BLEPHAROPLASTY WITH CO2 LASER IN BLEPHAROCHALASIS IN UPPER EYELIDS AND REJUVENATION OF THE PERIORBITARY REGION

Abstract

In eyelid blepharochalasis and in the aging of the periorbital structures, multiple factors are involved, which are involuntary due to the loss of collagen and elastin and other factors are involved such as genetic, photoaging, allergic and vascular processes, for these reasons, patients come to the consultation daily, in search of a fresher and more harmonious appearance, regardless of age and in most cases they come to the consultation in search of solving a problem of a functional nature. Objective: To analyze the functional and aesthetic changes after fractional Co2 laser-assisted surgery in patients with blepharochalasis in the upper eyelids, and in the rejuvenation of the periorbital region. Methods: Quasi-experimental, descriptive and prospective study, with an intentional nonprobabilistic sample of 27 patients who consulted from February 2019 to February 2020 and who underwent Co2 laser assisted blepharoplasty. Evolution was determined at 24 hours, 21, 30 and 45 days after treatment. The analysis of the variables was carried out using the descriptive statistical technique. Results: of the 27 patients, 81.4% were female, the level of mechanical ptosis in the pre-surgery was 37% moderate and another 37% severe, in a similar percentage patient with severe mechanical ptosis and 25.9% mild, the eyelid cleft was moderate in 40.7%, the same percentage was severe and 18.5 was mild. After surgery, mild levels were evidenced in all patients with ptosis. Most recovered after 21 days, with a minimum of complications and a very good degree of satisfaction. Surgery for blepharochalasis in upper eyelids, assisted with fractionated Co2 laser, achieves rejuvenation of the periorbital region, with relevant functional and aesthetic changes.