Keywords
carbon dioxide laser
reriocular rejuvenation
dermatochalasis
photoaging
eyelid surgery
How to Cite
Abstract
Objective: To evaluate the clinical and aesthetic outcomes of CO₂ laser-assisted upper blepharoplasty combined with fractional resurfacing for periocular rejuvenation in patients treated at the International Vision Clinic of Ecuador (CIVE). Methods: A prospective quasi-experimental study was conducted in 20 patients with dermatochalasis and periocular photoaging. All participants underwent CO₂ laser-assisted upper blepharoplasty combined with fractional resurfacing. Demographic variables, eyelid height, subjective visual field improvement, postoperative complications, patient satisfaction, and aesthetic outcomes were assessed using the Facial Laxity Rating (FLR) and Global Aesthetic Improvement Scale (GAIS). Results: Mean age was 70.3 ± 6 years, and 65% were women. Subjective visual field improvement was reported by 90% of patients. A marked or exceptional aesthetic improvement was observed in 70% of cases. Post-treatment evaluation showed mild laxity or absence of residual laxity in 90% of participants. Postoperative complications were mild and transient, mainly edema (45%) and mild pain (30%). Eighty-five percent of patients were very satisfied, and all participants would recommend the procedure. Conclusions: CO₂ laser-assisted blepharoplasty combined with fractional resurfacing showed favorable clinical and aesthetic outcomes, high patient satisfaction, and an adequate safety profile in patients with periocular aging
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