CO2 laser blepharoplasty approaches are currently popular and promoted. CO2 laser blepharoplasty appears to have an advantage to patient and surgeon by speeding the surgical procedure and the healing process. The carbon dioxide laser has the ability to precisely heat targeted tissue sites with minimal collateral thermal tissue effects. The lasers unique ability to seal small vessels, lymphatics and nerve endings is thought to account for its benefit of less post operative swelling and more rapid recovery. It is important that overcorrecting or overzealous excision of skin be avoided to prevent the dry eye problems, rounded eye or nocturnal lagophthalmos.
Major complications can include orbital hemorrhage, muscle restriction, and infrequent blindness.
Patient using excess eyebrow retraction to clear visual axis. Lid contour restored to proper level. Ptosis Ptosis, an abnormal descensus of the upper lids is most easily classified into acquired or congenital ptosis. Congenital ptosis is most commonly seen and corrected during childhood. Ptosis will often require careful preoperative surgical measurements, in preparation for a resection procedure of the levator muscle itself.