aesthetic Restorative Surgery. 1994;  2 33-36
• 2 Tipton W W, Garrick J G, Riggins R S. Healing of electrosurgical and scalpel wounds in rabbits.  J Bone Joint Surg Am. 1975;  57 377-379
• 3 Loh S, Carlson G A, Chang E I, Huang E J, Palanker D, Gurtner G C. Comparative healing of surgical incisions created by the PEAK PlasmaBlade, conventional electrosurgery, and a scalpel.  Plast Reconstr Surg. 2009;  124 1849-1859
• 4 Palanker D V, Miller J M, Marmor M F, Sanislo S R, Huie P, Blumenkranz M S. Pulsed electron avalanche knife (PEAK) for intraocular surgery.  Invest Ophthalmol Vis Sci. 2001;  42 2673-2678
• 5 Priglinger S G, Haritoglou C, Palanker D V, Alge C S, Gandorfer A, Kampik A. Pulsed electron avalanche knife (PEAK-fc) for dissection of retinal tissue.  Arch Ophthalmol. 2005;  123 1412-1418
• 6 Palanker D V, Vankov A, Huie P. Electrosurgery with cellular precision.  IEEE Trans Biomed Eng. 2008;  55(2 Pt 2) 838-841
• 7 Rosenberg H L, Vose J G, Atmodjo D Y, Huang E J, Gurtner G C. The PRECISE Abdominoplasty Study: Outcomes with the PEAK PlasmaBlade compared to scalpel and traditional electrosurgery. Presented at: American College of Surgeons Annual Meeting October 23, 2009 Chicago, IL;
• 8 Keller G S, Rawnsley J, Cutcliffe B, Watson J. Erbium: YAG and carbon dioxide laser resurfacing.  Facial Plast Surg Clin North Am. 1997;  6 167-181
• 9 Keller G S, Lowe N, Gomerly D. Laser skin resurfacing with the silk touch flashscanner for facial rytids.  Dermatol Surg. 1994;  3 1021-1024
• 10 Orringer J S, Kang S, Johnson T M et al.. Connective tissue remodeling induced by carbon dioxide laser resurfacing of photodamaged human skin.  Arch Dermatol. 2004;  140 1326-1332
• 11 Reilly M J, Cohen M, Hokugo A, Keller G S. The molecular effects of fractional carbon dioxide laser resurfacing on photodamaged human skin. Presented at: American Academy of Facial Plastic Surgery Annual Meeting October 1, 2009 San Diego, CA;